scholarly journals Cardiovascular risk and association with depression in middle-aged and older autistic adults

2022 ◽  
Author(s):  
Rebecca Ann Charlton ◽  
Goldie McQuaid ◽  
Lauren Bishop ◽  
Gregory Wallace
Keyword(s):  
Executive Function ◽  
Cardiovascular Risk ◽  
Older People ◽  
Inhibitory Control ◽  
Emotional Regulation ◽  
Later Life ◽  
Depression Symptoms ◽  
Middle Aged ◽  
Autistic People ◽  
The Impact

Cardiovascular risk factors (CVRF) increase during later-life and are associated with depression symptoms and difficulties with executive function among non-autistic older people. Few studies have examined CVRF among autistic people. Using data from the Simons Foundation Powering Autism Research for Knowledge research match, this study examined the frequency of CVRF and associations between CVRF, depression symptoms and executive function in 387 middle-aged and older autistic people (aged 40-83 years). Individuals provided demographic and health information to assess the number of CVRF (presence of hypertension, high cholesterol, diabetes, obesity). Participants also self-reported their depression symptoms and executive functions in the domains of inhibitory control and emotional regulation. CVRF were common among autistic middle-aged and older people, with 28.9% reporting two and 23.2% reporting three or more CVRF. Regression analyses explored the variables associated with depression symptoms. After accounting for the effects of age and sex assigned at birth, CVRF contributed a small but significant amount to the model. A regression model examined the impact of executive function. Emotional regulation (but not inhibitory control), CVRF and age were significantly associated with depression symptoms in middle-aged and older autistic people. In conclusion, CVRF was significantly associated with depression symptoms, and depression symptoms, in turn, were primarily associated with emotional regulation. CVRF occur at high rates in middle-aged and older autistic people but may not be as important a mechanism for depression symptoms as among non-autistic older people.

scholarly journals The Mediation Effect of Health Literacy on Social Support with Exchange and Depression in Community-Dwelling Middle-Aged and Older People in Taiwan

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1757
Author(s):  
Ya-Ling Shih ◽  
Chia-Jung Hsieh ◽  
Ya-Ting Lin ◽  
Yi-Zhu Wang ◽  
Chieh-Yu Liu
Keyword(s):  
Social Support ◽  
Health Literacy ◽  
Older People ◽  
Social Exchange ◽  
Process Analysis ◽  
Community Dwelling ◽  
Mediation Effect ◽  
Depression Symptoms ◽  
Middle Aged ◽  
The Impact

The proportion of the world’s population that are over 60 years old is increasing rapidly. The physical and mental health of older people is affected by depression. Health literacy is a major determinant of health and healthcare for the aging; middle-aged and older people with high health literacy are more likely to maintain a healthy lifestyle, and control or manage their chronic diseases. Therefore, this study explored the relationship between health literacy, social support with exchange, and depression, in middle-aged and older adults in the community, using data from the 2015 Taiwan Longitudinal Study on Aging (TLSA) database. Of the 7636 participants, 1481 (19.4%) were middle-aged or older persons with depression symptoms. We found age, gender, and education level to be significantly related to health literacy status, social support with exchange, and depression. Health literacy was positively correlated with depression and social exchange in social support with exchange, whereas the emotional support component of social support with exchange was negatively correlated with depression. Regression-based process analysis was used to verify the mediation effect of health literacy. Our results indicated that when health literacy was entered into the regression model (a × b path), the effect of social exchange on depression was insignificant (c′ = −0.01, p = 0.84), indicating a complete mediation effect. These findings suggest that improving health literacy may offset the impact of social support with exchange on depression, and lead to the mitigation of depression in middle-aged and older people in Taiwanese communities.

scholarly journals Effects of Sport-Based Interventions on Children’s Executive Function: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 11 (6) ◽  
pp. 755
Author(s):  
Falonn Contreras-Osorio ◽  
Christian Campos-Jara ◽  
Cristian Martínez-Salazar ◽  
Luis Chirosa-Ríos ◽  
Darío Martínez-García
Keyword(s):  
Systematic Review ◽  
Working Memory ◽  
Executive Function ◽  
Inhibitory Control ◽  
Cognitive Flexibility ◽  
Meta Analysis ◽  
Scientific Evidence ◽  
Healthy Children ◽  
Meta Analyses ◽  
The Impact

One of the most studied aspects of children’s cognitive development is that of the development of the executive function, and research has shown that physical activity has been demonstrated as a key factor in its enhancement. This meta-analysis aims to assess the impact of specific sports interventions on the executive function of children and teenagers. A systematic review was carried out on 1 November 2020 to search for published scientific evidence that analysed different sports programs that possibly affected executive function in students. Longitudinal studies, which assessed the effects of sports interventions on subjects between 6 and 18 years old, were identified through a systematic search of the four principal electronic databases: Web of Science, PubMed, Scopus, and EBSCO. A total of eight studies, with 424 subjects overall, met the inclusion criteria and were classified based on one or more of the following categories: working memory, inhibitory control, and cognitive flexibility. The random-effects model for meta-analyses was performed with RevMan version 5.3 to facilitate the analysis of the studies. Large effect sizes were found in all categories: working memory (ES −1.25; 95% CI −1.70; −0.79; p < 0.0001); inhibitory control (ES −1.30; 95% CI −1.98; −0.63; p < 0.00001); and cognitive flexibility (ES −1.52; 95% CI −2.20; −0.83; p < 0.00001). Our analysis concluded that healthy children and teenagers should be encouraged to practice sports in order to improve their executive function at every stage of their development.

