scholarly journals ASSOCIATION BETWEEN MULTIMORBIDITY, PHYSICAL ACTIVITY AND SELF-RATED HEALTH IN OLDER ADULTS

2016 ◽  
Vol 56 (Suppl_3) ◽  
pp. 566-566
2018 ◽  
Vol 39 (3) ◽  
pp. 301-310 ◽  
Author(s):  
Samantha Brady ◽  
Lisa A. D’Ambrosio ◽  
Adam Felts ◽  
Elizabeth Y. Rula ◽  
Kenneth P. Kell ◽  
...  

Objectives: To explore the effects of membership in a fitness program for older adults on social isolation, loneliness, and health. Method: Using survey responses from SilverSneakers members and matched nonmembers, regression path analysis was used to examine the influence of SilverSneakers membership on physical activity, social isolation, loneliness, and health, and the interrelationships among these concepts. Results: SilverSneakers membership directly increased physical activity and self-rated health, directly decreased social isolation, and indirectly decreased loneliness. Decreased social isolation and loneliness were associated with better self-rated health: social isolation and loneliness had independent direct effects on health, while social isolation also had an indirect effect on health mediated through loneliness. Discussion: Members of SilverSneakers experienced better health through increased physical activity, reduced social isolation, and reduced loneliness. Future research should explore independent effects of social isolation and loneliness on health and the mechanisms by which membership reduces social isolation and loneliness.


2019 ◽  
Author(s):  
Sarah Neil-Sztramko ◽  
Jenna Smith-Turchyn ◽  
Julie Richardson ◽  
Maureen Dobbins

BACKGROUND The McMaster Optimal Aging Portal (the Portal) was launched in 2014 as a knowledge translation (KT) tool to increase access to evidence-based health information. OBJECTIVE The purpose of this study was to understand if and how dissemination of mobility information through the Portal impacts physical activity (PA) in older adults. METHODS In this randomized controlled trial, participants (n=510) were assigned to a 12-week mobility-focused KT intervention or self-serve control group. The intervention included weekly email alerts and a study-specific social media hashtag linking to mobility-focused Portal materials. The control group was able to access the Portal on their own but did not receive targeted KT strategies. Participants completed questionnaires (including the Rapid Assessment of Physical Activity to quantify PA) at baseline, end of the study, and 3-month follow-up. RESULTS Participants were predominantly female (430/510, 84.3%), mean age 64.7 years, with no baseline differences between groups. Over half (277/510, 54.3%) of the participants were classified as “active” at baseline. There was no significant between-group difference in the PA category. Overall, both groups increased their PA with improvements maintained at 3-month follow-up (<i>P</i>&lt;.001). In planned subgroup analyses, the KT intervention had a significant effect for those with poor or fair baseline self-rated health (<i>P</i>=.03). CONCLUSIONS No differences were found between those who received the targeted intervention and a control group with self-serve access to the Portal, except in subgroups with low self-rated health. Both groups did report increases in PA that were sustained beyond participation in a research study. Findings suggest that different KT strategies may be needed for different types of users, with more intense interventions being most impactful for certain groups (ie, those with lower self-rated health). CLINICALTRIAL ClinicalTrials.gov NCT02947230; https://clinicaltrials.gov/ct2/show/NCT02947230


2004 ◽  
Vol 1 (4) ◽  
pp. 398-412 ◽  
Author(s):  
Fuzhong Li ◽  
K. John Fisher

Objectives:This study examined the relationship between physical activity and self-rated health in older adults at both the neighborhood level and the resident level.Methods:A multilevel design was used that involved neighborhoods as the primary sampling unit and residents nested within each neighborhood. Residents (N = 582, mean age = 73.99 years, SD = 6.26) from 56 neighborhoods in Portland, Oregon, were surveyed on neighborhood physical activity and health status.Results:Multilevel path analysis showed a positive relationship between physical activity and health status at the neighborhood level. In addition, perceptions of neighborhood social cohesion, proximity to physical activity facilities, safety for walking, and importance of physical activity involvement, were positively related to high levels of physical activity. At the resident level, education and walking efficacy were positively associated with physical activity.Conclusions:The results provide evidence that neighborhood-level physical activity is positively linked to neighborhood-level self-rated health in older adults.


10.2196/15125 ◽  
2020 ◽  
Vol 22 (2) ◽  
pp. e15125
Author(s):  
Sarah Neil-Sztramko ◽  
Jenna Smith-Turchyn ◽  
Julie Richardson ◽  
Maureen Dobbins

Background The McMaster Optimal Aging Portal (the Portal) was launched in 2014 as a knowledge translation (KT) tool to increase access to evidence-based health information. Objective The purpose of this study was to understand if and how dissemination of mobility information through the Portal impacts physical activity (PA) in older adults. Methods In this randomized controlled trial, participants (n=510) were assigned to a 12-week mobility-focused KT intervention or self-serve control group. The intervention included weekly email alerts and a study-specific social media hashtag linking to mobility-focused Portal materials. The control group was able to access the Portal on their own but did not receive targeted KT strategies. Participants completed questionnaires (including the Rapid Assessment of Physical Activity to quantify PA) at baseline, end of the study, and 3-month follow-up. Results Participants were predominantly female (430/510, 84.3%), mean age 64.7 years, with no baseline differences between groups. Over half (277/510, 54.3%) of the participants were classified as “active” at baseline. There was no significant between-group difference in the PA category. Overall, both groups increased their PA with improvements maintained at 3-month follow-up (P<.001). In planned subgroup analyses, the KT intervention had a significant effect for those with poor or fair baseline self-rated health (P=.03). Conclusions No differences were found between those who received the targeted intervention and a control group with self-serve access to the Portal, except in subgroups with low self-rated health. Both groups did report increases in PA that were sustained beyond participation in a research study. Findings suggest that different KT strategies may be needed for different types of users, with more intense interventions being most impactful for certain groups (ie, those with lower self-rated health). Trial Registration ClinicalTrials.gov NCT02947230; https://clinicaltrials.gov/ct2/show/NCT02947230


