scholarly journals Social Support and Weight Outcomes Over A Six-Month Weight Loss Intervention for Rural Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 923-923
Author(s):  
Anna Kahkoska ◽  
Curtis Petersen ◽  
David Lynch ◽  
Hillary Spangler ◽  
Karen Fortuna ◽  
...  
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Weight Loss ◽  
Family Support ◽  
Hierarchical Cluster ◽  
Logistic Regression Models ◽  
Weight Outcomes ◽  
Baseline Weight ◽  
Clinically Significant ◽  
Rural Older Adults

Abstract Rural older adults aged ≥65 years with obesity (body mass index (BMI) ≥30 kg/m2) showed an overall favorable response to a six-month, technology-based weight-management intervention. Our objective was to characterize how friends or family support for eating and exercise behaviors at baseline was associated with baseline weight and intervention response. We analyzed data from six subscales of the Social Support and Exercise Survey from 44 participants. Six-month weight change (≥5% of baseline) was considered clinically-significant. For each subscale, continuous and categorial outcomes were modeled with linear and logistic regression models, respectively, adjusted for sex and age. Crude associations of social support clusters, generated in an exploratory hierarchical cluster analysis, and weight outcomes were evaluated. The sample was 73.2 ± 3.9 years, 73% female, with mean baseline weight 97.8±16.3 kg and BMI 36.5±5.2 m/kg2. Family encouragement for healthy eating was negatively associated with baseline weight (β=-0.53, p=0.046). Social support scores were not associated with either six-month weight loss outcome (p>0.10). Two exploratory clusters were found: Cluster 1 (C1) (n=34) and Cluster 2 (C2) (n=9). C2 had higher mean social encouragement and discouragement, with lower mean baseline weight (90.0±11.7 vs 99.8±16.8kg C1; p=0.10). Weight loss was comparable (C1 4.6±3.7 versus C2 4.8±2.6kg; p=0.89), with no differences in clinically-significant weight loss (C1 45% versus C2 67%; p=0.46). These pilot data suggest that family member social support may act as collaterals to support clinical outcomes in the community. Evaluating different types within family support may elucidate associations with physiological outcomes in larger samples.

scholarly journals Analysis of Factors Affecting Self-Acceptance in Older Adult Living in Nursing Homes

2021 ◽  
Vol 6 (2) ◽  
pp. 64
Author(s):  
Dessy Syahfitri Pohan ◽  
Elida Ulfiana ◽  
Ariina Qona'ah
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Nursing Home ◽  
Nursing Homes ◽  
Family Support ◽  
Older Adult ◽  
Aged Care ◽  
Essential Factor ◽  
Factors Affecting ◽  
Self Acceptance

Introduction: Self-acceptance among older adult who lives in the nursing home tends to be poor. It is because they feel abandoned by their families and their inability to accept any changes that occur to them. Thus, older adults find it challenging to adapt to their new environment and cause various physical and psychological problems. The purpose of this study was to determine the factors of self-acceptance in older adults living in aged care based on an empirical study of the last ten years.Method: This study used a literature review design with electronic sources from 4 databases, namely Scopus, PubMed, Google Scholar, and Science Direct, which were published in the period 2010-2020. The keywords used are factors that influence or self-acceptance, older adults or elderly or aged, and nursing homes or nursing home.Results: Thirteen articles were analyzed in this study. Six research articles discuss social support as the most important factor of self-acceptance in older adults living in nursing homes. Other factors that influence self-acceptance in the older adult who lives in the nursing home include spirituality, religiosity, family support, and positive thinking.Conclusion: Social support is the essential factor in self-acceptance in older adults living in nursing homes.

scholarly journals SENIOR COMMUNITY CENTER AS A SOCIAL ENGAGEMENT PLATFORM FOR OLDER ADULTS IN NEPAL: AN ADAPTATION OF WESTERN CONCEPT

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S979-S979
Author(s):  
Sabita Shrestha ◽  
Tina Colson
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Family Support ◽  
Social Engagement ◽  
Support Systems ◽  
Well Being ◽  
Community Centers ◽  
Geriatric Population ◽  
Traditional Family ◽  
Social Support Systems

Abstract Older adults around the world are living longer. Similarly, in Asian countries longevity of older adults have significantly altered the demographics shift as well as the cultural landscape and needs of the society. These changes have compounded with challenges and needs as a community grapples with how to best take care of aging population. Nepal, a developing country, is also faced with a similar demographic shift among the geriatric population. This shift has brought challenges and needs to communities such as health care, daily living needs, social support systems, economic needs, etc. The geriatric population will require social support systems as they age. Historically, older adults have relied on traditional family support systems for their care and needs maintaining cultural values and norms which may burden immediate or extended family members. Recently, traditional family structures along with social support systems are breaking away from their family trees due to community advancement and modernization, and many are leaving for better economic opportunities. This trend has left many older adults alone in social isolation. Despite challenges in the community, Nepal government doesn’t offer infrastructure for social engagement for older adults. One solution to prevent isolation and loneliness is to establish “senior community centers” (western based concept) for social engaging older adults. Based on ecological framework, this presentation proposes a need of “Senior Community Centers” for older adults where they can become involved in social engagements and receive social supports outside traditional family support systems; thus, optimizing their health and well-being.

