Activity Patterns Associated With Health Status in Later Life Among Singaporeans

2018 ◽  
Vol 39 (3) ◽  
pp. 311-322 ◽  
Author(s):  
Song-Iee Hong ◽  
Srinivasan Chokkanathan ◽  
Philip A. Rozario
Keyword(s):  
Older Adults ◽  
Latent Class ◽  
Service Providers ◽  
Activity Patterns ◽  
Leisure Activity ◽  
Later Life ◽  
Social Leisure ◽  
Health Related ◽  
Nationally Representative ◽  
The Impact

Research on activities overlooks the possibility that older adults engage in different activities contemporaneously. To address this gap, we used latent class analyses to identify activity patterns and then examined demographic and health correlates of these patterns among a nationally representative sample of older adults in Singapore. We identified four classes of activities: the family-focused instrumental activity (FIA) class, the social leisure activity (SLA) class, the multidynamic activity (MDA) class, and the passive activity (PA) class. Furthermore, the MDA members showed higher scores in their mental health. Worse physical functioning and higher depression scores also increased the likelihood of being in the FIA and PA groups. Significant demographics such as gender, ethnicity, marital status, education, employment, house type, and income were related to heterogeneity in older adults’ activity patterns. Service providers might consider the impact of certain significant demographic and health-related correlates when planning programs to ensure greater reach and access.

Activity Patterns and Health Outcomes in Later Life: The Role of Nature of Engagement

2018 ◽  
Vol 59 (4) ◽  
pp. 698-708 ◽  
Author(s):  
Yu-Chih Chen ◽  
Michelle Putnam ◽  
Yung Soo Lee ◽  
Nancy Morrow-Howell
Keyword(s):  
Older Adults ◽  
Latent Class ◽  
Activity Patterns ◽  
Health Benefit ◽  
Mail Survey ◽  
Later Life ◽  
Activity Participation ◽  
Activity Engagement ◽  
Design And Methods

Abstract Background and Objectives The health benefit of activity participation at older ages is documented in the current literature. Many studies, however, only explored the health benefits of engaging in a few activities and did not examine mechanisms connecting activity participation to health. We investigated the pathway between activity and health by testing the mediation role of the nature of engagement (physical, cognitive, and social) on physical, mental, and cognitive health of older adults. Research Design and Methods We analyzed data of 6,044 older adults from the 2010 and 2012 Health and Retirement Study linked with 2011 Consumption and Activity Mail Survey. We used latent class analysis to identify the patterns of participating in 33 activities as well as patterns of nature of engagement, and examined how these patterns were associated with cognition, depressive symptoms, and self-rated health in later life. Results Meaningful patterns of activity (high, medium, low, passive leisure, and working) and the nature of activity engagement (full, partial, and minimal) were identified. High and working groups, compared to the passive leisure group, showed better health and cognition outcomes. The nature of engagement mediated the relationship between activity patterns and health, especially for older adults who were either full or partially engaged. Discussion and Implications The nature of engagement may play a more important role than the activity itself in relation to health. Identifying the heterogeneity in activity engagement in later life is critical for tailoring interventions and designing programs that can improve the health of older adults.

scholarly journals Moderating Effects of Loneliness on COVID-19-Related Stress and Anxiety in Middle and Later Life in South Korea

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 141-141
Author(s):  
Sukyung Yoon ◽  
Soo Chan Choi
Keyword(s):  
Older Adults ◽  
South Korea ◽  
Living Arrangements ◽  
Service Providers ◽  
Later Life ◽  
Moderating Effects ◽  
Middle Aged ◽  
Negatively Associated ◽  
Related Stress ◽  
The Impact

Abstract Many people have suffered from psychological distress in the form of stress, loneliness, and anxiety resulting from the COVID-19 epidemic (Havnen et al., 2020; Luchetti et al., 2020). Along with these factors, physical health (hereafter health), resilience, and living arrangements as protective factors were examined. The research aims were to investigate 1) factors affecting the association between COVID-19-related stress (hereafter stress) and anxiety, and 2) moderating effects of loneliness on this association. Data was collected on 450 middle-aged and older adults (ages 45 through 76) living in South Korea during COVID-19. A multi-group path analysis was employed. Measurement invariance was examined by comparing unconstrained and fully constrained models. Both models fit. Moderating effects of loneliness existed. Stress was negatively associated with health and living arrangements for people with both higher and lower levels of loneliness. Health was positively associated with resilience for both groups. Resilience was negatively associated with anxiety for both groups. For people with higher levels of loneliness only, stress and health were negatively associated with resilience and anxiety, respectively. The association between stress and anxiety was significant for both groups. However, the impact of stress on anxiety was significantly larger for people with higher levels of loneliness than for people with lower levels of loneliness. Health practitioners and service providers should develop programs to maintain and promote resilience, social support, and good health among middle-aged and older adults in South Korea to mitigate negative mental health consequences during the pandemic.

