ARTICLE - CANDIDATE TRANSITION VARIABLES

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Id 708
Author Fancourt D., Steptoe A.
Title The art of life and death: 14 year follow-up analyses of associations between arts engagement and mortality in the English Longitudinal Study of Ageing
Reference
Fancourt D., Steptoe A.; The art of life and death: 14 year follow-up analyses of associations between arts engagement and mortality in the English Longitudinal Study of Ageing ;The BMJ vol:367 issue: page:

Link to article https://www.scopus.com/inward/record.uri?eid=2-s2.0-85076972014&doi=10.1136%2fbmj.l6377&partnerID=40&md5=3e624262bf437c4494f124e35a5b94e2
Abstract To explore associations between different frequencies of arts engagement and mortality over a 14 year follow-up period. Design Prospective cohort study. Participants English Longitudinal Study of Ageing cohort of 6710 community dwelling adults aged 50 years and older (53.6% women, average age 65.9 years, standard deviation 9.4) who provided baseline data in 2004-05. Intervention Self reported receptive arts engagement (going to museums, art galleries, exhibitions, the theatre, concerts, or the opera). Measurement Mortality measured through data linkage to the National Health Service central register. Results People who engaged with receptive arts activities on an infrequent basis (once or twice a year) had a 14% lower risk of dying at any point during the follow-up (809/3042 deaths, hazard ratio 0.86, 95% confidence interval 0.77 to 0.96) compared with those who never engaged (837/1762 deaths). People who engaged with receptive arts activities on a frequent basis (every few months or more) had a 31% lower risk of dying (355/1906 deaths, 0.69, 0.59 to 0.80), independent of demographic, socioeconomic, health related, behavioural, and social factors. Results were robust to a range of sensitivity analyses with no evidence of moderation by sex, socioeconomic status, or social factors. This study was observational and so causality cannot be assumed. Conclusions Receptive arts engagement could have a protective association with longevity in older adults. This association might be partly explained by differences in cognition, mental health, and physical activity among those who do and do not engage in the arts, but remains even when the model is adjusted for these factors. © Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to.


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Candidate transition variables
This finding is consistent with research that shows that receptive arts engagement can help in preventing and managing depression, and that it can provide support in preventing cognitive decline and in developing cognitive reserve. .
Further possibilities are that arts engagement improves a sense of purpose in life, helps with the regulation of emotions and thereby enhances coping, supports the buffering of stress, and builds creativity, which improves peoples ability to adapt positively to changing life circumstances.16 17 39 The potential mediating role of these factors remains to be explored further in future studies. .