scholarly journals Psychosocial Predictors of Weight Loss among American Indian and Alaska Native Participants in a Diabetes Prevention Translational Project

2016 ◽  
Vol 2016 ◽  
pp. 1-10 ◽  
Author(s):  
Edward J. Dill ◽  
Spero M. Manson ◽  
Luohua Jiang ◽  
Katherine A. Pratte ◽  
Margaret J. Gutilla ◽  
...  
Keyword(s):  
Weight Loss ◽  
Psychological Distress ◽  
Family Support ◽  
Psychosocial Factors ◽  
American Indians ◽  
Alaska Native ◽  
Diabetes Prevention ◽  
Coping Skills ◽  
Trauma Exposure ◽  
Baseline Weight

The association of psychosocial factors (psychological distress, coping skills, family support, trauma exposure, and spirituality) with initial weight and weight loss among American Indians and Alaska Natives (AI/ANs) in a diabetes prevention translational project was investigated. Participants(n=3,135)were confirmed as prediabetic and subsequently enrolled in the Special Diabetes Program for Indians Diabetes Prevention (SDPI-DP) demonstration project implemented at 36 Indian health care programs. Measures were obtained at baseline and after completing a 16-session educational curriculum focusing on weight loss through behavioral changes. At baseline, psychological distress and negative family support were linked to greater weight, whereas cultural spirituality was correlated with lower weight. Furthermore, psychological distress and negative family support predicted less weight loss, and positive family support predicted greater weight loss, over the course of the intervention. These bivariate relationships between psychosocial factors and weight remained statistically significant within a multivariate model, after controlling for sociodemographic characteristics. Conversely, coping skills and trauma exposure were not significantly associated with baseline weight or change in weight. These findings demonstrate the influence of psychosocial factors on weight loss in AI/AN communities and have substantial implications for incorporating adjunctive intervention components.

scholarly journals Association between social capital and sleep duration among rural older adults in China

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Le Yang ◽  
Hongman Wang ◽  
Jingmin Cheng
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Gender Differences ◽  
Social Capital ◽  
Health Promotion ◽  
Sleep Duration ◽  
Social Participation ◽  
Generalized Trust ◽  
Long Sleep ◽  
Rural Older Adults

Abstract Objective Sleep disturbances are great challenges to older adults’ health promotion. The study tested gender differences in the association between different dimensions of social capital and self-reported sleep duration of Chinese rural older adults. Design The data of rural older adults were extracted from a national cross-sectional survey of the Chinese Longitudinal Healthy Longevity Survey (CLHLS) and analyzed in this study. Setting CLHLS covered 23 provinces in China. Participants The 6552 rural respondents aged ≥65 years old were involved. Main outcome measures Generalized trust, informal social participation, formal social participation and social support were used to assess social capital. Self-reported sleep duration was measured as health outcome. Results Low level of generalized trust had harmful effect on insufficient sleep (AOR 1.110, 95% CI 1.018-1.324), and having no formal or informal social participation was significantly positively associated with long sleep (AORformal 1.424, 95% CI 1.007-2.013; AORinformal 1.241, 95% CI 1.016-1.516). Rural older female adults with no emotional social support had higher odds of insufficient sleep (AOR 1.502, 95% CI 1.258-1.978). Meanwhile, both informal and formal social participation showed inverse association with long sleep for females. Conclusions This study found the relationship between social capital, sleep duration and the gender differences in Chinese rural older adults. More targeted sleep disturbance interventions could be taken in social capital of rural older adults, and gender differences should be considered when making social capital-embedded health promotion policies and interventions.

