Physical activity to overcome the adversity of widowhood

Li, Chu Shiu; Lee, June Han; Chang, Li-Yuan; Liu, Chwen Chi; Chan, Yan Lan; Wen, Christopher; Chiu, Mu-Lin; Tsai, Min Kuang; Tsai, Shan P.; Wai, Jackson Pui Man; Tsao, Chwen Keng; Wu, Xifeng; Wen, Chi Pang

doi:10.1097/md.0000000000004413

Cited by 11 publications

(8 citation statements)

References 47 publications

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“…Our study demonstrates that even following adjustment for physical and mental comorbidity, socioeconomic status, setting, household Marital status has often been considered a factor related with loneliness and inactivity in China with married older people whose spouses are still alive, reporting the lowest level of loneliness and physical inactivity. 43,44 Family fragmentation due to migration to large urban centers and emigration of young people together with the "one child" policy has resulted in the declining number of potential caregivers and the availability of support for older people. 45 This may be why marital status was a particularly strong influential factor in China.…”

Section: General Findingsmentioning

confidence: 99%

Physical activity and loneliness among adults aged 50 years or older in six low‐ and middle‐income countries

Vancampfort

Lara

Smith

et al. 2019

Int J Geriat Psychiatry

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Introduction Loneliness is widespread and associated with deleterious outcomes in middle‐aged and older age people in low‐ and middle‐income countries (LMICs). Physical activity is one potential psychosocial strategy with the potential to reduce loneliness in this population. Thus, the aim of this study was to explore associations between physical activity (PA) and loneliness in middle‐aged and older people from six LMICs. Materials and methods Data from the Study on Global Ageing and Adult Health (SAGE) were analyzed. Self‐reported data on loneliness and PA (as assessed by the Global Physical Activity Questionnaire) were collected. Participants were dichotomized into those who do and do not meet the international recommendation of 150 minutes of moderate to vigorous PA per week. Associations between loneliness and PA were examined using logistic regressions. Results Among 34 129 individuals aged 50 years or older, the prevalence of loneliness was higher among those not meeting the PA guidelines in all countries, although this difference was not significant in Mexico and South Africa. After full adjustment, not meeting PA guidelines was positively associated with loneliness in the meta‐analysis based on country‐wise estimates, with a moderate level of between‐country heterogeneity being observed (OR = 1.31; 95% CI, 1.07‐1.61; I2 = 48.7%). At an individual country level, statistical significance was only reached in Ghana (OR = 1.89; 95% CI = 1.44‐2.49). Discussion Our data suggest that physical inactivity and loneliness commonly co‐occur in adults aged 50 years or older in LMICs overall but that this association differs by country. Longitudinal studies are required to confirm these findings and investigate potential mechanisms that may inform future interventions.

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Section: General Findingsmentioning

confidence: 99%

Physical activity and loneliness among adults aged 50 years or older in six low‐ and middle‐income countries

Vancampfort

Lara

Smith

et al. 2019

Int J Geriat Psychiatry

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“…However, the reverse could be true as increasing PA in light of these life events could combat detrimental health effects often experienced in tandem with these life events. For example, in a study of Taiwanese women, widows who were sufficiently active increased their life expectancy by four years and reduced their risk of depression compared to inactive widows (Li et al, 2016).…”

Section: Major Life Events and Physical Activitymentioning

confidence: 99%

“…Additional study limitations include small sample sizes (Bray & Born, 2004;Butler et al, 2004) and non-representative samples (Grimby et al, 2008;Li et al, 2016). These limitations point to the need for further research that includes the use of a longitudinal design with a nationally representative sample.…”

Section: Gender Race and Stress Responses To Pamentioning

confidence: 99%

“…Previous studies have been limited by cross-sectional design (e.g., Bauman et al, 2012; Bray & Born, 2004), examining only one gender (e.g., Stetson et al, 1997), or have presented mixed findings (Allender, Foster, & Boxer, 2008; Feng et al, 2016). Additional study limitations include small sample sizes (Bray & Born, 2004; Butler et al, 2004) and nonrepresentative samples (Grimby et al, 2008; Li et al, 2016). These limitations point to the need for further research that includes the use of a longitudinal design with a nationally representative sample.…”

Section: Gender Race and Stress Responses To Pamentioning

confidence: 99%

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A Longitudinal Examination of the Impact of Major Life Events on Physical Activity

et al. 2019

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Background: Despite promotion of physical activity guidelines, less than one third of U.S. adults are sufficiently active and an even larger number of older adults fail to meet guidelines. To address this major public health issue, it is essential to broadly consider determinants of physical activity. Aims: This study explores how physical activity behavior is impacted by the experience of major life events and considers the stress experienced due to these events across the life course. Methods: Nationally representative panel data from the American's Changing Lives survey (1986-2012) was used to analyze a growth model with age-based trajectories to examine the relationship between major life events and physical activity overall and separately by gender and race. Results: In the overall sample, retiring was associated with greater physical activity at baseline. As respondents aged, entering into retirement was associated with decreased physical activity, while a parent or friend dying were associated with greater physical activity. Differences by gender and race were also seen over time. Conclusions: Results show that when considering physical activity trajectories, experiencing these major life events is not always detrimental, and in some cases may be beneficial. Considering these impacts is important in planning effective health promotion interventions to increase and promote maintenance of physical activity, while paying attention to specific differences by gender and race.

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“…In the article “Physical activity to overcome the adversity of widowhood: Benefits beyond physical health”, [1] which appeared in Volume 95, Issue 32 of Medicine , Ly-yun Chan's name was incorrectly included in the author list. The article has since been corrected online.…”

mentioning

confidence: 99%