Comparing cancer survivors' perceptions on lifestyle behaviors between adolescent-young adult (AYA) and middle-aged patients (pts).

2020 ◽  
Vol 38 (29_suppl) ◽  
pp. 207-207
Author(s):  
Spencer Soberano ◽  
Lawson Eng ◽  
RuiQi Chen ◽  
Ashraf Altesha ◽  
Subiksha Nagaratnam ◽  
...  
Keyword(s):  
Physical Activity ◽  
Alcohol Consumption ◽  
Cancer Survivorship ◽  
Age Groups ◽  
Well Being ◽  
Smoking History ◽  
Middle Aged ◽  
Aged Patients ◽  
Age Cohorts ◽  
Lifestyle Behaviours

207 Background: Lifestyle behaviours such as smoking, physical activity, and alcohol consumption are important determinants of cancer survivorship. Previous studies have compared the lifestyle behaviours of elderly and middle-aged patients (pts), yet no studies have compared these behavioural perceptions between AYA (aged 18-39 years) to those of middle-aged pts (MA, 40-64 years). Methods: Cancer pts across various tumour types at a comprehensive cancer centre were surveyed with respect to their perceptions of how their well-being was affected by smoking, physical activity and alcohol consumption after diagnosis. Univariate logistic regression models evaluated factors associated with perceptions on the effect of various adverse lifestyle behaviours on health and well-being. Results: Of 200 AYA (57% female, 43% male) and 772 MA (56% female, 44% male) pts, a positive smoking history was reported by 33% of AYA and 48% of MA (P<0.001). At time of diagnosis, 55% of AYA and 59% of MA pts consumed alcohol, 16% of AYA and 16% of MA were ex-drinkers, and 28% of AYA and 25% of MA were never drinkers (P=0.62). Among AYA, 26% exercised compared to 20% in the MA group (P=0.19). The majority (72-92%) of pts perceived that smoking and lack of activity after cancer diagnosis negatively affected quality of life, survival chances, and fatigue; there were no significant differences between age groups. In contrast, both age cohorts displayed misperceptions about how alcohol affects health, which was characterized by perceiving neutral or beneficial influence on their overall well-being: Fifty-seven percent of MA pts had a borderline greater misperception versus 49% of AYA pts (P=0.06). Misperceptions regarding how alcohol affects survival were observed in 49% of AYA pts and 58% of MA pts (P=0.05). Misperception with respect to how alcohol affects fatigue was observed in 40% of AYA pts compared to 52% of MA pts (P=0.005). Furthermore, MA pts had 1.63 (95% CI 1.16–2.29) times the odds to have misperceptions regarding how alcohol affects fatigue, and 1.41 (95% CI 1.01–1.97) times the odds to have misperceptions on how alcohol affects survival compared to AYA pts. Conclusions: Both the AYA and MA population were not adequately informed about how alcohol affects cancer survivorship health; with more misperceptions in MA pts. Results from this study advocate for survivorship programs to implement emphasis on the deleterious effects of alcohol, with particular efforts tailored to the MA group.

A Longitudinal Study of Physical Activity and Self-Rated Health in Canadians Over 55 Years of Age

1996 ◽  
Vol 4 (2) ◽  
pp. 136-150 ◽  
Author(s):  
Paula C. Fletcher ◽  
John P. Hirdes
Keyword(s):  
Physical Activity ◽  
Alcohol Consumption ◽  
Family Income ◽  
Economic Status ◽  
Activity Patterns ◽  
Well Being ◽  
Smoking History ◽  
Activity Levels ◽  
Item Nonresponse ◽  
Self Rated Health

This paper examines factors associated with physical activity and health status among the 796 subjects aged 55 and older who appear in both the 1981 Canada Fitness Survey (CFS) and The Campbell’s Survey on Well-Being (CSWB), a longitudinal follow-up to the CFS. The CSWB can provide information about changes in physical activity patterns and health between 1981 and 1988. Although nonresponse to the overall survey was low, item nonresponse was problematic in some cases. Approximately 50% of the sample were not assessed on physical fitness measures (e.g., body mass index), while 14% and 38% refused to answer questions concerning alcohol consumption and family income, respectively. Of specific interest are the relationships of physical activity levels and self-rated health with socio-economic status, age, gender, smoking history, alcohol consumption, and measures of body composition.