scholarly journals Fourth Ageism: Real and Imaginary Old Age

Societies ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 12
Author(s):  
Paul Higgs ◽  
Chris Gilleard
Keyword(s):  
Older People ◽  
Long Term Care ◽  
Social Representations ◽  
Later Life ◽  
Chronological Age ◽  
Biological Parameters ◽  
Term Care ◽  
The Impact ◽  
State Responses

This paper is concerned with the issue of ageism and its salience in current debates about the COVID-19 pandemic. In it, we address the question of how best to interpret the impact that the pandemic has had on the older population. While many feel angry at what they see as discriminatory lock-down practices confining older people to their homes, others are equally concerned by the failure of state responses to protect and preserve the health of older people, especially those receiving long-term care. This contrast in framing ageist responses to the pandemic, we suggest, arises from differing social representations of later life, reflecting the selective foregrounding of third versus fourth age imaginaries. Recognising the tension between social and biological parameters of ageing and its social categorisations, we suggest, may offer a more measured, as well as a less discriminatory, approach to addressing the selective use of chronological age as a line of demarcation within society.

scholarly journals ‘A lonely old man’: empirical investigations of older men and loneliness, and the ramifications for policy and practice

2019 ◽  
pp. 1-21 ◽  
Author(s):  
John Ratcliffe ◽  
Andrea Wigfield ◽  
Sarah Alden
Keyword(s):  
Older People ◽  
Social Role ◽  
Empirical Studies ◽  
Later Life ◽  
Older Men ◽  
Implicit Assumption ◽  
Masculine Identity ◽  
Policy And Practice ◽  
The Impact ◽  
The Way

Abstract Loneliness has become an issue of significant academic, public and policy focus. There has been much research on experiences of loneliness in later life and many accompanying interventions targeting lonely older people. However, there has been a dearth of research on the impact that loneliness can have on older men and the resulting implications for policy and practice. This paper aims to redress this by developing a theoretical framework to improve understanding of older men's constructions and experiences of loneliness. It draws on two qualitative empirical studies: the first explores older men's perceptions of masculinity and loneliness; and the second looks at the effectiveness of a service for older men which was designed to alleviate loneliness among older people more generally. The paper outlines the way in which older men often construct masculinity as an oppressive (hegemonic) requirement, but which can be reformed into ‘positive’ traits of ‘strength of mind’, ‘responsibility’, ‘caring’, ‘helping out’, ‘doing a favour’ and ‘giving something back’, with a consistent yet implicit assumption that enactment of these denotes a ‘proud’ masculine identity. Loneliness, on the other hand, is represented as a subordinate social role, both non-masculine and related to marginalising stereotypes of age. This results in the identification of two important implications for the way in which services can assist in the alleviation of loneliness in older men: that men are more likely to engage with a service that can facilitate the construction of a ‘proud’ masculine identity; and that services which deconstruct hegemonic masculinities, particularly by providing a space where men feel comfortable being emotionally tactile, are likely to be most effective at both alleviating loneliness and promoting overall wellbeing.

scholarly journals Age at period cessation and trajectories of cardiovascular risk factors across mid and later life

Heart ◽  
2020 ◽  
Vol 106 (7) ◽  
pp. 499-505 ◽  
Author(s):  
Linda Marie O'Keeffe ◽  
Diana Kuh ◽  
Abigail Fraser ◽  
Laura D Howe ◽  
Debbie Lawlor ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Later Life ◽  
Glycated Haemoglobin ◽  
Lipoprotein Cholesterol ◽  
The Impact

ObjectiveTo examine the association between age at period cessation and trajectories of anthropometry, blood pressure, lipids and glycated haemoglobin (HbA1c) from midlife to age 69 years.MethodsWe used data from the UK Medical Research Council National Survey of Health and Development to examine the association between age at period cessation and trajectories of systolic blood pressure (SBP), diastolic blood pressure (DBP), body mass index (BMI) and waist circumference (WC) from 36 to 69 years and trajectories of triglyceride, low density lipoprotein cholesterol (LDL-C), high density lipoprotein cholesterol (HDL-C) and HbA1c from 53 to 69 years.ResultsWe found no evidence that age at period cessation was associated with trajectories of log triglyceride, LDL-C and HDL-C from 53 to 69 years and trajectories of SBP or DBP from 36 to 69 years, regardless of whether period cessation occurred naturally or due to hysterectomy. While we found some evidence of associations of age at period cessation with log BMI, log WC and log HbA1c, patterns were not consistent and differences were small at age 69 years, with confidence intervals that spanned the null value.ConclusionHow and when women experience period cessation is unlikely to adversely affect conventional cardiovascular risk factors across mid and later life. Women and clinicians concerned about the impact of type and timing of period cessation on conventional cardiovascular intermediates from midlife should be reassured that the impact over the long term is small.

