Correlation between social activities and heart disease in people aged 45 and over in China

doi:10.3969/j.issn.1004-583X.2025.08.003

Abstract

Abstract:

Objective To explore the correlation between social activities and heart disease in Chinese people aged 45 years and above, thus providing reference data for the prevention of heart disease. Methods A cross-sectional study was conducted with data from the 2020 China Health and Retirement Longitudinal Study (CHARLS). Demographic characteristics, living habits, social activities and other indicators were compared. Multivariate Logistic regression was performed to analyze the influencing factors with stepwise adjustments for confounders like gender and age. Correlation of seven types of social activities with heart disease in middle-aged and elderly people was identified. Results A total of 18, 298 study participants were enrolled, with the prevalence of heart disease of 19.46%(3, 561/18, 298). There was a significant difference in the prevalence of heart disease between individuals who were participated in different social activities (e.g., providing free assistance to relatives, friends, or neighbors who do not live with you, or engagement in training courses) and those did not involve in social activities (P<0.01). Multivariate logistic regression analysis showed that after adjusting for sex, age and other confounders, providing free assistance to relatives, friends, or neighbors who do not live with you (OR=0.82, 95%CI=0.73-0.91, P<0.01), and engagement in training courses (OR=0.71, 95%CI=0.50-0.99, P=0.044) were negatively correlated with the risk of heart disease; while playing mahjong, playing chess, playing cards, and going to community activity rooms were positively correlated with the risk of heart disease (OR=1.10, 95%CI=0.99-1.23, P=0.046). Conclusion In the middle-aged and elderly population, strengthening social support networks and encouraging knowledge-based social participation may be an effective intervention direction for cardiovascular disease prevention, providing a theoretical basis for constructing a multidimensional healthy aging strategy.

Key words: cardiovascular diseases, China health and retirement longitudinal study, correlation analysis, social activity

CLC Number:

You Jiawei, An Yanxin, Lyu Jianing, Gao Xiaohong, Hu Liyan, Shan Jie, Chen Lin. Correlation between social activities and heart disease in people aged 45 and over in China[J]. Clinical Focus, 2025, 40(8): 689-693.

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URL: https://www.lchc.cn/EN/10.3969/j.issn.1004-583X.2025.08.003

https://www.lchc.cn/EN/Y2025/V40/I8/689

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References 16

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变量	总体(n=18 298)	患有心脏疾病(n=3 561)	未患心脏疾病(n=14 737)	t/χ²值	P值
年龄(岁)	63.82±12.30	66.77±9.47	62.56±10.07	22.31	<0.01
性别
男	8 585(46.92)	1 400(39.31)	7 185(48.75)	102.62	<0.01
女	9 713(53.08)	2 161(60.69)	7 552(51.24)	102.62	<0.01
婚姻
已婚	15 338(83.82)	2 800(78.62)	12 538(85.07)	85.96	<0.01
独居	2 960(16.18)	761(21.38)	2 199(14.93)	85.96	<0.01
教育程度
小学以下	8 036(43.92)	1 684(47.29)	6 352(43.10)	26.87	<0.01
小学	4 029(22.02)	779(21.87)	3 250(22.01)
中学	3 976(21.73)	680(19.08)	3 296(22.36)
高中及以上	2 257(12.33)	418(11.76)	1 839(12.47)
锻炼
是	16 252(88.82)	3 071(86.24)	13 181(89.44)	29.60	<0.01
否	2 046(11.18)	490(13.76)	1 556(10.56)	29.60	<0.01
饮酒
是	6 549(35.81)	961(26.98)	5 588(37.94)	150.19	<0.01
否	11 739(64.19)	2 600(73.02)	9 139(62.06)	150.19	<0.01
抽烟
是	4 636(25.35)	654(18.36)	3 982(27.04)	114.46	<0.01
否	13 652(74.65)	2 907(81.64)	10 745(72.96)	114.46	<0.01

变量	总体(n=18 298)	患有心脏疾病(n=3 561)	未患心脏疾病(n=14 737)	t/χ²值	P值
年龄(岁)	63.82±12.30	66.77±9.47	62.56±10.07	22.31	<0.01
性别
男	8 585(46.92)	1 400(39.31)	7 185(48.75)	102.62	<0.01
女	9 713(53.08)	2 161(60.69)	7 552(51.24)	102.62	<0.01
婚姻
已婚	15 338(83.82)	2 800(78.62)	12 538(85.07)	85.96	<0.01
独居	2 960(16.18)	761(21.38)	2 199(14.93)	85.96	<0.01
教育程度
小学以下	8 036(43.92)	1 684(47.29)	6 352(43.10)	26.87	<0.01
小学	4 029(22.02)	779(21.87)	3 250(22.01)
中学	3 976(21.73)	680(19.08)	3 296(22.36)
高中及以上	2 257(12.33)	418(11.76)	1 839(12.47)
锻炼
是	16 252(88.82)	3 071(86.24)	13 181(89.44)	29.60	<0.01
否	2 046(11.18)	490(13.76)	1 556(10.56)	29.60	<0.01
饮酒
是	6 549(35.81)	961(26.98)	5 588(37.94)	150.19	<0.01
否	11 739(64.19)	2 600(73.02)	9 139(62.06)	150.19	<0.01
抽烟
是	4 636(25.35)	654(18.36)	3 982(27.04)	114.46	<0.01
否	13 652(74.65)	2 907(81.64)	10 745(72.96)	114.46	<0.01

