scholarly journals Effects of a Movement-Based Mind-Body Intervention in Managing Osteoarthritis Symptoms in Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 458-458
Author(s):  
Juyoung Park ◽  
Carson Herron
Keyword(s):  
Older Adults ◽  
Older Women ◽  
Living Arrangement ◽  
Intervention Group ◽  
Secondary Analysis ◽  
Well Being ◽  
Living Alone ◽  
Pain Interference ◽  
Randomized Control ◽  
Mental Well Being

Abstract In a secondary analysis, this study examined differences in age (younger vs. older geriatric groups), gender, and living arrangement (living alone vs. living with others) in elderly patients with osteoarthritis (OA) who utilized chair yoga (CY) as an type of movement-based mind-body intervention (MMBI) for symptom management. A two-arm, assessor-blinded, randomized control trial was used to examine effects of CY (twice-weekly 45-minute sessions for 8 weeks) on pain interference, physical function, and psychosocial outcomes by gender, age, and living arrangement in older adults with OA who could not participate in traditional exercise. A total of 112 older adults completed CY or a health education program (HEP) and participated in five data collection points. Older women in the CY group showed greater reduction in pain interference during the CY intervention than those in HEP, F(4, 86) = 3.255, p = .016, η2 = .131. The younger group (ages 61 to 74) had decreased depression scores during the intervention, F(4, 87) = 2.598, p = .042, η2 = .107. Regardless of the intervention (CY or HEP), depression scores in older adults who were living alone decreased substantially during the intervention. Group-based and supervised CY interventions are recommended for older adults with OA to reduce pain interference, reduce depressive symptoms, and develop social networks. Online-based synchronous CY sessions may address physical activity needs and improve mental well-being in this population in light of physical distancing practices due to COVID-19.

scholarly journals The association of widowhood and living alone with depression among older adults in India

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Shobhit Srivastava ◽  
Paramita Debnath ◽  
Neha Shri ◽  
T. Muhammad
Keyword(s):  
Older Adults ◽  
Marital Status ◽  
Living Arrangement ◽  
Binary Logistic Regression ◽  
Well Being ◽  
Living Alone ◽  
Bivariate Analysis ◽  
Binary Logistic Regression Analysis ◽  
Effective Sample Size ◽  
Nationally Representative

AbstractWidowhood is a catastrophic event at any stage of life for the surviving partner particularly in old age, with serious repercussions on their physical, economic, and emotional well-being. This study investigates the association of marital status and living arrangement with depression among older adults. Additionally, the study aims to evaluate the effects of factors such as socio-economic conditions and other health problems contributing to the risk of depression among older adults in India. This study utilizes data from the nationally representative Longitudinal Ageing Study in India (LASI-2017–18). The effective sample size was 30,639 older adults aged 60 years and above. Descriptive statistics and bivariate analysis have been performed to determine the prevalence of depression. Further, binary logistic regression analysis was conducted to study the association between marital status and living arrangement on depression among older adults in India. Overall, around nine percent of the older adults suffered from depression. 10.3% of the widowed (currently married: 7.8%) and 13.6% of the older adults who were living alone suffered from depression. Further, 8.4% of the respondents who were co-residing with someone were suffering from depression. Widowed older adults were 34% more likely to be depressed than currently married counterparts [AOR: 1.34, CI 1.2–1.49]. Similarly, respondents who lived alone were 16% more likely to be depressed compared to their counterparts [AOR: 1.16; CI 1.02, 1.40]. Older adults who were widowed and living alone were 56% more likely to suffer from depression [AOR: 1.56; CI 1.28, 1.91] in reference to older adults who were currently married and co-residing. The study shows vulnerability of widowed older adults who are living alone and among those who had lack of socio-economic resources and face poor health status. The study can be used to target outreach programs and service delivery for the older adults who are living alone or widowed and suffering from depression.

scholarly journals Frailty Modifies Effects of Chair Yoga on Chronic Pain in Older Adults With Osteoarthritis

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 270-270
Author(s):  
Juyoung Park ◽  
Zuyun Liu
Keyword(s):  
Older Adults ◽  
Controlled Trial ◽  
Frailty Index ◽  
Social Activity ◽  
Secondary Analysis ◽  
Cohort Effect ◽  
Well Being ◽  
Pain Interference ◽  
Intervention Effect ◽  
Significant Interaction Effect