scholarly journals P772 Trends and risk factors of elderly-onset Crohn’s disease: A nationwide cohort study in South Korea

2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S612-S613
Author(s):  
J M Moon ◽  
E A Kang ◽  
K Han ◽  
S W Hong ◽  
H Soh ◽  
...  
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Health Insurance ◽  
Alcohol Consumption ◽  
National Health Insurance ◽  
National Health ◽  
Age Groups ◽  
Middle Aged ◽  
Aged Group

Abstract Background The incidence of inflammatory bowel disease (IBD) is increasing in Asia. Numerous risk factors associated with IBD development have been investigated. This study aimed to demonstrate the risk factors of Crohn’s disease (CD) diagnosed in persons aged &gt;40 years in South Korea and to specify any differences between age groups by using the National Health Insurance Service (NHIS) database. Methods Using the National Health Insurance Service (NHIS) database, a total of 14,060,821 persons aged &gt;40 years who underwent national health screening in 2009 were followed up until December 2017. Patients with newly diagnosed CD were enrolled and compared with non-CD cohort. CD was identified according to the International Classification of Diseases 10th revision and the rare/intractable disease registration programme codes from the NHIS database. The mean follow-up periods were 7.39 years. Age and sex were adjusted for in the multivariate analysis model. Results During the follow-up, 1337 (1.33/100,000) patients developed CD. Men in the middle-aged group (40–64 years) had a higher risk than women (adjusted HR [aHR] 1.46, 95% CI 1.29–1.66); however, this difference tended to disappear as the age of onset increases. In the middle-aged group, patients with a history of smoking (adjusted hazard ratio [aHR] 1.29, 95% confidence interval [CI] 1.06–1.58) and anemia (aHR 1.99, 95% CI 1.67–2.36) had a significantly higher CD risk. In the elderly group (age, ³65 years), ex-smoking and anemia also increased the CD risk (aHR 1.58 [95% CI 1.16–2.18] and 1.91 [95% CI 1.53–2.38], respectively). Especially in the middle-aged group, those with chronic kidney disease (CKD) had a statistically elevated CD risk (aHR 1.38, 95% CI 1.06–1.79). Alcohol consumption and higher body mass index showed negative association trend with CD incidence in both of the age groups. (Middle-aged: aHR 0.76 [95%CI 0.65–0.87] and aHR 0.38 [95%CI 0.27–0.53], respectively) (elderly-group: aHR 0.57 [95%CI 0.42–0.77] and aHR 0.52 [95%CI 0.32-.83], respectively) For regular physical activity and dyslipidemia, negative correlation between CD incidences was proved only in the middle-aged group (aHR 0.85 [95%CI 0.74–0.96] and aHR 0. [95%CI 0.75 [95% CI 0.63–0.89], respectively). Conclusion This study demonstrated four risk factors (ex-smoking, anemia, CKD, and lower BMI) and three possible protective factors (alcohol consumption, physical activity, and dyslipidemia) for CD in Asians age &gt;40 years. Individuals with potential risk factors need more cautious monitoring for CD.

scholarly journals Daily Steps Buffer the Impact of Daily Stress on Mood in Youth and Middle-aged/Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 845-846
Author(s):  
Daniel Fleming ◽  
Yin Liu ◽  
Myles Maxey ◽  
Elizabeth Braungart Fauth ◽  
Troy Beckert
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Life Satisfaction ◽  
Well Being ◽  
Step Count ◽  
Developmental Phase ◽  
Middle Aged ◽  
Daily Stress ◽  
Age Cohorts ◽  
The Impact

