scholarly journals Physical Activity, Diabetes, and Heart Conditions Among Native Hawaiian and Other Pacific Islander Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 403-404
Author(s):  
Yeonjung (Jane) Lee ◽  
Tyran Terada

Abstract The Native Hawaiian and Other Pacific Islander (NHOPI) older adult population remains understudied and are disproportionately affected by diabetes and heart conditions. Research has shown that participating in physical activity is a protective factor for many of the health conditions experienced by older adults. Yet, the link between physical activity, diabetes, and heart conditions among the NHOPI older adult population is limited. The purpose of this study is to identify the characteristics of NHOPI older adults and to explore the association between physical activity levels and diabetes/heart conditions. Methods and findings Using data from the 2014 Native Hawaiian and Pacific Islander National Health Interview Survey (NHPI NHIS), which is considered to have a representative sample of NHOPI, the study explores the associations between physical activity and diabetes/heart conditions. A total of 1,045 older adults ages 50 years and older were included for analyses. Weighted multivariate analyses with multiple imputation techniques were used. The NHPI NHIS is the first federal survey focusing on the NHOPI population of the United States with rich information on health. Results and Implications Those with who were engaged in a sufficient physical activity had lower odds of having diabetes or heart conditions than their counterparts without physical activity while controlling for other sociodemographic characteristics. Findings highlight the importance of physical activity promotion intervention in preventing cardiovascular disease. Research and practice addressing health disparities and cardiovascular conditions should leverage efforts to provide culturally relevant physical activity types and resources to NHOPI older adults.

Author(s):  
Young Seok Lee

Mobile phone adoption by older adults is radically increasing. As a part of multiple empirical studies to improve older adults' experiences with mobile phones, a survey was conducted to investigate a number of specific aspects of mobile phone use in the older adult population including motives of ownership, usage patterns, preferences on mobile phone features, and perceived usability of their own phones. A total of 154 older adults from 20 states of the United States who owned a mobile phone participated in this study. Results indicated that participants used a few basic features of mobile phones since they used them mainly for personal communication and safety reasons. Overall, participants perceived that their current phones offered marginal “ease of use”, but they found most usability problems with understanding error messages, inputting text, and understanding user manuals. The majority of older adults (over 50%) desired a phone with basic features that include making /receiving a call, phonebook, emergency call, voice message checking, speed dial, ringer change, and clock. However, effects of age and gender were found on mobile phone usage patterns and design preferences, which suggest a need of focusing on diverse groups within the older adult population.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 194-194
Author(s):  
Stephanie Williams ◽  
Elizabeth Orsega-Smith ◽  
Laurie Ruggiero

Abstract By the year 2035, the older adult population is expected to expand to 78 million in the United States. Advancing technology has made aging in place a more accessible possibility; however, understanding what is preventing this population from adopting the advancing devices remains to be a challenge as the presence of a digital divide continues to exist. A 34-question survey adapted from the Technology Proficiency Self-Assessment Questionnaire, and the National Technology Readiness survey was administered to 101 participants over the age of 50 across five local senior centers. The average age range was 70-79 and most were female (79.2%), white (69%), and owned or had access to technology such as a computer or cell phone (93%). Examples of findings include 86% felt technology limited human interaction and 69% felt the use of technology could lead to security risk and a breach of privacy, while 79% felt technology could improve their quality of life. Results found 60-69-year-olds were significantly more likely (p<.05) to have or use technology versus 80-89-year-olds. Correlation between perception and intent to use technology among older adults was positive with a coefficient value of .59(p<.01). Showing a relationship between perceptions and behavioral intentions to use technology, specifically in 60-69-year-olds. This study found access to technology (i.e. computers, cell phones, internet) was not a driving factor of usage among the older population attending a senior center. To increase understanding further exploration of perceptions and intentions to use technology is warranted in the older adult population.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 334-334
Author(s):  
Yeonjung (Jane) Lee ◽  
Tyran Terada

Abstract According to the productive aging framework, productive activities can function as protective factors of cognitive health. Productive activities, such as work, have been linked to positive cognitive health outcomes in older adults. Yet, less is known about if the beneficial effects of work on cognition extend to the Native Hawaiian and Other Pacific Islander (NHOPI) older adult population. Thus, the purpose of this research is to investigate how work is associated with self-reported memory/concentration among NHOPI older adults. Moreover, the moderating role of education was explored. Using data from the 2014 Native Hawaiian and Pacific Islander National Health Interview Survey (NHPI NHIS), the study explores the associations between work and self-rated levels of difficulty remembering or concentrating. A total of 1,045 older adults ages 50 years and older were included for analyses. Weighted multivariate analyses with multiple imputation techniques were used. The NHPI NHIS is the first federal survey focusing on the NHOPI population in the United States. Those who were engaged in work had lower odds of having severe difficulty memorizing or concentrating while controlling for other sociodemographic and behavioral factors. Interestingly, there was a significant interactive effect of work and education on self-rated memory. Those with lower education levels have lower self-rated memory, but the odds of having memory difficulty decreased when they worked. Findings highlight the importance of productive aging in promoting healthy cognitive aging. Research and practice addressing productive aging and cognition should provide culturally relevant resources to NHOPI older adults.


1999 ◽  
Vol 7 (2) ◽  
pp. 182-195 ◽  
Author(s):  
Ronnie Lidor ◽  
Uri Miller ◽  
Arie Rotstein

In light of the dramatic increase in the older adult population, we analyzed publications on aging and physical activity during the last 3 decades, based on (a) the ratio of the number of publications on aging to the total number of publications and the ratios of (b) the total number of publications on physical activity and aging and (c) the number of such publications in 6 selected journals to the number of publications on physical activity in general. Our findings indicate that few changes have occurred during the last 3 decades with regard to the volume of publication on aging and physical activity. Two conclusions can be reached: (a) The interest of researchers in exercise and sport sciences does not reflect that of society at large concerning older adults, and (b) an in-depth analysis should be conducted to study the periodicals that are published not only in the area of exercise and sport sciences but also in other related areas such as medicine, psychology, and health.


