Abstract:
Leisure engagement has potential to slow health and functional decline in older age. However, the benefits of different leisure domains for different aspects of aging remains unclear. In 8771 older adults from the Health and Retirement Study (a longitudinal panel study), we measured engagement in physical, creative, cognitive, and community activities. Outcome-wide analyses used 23 aging experiences across seven domains eight years later (daily functioning, physical fitness, long-term physical health problems, heart health, weight, sleep, subjective perceptions of health). Physical activity was related to more positive experiences in all domains but heart health eight years later. Creative engagement was positively related to aging experiences in four domains longitudinally. Cognitive and community engagement were less consistently related to aging experiences. Physical and creative activities may influence important aging metrics, reducing age-related decline and keeping older adults functionally independent for longer, potentially limiting increasing healthcare costs.
What They Found:
Older adults who engaged in creative activities more frequently showed better daily functioning, fitness, sleep, and overall feelings of health over time. Creative activities had more consistent benefits than community or cognitive ones, but physical activities showed the strongest impact.
Why It Matters:
Creative activities don’t just make people feel better – they keep people healthier, longer.
How You Can Use This:
Creative aging programs should be framed as part of the strategy to support healthy aging. Use this research to advocate for, design, or expand community programs where creative engagement is understood to be a health behavior like exercise.
Julia Hotz explores social prescribing — a health care approach that connects people to community activities like art, gardening, and volunteering to improve well-being. Through science and personal stories collected through hands-on research, Hotz shows how this practice helps treat conditions like depression and loneliness while easing pressure on health systems. The book offers a hopeful vision of healing by reconnecting to what truly matters.
From the Press Release:
Today, United States Surgeon General Dr. Vivek Murthy released a new Surgeon General Advisory calling attention to the public health crisis of loneliness, isolation, and lack of connection in our country. Even before the onset of the COVID-19 pandemic, approximately half of U.S. adults reported experiencing measurable levels of loneliness. Disconnection fundamentally affects our mental, physical, and societal health. In fact, loneliness and isolation increase the risk for individuals to develop mental health challenges in their lives, and lacking connection can increase the risk for premature death to levels comparable to smoking daily.
From the Introduction:
It is widely assumed that individuals who develop mild cognitive impairment (MCI) will not recover.1 Yet nearly half of older persons with MCI regain normal cognition.2 The reason for this improvement is not well understood. This study is the first, to our knowledge, to consider whether a culture-based factor—positive age beliefs—contributes to MCI recovery.
In previous experimental studies with older persons, positive age beliefs reduced stress caused by cognitive challenges, increased self-confidence about cognition, and improved cognitive performance.3,4 We therefore hypothesized that older persons with positive age beliefs would be more likely to recover from MCI and would do so sooner compared with individuals with negative age beliefs.
An overview of research substantiating the connections between a person’s social networks and relationships and his/her physical and mental health.