Abstract Physical activity has known associations with lower stress and improved well-being. These studies often include samples from one developmental phase at a time, which is helpful for researchers in those developmental areas, but less informative for identifying predictors of health and well-being across the lifespan. The current study examined whether protective aspects of physical activity (steps) on stress and mood worked similarly in widely different age cohorts. We also examined these relationships at the daily level, as opposed to global/macro levels. Participants (n = 119, 67% female) were 44 adolescents between 13-18 years (Mage (SD) = 15.73 (1.48) years, 57% female) and 77 middle-aged/older adults between 55-76 years (Mage (4.97) = 59.67, 74% female). They self-reported global life satisfaction and demographic characteristics at baseline and completed ecological momentary assessments (three per day for three consecutive days, across six measurement bursts, each spaced two weeks apart) via smart phones, reporting on their mood, stressor exposures/types, and end-of-day pedometer step count. Multilevel models showed that daily steps had protective effects against social network stressors on both daily mood and life satisfaction, such that more steps weakened the negative relationship between network-related stressors, mood, and life satisfaction. This protective effect was uniform for both older and younger adults, and across boys/men and girls/women. Overall, the present study suggested the importance of physical activity, even that of general step count, on buffering daily stress on daily mood and general life satisfaction for participants at multiple phases of the lifespan.

scholarly journals Older Adults and Technology Use: A Systematic Literature Review

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 823-823
Author(s):  
Hyung Wook Choi ◽  
Rose Ann DiMaria-Ghalili ◽  
Mat Kelly ◽  
Alexander Poole ◽  
Erjia Yan ◽  
...  
Keyword(s):  
Older Adults ◽  
Technology Use ◽  
Age Groups ◽  
Well Being ◽  
Sample Population ◽  
Age Cohorts ◽  
Fine Grained ◽  
Nuanced Understanding ◽  
Smart Technologies ◽  
Age Range

Abstract Researchers are increasingly interested in leveraging technology to support the physical and mental well-being of older adults. We systematically reviewed previous scholars’ criteria for sampling older adult populations, focusing on age cohorts (namely adults over 65) and their use of internet and smart technologies. We iteratively developed keyword combinations that represent older adults and technology from the retrieved literature. Between 2011 and 2020, 70 systematic reviews were identified, 26 of which met our inclusion criteria for full review. Most important, not one of the 26 papers used a sample population classification more fine-grained than “65 and older.” A knowledge gap thus exists; researchers lack a nuanced understanding of differences within this extraordinarily broad age-range. Demographics that we propose to analyze empirically include not only finer measures of age (e.g., 65-70 or 71-75, as opposed to “65 and older”), but also those age groups’ attitudes toward and capacity for technology use.

scholarly journals Physical activity and mental well-being under COVID-19 lockdown: a cross-sectional multination study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Costas I. Karageorghis ◽  
Jonathan M. Bird ◽  
Jasmin C. Hutchinson ◽  
Mark Hamer ◽  
Yvonne N. Delevoye-Turrell ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Young Adults ◽  
Sedentary Behavior ◽  
Online Survey ◽  
Electronic Device ◽  
Well Being ◽  
Middle Aged ◽  
Steps Per Day ◽  
Western Nations

Abstract Background COVID-19 lockdowns have reduced opportunities for physical activity (PA) and encouraged more sedentary lifestyles. A concomitant of sedentariness is compromised mental health. We investigated the effects of COVID-19 lockdown on PA, sedentary behavior, and mental health across four Western nations (USA, UK, France, and Australia). Methods An online survey was administered in the second quarter of 2020 (N = 2541). We measured planned and unplanned dimensions of PA using the Brunel Lifestyle Physical Activity Questionnaire and mental health using the 12-item General Health Questionnaire. Steps per day were recorded only from participants who used an electronic device for this purpose, and sedentary behavior was reported in hours per day (sitting and screen time). Results In the USA and Australia samples, there was a significant decline in planned PA from pre- to during lockdown. Among young adults, Australians exhibited the lowest planned PA scores, while in middle-aged groups, the UK recorded the highest. Young adults exhibited the largest reduction in unplanned PA. Across nations, there was a reduction of ~ 2000 steps per day. Large increases in sedentary behavior emerged during lockdown, which were most acute in young adults. Lockdown was associated with a decline in mental health that was more pronounced in women. Conclusions The findings illustrate the deleterious effects of lockdown on PA, sedentary behavior, and mental health across four Western nations. Australian young and lower middle-aged adults appeared to fare particularly badly in terms of planned PA. The reduction in steps per day is equivalent to the non-expenditure of ~ 100 kcal. Declines in mental health show how harmful lockdowns can be for women in particular.