2015 ◽  
Vol 30 (6) ◽  
pp. 671-685 ◽  
Author(s):  
Ann-Kristin Beyer ◽  
Julia K. Wolff ◽  
Lisa M. Warner ◽  
Benjamin Schüz ◽  
Susanne Wurm

Pained ◽  
2020 ◽  
pp. 221-222
Author(s):  
Michael D. Stein ◽  
Sandro Galea

This chapter examines the importance of volunteering in facilitating healthy aging. There is a strong link between volunteering and good health. Formal volunteering has been associated with reduced mortality and increased self-rated health and physical function. Indeed, a 2018 research suggests that those who have the greatest health vulnerabilities are, in fact, most likely to experience positive health benefits from volunteering. How does volunteering help? It can increase physical activity, social engagement, and brain stimulation. It may decrease social isolation, as new friendships emerge from the shared experience of volunteering. Moreover, it can promote confidence and enhance one’s sense of meaning and purpose. Volunteering might be particularly beneficial to cognitive functioning because it allows older adults to engage in, and master, complex tasks, many of which might be new to them.


2008 ◽  
Vol 79 (2) ◽  
pp. 128-132 ◽  
Author(s):  
Tamara Payn ◽  
Karin A. Pfeiffer ◽  
Brent Hutto ◽  
John E. Vena ◽  
Michael J. LaMonte ◽  
...  

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S684-S684
Author(s):  
Ji Yeon Lee ◽  
Kwang Joon Kim ◽  
Chang Oh Kim ◽  
Kyung Hee Lee

Abstract Although comprehensive geriatric assessment has been widely used in surgical older adults, its relationship to health status has not been fully identified. This study aimed to examine the relationships of preoperative comprehensive geriatric assessment to frailty and length of stay. This was a descriptive study based on multi-professional health assessments found in electronic medical records. Study participants were 150 older adults in a neurosurgical department. The comprehensive geriatric assessment was comprised of nutrition, functional status, physical activity, depression, cognition, and basic items such as the Timed Up and Go test, grip strength, and self-rated health. Frailty level and length of stay were dependent variables which represented health status. The result showed that instrumental activities of daily living, physical activity, nutrition, self-rated health, and cognition were significantly associated with frailty. Specifically, comparing robustness with pre-frail and frail level, worseness in the instrumental activities of daily living, self-rated health, physical activity, and nutrition were associated with frailty. With progression of frailty level from pre-frail to frail, the worse score in the cognitive function and self-rated health were associated with frailty. In addition, more depressive symptoms, postoperative complications, and prolonged in the Timed Up and Go test were associated with lengthened hospital stay. Older adults with worsened status in physical, emotional, or cognitive function tended to be frail and stay longer in the hospital. Clinicians need to pay attention to the subcomponents of the comprehensive geriatric assessment and are encouraged to implement it to improve health status of surgical older adults.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Youngdeok Kim ◽  
Tim Schneider ◽  
Eric Faß ◽  
Marc Lochbaum

Abstract Background Personal social capital, which refers to the scope and quality of an individual’s social networks within a community, has received increasing attention as a potential sociological factor associated with better individual health; yet, the mechanism relating social capital to health is still not fully understood. This study examined the associations between social capital and self-rated health while exploring the roles of leisure-time physical activity (LTPA) and socioeconomic status (SES) among middle-aged and older adults. Methods Cross-sectional data were collected from 662 middle-aged and older adults (Mean age: 58.11 ± 10.59 years old) using the Qualtrics survey panel. Personal Social Capital Scale was used to measure bonding and bridging social capital and the International Physical Activity Questionnaire was used to assess LTPA levels. SES was assessed by education and household income levels. Self-rated health was assessed using a single item, by which the participants were categorized into the two groups, having ‘good’ vs. ‘not good’ self-rated health. A series of univariate and multivariate logistic regression models were established to examine the independent and adjusted associations of social capital with self-rated health and to test mediating and moderating roles of LTPA and SES, respectively. Results Bonding and bridging social capital were positively associated with self-rated health (Odds ratios = 1.11 and 1.09; P’s < .05, respectively), independent of LTPA that was also significantly associated with greater self-rated health (P-for-linear trends = .007). After adjusting SES, the associations of social capital were significantly attenuated and there was a significant interaction effect by household income (P-for-interaction = .012). Follow-up analyses stratified by household income showed that beneficial associations of social capital with self-rated health were more apparent among the people with low and high levels of household income; yet, LTPA was the stronger predictor of self-rated health among those in the middle class of household income. Conclusions Findings suggest that both social capital and LTPA are associated with better self-rated health; yet, these associations vary by SES. The health policymakers should address both social capital and LTPA for enhancing perceived health among aging populations but may need to consider varying SES backgrounds.


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