Fitness, Bmi, And Waist Circumference As Predictors Of Functional Limitation In Middle-aged And Older Adults

2009 ◽  
Vol 41 ◽  
pp. 124-125
Author(s):  
Andréa L. Maslow ◽  
Anna E. Mathews ◽  
Xuemei Sui ◽  
Duck-chul Lee ◽  
Ilkka Vuori ◽  
...  
Keyword(s):  
Older Adults ◽  
Waist Circumference ◽  
Functional Limitation ◽  
Middle Aged

scholarly journals RURAL-URBAN DISPARITY IN BIOMARKER RISKS FOR CARDIOVASCULAR DISEASE AMONG CHINESE MIDDLE-AGED AND OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S261-S261
Author(s):  
Haowei Wang ◽  
Jeffrey E Stokes
Keyword(s):  
Cardiovascular Disease ◽  
Older Adults ◽  
Waist Circumference ◽  
Health Services ◽  
Physical Environment ◽  
Noncommunicable Disease ◽  
Middle Aged ◽  
Community Factors ◽  
Public Facilities ◽  
Rural Adults

Abstract Cardiovascular disease (CVD) is a leading cause of adult mortality in China, accounting for 45% of deaths from noncommunicable disease. Moreover, Chinese health status and health services are disproportionately divided between urban and rural areas. This study examined rural-urban differences in age trajectories of CVD risk, measured by C-reactive protein (CRP), high-density lipoprotein (HDL) cholesterol, body mass index (BMI), and waist circumference. This study also investigated whether community factors, including recreational amenities, infrastructure availability, physical environment, public facilities, and health services, may explain such rural-urban disparities. We used data from the baseline data of the China Health and Retirement Longitudinal Study (2011), including 11, 528 respondents from 440 communities, who were aged 45 and older and participated in the biomarker survey. Multilevel models revealed that rural adults had a higher level of HDL and lower levels of CRP, BMI, and waist circumference compared to their urban counterparts. Rural adults also had slower age-related increases in trajectories for CRP, HDL and BMI. Associations of physical environment and public facilities with CVD risks were largely explained by rural-urban disparity. However, the availability of infrastructure explained both between- and within- rural-urban differences in BMI and waist circumference. Models were controlled for previously diagnosed CVD conditions, individual demographic characteristics, self-rated health, activities of daily living, depressive symptoms, physical activity, smoking and drinking behaviors. Findings contribute to the understanding of prevalence and disparities in biomarker risks for CVD among Chinese middle-aged and older adults. Intervention implications are discussed to address the emerging health disparities.

548 Predicting Perceived Functional Limitation in Midlife and Older Adulthood: The Role of Sleep and Perceived Control

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A216-A216
Author(s):  
Claire Williams ◽  
Sarah Ghose ◽  
Morgan Reid ◽  
Sahar Sabet ◽  
Ashley MacPherson ◽  
...  
Keyword(s):  
Older Adults ◽  
Sleep Quality ◽  
Perceived Control ◽  
Functional Limitations ◽  
Functional Limitation ◽  
Well Being ◽  
The United States ◽  
Control Beliefs ◽  
Middle Aged ◽  
Subjective Sleep Quality

Abstract Introduction Functional limitations become increasingly common and debilitating as individuals age, potentially impacting several facets of well-being. As such, it is important to understand malleable factors that may potentially impact functional limitation outcomes. Both sleep and perceived control have been linked to the development of functional limitation. The current study sought to clarify the unique contributions of both sleep quality and perceived control to functional limitation status in middle-aged and older adults. Methods Data from the second wave of the Midlife in the United States study were used for the current study. Participants included 527 participants (59.9% female, Mage=59.83 years, SD=9.75 years) who completed measures of functional limitation levels (Functional Status Questionnaire), subjective sleep quality (Pittsburg Sleep Quality Index), and perceived control (MIDI Sense of Control Scales). A hierarchical regression analysis was conducted to examine sleep quality and perceived control as predictors in a unique model for predicting functional limitation. Demographic variables of age, gender, and race were used as covariates in study analyses. Results The overall model predicted 19.0% of the variance in functional limitation levels. Sleep quality was significantly associated with self-reported functional limitation (β=-.27, p<.001) over and above perceived control (β=.20, p<.001). Specifically, findings indicate that worse sleep quality is associated with increased functional limitation, while higher levels of perceived control are associated with lower levels of functional limitation. Conclusion Though perceived control is known to be associated with functional limitation status, the present study suggests a unique effect of sleep quality on functional limitation even after accounting for perceived control. Due to the potential for negative effects of functional limitation in middle-aged to older adults, it is important to identify and target constructs for research and intervention related to the development of these limitations. Care models for individuals who report experiencing functional limitations may benefit from targeting sleep health and control beliefs in intervention and assessment. Support (if any):

scholarly journals Own health, spousal health and transitions in loneliness among middle-aged and older adults in China

2021 ◽  
pp. 1-27
Author(s):  
Ye Luo
Keyword(s):  
Older Adults ◽  
Emotional Health ◽  
Functional Limitation ◽  
Married Women ◽  
Baseline Survey ◽  
Middle Aged ◽  
Social Interventions ◽  
Married Men ◽  
Spousal Health ◽  
Using Data

