Testing threat-to-efficacy ratios in health communications about cardiovascular disease among an older population

2019 ◽  
Vol 35 (2) ◽  
pp. 255-266
Author(s):  
Sinéad Moylett ◽  
David Hevey
Keyword(s):  
Physical Activity ◽  
Cardiovascular Disease ◽  
Health Behaviours ◽  
Emotional Reactions ◽  
Health Communications ◽  
Older Individuals ◽  
Behavioural Intentions ◽  
Control Processes ◽  
The Impact ◽  
The Relationship

Abstract To test threat-to-efficacy ratios within health communications about cardiovascular disease (CVD) for older individuals. Participants were randomly assigned to one of six messages: (i) ‘standard’ message with 1/1 threat-to-efficacy ratio, (ii) ‘low efficacy’ message with 1/0 threat-to-efficacy ratio, (iii) ‘low threat’ message with 0/1 threat-to-efficacy ratio, (iv) ‘high efficacy’ message with 1/2 threat-to-efficacy ratio; (v) ‘high threat’ message with 2/1 threat-to-efficacy ratio and (vi) ‘overload’ message with 2/2 threat-to-efficacy ratio. Participants had to be of 60 years of age or older (N = 242, Male = 92, Age: M = 68.29, SD = 6.71). Advanced univariate analyses and multiple regression modelling were conducted to examine associations between the message groups, and danger- and fear-control processes, as well as the impact of threat and efficacy appraisals on the relationship between the message groups and behavioural intentions. No differences were found between the message groups for danger-control processes. Those who received the ‘overload’ message did report higher levels of fear, nervousness and anxiety in comparison to the ‘standard’ message group. For physical activity, it was found that efficacy impacted the relationship between the message groups and behavioural intentions, as participants’ levels of efficacy increased and if these individuals received high levels of efficacy information, their behavioural intentions for physical activity increased. Results from this study were dissimilar to those of previous research. However, they highlighted the impact of efficacy and negative emotional reactions when communicating to older individuals about CVD and the associated health behaviours.

scholarly journals The Impact of Weather and Seasons on Falls and Physical Activity among Older Adults with Glaucoma: A Longitudinal Prospective Cohort Study

Sensors ◽  
2021 ◽  
Vol 21 (10) ◽  
pp. 3415
Author(s):  
Hursuong Vongsachang ◽  
Aleksandra Mihailovic ◽  
Jian-Yu E ◽  
David S. Friedman ◽  
Sheila K. West ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Fall Prevention ◽  
Regression Models ◽  
Activity Promotion ◽  
Injurious Fall ◽  
Multivariable Regression ◽  
Multivariable Regression Models ◽  
The Impact ◽  
The Relationship

Understanding periods of the year associated with higher risk for falling and less physical activity may guide fall prevention and activity promotion for older adults. We examined the relationship between weather and seasons on falls and physical activity in a three-year cohort of older adults with glaucoma. Participants recorded falls information via monthly calendars and participated in four one-week accelerometer trials (baseline and per study year). Across 240 participants, there were 406 falls recorded over 7569 person-months, of which 163 were injurious (40%). In separate multivariable regression models incorporating generalized estimating equations, temperature, precipitation, and seasons were not significantly associated with the odds of falling, average daily steps, or average daily active minutes. However, every 10 °C increase in average daily temperature was associated with 24% higher odds of a fall being injurious, as opposed to non-injurious (p = 0.04). The odds of an injurious fall occurring outdoors, as opposed to indoors, were greater with higher average temperatures (OR per 10 °C = 1.46, p = 0.03) and with the summer season (OR = 2.69 vs. winter, p = 0.03). Falls and physical activity should be understood as year-round issues for older adults, although the likelihood of injury and the location of fall-related injuries may change with warmer season and temperatures.

