A healthy eating score is inversely associated with depression in older adults: Results from the Chilean National Health Survey 2016-2017

Abstract Objective: To investigate the relationship of a healthy eating score with depression in Chilean older adults. Design: Cross-sectional study. Setting: Chilean older adults from the Chilean National Health Survey 2016-2017. Associations were analyzed using complex samples multivariable logistic regressions adjusted for: age, sex, socio-demographic, lifestyles (physical activity, smoking, alcohol consumption, and sleep duration), body mass index, and clinical conditions (hypertension, diabetes, hypercholesterolemia, and cardiovascular diseases). Participants: The number of participants were 2,031(≥60y). The Composite International Diagnostic Interview-Short Form (CIDI-SF) was applied to establish the diagnosis of major depressive episode (MDE). Six healthy eating habits were considered to produce the healthy eating score (range: 0-12): consumption of seafood, whole grain, dairy, fruits, vegetables, and legumes. Participants were categorized according to their final scores as healthy (≥9), average (5 to 8), and unhealthy (≤4). Results: Participants with a healthy score had a higher educational level, physical activity, and regular sleep hours than participants with an average and unhealthiest healthy eating score. Participants classified in the healthiest healthy eating score had an inverse association with depression (OR: 0.28, 95%CI: 0.10-0.74). Food items that contributed the most to this association were legumes (15.2%) and seafood (12.7%). Conclusion: Participants classified in the healthiest healthy eating score, characterized by a high consumption of legumes and seafood, showed a lower risk for depression in a representative sample of Chilean population.

Download Full-text

Leisure-time physical activity among older adults in Brazil: results from the Brazilian National Health Survey – 2013

ABCS Health Sciences ◽

10.7322/abcshs.2020076.1530 ◽

2021 ◽

Author(s):

Vítor Häfele ◽

César Augusto Häfele ◽

Jeferson Santos Jerônimo ◽

Rodrigo Wiltgen Ferreira ◽

Steve Anthony Maravillo ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

National Health ◽

Health Survey ◽

Leisure Time ◽

Healthy Aging ◽

Leisure Time Physical Activity ◽

National Health Survey ◽

Physical Activity Recommendations ◽

Activity Recommendations

Introduction: Health behaviors are fundamental for healthy aging. In this sense, the practice of physical activity is one of the most beneficial factors for the health of individuals. Objective: To describe the prevalence of leisure-time physical activity among the older adults and analyze in terms of sociodemographic characteristics, national regions, Federative Units of Brazil, and types of physical activity practiced. Methods: Study utilizing data from the Brazilian National Health Survey - 2013. Leisure-time physical activity was analyzed with two distinct cutoff points: 1) Some physical activity - 10 or more minutes/week; 2) Meeting recommended 150 minutes/week of physical activity. Results: Nearly 21% of the older adults completed some physical activity, and 13.2% reached the physical activity recommendations. There was no difference in the prevalence of physical activity between men and women. Individuals aged 60-69 years and those with higher income were more active than their peers. As for the national regions, the North had the lowest prevalence of physically active older adults. Among all regions, walking was the most frequent form of physical activity practiced. Conclusion: The prevalence of older adults who practiced some physical activity and reached the physical activity recommendations was low, with walking being the most common form of physical activity. Older adults with higher age, low socioeconomic status and from the Northern Brazilian regions were the least active.

Download Full-text

Association of physical performance impairments and limitations with insufficient physical activity among older adults in Brazil: results from the national health survey

Journal of Public Health ◽

10.1007/s10389-020-01351-7 ◽

2020 ◽

Author(s):

Luiza Ferreira Moreira ◽

Antônio Macedo Costa Filho ◽

Juleimar Soares Coelho de Amorim

Keyword(s):

Physical Activity ◽

Older Adults ◽

Physical Performance ◽

National Health ◽

Health Survey ◽

National Health Survey ◽

Insufficient Physical Activity

Download Full-text

Concurrent Validity of the Historical Leisure-time Physical Activity Question of the Spanish National Health Survey in Older Adults

Revista Española de Cardiología (English Edition) ◽

10.1016/j.rec.2016.09.019 ◽

2017 ◽

Vol 70 (8) ◽

pp. 669-670

Author(s):

David Martínez-Gómez ◽

Pilar Guallar-Castillón ◽

Sara Higueras-Fresnillo ◽

Fernando Rodríguez-Artalejo

Keyword(s):

Physical Activity ◽

Older Adults ◽

National Health ◽

Health Survey ◽

Concurrent Validity ◽

Leisure Time ◽

Leisure Time Physical Activity ◽

National Health Survey

Download Full-text

Patient self-reported functioning by pain severity and usual analgesic treatment among older adults with osteoarthritis: Analysis of the 2017 Spanish National Health Survey

10.21203/rs.3.rs-24694/v1 ◽

2020 ◽

Author(s):