scholarly journals Associations between lifestyle behaviour changes and the optimal well-being of middle-aged Japanese individuals

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Toshihiro Takao ◽  
Naoki Sumi ◽  
Yoshiyuki Yamanaka ◽  
Sohachi Fujimoto ◽  
Tomoari Kamada
Keyword(s):  
Physical Activity ◽  
Sleep Quality ◽  
Dietary Habits ◽  
Chronic Renal Disease ◽  
Well Being ◽  
Regular Physical Activity ◽  
World Health ◽  
Positive Health ◽  
Lifestyle Behaviour ◽  
Lifestyle Behaviours

Abstract Background Psychological well-being has been associated with reduced mortality rates in both healthy and diseased populations. However, there is considerably less evidence on the effect of lifestyle behaviours on positive health outcomes such as well-being. This study examines the association between lifestyle behaviours and optimal well-being. Methods From a total of 4324 Japanese individuals who participated in an annual health check-up in 2017, this study recruited 2295 participants (mean age: 49.3 ± 8.4 years; female: 54.3%) without a history of cerebrovascular, cardiovascular, or chronic renal disease and not on medication for hypertension, diabetes, or dyslipidaemia. The World Health Organization-Five Well-Being Index (WHO-5) scores were compared to self-reported scores on each of the following items: dietary habits, physical activity, smoking, alcohol consumption, and sleep quality. Logistic regression analysis was used to examine the association between optimal well-being (the top quartile of WHO-5 scores) and individual lifestyle behaviours. The association between change in dietary habits and physical activity from 2016 to 2017 and optimal well-being was also investigated. Results Good dietary habits and regular physical activity were associated with higher raw WHO-5 scores and were positively associated with optimal well-being after adjusting for age, sex, body mass index (BMI), and sleep quality. Raw WHO-5 scores were significantly higher in those who maintained good dietary and physical activity behaviours than in those who did not. Furthermore, maintaining regular physical activity for two years was positively associated with optimal well-being, after adjusting for age, sex, BMI, and sleep quality. Conclusion These results demonstrate that not only currently practising good dietary and physical activity behaviours but also maintaining such behaviours over time is associated with optimal well-being. Maintaining good lifestyle behaviours, particularly regarding physical activity, could potentially improve people’s well-being.

scholarly journals Analysis of the Influence of Age, BMI, and WHtR on Body Mass Acceptance, Attitudes, and Motivation towards Body Mass Reduction in Overweight and Obese Caucasian Women

Nutrients ◽  
2019 ◽  
Vol 11 (3) ◽  
pp. 542 ◽  
Author(s):  
Maciej Ręgwelski ◽  
Ewa Lange ◽  
Dominika Głąbska ◽  
Dominika Guzek
Keyword(s):  
Physical Activity ◽  
Body Mass ◽  
Age Groups ◽  
Well Being ◽  
External Pressure ◽  
Global Public Health ◽  
Mass Reduction ◽  
Caucasian Women ◽  
Motivating Factor ◽  
Body Mass Reduction

