Activity Engagement Among Older Adult Spousal Caregivers

Queen, Tara L.; Butner, Jonathan; Berg, Cynthia A.; Smith, Jacqui

doi:10.1093/geronb/gbx106

Cited by 16 publications

(9 citation statements)

References 20 publications

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“…In the current trial, caregiver's baseline levels of minutes of MPA met the established PA guideline of 150 minutes a week (Piercy & Troiano, 2018), which is in contrast to what others have shown (Burton et al, 1997;Fredman et al, 2006;Hirano, Suzuki, Kuzuya, Onishi, Hasegawa, et al, 2011;Queen et al, 2017;Schulz et al, 1997). For example, in a 12-month trial, by Farran et al comparing an Enhancing Physical Activity (EPA) intervention to a Caregiver Skill Building (CSB) intervention, baseline caregiver physical activity averaged 62 ± 119 minutes/wk and 79 ± 111 minutes/wk in the EPA and CSB groups, respectively.…”

Section: Discussioncontrasting

confidence: 83%

“…Family caregivers of adults with AD have reduced health related quality of life (Andreakou, Papadopoulos, Panagiotakos, & Niakas, 2016;Garzon-Maldonado et al, 2017), are often socially isolated (Beeson, Horton-Deutsch, Farran, & Neundorfer, 2000;Brodaty & Donkin, 2009) and are at increased risk for depression and anxiety (Brodaty & Donkin, 2009;Sallim, Sayampanathan, Cuttilan, & Chun-Man Ho, 2015), musculoskeletal discomfort (Darragh et al, 2015), stroke (Haley, Roth, Howard, & Safford, 2010) and show elevated biomarkers for cardiovascular disease (Roepke et al, 2012;Von Kanel et al, 2012). Caregiving has also been associated with reduced physical activity (Burton, Newsom, Schulz, Hirsch, & German, 1997;Fredman, Bertrand, Martire, Hochberg, & Harris, 2006;Hirano, Suzuki, Kuzuya, Onishi, Hasegawa, et al, 2011;Queen, Butner, Berg, & Smith, 2017;Schulz et al, 1997). Data from a limited number of home-based physical activity interventions directed to family members providing care for adults with dementia have shown reduced stress, caregiver burden, depression, improved sleep quality and positive affect (Castro, Wilcox, O'Sullivan, Baumann, & King, 2002;Connell & Janevic, 2009;Hirano, Umegaki, Suzuki, Hayashi, & Kuzuya, 2016;Teri et al, 2003).…”

mentioning

confidence: 99%

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The Feasibility of Remotely Delivered Exercise Session in Adults With Alzheimer’s Disease and Their Caregivers

Ptomey¹,

Vidoni²,

Montenegro-Montenegro³

et al. 2019

Journal of Aging and Physical Activity

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Adults with Alzheimer’s disease (AD) and their caregivers represent a segment of the population with low levels of moderate-intensity physical activity (MPA) and limited options for increasing MPA. The purpose of this study was to evaluate the feasibility of a group video conference approach for increasing MPA in adults with AD and their caregivers. Adults with AD and their caregivers attended 30-min group exercise sessions three times per week for 12 weeks. Exercise sessions and support sessions were delivered in their homes on a tablet computer over video conferencing software. Nine adults with AD/caregiver dyads enrolled, and seven completed the 12-week intervention. Adults with AD attended 77.3% of the group exercise sessions, and caregivers attended 79.2% of group exercise sessions. Weekly MPA increased in both adults with AD (49%) and caregivers (30%). Exercise delivered by group video conferencing is a feasible and potentially effective approach for increasing MPA in adults with AD and their caregivers.

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Section: Discussioncontrasting

confidence: 83%

mentioning

confidence: 99%

The Feasibility of Remotely Delivered Exercise Session in Adults With Alzheimer’s Disease and Their Caregivers

Ptomey¹,

Vidoni²,

Montenegro-Montenegro³

et al. 2019

Journal of Aging and Physical Activity

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“…Women associated caregiving with multiple barriers, including disruption of leisure-time physical activity routines, inability to leave home, fatigue, and stress, similar to a sample of retired British women [38]. Spousal caregiving also was associated with decreased physical activity among participants in the US Health and Retirement Study [202]. Surprisingly, caregiving responsibilities did not interfere with exercise routines among healthy, physically active older adults from Virginia [33].…”