IMPACT OF NUTRITIONAL RISK ON SELF-CARE CAPACITY: SOCIAL SUPPORT AS A SOURCE OF PROTECTION FOR COMMUNITY-DWELLING OLDER ADULTS LIVING IN A RURAL AREA

2013 ◽  
pp. 1-5
Author(s):  
S.E. JUNG ◽  
J.R. HERMANN ◽  
A. BISHOP
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Self Care ◽  
Community Dwelling ◽  
Nutritional Risk ◽  
Functional Impairments ◽  
Care Capacity ◽  
Community Dwelling Older Adults ◽  
Social Provisions ◽  
Rural Older Adults

Background:Loss of independence is a major concern for rural older adults. Older adults living inrural areas are at an increased nutritional risk, which can lead to functional impairments in self-care capacity.Identifying factors, which have a role in sustaining rural older adults’ self-care capacity, could help withmaintaining independence as long as possible. Objective:The objective of this study was to examine the effect ofsocial support as a moderator between nutritional risk and self-care capacity. Design:Cross sectional designusing convenient sampling. Setting:Rural Oklahoma counties designated as “non-metro” and having populationsunder 5,000. Participants:Participants included 171 community-dwelling older adults, 65 years of age and older.Measurements:Data were collected using self-report surveys on self-care capacity (using the Duke OlderAmericans Resources and Services Procedures), social support (using the Social Provisions Scale), andnutritional risk (using the Mini-Nutritional Assessment short form). Using hierarchical linear regressiontechniques, data were analyzed to explore the moderating influence of social support in the association betweennutritional risk and self-care capacity. Results:A significant interaction emerged between nutritional risk, socialsupport, and self-care capacity (β = 0.20 p < 0.05). Thus, the deleterious impact of nutritional risk on self-carecapacity was reduced by social support. Conclusions:Results provide further support of the “buffering-hypothesis” and have implications relative to the importance of accessible social provisions to enhance self-carecapacity and quality of life among older adults residing in rural settings.

scholarly journals A New Perspective of Urban–Rural Differences: The Impact of Social Support on the Mental Health of the Older Adults: A Case from Shaanxi Province, China

Healthcare ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 112
Author(s):  
Chi Zhang ◽  
Sifeng Zhang ◽  
Qing Niu
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Older Adults ◽  
Filial Piety ◽  
Health Problems ◽  
Shaanxi Province ◽  
Informal Social Support ◽  
Urban Rural ◽  
The Impact ◽  
Rural Older Adults

With the increase in aging in China, the health problems of older adults, especially mental health problems, have become a concern for the whole society. This article selected urban and rural older adults and analyzed the impact of social support on their mental health using a binary logistic model. It was found that under the current urban–rural dichotomy, the effects of social support on the mental health of urban and rural older adults are significantly different. In social support, first, the fairness and satisfaction with the social security system only had a significant effect on the mental health of urban older adults and had no significant effect on the rural older adults. Second, the closeness of contact with grassroots community workers had a significant impact on the mental health of older adults in urban and rural areas. From informal social support, the mental health of rural older adults was mainly influenced by the support of their children, reflecting the influence of the traditional culture of “filial piety”. Furthermore, the mental health of urban older adults was mainly influenced by neighborhood support, reflecting the importance of “close neighbors are better than distant relatives”. Based on the results of the empirical study, this article suggests that to promote the mental health of older adults, we should start by strengthening the formal social support system, establishing high-quality community service facilities, and emphasizing the role of informal social support.

scholarly journals What a weight loss programme should contain if people with obesity were asked - A qualitative analysis within the DO:IT study

2020 ◽  
Author(s):  
Christina Jessen-Winge ◽  
Pia Maria Ilvig ◽  
Heather Fritz ◽  
Carl J. Brandt ◽  
Kim Lee ◽  
...  
Keyword(s):  
Social Support ◽  
Weight Loss ◽  
Success Rates ◽  
Individual Interviews ◽  
Specialized Hospital ◽  
Diet And Exercise ◽  
Weight Loss Programme ◽  
Positive Meaning ◽  
Clinically Significant ◽  
Structured Approach

Abstract Background Currently 1.9 billion adults worldwide are estimated to be overweight or obese. In Denmark the municipalities hold the responsibility to deliver weight loss programmes to overweight and obese citizens. There has been a tendency to assume that obesity reduction programmes that work in specialized hospital settings are directly transferrable to the municipalities. However, municipality-based weight loss programmes have not produced clinically significant reductions in body weight. Differential success rates between hospital and municipal settings may be due to a discrepancy between research evidence and needs of people with obesity. The first step in developing a weight loss programme designed for the municipalities is to understand what a programme should contain, if people with obesity were asked. The aim of this study was to examine what people with obesity find important in a weight loss programme to make the weight loss successful and maintained. Methods We used a qualitative, explorative, descriptive design drawing on hermeneutical reflection with individual interviews. We included men and women age 17 and older with a BMI≥25 kg/m2. Participants were recruited from the wait lists of 13 municipality programmes and through Facebook posts. Data were analyzed using content analysis. Results Thirty-four participants with overweight or obesity were individually interviewed (age between 19 – 74). Findings suggest that weight loss programmes should support the participants in structuring days, not with restrictions but with replacement activities. Programmes should also aide individuals with taking one thing at a time and facilitating social support from friends, health professionals and peers. Diet and exercise were expressed as important content in a weight loss programme, but as having a negative meaning. Conclusion People with obesity wish to have a structured approach to weight loss that focuses on habits, social support and preserving the positive meaning of activities.