变量	总体 (n=18 298)	患有心脏疾病 (n=3 561)	未患心脏疾病 (n=14 737)	χ²值	P值
串门、跟朋友交往
是	5 865(32.05)	1 126(31.62)	4 739(32.16)	0.379	0.538
否	12 433(67.95)	2 435(68.38)	9 998(67.84)	0.379	0.538
打麻将、下棋、打牌、去社区
是	2 733(14.94)	528(14.83)	2 205(14.96))	0.041	0.839
否	15 565(85.06)	3 033(85.17)	12 532(85.04)	0.041	0.839
无偿向与您不住在一起的亲人、朋友或者邻居提供帮助
是	2 824(15.42)	449(12.57)	2 375(16.12)	27.649	<0.001
否	15 484(84.58)	3 122(87.43)	12 362 (83.88)	27.649	<0.001
去公园或者其他场所跳舞、健身、练气功等
是	1 260(6.89)	251(7.05)	1 009(6.85)	0.182	0.669
否	17 038(93.11)	3 310(92.95)	13 728(93.15)	0.182	0.669
参加社团组织活动
是	446(2.44)	94(2.64)	352(2.39)	0.761	0.383
否	17 852(97.56)	3 467(97.36)	14 385(97.61)	0.761	0.383
志愿者活动或者慈善活动
是	583(3.19)	109(3.06)	474(3.22)	0.224	0.636
否	17 715(96.81)	3 452(96.94)	14 264(96.78)	0.224	0.636
上学或者参加培训课程
是	303(1.66)	40(1.12)	263(1.78)	7.703	0.006
否	17 995(98.35)	3 521(98.88)	14 474(98.22)	7.703	0.006

变量	总体 (n=18 298)	患有心脏疾病 (n=3 561)	未患心脏疾病 (n=14 737)	χ²值	P值
串门、跟朋友交往
是	5 865(32.05)	1 126(31.62)	4 739(32.16)	0.379	0.538
否	12 433(67.95)	2 435(68.38)	9 998(67.84)	0.379	0.538
打麻将、下棋、打牌、去社区
是	2 733(14.94)	528(14.83)	2 205(14.96))	0.041	0.839
否	15 565(85.06)	3 033(85.17)	12 532(85.04)	0.041	0.839
无偿向与您不住在一起的亲人、朋友或者邻居提供帮助
是	2 824(15.42)	449(12.57)	2 375(16.12)	27.649	<0.001
否	15 484(84.58)	3 122(87.43)	12 362 (83.88)	27.649	<0.001
去公园或者其他场所跳舞、健身、练气功等
是	1 260(6.89)	251(7.05)	1 009(6.85)	0.182	0.669
否	17 038(93.11)	3 310(92.95)	13 728(93.15)	0.182	0.669
参加社团组织活动
是	446(2.44)	94(2.64)	352(2.39)	0.761	0.383
否	17 852(97.56)	3 467(97.36)	14 385(97.61)	0.761	0.383
志愿者活动或者慈善活动
是	583(3.19)	109(3.06)	474(3.22)	0.224	0.636
否	17 715(96.81)	3 452(96.94)	14 264(96.78)	0.224	0.636
上学或者参加培训课程
是	303(1.66)	40(1.12)	263(1.78)	7.703	0.006
否	17 995(98.35)	3 521(98.88)	14 474(98.22)	7.703	0.006

变量	模型1		模型2		模型3		模型4
变量	OR值(95%CI)	P值	OR值(95%CI)	P值	OR值(95%CI)	P值	OR值(95%CI)	P值
串门、跟朋友交往	0.98(0.90~1.06)	0.538	0.97(0.90~1.05)	0.442	0.96(0.89~1.04)	0.326	1.01(0.94~1.10)	0.720
打麻将、下棋、打牌、去社区活动室	0.99(0.89~1.10)	0.839	1.03(0.93~1.15)	0.516	1.04(0.94~1.15)	0.479	1.10(0.99~1.23)	0.046
无偿向与您不住在一起的亲人、朋友或者邻居提供帮助	0.75(0.67~0.84)	<.001	0.76(0.68~0.85)	<.001	0.77(0.69~0.86)	<.001	0.82(0.73~0.91)	<.001
去公园或者其他场所跳舞、健身、练气功等	1.03(0.89~1.19)	0.669	0.94(0.82~1.09)	0.440	0.94(0.81~1.09)	0.422	0.97(0.84~1.13)	0.730
参加社团组织活动	1.11(0.88~1.40)	0.383	1.16(0.92~1.46)	0.206	1.15(0.91~1.46)	0.228	1.23(0.97~1.56)	0.081
志愿者活动或者慈善活动	0.95(0.77~1.17)	0.636	0.99(0.80~1.22)	0.920	0.99(0.80~1.23)	0.921	1.07(0.86~1.32)	0.556
上学或者参加培训课程	0.63(0.45~0.87)	0.006	0.66(0.47~0.93)	0.016	0.65(0.47~0.91)	0.013	0.71(0.50~0.99)	0.044