Abstract MP41: Implications of the Use of the New ACC/AHA Guidelines for Cardiovascular Disease Prevention in a Brazilian Cohort - The Elsa Brasil Study

Circulation ◽  
2015 ◽  
Vol 131 (suppl_1) ◽  
Author(s):  
Marcio S Bittencourt ◽  
Isabela Bensenor ◽  
Dora Chor ◽  
Paulo Vasconcelos ◽  
Paulo Lotufo
Keyword(s):  
Cardiovascular Disease ◽  
Primary Prevention ◽  
Prediction Model ◽  
Urban Areas ◽  
Absolute Risk ◽  
Adult Health ◽  
Older Individuals ◽  
Cvd Risk ◽  
The Impact ◽  
Brazilian Cohort

Introduction: The 2013 American College of Cardiology / American Heart Association (ACC/AHA) guidelines developed a new prediction model for cardiovascular disease (CVD) and suggested the use of a lower threshold of 7.5% 10 year hard CVD risk for primary prevention. The implications of the use of this model in other cohort and admixed races has not yet been tested. The current study sought to evaluate the potential impact of its use in a large Brazilian cohort. Methods: We have included 15105 participants of the (Brazilian Longitudinal Study of Adult Health) ELSA-Brasil study, a multicenter prospective study that enrolled civil servants aged 35 to 74 years in 6 different urban areas in brazil. We have calculated the both the Framingham risk score (FRS) and the new risk prediction model to the entire cohort, and estimated the impact of changing current recommendations based on the FRS and lipid targets to the new recommendations based on the absolute risk estimated by the new model. Results: The mean age was 52±9.1 years, with 8218 (54%) women. The race distribution included 52% white, 16% black, 28% mixed (brown), and 4% of other. While 19.2% (95% CI: 18.4 to 19.6) of the cohort would require statins for primary prevention accordion to prior recommendations, the new guidelines would recommend treatment for approximately 40.2% (95%CI: 39.4 to 41.0) of the cohort. A substantial increase in the population in whom statins are recommended occurred for males, from 23.3% (95%CI: 22.6 to 24.0%) to 55.7% (95%CI: 54.9 to 56.5), as well as females, from 16.6 (95%CI: 16.0 to 17.2) to 27.1 (95%CI: 26.4 to 27.8), and across all races and age levels (figure). Conclusion: The new ACC/AHA guidelines for primary prevention would approximately double the proportion of Brazilian adults in whom statins are indicated, mostly among older individuals. The epidemiological and economical impact of this changes are not yet known.

Impact of Adulthood Stage and Social-Environmental Context on Body Mass Index and Physical Activity of Individuals With Intellectual Disability

2015 ◽  
Vol 53 (2) ◽  
pp. 100-113 ◽  
Author(s):  
Kelly Hsieh ◽  
Tamar Heller ◽  
Julie Bershadsky ◽  
Sarah Taub
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Intellectual Disability ◽  
Community Participation ◽  
Body Mass ◽  
Environmental Context ◽  
Individual Characteristics ◽  
Social Environmental ◽  
The Impact ◽  
The Relationship

Abstract Individuals with intellectual disability (ID) are at risk for obesity and physical inactivity. We analyzed a subset of 2009–2010 National Core Indicators (NCI) database to examine (1) the impact of three adulthood stages– younger (20–39 years), middle (40–59 years), and older (60 years and older) on Body Mass Index (BMI) and physical activity (PA); and (2) the relationship between social-environmental context (i.e., residence type, everyday choices, and community participation) and BMI and PA, with adjustment for individual characteristics of the adults with ID. Findings highlight the need to pay more attention to obesity by providing health education and emphasizing healthy choices. Results also suggest the importance of community participation as a way of promoting more physical activity.