Abstract As a secondary analysis, this study used data from our previous 8-week chair yoga (CY) intervention trial with two-arm, access-blinded randomized controlled trial to examine modifying effect of baseline frailty on intervention effects of CY on pain and pain interference (i.e., consequences of pain on relevant aspects of life). Using the cumulative frailty index (FI) approach, we constructed the FI using 82 comprehensive deficits, including physical function, balance, fatigue, emotional well-being, and social activity. We calculated FI at baseline, 4 weeks, and 8 weeks. A linear mixed-effects model with random intercept was used, adjusting for research sites, cohort effect, and time. To test for potential modifying effects of baseline FI on the intervention effect by CY, we added a three-way interaction term: intervention (CY vs. Health Education Program), time, and baseline FI. A total of 112 participants (M = 75.3[7.5] years; 76% female, 40% White, 46% Hispanic) completed the study. Each 0.01 increment in baseline FI was associated with higher pain (β = 0.28, p < .001) and pain interference (β = 0.51, p < .001). There was a significant interaction effect among intervention, time, and baseline FI (p = .02 for pain, p = .01 for pain interference), indicating that participants with higher levels of baseline FI had greater declines in pain and pain interference. Frailty modified the intervention effect of CY on pain in older adults with lower extremity osteoarthritis, underscoring the importance of assessing frailty to improve management of pain in the population.

scholarly journals Loneliness, isolation and living alone associate with psychological well-being among the older adults in Taipei

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 926-926
Author(s):  
Hui-chuan Hsu
Keyword(s):  
Older Adults ◽  
Psychological Health ◽  
Multinomial Logistic Regression ◽  
Living Arrangement ◽  
Senior Citizen ◽  
Well Being ◽  
Living Alone ◽  
Related Factors ◽  
Self Rated Health ◽  
Economic Satisfaction

Abstract Purpose: The purpose of this study was to examine the clustering of loneliness, isolation, and living alone, the risk factors and the associations with psychological wellbeing. Methods: The data were from the 2019 Taipei City Senior Citizen Condition Survey collected by face-to-face interviews, which included aged 60 and above community-based and institution-based samples. The completed sample was 3,853 persons. Loneliness, isolation, and living arrangement were analysed by cluster analysis to define the Loneliness-Isolation-Living Alone clusters. Multinomial logistic regression was used to examine the related factors to LIL clusters. Results: Four clusters of the older adults were identified and named as following: Connected (44.1%), Alone /Institutionalized (9.2%); Lonely (10.7%); and Isolated (22.0%). Compared with the Connected cluster, the Alone/Institutionalized cluster was more likely to have higher education, more IADL difficulties, more diseases , lower economic satisfaction, more likely to be males, having no spouse, and no children; the Lonely cluster was more likely to poor self-rated health, lower financial satisfaction, feeling less age-friendliness, more likely to be older, female, and no spouse; the Isolated cluster was more likely to have lower education, reported poorer self-rated health, lower economic satisfaction, and being older. The Alone/Institutionalized cluster and the Lonely cluster had higher depressive symptoms; the Alone/Institutionalized, Lonely, and Isolated clusters reported lower life satisfaction and had higher risks of cognitive impairment. Discussion: Loneliness, isolation, and living alone jointly associate with psychological health and well-being. High risk older populations may need social care and encourage social participation to promote health and wellbeing.

A Longitudinal Analysis of the Association Between Living Arrangements and Health Among Older Adults in China

2016 ◽  
Vol 40 (1) ◽  
pp. 72-97 ◽  
Author(s):  
Zi Zhou ◽  
Fanzhen Mao ◽  
Jiaping Ma ◽  
Shichao Hao ◽  
Zhengmin (Min) Qian ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Living Arrangements ◽  
Living Arrangement ◽  
Well Being ◽  
Living Alone ◽  
Psychological Well Being ◽  
Self Rated Health ◽  
Health Differences ◽  
Adl Disability

This article used the nationally representative Chinese Longitudinal Healthy Longevity Survey to explore the associations between living arrangements and health among older adults. Living arrangements were stratified into six categories. Health was measured by self-rated health, activities of daily living (ADL) disability, and cognitive impairment. Random-effects ordered probit regressions were applied. The results indicated that coresidence had a positive effect on self-rated health compared with living alone. After introducing psychological well-being, the health differences observed in living with a spouse and living with both spouse and children were not significant. Participants with each of the living arrangement were more likely to have a higher rate of cognitive impairment and ADL disability than those living alone. Living arrangements were associated with older adults’ health. Psychological well-being was a key factor in this association, which may result from living with a spouse, and could contribute to the self-rated health of older adults.