The emotional consequences of excessive body mass, associated with body image and acceptance, have become a global public health challenge as they may decrease the general well-being and hinder weight loss in overweight and obese individuals. Therefore, this study aimed to analyze the influence of age, body mass index (BMI), and waist-to-height ratio (WHtR) on body mass acceptance, attitudes, and motivation toward body mass reduction in overweight and obese Caucasian women with excessive abdominal fat. The previously validated BodyMass–DRama (Body Mass–Dietary Restrictions: Acceptance, Motivation, Attitudes) questionnaire was applied in this study. The declared acceptance, attitudes and motivation towards body mass reduction were compared between subgroups based on age (20–40, 40–50, and 50–60 years), BMI (25.0–30.0, 30.0–35.0, and ≥35.0 kg/m2), and quartiles of WHtR. The age, BMI and WHtR were stated to be associated with declared acceptance, attitudes, and motivation towards body mass reduction. The different age groups indicated the following as the reasons for excessive body mass: young respondents—low physical activity and consumption of sweets; middle-aged ones—large/irregular meals; aging ones—large/irregular meals and low physical activity (p = 0.0161). While describing motivation toward body mass reduction, young respondents indicated the role of a physician or dietitian (p = 0.0012) or someone who can control them (p = 0.0044), as well as their expectation to be more successful at work after body mass reduction (p = 0.0045), while the aging ones indicated appreciation and plaudits from others (p = 0.0264) as a motivating factor. Respondents with the highest BMI declared having spending free time actively constricted (p = 0.0007); they declared more often than others of feeling exhausted (p = 0.0395) or tired all the time (p = 0.0445), but less often of feeling full of joy (p = 0.0457) or full of energy (p <0.0001). Respondents with moderate WHtR declared less often than others that they expect to enjoy socializing (p = 0.0376), but more often to be able to have a better vacation after body mass reduction (p = 0.0128), while those with the lowest WHtR expected to be more physically active (p = 0.0487). Women with the highest WHtR most commonly indicated external pressure from relatives or co-workers as a motivating factor for body mass reduction (p = 0.0435). Due to these differences between Caucasian women with excessive body mass, the approach of physicians and dietitians, as well as methods applied to motivate patients, need to be customized.

scholarly journals Barriers and Motivators of Physical Activity Participation in Middle-Aged and Older Adults—A Systematic Review

2019 ◽  
Vol 27 (6) ◽  
pp. 929-944 ◽  
Author(s):  
Karl Spiteri ◽  
David Broom ◽  
Amira Hassan Bekhet ◽  
John Xerri de Caro ◽  
Bob Laventure ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Social Influences ◽  
Age Groups ◽  
Middle Aged ◽  
Quantitative Studies ◽  
The Difference ◽  
Middle Aged Adults ◽  
Health Promotion Interventions ◽  
Barriers And Motivators

Identifying the difference in the barriers and motivators between middle-aged and older adults could contribute toward the development of age-specific health promotion interventions. The aim of this review was to synthesize the literature on the barriers and motivators for physical activity in middle-aged (50–64 years) and older (65–70 years) adults. This review examined qualitative and quantitative studies using the theoretical domain framework as the guiding theory. The search generated 9,400 results from seven databases, and 55 articles meeting the inclusion criteria were included. The results indicate that the barriers are comparable across the two age groups, with environmental factors and resources being the most commonly identified barriers. In older adults, social influences, reinforcement, and assistance in managing change were the most identified motivators. In middle-aged adults, goal-setting, the belief that an activity will be beneficial, and social influences were identified as the most important motivators. These findings can be used by professionals to encourage engagement with and adherence to physical activity.

scholarly journals Associations in physical activity and sedentary behaviour among the immigrant and non-immigrant US population

2020 ◽  
pp. jech-2020-213754
Author(s):  
Heontae Kim ◽  
Chao Cao ◽  
Igor Grabovac ◽  
Guillermo F López Sánchez ◽  
Benny Rana ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sedentary Behaviour ◽  
Linear Trend ◽  
Age Groups ◽  
Middle Aged ◽  
Domain Specific ◽  
Health And Nutrition ◽  
The Us ◽  
Watching Tv ◽  
Linear Trends