Section: Discussionmentioning

confidence: 77%

Physical Activity And Sedentary Behavior During The Retirement Transition

Jones

Evenson

2017

Medicine &Amp; Science in Sports &Amp; Exercise

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Sydney Allison Jones: Physical Activity and Sedentary Behavior During the Retirement Transition (Under the direction of Kelly R. Evenson) The health of older adults is of increasing public health importance given current demographic trends. Physical activity can improve quality of life and delay impairment in later life. However, many older adults are not physically active and engage in large quantities of sedentary behavior (sitting or reclining while awake), which is linked to increased risk of disease. The retirement transition may be an opportune window to promote physical activity in later life. Retirement involves shifts in routines, social networks, and access to resources and has been linked to physical activity and sedentary behavior changes. However, existing research on physical activity and sedentary behavior during the retirement transition lacks socioeconomic diversity and excludes non-leisure domains of physical activity. Moreover, social and environmental factors that influence physical activity after retirement remain unexplored. This research sequentially combined quantitative and qualitative studies to characterize physical activity and sedentary behavior during the retirement transition. First, we described longitudinal patterns in physical activity and television watching by retirement status and socioeconomic position in a diverse cohort of 4,091 United States adults. Retirement was associated with increased recreational walking, household activity, and television watching but decreased overall moderate-to-vigorous physical activity, particularly among persons of lower socioeconomic position. Second, we identified correlates of within-person changes in walking after retirement among 928 retirees from the same cohort. Correlates included health and iv perceptions of the neighborhood environment, and differed for recreational and transport walking. Third, we interviewed 15 retired women to identify facilitators and barriers to physical activity after retirement. Physical activity after retirement was influenced by: leisure-time physical activity habits over the lifespan, prior occupational physical activity, concurrent life transitions, health, social interaction and support, and the community environment. Together this research provided substantive knowledge regarding patterns of physical activity and television watching associated with retirement, and the first exploration to date of correlates of walking during the retirement transition. These three interrelated studies can benefit community leaders, public health practitioners, and researchers by guiding the development and targeting of interventions among retirees, including prioritizing community-level changes that support physical activity and reduce sedentary behavior among retirees. v ACKNOWLEDGEMENTS I would like to thank Kelly Evenson and the other members of my dissertation committee for their expertise and encouragement. As my advisor, Kelly has provided more than five years of guidance and mentorship. I am particularly grateful t...

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“…In general, the health behavior of one member of a couple is associated with the health behavior of the other member ( Cornelius et al, 2016 ). Engaging in physical activity has been found to be an interdependent phenomenon in couples ( Pauly et al, 2020 ; Pettee et al, 2006 ) and is negatively affected by caregiving for one’s partner during times of illness ( Queen et al, 2019 ). Yet, the physical inactivity of couples has rarely been studied, especially among older adults.…”

Section: Background and Objectivesmentioning

confidence: 99%

Prolonged Physical Inactivity in Older Adult Couples: A Dyadic Analysis Using Actigraphy

Miller

Wall

et al. 2020

Innovation in Aging

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Background and Objectives Many older adults remain inactive despite the known positive health implications of physical activity (improved mood, reduced mortality risk). Physical inactivity is an interdependent phenomenon in couples, but most research examines physical inactivity at the individual level. We estimated the average amount of prolonged physical inactivity for older adult couples and, using dyadic analysis, identified physical and mental health determinants thereof. Research Design and Methods Forty-six heterosexual older adult couples (age=70.61±6.56) from the Veterans Integrated Service Network 20 cohort of the Collaborative Aging Research using Technology (CART) initiative were included. The average number per day of prolonged inactive periods (no step counts or sleep activity for ≥ 30 minutes) was estimated using actigraphy data collected over a month. Results Multilevel modeling revealed that, within couples, there was no significant difference between partners in the average amount of inactive periods (p=.28). On average across couples, males and females had an average of 6.90±2.02 and 6.56±1.93 inactive periods per day, respectively. For males, older age was the only variable associated with more inactive periods (β=0.15, p=.002). For females, having more depressive symptoms in both dyad members was associated with fewer inactive periods (female: β=-0.30,p=.03; male: β=-0.41,p<.001), and more dependence in completing their own instrumental activities of daily living predicted more inactive periods (β=2.58, p<.001). Discussion and Implications Viewing couples’ activity as an interdependent phenomenon, rather than individual, provides a novel approach to identifying pathways to reduce inactivity in older adults, especially when focusing on the mental health and level of independence within the couple.

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Activity Engagement Among Older Adult Spousal Caregivers

Abstract: Caregivers' declines in participation in physical activities may be an important indicator for preservation of health and management of caregiving stress.

Cited by 16 publications

References 20 publications

The Feasibility of Remotely Delivered Exercise Session in Adults With Alzheimer’s Disease and Their Caregivers

The Feasibility of Remotely Delivered Exercise Session in Adults With Alzheimer’s Disease and Their Caregivers

Physical Activity And Sedentary Behavior During The Retirement Transition

Prolonged Physical Inactivity in Older Adult Couples: A Dyadic Analysis Using Actigraphy

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