Examining the Impact of Body Satisfaction and Physical Activity Change on Postpartum Depressive Symptoms

2020 ◽  
Vol 17 (2) ◽  
pp. 141-148
Author(s):  
Rebecca A. Schlaff ◽  
Meghan Baruth ◽  
Faith C. LaFramboise ◽  
Samantha J. Deere
Keyword(s):  
Physical Activity ◽  
Depressive Symptoms ◽  
Body Satisfaction ◽  
Vigorous Physical Activity ◽  
Time Points ◽  
Physical Activity Change ◽  
Postpartum Depressive Symptoms ◽  
Pregnancy And Postpartum ◽  
The Impact ◽  
The Relationship

Background: Relationships among moderate to vigorous physical activity (MVPA), body satisfaction, and postpartum depressive symptoms are not well understood. The purpose of this study is to examine the (1) impact of postpartum body satisfaction and changes in MVPA on postpartum depressive symptoms and (2) moderating effect of changes in MVPA over time on the relationship between postpartum body satisfaction and depressive symptoms. Methods: Participants (N = 269) self-reported body satisfaction, MVPA (prepregnancy through postpartum), and postpartum depressive symptoms. Differences in MVPA at 3 time points (prepregnancy, third trimester, and postpartum) were calculated to create change scores. Main effects and interactions (body satisfaction × MVPA change) were examined using multiple regression. Results: A majority of the sample did not meet MVPA recommendations at all time points. All body satisfaction measures were inversely related to postpartum depressive symptoms (P = .01 to <.001). MVPA change did not predict postpartum depressive symptoms (P = .43–.90) or moderate the relationship between body satisfaction and postpartum depressive symptoms (P = .14–.94). Conclusions: Given the relationship between postpartum body satisfaction and depressive symptoms, intervention research should include strategies that promote positive postpartum body image; clinicians should consider screening for body dissatisfaction. Although not a predictor or moderator, pregnancy and postpartum MVPA promotion should continue, as it has numerous other benefits.

scholarly journals Help Me TripAdvisor! Examining the Relationship between TripAdvisor e-WOM Attributes, Trusts towards Online Reviews and Travellers Behavioural Intentions

2020 ◽  
Vol 44 (1) ◽  
pp. 83-112
Author(s):  
Nur Zarifah Dhabitah Mahat ◽  
Mohd Hafiz Hanafiah
Keyword(s):  
Online Reviews ◽  
Tourism Industry ◽  
Partial Least Square ◽  
Least Square ◽  
Behavioural Intention ◽  
Equation Modeling ◽  
Behavioural Intentions ◽  
Information Credibility ◽  
The Impact ◽  
The Relationship

This paper aims to examine the impact of TripAdvisor reviews on behavioural intentions, basing on travellers' trust towards the e-WOM reviews. Four factors are proposed for building travellers’ trust and behavioural intentions: information quality, credibility, adoption and usefulness. Trust is expected to mediate the relationship between eWOM attributes and travellers’ behavioural intention. Data from 410 travellers were analysed using Partial Least Square-Structural Equation Modeling (PLS-SEM), and the findings show that TripAdvisor e-WOM attributes (information credibility, adoption and usefulness) significantly influence the traveller's trust. Besides, traveller behavioural intention was influenced considerably by TripAdvisor eWOM information credibility and usefulness. Lastly, trust in e-WOM significantly mediates travellers' behavioural intention. This paper confirms the importance of eWOM in the context of the tourism industry and travellers' trust and behaviour towards online review, which altered how consumers behave before deciding to travel.

scholarly journals Bone Health and Its Relationship with Impact Loading and the Continuity of Physical Activity throughout School Periods

2019 ◽  
Vol 16 (16) ◽  
pp. 2834 ◽  
Author(s):  
Gotzone Hervás ◽  
Fatima Ruiz-Litago ◽  
Jon Irazusta ◽  
Amaia Irazusta ◽  
Begoña Sanz ◽  
...  
Keyword(s):  
Physical Activity ◽  
Young Adulthood ◽  
Bone Health ◽  
Impact Loading ◽  
Cross Sectional Study ◽  
Stiffness Index ◽  
Childhood And Adolescence ◽  
Cross Sectional ◽  
The Impact ◽  
The Relationship

