P.211 Sociodemographic, lifestyle and mental health determinants of 24-hour motor activity patterns

2020 ◽  
Vol 31 ◽  
pp. S27
Author(s):  
S. Difrancesco ◽  
F. Lamers ◽  
B.W. Penninx
Keyword(s):  
Mental Health ◽  
Motor Activity ◽  
Activity Patterns ◽  
Health Determinants

scholarly journals Sociodemographic, health and lifestyle, sampling and, mental health determinants of 24-hour motor activity patterns (Preprint)

2020 ◽  
Author(s):  
Sonia Difrancesco ◽  
Harriëtte Riese ◽  
Kathleen R. Merikangas ◽  
Haochang Shou ◽  
Vadim Zipunnikov ◽  
...  
Keyword(s):  
Mental Health ◽  
Anxiety Disorders ◽  
Motor Activity ◽  
Daily Activity ◽  
Clinical Characteristics ◽  
Activity Patterns ◽  
Activity Level ◽  
Older Age ◽  
Functional Principal Component Analysis ◽  
Severity Of Depression

BACKGROUND Analysing actigraphy data using standard circadian parametric models and aggregated nonparametric indices may obscure temporal information that may be a hallmark of the circadian impairment in psychiatric disorders. Functional data analysis (FDA) may overcome such limitations by fully exploiting the richness of actigraphy data and revealing important relationships with mental health outcomes. To our knowledge, no studies have extensively used FDA to study the relationship between sociodemographic, health and lifestyle, sampling and psychiatric clinical characteristics and daily motor activity patterns assessed with actigraphy in a sample of individuals with and without depression/anxiety. OBJECTIVE We study the association of daily motor activity patterns assessed via actigraphy with (1) sociodemographic, health and lifestyle and, sampling factors; (2) psychiatric clinical characteristics (i.e., presence and severity of depression/anxiety disorders). METHODS 14-day continuous actigraphy data of 359 participants with current (n=93), remitted (n=176) or no (n=90) DSM-IV based depression/anxiety diagnosis was obtained from the Netherlands Study of Depression and Anxiety. The associations of patterns of daily motor activity, quantified via Functional Principal Component analysis (fPCA), and sociodemographic, health and lifestyle and, sampling factors and psychiatric clinical characteristics, were assessed using Generalized Estimating Equation regressions. For exploratory purpose, function-on-Scalar Regression (FoSR) was applied to quantify the temporal impact of sociodemographic, health and lifestyle, sampling and psychiatric clinical characteristics on daily motor activity. RESULTS Four features of daily activity patterns captured the overall daily activity level (fPCA1, 34.3% variability), earlier versus later morning activity (fPCA2, 16.5% variability), biphasic versus monophasic activity (fPCA3, 14.8% variability), earlier versus later biphasic activity (fPCA4, 11.8% variability). Low overall daily activity level was associated with several sociodemographic, lifestyle, sampling and psychopathology variables (P<0.05): older age, higher education level, higher BMI, higher number of chronic diseases, higher number of cigarettes per day, non-working/school days, winter season, having current depressive/anxiety disorders, higher depressive symptom severity. Earlier morning activity was associated with older age, having a partner, work/school days, autumn and spring (ref. winter) (P<0.05). Monophasic activity was associated with older age (P<0.01). Biphasic activity was associated with work/school days, summer (ref. winter) (P<0.01). Earlier biphasic activity was associated with older age, work/school days, spring and summer (ref. winter) (P<0.01). In FoSR analyses, age, working and season were the main determinants having an impact on time of daily motor activity (P<0.05). CONCLUSIONS Features of daily motor activity extracted with fPCA reflect commonly studied factors such as the intensity of daily activity and preference for morningness/eveningness. Presence and severity of depression/anxiety disorders was found to mainly impact on overall lower activity pattern but not on time of activity. Age, working and season were most strongly associated with patterns and time of activity; future epidemiological studies on motor activity in depression/anxiety may take these into account.

scholarly journals Physical Inactivity in Older Adult Couples: A Dyadic Analysis Using Continuous In-Home Monitoring

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 412-412
Author(s):  
Chao-Yi Wu ◽  
Lyndsey Miller ◽  
Rachel Wall ◽  
Zachary Beattie ◽  
Jeffrey Kaye ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Older Adult ◽  
Physical Inactivity ◽  
Home Monitoring ◽  
Health Determinants ◽  
Dyadic Analysis ◽  
Physical And Mental Health ◽  
Positive Health ◽  
Aging Research