scholarly journals Longitudinal Relationship Between Living Alone and Activity Engagement of Chinese Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 921-921
Author(s):  
Fengyan Tang ◽  
Ke Li
Keyword(s):  
Older Adults ◽  
Social Interaction ◽  
Multinomial Logistic Regression ◽  
Living Arrangement ◽  
Leisure Activity ◽  
Well Being ◽  
Living Alone ◽  
Equation Modeling ◽  
Activity Engagement ◽  
Chinese Older Adults

Abstract The living arrangement of older adults plays a key role in their health status and psychological well-being. Yet the relationship between living arrangement and activity engagement remains unclear. Using data from three waves of the nationally representative China Health and Retirement Longitudinal Study (CHARLS) with a study sample of 7,479 respondents aged 60 or older, this study examined the effect of living alone on the frequency of activity engagement among Chinese older adults. Two types of activity engagement were examined in this study, including social interaction with friends and leisure activity (i.e., play chess, go to a sport or club). The multinomial logistic regression analyses were performed using generalized structural equation modeling (GSEM). Compared with those living with others, older adults living alone were older, more likely to be female and living in urban areas, and with fewer years of education and more functional limitations. The results also indicated that after controlling for a set of covariates, living alone status was significantly associated with the increased likelihood of high and medium frequency of both social interaction and leisure activity in reference to no engagement. This study not only improves the understanding of activity engagement preference of Chinese older adults who are living alone but also indicates the importance of improving community facilities and outdoor spaces to promote activity engagement among older adults.

scholarly journals Relationship between types of activity and subjective well-being in older adults living alone: Secondary analysis of the 2014 survey of attitudes towards older people living alone

2020 ◽  
Vol 6 (1) ◽  
pp. 7
Author(s):  
YUTA MORI ◽  
Tomoki Tachi
Keyword(s):  
Older Adults ◽  
Older People ◽  
Secondary Analysis ◽  
Well Being ◽  
Living Alone ◽  
Subjective Well Being ◽  
Family Meeting ◽  
Activity Types ◽  
Subjective Mental Health

Objective: In the contemporary aging society, subjective well-being is an important determinant of quality of life for older adults living alone. Although the association between improved health and subjective well-being in this population is well documented, the types of activities associated with subjective well-being are unclear.Methods: This study assessed the relationship between subjective well-being and activity types among older adults living alone based on a secondary analysis of the 2014 Survey of Attitudes Towards Older People Living Alone data. We conducted a Poisson regression analysis to determine the association between activity and subjective well-being.Results: After adjustment for age, sex, subjective physical health, subjective mental health, and income, higher levels of subjective well-being were significantly associated with spending time with family, meeting friends, playing with pets, eating, hiking, traveling, and watching sports.Conclusion: Going out and interactive activities, as well as individual activities outside the home, are associated with higher levels of subjective well-being. Promoting these activities has the potential to increase the subjective well-being of older adults.

scholarly journals Typologies of Loneliness, Isolation and Living Alone Are Associated with Psychological Well-Being among Older Adults in Taipei: A Cross-Sectional Study

2020 ◽  
Vol 17 (24) ◽  
pp. 9181
Author(s):  
Hui-Chuan Hsu
Keyword(s):  
Older Adults ◽  
Life Satisfaction ◽  
Multinomial Logistic Regression ◽  
Living Arrangement ◽  
Well Being ◽  
Living Alone ◽  
Cross Sectional ◽  
Psychological Well Being ◽  
The Government ◽  
Lower Life Satisfaction