scholarly journals A critical review of the literature on social and leisure activity and wellbeing in later life

2010 ◽  
Vol 31 (4) ◽  
pp. 683-712 ◽  
Author(s):  
KATHRYN BETTS ADAMS ◽  
SYLVIA LEIBBRANDT ◽  
HEEHYUL MOON
Keyword(s):  
Older Adults ◽  
Activity Theory ◽  
Leisure Activities ◽  
Social Activity ◽  
Leisure Activity ◽  
Later Life ◽  
Original Activity ◽  
Psychological Constructs ◽  
Social Leisure ◽  
High Participation

ABSTRACTAn engaged lifestyle is seen as an important component of successful ageing. Many older adults with high participation in social and leisure activities report positive wellbeing, a fact that fuelled the original activity theory and that continues to influence researchers, theorists and practitioners. This study's purpose is to review the conceptualisation and measurement of activity among older adults and the associations reported in the gerontological literature between specific dimensions of activity and wellbeing. We searched published studies that focused on social and leisure activity and wellbeing, and found 42 studies in 44 articles published between 1995 and 2009. They reported from one to 13 activity domains, the majority reporting two or three, such as informal, formal and solitary, or productive versus leisure. Domains associated with subjective wellbeing, health or survival included social, leisure, productive, physical, intellectual, service and solitary activities. Informal social activity has accumulated the most evidence of an influence on wellbeing. Individual descriptors such as gender or physical functioning sometimes moderate these associations, while contextual variables such as choice, meaning or perceived quality play intervening roles. Differences in definitions and measurement make it difficult to draw inferences about this body of evidence on the associations between activity and wellbeing. Activity theory serves as shorthand for these associations, but gerontology must better integrate developmental and psychological constructs into a refined, comprehensive activity theory.

scholarly journals The impact of poor oral health on the oral health-related quality of life (OHRQoL) in older adults: the oral health status through a latent class analysis

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Lyzbeth Beatriz Ortíz-Barrios ◽  
Víctor Granados-García ◽  
Pablo Cruz-Hervert ◽  
Karla Moreno-Tamayo ◽  
Erika Heredia-Ponce ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Oral Health ◽  
Latent Class ◽  
Oral Health Status ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
The Impact

scholarly journals Types of social networks and starting leisure activities in later life: A longitudinal Japan Gerontological Evaluation Study (JAGES)

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254828
Author(s):  
Takuya Sekiguchi ◽  
Katsunori Kondo ◽  
Mihoko Otake-Matsuura
Keyword(s):  
Older Adults ◽  
Social Networks ◽  
Latent Class ◽  
Leisure Activities ◽  
Leisure Activity ◽  
Later Life ◽  
Well Being ◽  
Evaluation Study ◽  
Latent Classes ◽  
Beneficial Effects

Considering beneficial effects of leisure activities in later life on well-being and health, we investigated which type of social network among older adults is associated with starting their participation in leisure activities. We used data from a longitudinal Japan Gerontological Evaluation Study (JAGES) conducted in Japan every three years from 2010 to 2016. We extracted types of social networks of older adults who did not participate in leisure activities in 2013 and responded to items related to social networks (n = 3436) relying on latent class analysis to examine changes in leisure activity participation over a three-year period within each latent class while controlling for participants’ activity in 2010. As a result, we identified five latent classes of social networks: the Neighborhood network, the Restricted network, which is characterized by limited social contacts, the Colleagues network, the Same-Interest network, and the Diverse network, from the most to the least prevalent. We found that members of the Neighborhood (Cohen’s d = 0.161) and Same-Interest networks (d = 0.660) were significantly more likely to, and members of the Diverse (d = 0.124) and Colleague networks (d = 0.060) were not significantly more likely to start leisure activities than those in the Restricted network. Furthermore, we found that lower age, better mental health, and higher education level were positively associated with starting participation in leisure activities in some latent classes. Horticulture or gardening was most likely to be chosen across all latent classes. Supporting the formation of social networks facilitating leisure activities, and recommending activities that were likely to be selected could be one solution for getting and keeping older adults active.

scholarly journals STRENGTHENING AGE-FRIENDLY COMMUNITIES THROUGH CAPACITY BUILDING TO ADDRESS BEHAVIORAL HEALTH CONCERNS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S311-S311
Author(s):  
Bronwyn Keefe ◽  
Rita Kostiuk
Keyword(s):  
Older Adults ◽  
Capacity Building ◽  
Behavioral Health ◽  
Social Isolation ◽  
Service Providers ◽  
Health Concerns ◽  
Stigma Of Mental Illness ◽  
Health Related ◽  
Second Tier ◽  
The Impact