Abstract Many older adults remain inactive despite the known positive health implications of physical activity (e.g. improved mood, reduced mortality risk). Physical inactivity is a known interdependent phenomenon in couples, but the majority of research identifies determinants of physical inactivity at the individual level. We estimated the average amount of physical inactivity for older adult couples and, using dyadic analysis, identified physical and mental health determinants thereof. Forty-eight heterosexual older adult couples (mean age=70.6, SD=6.63) from the Veterans Integrated Service Network 20 cohort of the Collaborative Aging Research using Technology (CART) initiative were included in this study. Both dyad members wore actigraph devices for a month. The average number per day of inactive periods (defined as no movement or sleep activity for ≥ 30 minutes) was estimated. Multilevel modeling revealed that, within couples, there was no difference between partners in the average number of inactive periods, but on average across couples, males had more inactive periods per day (13.4, SD=4.43) than females (12.3, SD=4.87). For males, older age was the only variable associated with more inactive periods (β=0.13, p=.013). For females, more depressive symptoms in men were associated with fewer inactive periods (β=-0.37, p=.002), and more dependence in completing their own IADLs predicted more inactive periods (β=2.80, p&lt;.001). All models were adjusted for covariates. Viewing couples’ activity as a unit, rather than as separate individuals, provides a novel approach to identifying pathways to reduce inactivity in older adults, especially when focusing on mental health issues and decreased independence within the couple.

scholarly journals A Risk Exchange: Health and Mobility in the Context of Climate and Environmental Change in Bangladesh—A Qualitative Study

2021 ◽  
Vol 18 (5) ◽  
pp. 2629
Author(s):  
Patricia Nayna Schwerdtle ◽  
Kate Baernighausen ◽  
Sayeda Karim ◽  
Tauheed Syed Raihan ◽  
Samiya Selim ◽  
...  
Keyword(s):  
Climate Change ◽  
Mental Health ◽  
Quality Of Care ◽  
Health Risks ◽  
Thematic Analysis ◽  
Health Determinants ◽  
Physical And Mental Health ◽  
Health And Wellbeing ◽  
Healthcare Environment

Background: Climate change influences patterns of human mobility and health outcomes. While much of the climate change and migration discourse is invested in quantitative predictions and debates about whether migration is adaptive or maladaptive, less attention has been paid to the voices of the people moving in the context of climate change with a focus on their health and wellbeing. This qualitative research aims to amplify the voices of migrants themselves to add nuance to dominant migration narratives and to shed light on the real-life challenges migrants face in meeting their health needs in the context of climate change. Methods: We conducted 58 semi-structured in-depth interviews with migrants purposefully selected for having moved from rural Bhola, southern Bangladesh to an urban slum in Dhaka, Bangladesh. Transcripts were analysed using thematic analysis under the philosophical underpinnings of phenomenology. Coding was conducted using NVivo Pro 12. Findings: We identified two overarching themes in the thematic analysis: Firstly, we identified the theme “A risk exchange: Exchanging climate change and health risks at origin and destination”. Rather than describing a “net positive” or “net negative” outcome in terms of migration in the context of climate change, migrants described an exchange of hazards, exposures, and vulnerabilities at origin with those at destination, which challenged their capacity to adapt. This theme included several sub-themes—income and employment factors, changing food environment, shelter and water sanitation and hygiene (WaSH) conditions, and social capital. The second overarching theme was “A changing health and healthcare environment”. This theme also included several sub-themes—changing physical and mental health status and a changing healthcare environment encompassing quality of care and barriers to accessing healthcare. Migrants described physical and mental health concerns and connected these experiences with their new environment. These two overarching themes were prevalent across the dataset, although each participant experienced and expressed them uniquely. Conclusion: Migrants who move in the context of climate change face a range of diverse health risks at the origin, en route, and at the destination. Migrating individuals, households, and communities undertake a risk exchange when they decide to move, which has diverse positive and negative consequences for their health and wellbeing. Along with changing health determinants is a changing healthcare environment where migrants face different choices, barriers, and quality of care. A more migrant-centric perspective as described in this paper could strengthen migration, climate, and health governance. Policymakers, urban planners, city corporations, and health practitioners should integrate the risk exchange into practice and policies.

scholarly journals A Pilot Study of 24-h Motor Activity Patterns in Multiple Sclerosis: Pre-Planned Follow-Up at 2 Years

2021 ◽  
Vol 3 (3) ◽  
pp. 366-376
Author(s):  
Lorenzo Tonetti ◽  
Federico Camilli ◽  
Sara Giovagnoli ◽  
Vincenzo Natale ◽  
Alessandra Lugaresi
Keyword(s):  
Multiple Sclerosis ◽  
Motor Activity ◽  
Activity Pattern ◽  
Activity Patterns ◽  
Expanded Disability Status Scale ◽  
Disability Status ◽  
Relapsing Remitting ◽  
Edss Score ◽  
Activity Prognosis

