{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T01:13:17Z","timestamp":1778634797512,"version":"3.51.4"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T00:00:00Z","timestamp":1774310400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T00:00:00Z","timestamp":1774310400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100009619","name":"Japan Agency for Medical Research and Development","doi-asserted-by":"publisher","award":["15dk0107003h0003"],"award-info":[{"award-number":["15dk0107003h0003"]}],"id":[{"id":"10.13039\/100009619","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009619","name":"Japan Agency for Medical Research and Development","doi-asserted-by":"publisher","award":["15dk0207004h0203"],"award-info":[{"award-number":["15dk0207004h0203"]}],"id":[{"id":"10.13039\/100009619","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009619","name":"Japan Agency for Medical Research and Development","doi-asserted-by":"publisher","award":["15dk0207019h0001"],"award-info":[{"award-number":["15dk0207019h0001"]}],"id":[{"id":"10.13039\/100009619","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009619","name":"Japan Agency for Medical Research and Development","doi-asserted-by":"publisher","award":["18dk0110021h0003"],"award-info":[{"award-number":["18dk0110021h0003"]}],"id":[{"id":"10.13039\/100009619","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychogeriatrics"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>It is important to develop effective support strategies to prevent functional impairment among older adults with depressive symptoms. Participation in leisure activities may help prevent functional impairment. However, it is unclear what types of leisure activities are associated with functional impairment in this population. The purpose of this study was to identify leisure activities associated with future functional impairment among community\u2010dwelling older adults who were not functionally impaired but exhibited depressive symptoms at baseline.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective cohort study was conducted among 1603 community\u2010dwelling older adults exhibiting depressive symptoms. Leisure activities were assessed using a self\u2010administered questionnaire, which covered 24 different activities across eight domains. Participants were followed up for 2\u2009years from baseline assessment to monitor for onset of functional impairment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Functional impairment was experienced by 15.7% during the 2\u2010year period from baseline. Logistic regression analysis adjusted for confounding factors showed that eating out with friends (odds ratio [OR]: 0.66; 95% confidence interval [CI]: 0.48\u20130.92), shopping with friends (OR: 0.70; 95% CI: 0.50\u20130.97), bicycling (OR: 0.66; 95% CI: 0.45\u20130.97), travelling (OR: 0.63; 95% CI: 0.44\u20130.89), attending an event (OR: 0.66; 95% CI: 0.46\u20130.94) and gardening (OR: 0.72; 95% CI: 0.53\u20130.99) were associated with a lower risk of functional impairment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Participation in outdoor leisure activities that combine physical, cognitive and social elements may help prevent functional impairment among older adults with depressive symptoms. These findings can help to develop practical support strategies to improve health and prevent functional impairment among older adults with depressive symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/psyg.70161","type":"journal-article","created":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T07:24:55Z","timestamp":1774337095000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Leisure Activities Associated With Functional Impairment Risk Among Community\u2010Dwelling Older Adults With Depressive Symptoms"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6742-5391","authenticated-orcid":false,"given":"Yuka","family":"Misu","sequence":"first","affiliation":[{"name":"Department of Preventive Gerontology Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology  Obu Aichi Japan"},{"name":"Department of Occupational Therapy Faculty of Rehabilitation Kobe Gakuin University  Kobe Hyogo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sho","family":"Nakakubo","sequence":"additional","affiliation":[{"name":"Department of Preventive Gerontology Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology  Obu Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuto","family":"Kiuchi","sequence":"additional","affiliation":[{"name":"Department of Preventive Gerontology Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology  Obu Aichi Japan"},{"name":"Frontier Research Center, POLA Chemical Industries, Inc.  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