Abstract The Center for Aging and Disability Education and Research at Boston University in collaboration with the Age-Friendly New Bedford received funding from Tufts Health Plan Foundation to reduce the stigma of mental illness and increase awareness of the effects of social isolation in the community. In order for older adults to be fully engaged in community life, behavioral health concerns need to be addressed with a focus on social isolation, depression, and substance use. Many Age Friendly efforts don’t address these issues even though significant numbers of older adults are impacted. Without a community-wide capacity building effort, behavioral health issues among older adults often fade into the background. We developed and implemented a 3-tiered approach to incorporating behavioral health into an Age Friendly initiative. In the first tier, we focused on increasing awareness of the impact of behavioral health concerns and stigma by creating an anti-stigma campaign in multiple languages. The second tier focused on holding workshops for older adults on behavioral health related issues. The third tier provided training to key stakeholders, including aging service providers, clergy, first responders, and resident coordinators focusing on the need to effectively identify and respond to older adults with behavioral health concerns. Using the Depression Stigma Scale, we measured perceived stigma among older adults pre and post workshop participation. We found statistically significant changes in how older adults perceive depression after participation in the workshop. Training results were also statistically significant with gains pre-post training in key competency areas.

scholarly journals The Impact of the Risk for Sarcopenia on Frailty Among Older Adults With Physical Functional Dependency

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 180-180
Author(s):  
Hongting Ning ◽  
Yinan Zhao ◽  
Huijing Chen ◽  
Lulu Liao ◽  
Hengyu Hu ◽  
...  
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Binary Logistic Regression ◽  
Functional Dependency ◽  
Cluster Sampling ◽  
Related Factors ◽  
Health Related ◽  
Nationally Representative ◽  
Older Chinese ◽  
The Impact

Abstract Objective: 1) to assess the prevalence of the risk for sarcopenia, as well as frailty among older adults with physical functional dependency in a nationally representative sample; and 2) to identify the impact of the risk for sarcopenia on frailty in this vulnerable population in China. Methods: A total of 2,323 participants (age ≥ 60 years old) with physical functional dependency in five provinces in China were enrolled using a multistage cluster sampling scheme. Physical function was measured by the Barthel Index (BI), the risk for sarcopenia was defined as “calf circumference (< 34 cm in men, < 33 cm in women)” according to the 2019 consensus proposed by the Asian Working Group for Sarcopenia, and frailty was assessed by the FRAIL scale. Multivariate binary logistic regression was used to assess the impact of the risk for sarcopenia on frailty. Results: The prevalence of the risk for sarcopenia and frailty were 41.0% and 30.9%, respectively. Logistic regression analysis shows that the risk for sarcopenia was significantly associated with frailty (odds ratio 1.51, 95% confidence interval 1.19-1.90, p = 0.001) after adjustment for demographic and psychosocial factors, as well as health-related factors. Conclusion: This study shows that the risk of sarcopenia and frailty are prevalent, and the presence of the risk of sarcopenia increased the risk of frailty in older Chinese adults with physical functional dependency. Key Words: the risk for sarcopenia; frailty; older adults; physical functional dependency.

Leisure Activities and the Subjective Well-Being of Older Adults in Croatia

GeroPsych ◽  
2018 ◽  
Vol 31 (1) ◽  
pp. 31-39 ◽  
Author(s):  
Ljiljana Kaliterna Lipovčan ◽  
Tihana Brkljačić ◽  
Zvjezdana Prizmić Larsen ◽  
Andreja Brajša-Žganec ◽  
Renata Franc
Keyword(s):  
Older Adults ◽  
Leisure Activities ◽  
Leisure Activity ◽  
Later Life ◽  
Perceived Health ◽  
Well Being ◽  
Hierarchical Regression ◽  
Subjective Well Being ◽  
Convenience Sample ◽  
Financial Status

Abstract. Research shows that engagement in leisure activities promotes well-being among older adults. The objective of the current study was to examine the relationship between subjective well-being (flourishing) and leisure activities (total number of different activities in the previous year) in a sample of older adults in Croatia, thereby considering the variables of sex, marital status, financial status, and self-perceived health. The differences in the examined variables between the groups of older adults who reported to be engaged in new activities with those who did not were also examined. The sample of N = 169 older adults aged 60 years and above was drawn from a convenience sample of adult internet users in Croatia. Participants reported their self-perceived health and the number of leisure activities they engaged in over the previous year as well as completing the Flourishing Scale. Hierarchical regression analyses indicated that older adults who were engaged in more various leisure activities, who perceived better financial status, and who were married reported higher levels of flourishing. A comparison of the two groups of older adults with and without engagement in leisure activities showed that those engaged in at least one leisure activity were more likely to be women, reported higher levels of flourishing, and perceived their own financial status as better. This study indicated that engaging in leisure activities in later life might provide beneficial effects for the well-being of older adults.

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