Sofía García-López ◽

Natalia Llopart-Carles ◽

Francisco Castro-Domínguez ◽

Javier Rejas-Gutiérrez

Keyword(s):

Older Adults ◽

National Health ◽

Health Survey ◽

Daily Living ◽

Treatment Strategies ◽

National Health Survey ◽

Pain Severity ◽

Cross Sectional ◽

Analgesic Treatment ◽

Instrumental Activities

Abstract Background Osteoarthritis (OA) pain is among the leading causes of disability and social isolation worldwide. Since prevalence is high, particularly in adults aged 65 or older, it represents a significant burden for society and national health systems. The objective of this study was to determine whether patient self-reported functioning in key domains of daily living differs by pain severity and analgesic treatment among older OA patients in Spain. Methods The Spanish National Health Survey (ENSE), a large, nationally representative, cross-sectional general health survey administered by trained interviewers to 23,089 adults, was the data source. Subjects of both sexes aged 65 or older with a self-reported physician diagnosis of OA who completed the survey were analyzed. Patients were cross classified by pain severity (no/mild, moderate or severe) and analgesia (treated or untreated). Assessment of daily living included basic and instrumental activities of daily living and mental, social, and cognitive domains. Scores were re-scaled to a 0%-100% standardized metric (0%: no limitation [independence]; 100%: complete limitation [full dependence]). Results A total of 3,526 (3,389 surveys completed [96.1%]) older adults with OA were analyzed (women 73.3%; age 77.4 [standard deviation {SD}: 7.5]). Adjusted means (95% confidence interval [CI]) scores in domains of functioning showed significant association with pain severity (p < 0.001) but not treatment status, except basic and instrumental activities and social functioning, with higher scores in treated patients. Limitations in patients with untreated no/mild pain versus severe treated pain were as follows: in basic activities, 6.5% (5.0–8.0) versus 31.5% (30.1–32.9); in instrumental activities, 9.0% (7.2–10.8) versus 34.1% (32.3–35.8); in mental, 29.1% (27.9–30.3) versus 45.0% (43.9–46.2); in social, 3.0% (0.6–5.4) versus 42.2% (39.9–44.5); and, in cognitive, 10.9% (9.2–12.6) versus 23.4% (21.8–25.1). Conclusions Pain severity was a major driver of functional impairment in all the main domains of functioning analyzed in older OA patients. Regardless of pain severity, treated patients showed poorer functioning in basic, instrumental and social activities versus untreated subjects. Treated patients might have been in later disease stages, which would have affected the results. Existing analgesic treatment strategies do not meet patient needs for adequate pain management.

Download Full-text

Factors associated with overweight and childhood obesity in Spain according to the latest national health survey (2011)

Escola Anna Nery ◽

10.1590/2177-9465-ean-2017-0321 ◽

2018 ◽

Vol 22 (2) ◽

Author(s):

Maria Julia Ajejas Bazán ◽

Maria del Carmen Sellán Soto ◽

Antonio Vázquez Sellán ◽

Maria Luisa Díaz Martínez ◽

Silvia Domínguez Fernández

Keyword(s):

Physical Activity ◽

National Health ◽

Health Survey ◽

Weight Perception ◽

National Health Survey ◽

Growth Patterns ◽

Monthly Income ◽

Cross Sectional ◽

Level Of Education ◽

Factors Associated

Abstract Objective: To describe the factors associated with overweight/obesity in Spain according to the latest National Health Survey (2011). Method: Descriptive cross-sectional study with 3,752 children aged 2 to 15 years (boys=2,007; girls=1,745). Main variables: overweight; obesity; gender; level of education of the head of the family; monthly income; hours of sleep; physical exercise; hours of TV and/or computer use; daily breakfast; parents' weight perception. Diagnostic criterion was based on WHO growth patterns, defined overweight with +1SD and obesity, +2SD. Results: Boys more obese than girls. Children whose parents had a lower level of education, those who did not practice physical activity and whose parents had an income of less than 900€ per month showed a higher percentage of overweight/obesity. Conclusions: Children whose parents had a lower education and monthly income presented a higher percentage of obesity. Sleeping the recommended hours and doing some type of physical activity reduces obesity.

Download Full-text

Association between Physical Activity and Comorbidities in Spanish People with Asthma-COPD Overlap

Sustainability ◽

10.3390/su13147580 ◽

2021 ◽

Vol 13 (14) ◽

pp. 7580

Author(s):

Sheila Sánchez Castillo ◽

Lee Smith ◽

Arturo Díaz Suárez ◽

Guillermo Felipe López Sánchez

Keyword(s):