Background: Loneliness, isolation, and living alone are emerging as critical issues in older people’s health and well-being, but the effects are not consistent. The purpose of this study was to examine the clustering of loneliness, isolation, and living alone, the risk factors and the associations with psychological well-being. Methods: The data were collected from the 2019 Taipei City Senior Citizen Condition Survey by face-to-face interviews and included a community-based sample (n = 3553). Loneliness, isolation, and living arrangement were analyzed by cluster analysis to define Loneliness-Isolation-Living-Alone clusters. Multinomial logistic regression was used to examine the factors related to Loneliness-Isolation-Living-Alone clusters, and linear regression was used to examine association of clusters with psychological well-being. Results: Five clusters of older adults were identified and named as follows: Not Lonely-Connected-Others (53.4%), Not Lonely-Isolated-Others (26.6%), Not Lonely-Alone (5.0%), Lonely-Connected (8.1%), and Lonely-Isolated-Others (6.9%). Demographics, financial satisfaction, physical function, family relationship, and social participation were related to the Loneliness-Isolation-Living-Alone clusters. Compared with the Not Lonely-Connected-Others cluster, the Lonely-Connected cluster and Lonely-Isolated-Others cluster had higher depressive symptoms and lower life satisfaction, and the Not Lonely-Isolated-Others cluster reported lower life satisfaction; the Not Lonely-Alone cluster was not different. Discussion: Loneliness and isolation are negatively associated with psychological well-being, and living arrangement is not the determinant to loneliness or isolation. Older adults are suggested to strengthen their informal social support, and the government may encourage social care and create an age friendly environment to reduce loneliness and isolation.

scholarly journals Financial Resources and Later-Year Relocation From the Annuitized Assessment of Income and Assets

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 50-50
Author(s):  
Jun-Hong Chen ◽  
Sojung Park
Keyword(s):  
Older Adults ◽  
Living Arrangement ◽  
Panel Study ◽  
Behavioral Model ◽  
Well Being ◽  
Economic Factor ◽  
Health Condition ◽  
Financial Resources ◽  
Individual Level ◽  
Mortality Table

Abstract Solid evidence has shown financial resources play important roles in housing decisions among older adults. Despite the growing research on the joint assessment of income and assets as valid economic well-being, little attention is paid to its role in relocation in old age. Drawing from the Behavioral Model of Elderly Migration, this study examined to what extent financial resources are associated with the likelihood of moving in later years. The data came from the 2017 Panel Study of Income Dynamic (PSID). A sample of 1354 people, 65 years and older, was used in the analyses. We used the annuitized approach, which is different from conventional approaches that assume people draw down all available assets to satisfy daily needs and leave no assets for use in later years. We (1) assessed annuitized assets based on the 2019 IRS Mortality Table, (2) assessed yearly income using supplementary income (i.e. income plus non-discretionary expense). A final indicator of the summed score was used in a logistic regression to predict the likelihood of moving. A set of covariates known to affect later- year relocation at an individual level (e.g. health condition, living arrangement change), environmental level (e.g. rural, non-metro area) are controlled for. In clear conflict with previous studies, we found annual financial resources did not significantly influence relocation among older adults. The notable absence of the well-known role of the economic factor provides critical initial evidence about the importance of simultaneous assessment of financial resources for the literature on later year relocation.

scholarly journals A pilot study on the impact of a first-time central heating intervention on resident mental wellbeing

2020 ◽  
pp. 1420326X2097546
Author(s):  
Richard A Sharpe ◽  
Andrew J Williams ◽  
Ben Simpson ◽  
Gemma Finnegan ◽  
Tim Jones
Keyword(s):  
Pilot Study ◽  
Indoor Environment ◽  
Intervention Group ◽  
Well Being ◽  
Waiting List ◽  
Mental Wellbeing ◽  
Central Heating ◽  
The Impact ◽  
First Time ◽  
Mental Well Being

Fuel poverty affects around 34% of European homes, representing a considerable burden to society and healthcare systems. This pilot study assesses the impact of an intervention to install a new first time central heating system in order to reduce fuel poverty on household satisfaction with indoor temperatures/environment, ability to pay bills and mental well-being. In Cornwall, 183 households received the intervention and a further 374 went onto a waiting list control. A post-intervention postal questionnaires and follow-up phone calls were undertaken ( n = 557) to collect data on household demographics, resident satisfaction with indoor environment, finances and mental well-being (using the Short Warwick-Edinburgh Mental Wellbeing scale). We compared responses between the waiting list control and intervention group to assess the effectiveness of the intervention. A total of 31% of participants responded, 83 from the waiting list control and 71 from the intervention group. The intervention group reported improvements in the indoor environment, finances and mental well-being. However, these benefits were not expressed by all participants, which may result from diverse resident behaviours, lifestyles and housing characteristics. Future policies need to consider whole house approaches alongside resident training and other behaviour change techniques that can account for complex interactions between behaviours and the built environment.

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