Social support and depressive symptom disparity between urban and rural older adults in China

2018 ◽  
Vol 237 ◽  
pp. 104-111 ◽  
Author(s):  
Hongwei Hu ◽  
Qi Cao ◽  
Zhenzhen Shi ◽  
Weixia Lin ◽  
Haixia Jiang ◽  
...  
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Depressive Symptom ◽  
Rural Older Adults

scholarly journals All in the Family: Child and Adolescent Weight Loss Surgery in the Context of Parental Weight Loss Surgery

Children ◽  
2021 ◽  
Vol 8 (11) ◽  
pp. 990
Author(s):  
Eleanor R. Mackey ◽  
Megan M. York ◽  
Evan P. Nadler
Keyword(s):  
Social Support ◽  
Bariatric Surgery ◽  
Weight Loss ◽  
Children And Adolescents ◽  
Family Support ◽  
Psychosocial Factors ◽  
Emotional Eating ◽  
Weight Loss Surgery ◽  
Food Addiction ◽  
Post Surgery

Background: Bariatric surgery is the most effective current treatment option for patients with severe obesity. More children and adolescents are having surgery, many whose parents have also had surgery. The current study examines whether parental surgery status moderates the association between perceived social support, emotional eating, food addiction and weight loss following surgery, with those whose parents have had surgery evidencing a stronger relationship between the psychosocial factors and weight loss as compared to their peers. Methods: Participants were 228 children and adolescents undergoing sleeve gastrectomy between 2014 and 2019 at one institution. Children and adolescents completed self-report measures of perceived family social support, emotional eating, and food addiction at their pre-surgical psychological evaluation. Change in body mass index (BMI) from pre-surgery to 3, 6, and 12 months post-surgery was assessed at follow-up clinic visits. Parents reported their surgical status as having had surgery or not. Results: There were no differences in perceived family support, emotional eating, or food addiction symptoms between those whose parents had bariatric surgery and those whose parents did not. There were some moderating effects of parent surgery status on the relationship between social support, emotional eating/food addiction, and weight loss following surgery. Specifically, at 3 months post-surgery, higher change in BMI was associated with lower perceived family support only in those whose parents had not had surgery. More pre-surgical food addiction symptoms were associated with greater weight loss at 3 months for those whose parents had not had surgery, whereas this finding was true only for those whose parents had surgery at 12 months post-surgery. Conclusions: Children and adolescents whose parents have had bariatric surgery may have unique associations of psychosocial factors and weight loss. More research is needed to determine mechanisms of these relationships.

scholarly journals Moderating Effect of Social Support Between Loneliness and Depression: Young-Old and Old-Old Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 295-295
Author(s):  
Sunghwan Cho ◽  
Kyuhyung Chung
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Family Support ◽  
Short Form ◽  
Statistical Significance ◽  
Depression Scale ◽  
Spousal Support ◽  
Community Dwelling ◽  
Spouse Support ◽  
Young Old

Abstract Depression increases suicidal risk lowers quality of life in older adults. However, it is unknown how loneliness and depression are associated with young-old and old-older adults. This study examined association of loneliness and depression from the National Social Life, Health, and Aging Project (NSHAP) (2015-2016), estimating moderating effects of social support. The sample of this study was community dwelling Medicare beneficiaries aged 65+ (n=1,532): young-older adults (n=903) and old-older adults (n=629). Loneliness was measured by the Revised University of California, Los Angeles Loneliness Scale short form (3 items; young, M=.86, SD=.73; old, M=.87, SD=.67; range 0-3). Social support consists of two variables each measured by 4 items, spouse/partner support (young, M=2.29, SD=.50; old, M=2.26, SD=.51; range 0-3) and family support (young-old, M=2.19, SD=.52; old-old, M=2.23, SD=.52; range 0-3). Depression was measured by Center for Epidemiological Studies Depression scale (11 items, young, M=1.41, SD=.42; old, M=1.45, SD=.42; range 1-4). Multiple linear regression was used in this study, including relevant covariates. Findings indicated loneliness in both groups (young, p&lt;.001; old, p&lt;.001), spouse support in both groups (young, p&lt;.001; old, p&lt;.001) had statistical significance in depression. Family support in young-older adults (p&lt;.05) had a statistical significance for depression. Interaction of loneliness and spouse support moderated the relationship between loneliness and depression in old-older adults (p&lt;.05). Findings suggest old-older adults’ loneliness and depression could be soothed by spousal support. Spousal support could be important in that the informal caregiver is likely to focus on older adults with fragility at the end of their lives.

Sign in / Sign up

Export Citation Format

Share Document