Bone is influenced by physical activity (PA) throughout life, but childhood and adolescence provide a key opportunity to maximize peak bone mass. Thus, it is important to identify the relationship between PA practiced in childhood and young adulthood to design a promotion plan for bone health. The purpose of this study was to analyze the relationship between different impact-loading PAs (and their continuity throughout school periods from childhood to young adulthood) and bone stiffness index (SI). In this cross-sectional study, which was conducted on 145 university students aged 18–21 years, bone measurements were measured by quantitative ultrasonometry (QUS), and PA information was recalled using a self-administered questionnaire. Associations between the SI and the impact of PA performed during secondary school (p = 0.027), high school (p = 0.002), and university (p = 0.016) periods were observed. The continuity of PA over a longer period of time was related to a higher SI (p = 0.007). Those who practiced PA throughout all school periods had a higher SI than those who practiced during primary school only (p = 0.038) or through primary and secondary schools (p = 0.009). These results suggest that impact-loading PA practiced during different school periods is related to higher values of the SI. Therefore, continuous PA from an early age may be an important contributing factor to achieving and maintaining adequate bone health.

scholarly journals The Impact of Retirement on Cardiovascular Disease and Its Risk Factors: A Systematic Review of Longitudinal Studies

2019 ◽  
Vol 60 (5) ◽  
pp. e367-e377 ◽  
Author(s):  
Baowen Xue ◽  
Jenny Head ◽  
Anne McMunn
Keyword(s):  
Physical Activity ◽  
United States ◽  
Risk Factors ◽  
Cardiovascular Disease ◽  
Longitudinal Studies ◽  
Leisure Time Physical Activity ◽  
The United States ◽  
European Countries ◽  
Blood Biomarkers ◽  
The Impact

Abstract Background and Objectives People are now spending longer in retirement than ever before and retirement has been found to influence health. This study systematically reviewed the impact of retirement on cardiovascular disease (CVD) and its risk factors (metabolic risk factors, blood biomarkers, physical activity, smoking, drinking, and diet). Research Design and Methods Longitudinal studies published in Medline, Embase, Social Science Citation Index, PsycINFO, and Social Policy and Practice were searched. No language restrictions were applied if there was an English abstract. Eighty-two longitudinal studies were included after critical appraisals. Results Studies in the United States often found no significant effect of retirement on CVD, while studies in European countries, except France, showed a detrimental effect of retirement on CVD. Results from the United States and several European countries consistently show that retirement increase adiposity measures among those retired from physically demanding jobs. For diabetes and hypertension, five out of nine studies suggest no effect of retirement. Retirement has been repeatedly linked to increasing leisure-time physical activity but may reduce work- and transport-related physical activity in turn. Most studies showed that retirement either decreased smoking or had no effect on smoking. The evidence did not show a clear conclusion on drinking. Only a few studies have assessed the impact on diet and blood biomarkers. Discussion and Implications Effect of retirement varies according to the health outcomes studied and country of the study population. Policy concerning extending the retirement age needs to focus on ensuring they are suited to the individual.

scholarly journals Expanding the Agenda for Research on the Physically Active Aging Body

2009 ◽  
Vol 17 (3) ◽  
pp. 362-379 ◽  
Author(s):  
Cassandra Phoenix ◽  
Bevan Grant
Keyword(s):  
Physical Activity ◽  
Social Aspects ◽  
Active Aging ◽  
Multiple Forms ◽  
Physically Active ◽  
Objective Truth ◽  
Dynamic Relationship ◽  
Aging Body ◽  
The Impact ◽  
The Relationship

In this article, the authors consider the different approaches that can be used to examine the relationship between physical activity and aging. They propose that much is to be gained in our awareness of this dynamic relationship by drawing on multiple forms of knowledge that can generate diverse understandings regarding the impact of physical activity on physiological, psychological, and social aspects of aging. Accordingly, 3 different approaches to understanding the older physically (in)active body are presented. These are categorized as (a) the objective truth about the aging, physically active body; (b) the subjective truth about the aging, physically active body; and (c) “tales” about the aging, physically active body. The key underpinnings, strengths, and weaknesses of each approach are outlined. A number of examples from the literature are also offered to demonstrate where and how each approach has been used to contribute to our understanding about older people and physical activity. The more thorough, multidisciplinary, and wide spanning our knowledge of the aging, active body is, the more informed we might become in every dimension of its existence.

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