Physical Activity ◽

Short Form ◽

National Health Survey ◽

Lumbar Pain ◽

Chronic Obstructive ◽

Cross Sectional ◽

Obstructive Pulmonary Disease ◽

Logistic Regression Models ◽

Adjusted Model ◽

Activity Questionnaire

Asthma and chronic obstructive pulmonary disease (COPD) are important conditions which often coexist. Higher rates of comorbidities among people with asthma-COPD overlap (ACO) may complicate clinical management. The aim of this study was to determine the prevalence of 30 different comorbidities and to analyze associations between these comorbidities and physical activity (PA) in Spanish people with ACO. Cross-sectional data from the Spanish National Health Survey 2017 were analyzed. A total of 198 Spanish people with ACO aged 15–69 years (60.6% women) were included in this study. PA was measured with the International Physical Activity Questionnaire (IPAQ) short form. Diagnosis of chronic conditions were self-reported. Associations between PA and comorbidities were analyzed using multivariable logistic regression models. The most prevalent comorbidities were chronic allergy (58.1%), chronic lumbar pain (42.4%), chronic cervical pain (38.4%), hypertension (33.3%) and arthrosis (31.8%). A PA level lower than 600 MET·min/week was significantly associated with urinary incontinence (OR = 3.499, 95% CI = 1.369–8.944) and osteoporosis (OR = 3.056, 95% CI = 1.094–8.538) in the final adjusted model. Therefore, the potential influence of PA on reducing the risk of these conditions among people with ACO should be considered, not only because of the health benefits, but also because PA can contribute to a more sustainable world.

Download Full-text

Physical Activity, Ability to Walk, Weight Status, and Multimorbidity Levels in Older Spanish People: The National Health Survey (2009–2017)

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17124333 ◽

2020 ◽

Vol 17 (12) ◽

pp. 4333

Author(s):

Pedro Ángel Latorre-Román ◽

Juan Manuel Carmona-Torres ◽

Ana Isabel Cobo-Cuenca ◽

José Alberto Laredo-Aguilera

Keyword(s):

Physical Activity ◽

Health Status ◽

Older People ◽

National Health ◽

Health Survey ◽

Weight Status ◽

Perceived Health ◽

National Health Survey ◽

Severe Difficulty ◽

Chronic Health Problems

Background. Many studies have shown a relationship between physical functioning and health status in older people. Aim. The purpose of this study was to analyze the temporal trends of physical activity (PA), ability to walk, weight status, self-perceived health, and disease or chronic health problems in people over 65 years from 2009 to 2017, using the European Health Survey in Spain and the National Health Survey in Spain. Methods. This study included 13,049 older people: 6026 (2330 men and 3696 women; age (mean, SD (Standard Deviation)) = 75.61 ± 7.11 years old) in 2009 and 7023 (2850 men and 4173 women; age (mean, SD) = 76.01 ± 7.57 years old) in 2017. Results. In 2017, older people exhibited lower values of moderate PA (p < 0.001), a lower number of hours of walking per week (p < 0.001), and worse self-perceived health status (p < 0.001) compared to 2009. These differences are maintained when comparing the sexes. Compliance with PA recommendations was 27.9% and 6.1% (chi-squared = 352.991, p < 0.001) in 2009 and 2017, respectively. There were no significant differences in weight status between older people in 2009 and 2017. In 2017, older people had significantly high percentages of disease or chronic health problems (p < 0.05), number of diseases (p < 0.001), severe difficulty walking 500 m without assistance (p < 0.05), and severe difficulty going up or down 12 stairs. Conclusions. From 2009 to 2017, Spanish older people worsened their PA levels and perception of their health status, and they increased their disease levels, which could be associated with the worsening of ability to walk in 2017.

Download Full-text

Predictors of Physical Activity Levels in Community-Dwelling Older Adults: A Multivariate Approach Based on a Socio-Ecological Framework

Journal of Aging and Physical Activity ◽

10.1123/japa.2016-0286 ◽

2018 ◽

Vol 26 (1) ◽

pp. 114-120 ◽

Cited By ~ 6

Author(s):

Koren L. Fisher ◽

Elizabeth L. Harrison ◽

Brenda G. Bruner ◽

Joshua A. Lawson ◽

Bruce A. Reeder ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Environmental Factors ◽

The Elderly ◽

Home Care Services ◽

Community Dwelling ◽

Nursing Home Care ◽

Activity Levels ◽

Inverse Association ◽

Cross Sectional

The purpose of this study was to explore cross-sectional relationships between self-reported physical activity (PA) and personal, social, and environmental factors in community-dwelling adults aged 50 years and older. Accounting for clustering by neighborhood, generalized estimating equations were used to examine associations between selected correlates and the Physical Activity Scale for the Elderly (PASE) score while adjusting for confounders. Data for 601 participants were analyzed: 79% female, 37% married, mean age 76.8 (± 8.7) years, mean PASE score 112.6 (± 64.8). Age, living in seniors’ housing, using nursing/home care services, receiving encouragement to be active, and having benches available in the neighborhood were inversely associated with PASE. Self-efficacy, SF-12 score, PA barriers, social support, and the presence of trails showed positive associations. Several personal, social, and environmental factors associated with PA were identified. The inverse association between PA and living in seniors’ housing units should be considered when developing PA programs for older adults.

Download Full-text