Socio-economic disadvantage and poverty

2020 ◽  
pp. 105-114
Author(s):  
Alisoun Milne
Keyword(s):  
Older People ◽  
Later Life ◽  
Poverty Line ◽  
Developed Countries ◽  
Economic Disadvantage ◽  
Fundamental Building Block ◽  
Age Related ◽  
The Uk ◽  
State Pension ◽  
The Impact

Chapter 5 is the first of three chapters exploring the impact of age related risks affecting particular sub populations of older people. Socioeconomic disadvantage in later life tends to reflect a lifecourse status. It amplifies what is already present. In 2016/17 one million older people were living in poverty; an additional 1.2 million were living just above the poverty line. These numbers are rising. Those aged 85 years or over, frail older people, older women and single older people are particularly at risk. Poor older people are also more likely to live in poor housing and be exposed to fuel poverty. Being poor - and its concomitants - compromises mental health in a number of profound ways. It undermines an older person’s capacity to make choices, retain independence, save for a crisis, maintain social contacts and be digitally included. It is linked with worry, loss of control over life and shame. Poor older people are at heightened risk of isolation and loneliness, stress, anxiety and depression. The UK has a weak policy record, compared with other developed countries, of sustainably and coherently addressing poverty in later life. One of the cornerstones of doing so is a continued commitment to the basic state pension as a fundamental building block of a secure old age. Addressing poor housing is also pivotal.

scholarly journals The impact of traditional filial piety between older people and their children in Taiwan

2016 ◽  
Vol 1 (1) ◽  
Keyword(s):  
Older People ◽  
Family Member ◽  
Filial Piety ◽  
Structural Changes ◽  
Later Life ◽  
The Elderly ◽  
Chinese People ◽  
Traditional Belief ◽  
Social Structural ◽  
The Impact

Filial piety is a significant traditional belief among Chinese people. However, social structural changes have created a limited number of people available to take care of the elderly. Elderly infirm parents may be sent to nursing homes when no family member is available to take care of them, which may effectively reduce older people’s satisfaction in their later life. It also increases the caring stress from children because of this traditional belief.

scholarly journals Retirement Migration and Precarity: Material and Social Aspects

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 443-444
Author(s):  
Marion Repetti ◽  
Toni Calasanti
Keyword(s):  
Older People ◽  
Qualitative Interviews ◽  
Later Life ◽  
Social Aspects ◽  
Active Lifestyle ◽  
Retirement Migration ◽  
Material Resources ◽  
The Social ◽  
And Gender ◽  
The Impact

Abstract Discussions of precarity in later life have tended to focus on the uncertainties of material resources, and the feelings of anxiety that this evokes (e.g., Lain et al. 2019) as some older people thus face the risk of being excluded from the broader society. Although scholars often point to inequalities, such as those based on class and gender, as having an influence on the likelihood of older people experiencing such precarity, ageism is considered only to the extent that it can exacerbate the impact of these statuses through, for instance, labor market experiences. Here, we expand upon the impact of ageism on the social aspects of precarity: the loss of recognition and respect as a person that is at the core of social bonds. Drawing on qualitative interviews we have conducted among Swiss, British, and U.S. older people who migrated to cheaper countries in retirement, we demonstrate that ageism can influence precarity regardless of classes. We find that even among wealthier older migrants, who otherwise might fit the image of the retiree seeking an active lifestyle in a sunny location, the attempt to escape the devaluation heaped upon older people in their original country plays an important role. In their new countries, retired migrants of all classes felt that they were valued and part of a community, and this differed from the ageism in their home countries. We thus argue that ageism be considered in future analyses of precarity in later life.

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 The Elderhood Mystique

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 499-499
Author(s):  
Kate de Medeiros
Keyword(s):  
Older People ◽  
Critical Analysis ◽  
Cultural Practices ◽  
Later Life ◽  
Middle Aged ◽  
Close Attention ◽  
Academic Literature ◽  
Age Related

Abstract While elderhood recognizes untapped potential and continued growth and creativity in later life, it also risks becoming a dismissive label that positions older people as different, otherworldly, and mysterious. By analyzing the concept of elderhood and similar movements (e.g., sageing, croning, eldering) in popular and academic literature, paying close attention to how elderhood is defined and framed, I found that elderhood has a role in some religious and cultural practices. However, newer approaches to elderhood have emerged from middle aged writers who imagine an idealized role in later life – the elderhood mystique. Often grounded in introspective passivity and selflessness, elderhood parallels Kathleen Woodward’s depiction of wisdom as a disempowering label that discourages activism and resistance by older people. Subsequently, elderhood and wisdom risk becoming new forms of othering or exclusion. Overall, findings underscore the importance of critical analysis of age-related terms, regardless of how positive they seem.

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