Abstract This study examines the effects of own and spousal health on transitions in loneliness over time among married middle-aged and older adults in China, and explores the possible gender differences in these effects using data from the three waves of the China Health and Retirement Longitudinal Study (2011–2015). The sample includes 6,422 men and 6,391 women who were married and aged 45 and older at the baseline survey. Middle-aged and older adults with poorer physical and emotional health statuses are more likely to transition into and less likely to transition out of loneliness in a two-year period. Spouse's emotional health also affects both types of transition in loneliness and spouse's functional limitation affects transition into loneliness through spouse's emotional health. In addition, for married men, their own functional limitation is significantly associated with their transitions into and out of loneliness. For married women, their spouse's functional limitation is significantly associated with their transition into loneliness and this is mainly through its association with spouse's emotional health. Also, for married women, their spouse's emotional health is significantly associated with their transition out of loneliness. Social interventions to reduce feelings of loneliness need to take a couple approach and consider both spouses’ health problems and how they may affect their daily activities and their interactions with each other and with others.

scholarly journals RESEARCH ON THE INFLUENCE OF SPORT DANCE ON PHYSICAL HEALTH IN NATIONAL FITNESS EXERCISE

2021 ◽  
Vol 27 (5) ◽  
pp. 481-484
Author(s):  
Caixia Wang ◽  
Lei Li ◽  
Aibo Wang
Keyword(s):  
Older Adults ◽  
Waist Circumference ◽  
Physical Fitness ◽  
Body Shape ◽  
The Body ◽  
Body Fat Percentage ◽  
Middle Aged ◽  
Fat Percentage ◽  
Forward Bending ◽  
The Impact

ABSTRACT Introduction: Sports dance is widely known as a competitive game, but as a leisure activity, there is little research on the efficacy of human health and fitness. Sports dance, as a popular national fitness exercise, has sound health promotion effects. At present, domestic and foreign researches mostly focus on the impact of sports dance on young men and women. Objective: This study will explore the influence of regular physical dance exercises on the body shape, function, and quality of middle-aged and older adults, provide a scientific basis for the role of physical dance in national fitness. Methods: This study recruited 20 healthy middle-aged and elderly members of a leisure sports dance club without professional dance experience for three months of dance training. The first two weeks are pre-experiments five times a week. Each exercise time is 60 minutes. The last ten weeks are formal experiments, two times a week, 90 minutes each time, and no other physical exercises are involved in everyday life. By comparing part of the body shape, physical function, and physical fitness index before and after the experiment, the impact of sports dance on middle-aged and older adults’ healthy physical fitness is evaluated. Results: After three months of physical dance exercise with different dance styles, in male, BMI index, body fat percentage, waist circumference, hip circumference, and thigh circumference indicators all decreased, but there was no significant difference. In women, BMI index, body fat percentage (P<0.01), waist circumference (P<0.05), diastolic blood pressure (P<0.01), sitting body forward bending (P<0.05), and standing with one foot and closed eyes all increased. In women, the indexes of grip strength (P<0.01), forward bending in sitting position (P<0.055), and standing with eyes closed on one foot all increased. Conclusions: It is suggested that long-term moderate-intensity aerobic sport dance exercise can improve the body shape of middle-aged and older adults and help increase physical fitness; meanwhile, sports dance can effectively improve the cardiovascular function of middle-aged and elderly subjects. Level of evidence II; Therapeutic studies - investigation of treatment results.

scholarly journals Multimorbidity and Depression Incidence Among Middle-Aged and Older Adults in China

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 256-256
Author(s):  
Fei Tang ◽  
Elizabeth Vasquez
Keyword(s):  
Older Adults ◽  
Functional Ability ◽  
Chronic Conditions ◽  
Regression Models ◽  
Functional Limitation ◽  
Mediation Effect ◽  
Middle Aged ◽  
Increased Risk ◽  
Binomial Regression ◽  
The Relationship

Abstract Previous studies suggested that multimorbidity (co-occurrence of two or more chronic conditions) is associated with increased risk of depression. However, limited studies have examined the relationships between multimorbidity and depression among Chinese middle-aged and older adults. The current study aimed to evaluate the associations between multimorbidity and incidence of depression and the potential mediation effect of functional limitation among Chinese middle–aged and older adults. Data of 8,093 individuals who participated in both wave 1 (2011) and wave 4 (2015) of China Health and Retirement Longitudinal Study (CHARLS) and were free of depression in wave 1 were included in the study. Multiple log-binomial regression models were used to evaluate the associations between multimorbidity and incident depression. Mediation analysis was conducted to examine the effect of functional limitation. A third of participants in our study were identified as having multimorbidity in wave 1 (N=2,479) and 23% participants were free of depression in wave 1 but had depression in wave 4 (N=1,827). After adjusting for potential confounders, multimorbidity was observed to be associated with depression incidence (RR: 1.31; 95% CI: 1.21 – 1.42). In addition, functional limitation mediated the relationship between multimorbidity and depression incidence. Our findings add to the literature on the potential associations between multimorbidity and depression incidence among Chinese middle-aged and older adults. Furthermore, the relationship between multimorbidity and depression incidence was observed to be mediated by functional limitation. Interventions that improve functional ability among Chinese middle-aged and older adults could potentially attenuate the effect of multimorbidity on depression incidence.

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