Parental caregiving trajectories and Metabolic Syndrome: A longitudinal study among Chinese women

Lu, Xiaoxiao; Dallal, Cher M.; He, Xin; Juon, Hee‐Soon; Wang, Ming Qi; Lee, Sunmin

doi:10.1016/j.socscimed.2019.112559

Cited by 2 publications

(7 citation statements)

References 27 publications

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“…Consistent with prior results, this study indicates that age is a positive predictor of MetS [ 27 ], and we also find that the prevalence of MetS may also vary depending on the residence, lifestyle, and cultural behavior [ 25 ]. This study suggests that compared with low and moderate housework intensity, high housework intensity is associated with metabolic risk for women, which is consistent with the results of prior research on the relationship between parental caregiving and metabolism, suggesting that moderate and high intensity housework may be potential influencing factors for metabolic risk [ 24 ]. However, Brooks et al found that housework can contribute to the 30 minutes per day of moderate-intensity activity that can confer health benefits [ 28 ].…”

Section: Discussionsupporting

confidence: 90%

“…We identified the covariates of interest for this study by referencing existing research [ 23 , 24 ]. Age and gender are the important factors that affect metabolism, but socioeconomic factors (such as educational level and economic factors) and individuals’ health behaviors can also affect metabolism through influencing individual health.…”

Section: Methodsmentioning

confidence: 99%

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Gender differences in the relationships between housework and metabolic markers: a longitudinal cohort study in China

et al. 2022

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Background Metabolic syndrome has become a major health threat throughout the world, but there are few studies that focus on the effects of housework on human metabolism. This study explores the association between housework and metabolic markers and examines whether there are gender differences in the relationship of housework intensity on these markers. Methods We obtained data for 2,624 participants from the China Health and Nutrition Survey and used binary logistic regression to analyze the association between housework and metabolic markers (triglycerides, high- and low-density lipoprotein cholesterol, hemoglobin, blood glucose, cholesterol, and blood pressure). Results We observed no association between housework and metabolic markers for men. However, we find that women who engaged in housework had a higher risk of triglycerides than those who did not (OR=1.16, 95% CI: 1.16, 4.25). Compared with low-intensity, we also find that women who performed moderate- and high-housework intensity had a higher risk of triglycerides (moderate-intensity: OR=1.78, 95% CI: 1.14, 2.78; high-intensity: OR=1.91, 95% CI: 1.22, 2.98), MetS (OR=1.54, 95% CI: 0.98, 2.43; OR=1.68, 95% CI: 1.07, 2.66), pre-hypertension (OR=1.68, 95% CI: 1.08, 2.62; OR=1.63, 95% CI: 1.04, 2.55), and obesity (OR=1.65, 95% CI: 1.01, 2.70; OR=1.66, 95% CI: 1.01, 2.72). Conclusion In women, we find that housework is positively associated with the metabolic markers, triglycerides, MetS, and pre-hypertension. However, we did not find evidence that this relationship exists in men, f or any biomarkers we considered. One possible explanation is that people who engage in high-intensity housework are more stressed and sleep less, which could be a mechanism by which housework becomes associated with metabolic disease.

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Section: Discussionsupporting

confidence: 90%

Section: Methodsmentioning

confidence: 99%

Gender differences in the relationships between housework and metabolic markers: a longitudinal cohort study in China

et al. 2022

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“…It is also in line with Fredman et al (2010) who found that carers face a lower mortality risk overall but are more likely to report mental health issues. Taking into account the different caring trajectories, the lower risk of new carers reporting depression is in contrast with the studies by Kaufman et al (2019) and Lu et al (2019) who used metabolic syndrome as the outcome variable, and with evidence from the UK by Robards et al (2015) who found that individuals who had provided care in 2001 but who were not providing care in 2011 were at greatest risk of poor health in 2011. The discrepancies may be explained partly by the health indicators used, and also important methodological differences, for instance Robards et al (2015) analysed data which were ten years apart and focused on a much broader age range than the present paper.…”

Section: Discussionmentioning

confidence: 92%

“…Vlachantoni et al (2016) analysed data from the Office for National Statistics Longitudinal Study, linking the 2001 and 2011 UK Census respondents for England and Wales, and found that individuals who provided care in 2011 (regardless of their caring status ten years earlier) were less likely to report poor health in 2011 than those who had not provided care in 2001 and 2011; while those providing more than 20 hours of care per week in 2001 who were not caring in 2011 faced a higher risk of poor health than non-carers at the two time-points. Finally, using a shorter time-frame with data on women aged between 21 and 53 years between 2004 and 2009 from the China Health and Nutrition Survey, Lu et al (2019) found that 'rising-to-high-intense' and 'stable-low-intense' care-givers of parents/parents-in-law faced a higher risk of metabolic syndrome compared to non-care-givers.…”

Section: Review Of the Literaturementioning

confidence: 98%

“…Finally, using a shorter time-frame with data on women aged between 21 and 53 years between 2004 and 2009 from the China Health and Nutrition Survey, Lu et al . (2019) found that ‘rising-to-high-intense’ and ‘stable-low-intense’ care-givers of parents/parents-in-law faced a higher risk of metabolic syndrome compared to non-care-givers.…”

Section: Review Of the Literaturementioning

confidence: 99%

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Caring trajectories and health in mid-life

et al. 2022

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Previous research has found varied effects of informal care provision on the carer's health status. Few studies have, however, examined this relationship dynamically. This paper is the first to analyse trajectories of care among men and women in mid-life and their impact on health outcomes using a nationally representative prospective cohort study. Data from three waves of the United Kingdom (UK) National Child Development Study (N = 7,465), when the respondents were aged 46, 50 and 55, are used to derive care trajectories capturing the dynamics of care provision and its intensity. Logistic regression investigates the impact of caring between the ages of 46 and 55 on the carers' report of depression and poor health at age 55. At age 46, 9 per cent of men and 16 per cent of women provided some level of informal care; rising to 60 per cent for both genders at ages 50 and 55. Just 7 per cent of women and 4 per cent of men provided care at all observation points, with the most common trajectory being ‘starting to care’ at ages 50 or 55. New carers experienced a lower risk of depression at age 55, reflecting that they may not have experienced the caring role long enough to have an adverse impact on their wellbeing. The findings highlight that the majority of individuals with surviving parents experience caring at some point during mid-life, underlining the need for further longitudinal research to better understand the complex relationships between care-giving and health for different groups of cares.

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Parental caregiving trajectories and Metabolic Syndrome: A longitudinal study among Chinese women

Cited by 2 publications

References 27 publications

Gender differences in the relationships between housework and metabolic markers: a longitudinal cohort study in China

Gender differences in the relationships between housework and metabolic markers: a longitudinal cohort study in China

Caring trajectories and health in mid-life

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