Early multiple sclerosis (MS) predictive markers of disease activity/prognosis have been proposed but are not universally accepted. Aim of this pilot prospective study is to verify whether a peculiar hyperactivity, observed at baseline (T0) in early relapsing-remitting (RR) MS patients, could represent a further prognostic marker. Here we report results collected at T0 and at a 24-month follow-up (T1). Eighteen RRMS patients (11 females, median Expanded Disability Status Scale-EDSS score 1.25, range EDSS score 0–2) were monitored at T0 (mean age 32.33 ± 7.51) and T1 (median EDSS score 1.5, range EDSS score 0–2.5). Patients were grouped into two groups: responders (R, 14 patients) and non-responders (NR, 4 patients) to treatment at T1. Each patient wore an actigraph for one week to record the 24-h motor activity pattern. At T0, NR presented significantly lower motor activity than R between around 9:00 and 13:00. At T1, NR were characterized by significantly lower motor activity than R between around 12:00 and 17:00. Overall, these data suggest that through the 24-h motor activity pattern, we can fairly segregate at T0 patients who will show a therapeutic failure, possibly related to a more active disease, at T1. These patients are characterized by a reduced morning level of motor activation. Further studies on larger populations are needed to confirm these preliminary findings.

scholarly journals Television and the promotion of mental health

Sociologija ◽  
2011 ◽  
Vol 53 (2) ◽  
pp. 213-230
Author(s):  
Ljiljana Milosevic
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Modern Society ◽  
Mental Health Promotion ◽  
Health Determinants ◽  
Media Campaigns ◽  
Educational Role ◽  
Scale Characteristics ◽  
National Campaigns ◽  
Complementary Strategy

Current media campaigns, realized within national campaigns and actions on mental health prevention and promotion, are considered in this paper, in the context of expert public relation, as well as the whole society, towards mental health. Mental health promotion is determined as a range of activities by which individuals, community and society are being enabled to take control over mental health determinants and to improve it, but also as an action for improvement of mental health position on individual and social value scale. Characteristics and approach to mental health protection of citizens in Serbia are introduced in the paper, with reference to high incidence and prevalence of mental health disorders, as well as actual challenges to mental health of individuals, but also to modern society. Outcomes of the Survey: ?Radio and television and prevention of addictive diseases?, realized by the Radio-television of Serbia for the purpose of establishing informative-educational role of electronic media in the field of health, are also considered. Project ?Mental Capital and Wellbeing? and TV campaign for mental health promotion, realized in England, are quoted as an illustration of necessary strategic and multidisciplinary approach to mental health promotion, in which media represent an important complementary strategy.

Mental Health, Determinants of

2014 ◽  
pp. 275-278 ◽  
Author(s):  
E. Golberstein ◽  
S.H. Busch
Keyword(s):  
Mental Health ◽  
Health Determinants

Promoting mental health of immigrant seniors in community

2014 ◽  
Vol 7 (3) ◽  
pp. 146-156 ◽  
Author(s):  
Sharon D. Koehn ◽  
Pavlina Jarvis ◽  
Sharanjit K. Sandhra ◽  
Satwinder K. Bains ◽  
Madeleine Addison
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Social Inclusion ◽  
Service Providers ◽  
Community Organizations ◽  
Well Being ◽  
Health Determinants ◽  
Content Type ◽  
Economic Determinants ◽  
Mental Well Being

Purpose – The purpose of this paper is to explore if and how community organizations providing services to late-in-life Punjabi immigrants in British Columbia, Canada, offer services with the potential to promote their mental health or well-being. The authors also wanted to know how Punjabi seniors perceived available services and if they supported their mental well-being. Design/methodology/approach – To guide the research, the authors used the VicHealth Framework, which identifies three overarching social and economic determinants of mental health: social inclusion (SI), freedom from violence and discrimination, and access to economic resources and participation. This mixed methods study combines descriptive survey and qualitative focus group data with input from Punjabi seniors and community service providers. Findings – All three mental health determinants were identified as important by service providers and seniors, with SI as the most important. Family dynamics (shaped by migration and sponsorship status) influence all three determinants and can promote or diminish mental well-being. Research limitations/implications – The pilot study is limited in sample size and scope and further inquiry with different groups of immigrant older adults is warranted. Practical implications – Service providers assert that more outreach and sustainable funding are needed to reach the majority of potential beneficiaries unable to participate in community programmes. Information on mental well-being of seniors should be targeted at both seniors and their families. Originality/value – The VicHealth Framework provided a unique lens through which to explore the contributions of community organizations to mental health promotion for immigrant older adults.

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