BackgroundImmigrants are at a higher risk of poor mental and physical health. Regular participation in physical activity (PA) and low levels of sedentary time are beneficial for both these aspects of health. The aim was to investigate levels and trends in domain-specific PA and sedentary behaviour in the US. immigrant compared with non-immigrant populations.MethodsFrom the 2007–2016 National Health and Nutrition Examination Survey (NHANES), a total of 25 142 adults (≥18 years) were included in this analysis. PA and sedentary behaviour time were assessed by a questionnaire.ResultsTransit-related PA showed downward linear trends in young immigrant adults (ptrend=0.006) and middle-aged non-immigrant adults (ptrend=0.009). We found significant upward linear trends in sedentary behaviour for both immigrants and non-immigrants across all age groups. For sitting watching TV or videos ≥2 hours/day, there was a downward linear trend in young immigrant adults (ptrend=0.009). For computer use ≥1 hours/day, an upward linear trend in older non-immigrants was found (ptrend=0.024). Young immigrants spent 37.5 (95% CI −55.4 to −19.6) min less than non-immigrants on recreational PA per week. Also, older immigrants spent 23.5 (95% CI 1.5 to 45.6) and 22.5 (95% CI 5.9 to 39.0) min/week more than non-immigrants on recreational PA and transit-related PA, respectively. Last, young and middle-aged immigrants spent 37.6 (95% CI −68.2 to −7.0) and 37.6 (95% CI −99.7 to −9.7) min/day less than non-immigrants on sedentary behaviour, respectively.ConclusionOverall, levels of recreational PA were stable, yet the transit-related PA declined coupled with an increase in sedentary behaviour. US. immigrants exhibit higher levels of transit-PA, lower levels of leisure-time PA and lower levels of sedentary behaviour, in some age groups.

Clinical and demographic variables of young adult (YA) patients referred to inpatient supportive care.

2018 ◽  
Vol 36 (34_suppl) ◽  
pp. 168-168
Author(s):  
Sujin Ann-Yi ◽  
Angelique Wong ◽  
Jimin Wu ◽  
Maira Charone ◽  
Karen Baumgartner ◽  
...  
Keyword(s):  
Young Children ◽  
Supportive Care ◽  
Cancer Patients ◽  
Financial Distress ◽  
Eastern Cooperative Oncology Group ◽  
Age Groups ◽  
Social Needs ◽  
Aged Patients ◽  
Age Cohorts ◽  
Pain Expression

168 Background: Literature suggests that YA cancer patients have unique psychosocial issues and more emotional distress compared to older aged patients. Our study aimed to evaluate clinical and demographic factors of YA cancer patients that may impact physical and psychosocial symptom expression. Methods: A retrospective review was conducted on randomly selected patients seen during 2013-2015 of 3 age groups: 18-39 (YA), 40-64, and 65 and older on demographic, medical, psychosocial history, Morphine Equivalent Daily Dose (MEDD), Edmonton Symptom Assessment Scare (ESAS) scores, and Eastern Cooperative Oncology Group (ECOG) scores which are completed at time of initial consultation with the supportive care inpatient mobile team. Results: 896 (YA = 297, 40-64 cohort = 300, 65 and older = 299) patients were reviewed. YA cohort was associated with being female (n = 179 (60%), p = 0.03), more frequently non-white (Black and Hispanic = 124 (42%), p < 0.00), higher ECOG scores (ECOG 0-2 = 83(39%), p < 0.00) more psychiatric history (n = 95(32%), p = 0.00) and worse ESAS sleep scores (median = 6, p = 0.02). The YA cohort also had higher pain expression than the 65 and older cohort (p = .02). The YA group was more likely to have children younger than 18 years old (n = 171(58%), p < 0.00). Patients with children less than 18 years of age reported higher pain expression (median = 6, p = .05), sleep (median = 6, p = 0.01), and financial distress (median = 2, p = 0.02). Conclusions: Contrary to other findings, YA cancer patients did not report higher symptoms or distress when compared to older age cohorts, with the exception of higher insomnia compared to other age cohorts and higher pain expression than the oldest age cohort. YA with young children reported higher level of pain, sleep and financial distress. Our findings suggest that the YA population may benefit from specialized psychosocial services to address their unique social needs, particularly to address concerns related to being parents of young children.

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