2015 ◽  
Vol 5 (3) ◽  
pp. 109-122
Author(s):  
Candice Tavares

Abstract The older adult population is one of the fastest growing age groups in the United States. As this population continues to expand, determining the safest way to provide pain management has become increasingly important. More than 50% of community-dwelling older adults experience pain on a daily basis, and up to 83% of those in assisted living facilities experience persistent pain. Pain is exceedingly challenging to treat safely and effectively in the elderly because of the physiologic changes that occur as people age. In addition, many nonnarcotic medications with analgesic properties are listed in both the 2012 American Geriatrics Society Beers Criteria for Potentially Inappropriate Medication Use in Older Adults and the Pharmacy Quality Alliance high-risk medications lists. An approach to the growing challenge of managing pain in the elderly that is gaining popularity among community-dwelling patients is the use of topical pain medications. The goal of this article is to review some of the available literature regarding the use of various topical analgesics alone or in combination, and to discuss their known or theoretical mechanisms of peripheral pain modulation. Commercially available or compounded topical pain medications may be used to replace or augment doses of oral medications in an effort to decrease the risk of adverse drug events for older adult patients. When prescribing topical pain medications physicians should consider the nature of the pain targeted, the type of analgesia expected from each ingredient, the potential for systemic absorption, and related side effects.


2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
Y Gerber ◽  
O Shaked ◽  
G Cohen ◽  
A Goshen ◽  
T Shimony ◽  
...  

Abstract Background Physical activity (PA) is a known protective factor among both general population and cardiovascular disease (CVD) patients. Yet, only a few cohort studies assessed the role of PA among older adult populations, characterized by high CVD prevalence rates. Objectives To evaluate the association between PA levels and all-cause mortality among Israeli older adults, and to assess whether it differs by baseline CVD status. Methods Participants were drawn from the National Health and Nutrition Survey of Older Adults Aged 65+ (“Mabat-Zahav”), conducted by the Israel Center for Disease Control between July 2005 and December 2006. Clinical, behavioral, and psychosocial data were collected via interview at study entry; a detailed PA questionnaire was also administered, through which participants were classified as sufficiently-active, insufficiently-active, and inactive, according to the American College of Sports Medicine classification. Mortality data (last follow-up, December 2016) were obtained from the Israeli Ministry of Health. Inverse probability weighted Cox proportional hazards models, based on propensity score, were constructed to assess the adjusted association between PA categories and mortality. Results Of the 1799 participants (mean [SD] age, 74.6 [6.2] years; 647 [36%] with a history of CVD), 559 (31%) were sufficiently-active, 506 (28%) were insufficiently-active and 734 (41%) were inactive. During a mean follow-up period of 9.0 years, 684 participants (38%) died. PA and mortality demonstrated an inverse dose-response relationship in both CVD and non-CVD groups, with no CVD-by-PA interaction detected on multiplicative-scale (P=0.70) or additive-scale (P=0.58). Notably, inactive non-CVD subjects had comparable risk to CVD patients who were sufficiently active (Figure). Physical activity and mortality Conclusions In a nationally-based cohort of subjects aged 65 years and over, PA was inversely associated with mortality risk. CVD patients who preformed sufficient PA had a comparable mortality risk to inactive subjects free of CVD. These findings illustrate the importance of PA in the older adult population.


2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Lana Sue Ka‘opua ◽  
Kathryn L. Braun ◽  
Colette V. Browne ◽  
Noreen Mokuau ◽  
Chai-Bin Park

Native Hawaiians comprise 24.3% of Hawai‘i's population, but only 12.6% of the state's older adults. Few published studies have compared health indicators across ethnicities for the state's older adult population or focused on disparities of Native Hawaiian elders. The current study examines data from two state surveillance programs, with attention to cause of death and social-behavioral factors relevant to elders. Findings reveal that Native Hawaiians have the largest years of productive life lost and the lowest life expectancy, when compared to the state's other major ethnic groups. Heart disease and cancer are leading causes of premature mortality. Native Hawaiian elders are more likely to report behavioral health risks such as smoking and obesity, live within/below 100–199% of the poverty level, and find cost a barrier to seeking care. Indicated is the need for affordable care across the lifespan and health services continuum. Future research might explain behavioral factors as influenced by social determinants, including historical trauma on Native Hawaiian longevity.


Sensors ◽  
2021 ◽  
Vol 21 (23) ◽  
pp. 7991
Author(s):  
Jon Kerexeta Sarriegi ◽  
Andoni Beristain Iraola ◽  
Roberto Álvarez Sánchez ◽  
Manuel Graña ◽  
Kristin May Rebescher ◽  
...  

The global population is aging in an unprecedented manner and the challenges for improving the lives of older adults are currently both a strong priority in the political and healthcare arena. In this sense, preventive measures and telemedicine have the potential to play an important role in improving the number of healthy years older adults may experience and virtual coaching is a promising research area to support this process. This paper presents COLAEVA, an interactive web application for older adult population clustering and evolution analysis. Its objective is to support caregivers in the design, validation and refinement of coaching plans adapted to specific population groups. COLAEVA enables coaching caregivers to interactively group similar older adults based on preliminary assessment data, using AI features, and to evaluate the influence of coaching plans once the final assessment is carried out for a baseline comparison. To evaluate COLAEVA, a usability test was carried out with 9 test participants obtaining an average SUS score of 71.1. Moreover, COLAEVA is available online to use and explore.


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