The number of older adults aged 65 and older in Hawaiʻi has been increasing (Administration for Community Living, 2021). With this, there are growing concerns on issues with cognitive impairment and related diseases. Native Hawaiians (NHs) experience health disparities related to high risk of cardiovascular conditions, which are known to be risk factors of cognition (Ganbat & Wu, 2021). NHs are disproportionately affected by dementia and subjective cognitive decline (Alzheimer’s Association, 2021; Ganbat & Wu, 2021). In 2020, 29,000 people aged 65 and older had Alzheimer’s in Hawaiʻi, and this number is expected to increase to 35,000 by 2025 (Alzheimer’s Association, 2021). Productive activities and leisure activities have been linked to positive health outcomes in older adults. Yet, less is known if these beneficial effects extend to NH older adults. This article identifies the associations between various activities and cognitive health among this population.