Analysis of exercise behavior and health promotion behavior according to the Theory of Planned Behavior in Taiwanese older adults

Background There is a scarcity of studies examining the longitudinal relationship between dynapenic abdominal obesity (DAO) (i.e., impairment in muscle strength and high waist circumference) and future fall risk. Therefore, we aimed to investigate the prospective association between DAO at baseline and falls occurring during two years of follow-up in a nationally representative sample of middle-aged and older individuals from Ireland. Methods Data from two consecutive waves of the Irish Longitudinal Study on Ageing (TILDA) survey were analyzed. Dynapenia was defined as handgrip strength of <26kg for men and <16kg for women. Abdominal obesity was defined as waist circumference of >88 cm for women and >102 cm for men. DAO was assessed at Wave 1 (2009-2011) and was defined as having both dynapenia and abdominal obesity. Falls occurring between Wave 1 and Wave 2 (2012-2013) were self-reported. Multivariable logistic regression analysis was conducted. Results Data on 5275 individuals aged ≥50 years were analyzed [mean (SD) age 63.2 (8.9) years; 48.8% males]. After adjustment for potential confounders, compared to no dynapenia and no abdominal obesity at baseline, DAO was significantly associated with 1.47 (95%CI=1.14-1.89) times higher odds for falls at 2-year follow-up. Dynapenia alone (OR=1.08; 95%CI=0.84-1.40) and abdominal obesity alone (OR=1.09; 95%CI=0.91-1.29) were not significantly associated with falls at follow-up. Conclusions DAO increased risk for falls among middle-aged and older adults in Ireland. Interventions to prevent or reverse DAO may be beneficial for fall reduction.

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Dynapenic Abdominal Obesity Increases Risk for Falls Among Adults Aged ≥50 Years: A Prospective Analysis of the Irish Longitudinal Study on Ageing

Smith

Sánchez

Veronese

et al. 2023

The Journals of Gerontology: Series A

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Unclean Cooking Fuel Use and Slow Gait Speed Among Older Adults From 6 Countries

Smith

Sánchez

Pizzol³

et al. 2023

The Journals of Gerontology: Series A

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Background Outdoor air pollution has been reported to be associated with frailty (including slow gait speed) in older adults. However, to date, no literature exists on the association between indoor air pollution (e.g., unclean cooking fuel use) and gait speed. Therefore, we aimed to examine the cross-sectional association between unclean cooking fuel use and gait speed in a sample of older adults from six low- and middle-income countries (China, Ghana, India, Mexico, Russia, South Africa). Methods Cross-sectional, nationally representative data from the WHO Study on global AGEing and adult health (SAGE) were analyzed. Unclean cooking fuel use referred to use of kerosene/paraffin, coal/charcoal, wood, agriculture/crop, animal dung, and shrubs/grass based on self-report. Slow gait speed referred to the slowest quintile based on height, age, and sex-stratified values. Multivariable logistic regression and meta-analysis were done to assess associations. Results Data on 14,585 individuals aged ≥65 years were analyzed [mean (SD) age 72.6 (11.4) years; 45.0% males]. Unclean cooking fuel use (vs. clean cooking fuel use) was significantly associated with higher odds for slow gait speed [OR=1.45 (95%CI=1.14-1.85)] based on a meta-analysis using country-wise estimates. The level of between-country heterogeneity was very low (I2=0%). Conclusions Unclean cooking fuel use was associated with slower gait speed among older adults. Future studies of longitudinal design are warranted to provide insight into the underlying mechanisms and possible causality.

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Mass media pressure on physical build, psychological well-being and physical-healthy profile. An explanatory model in adulthood

Melguizo-Ibáñez

González-Valero

Bădicu

et al. 2023

PeerJ

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Background The pressure exerted by the media on mental image, psychological well-being and the physical-dietary sphere is of vital interest in understanding human behavioral patterns at different stages of development. The present research reflects the objectives of developing an explanatory model of the associations between media pressure and physical build on psychological well-being, physical activity and the Mediterranean diet and testing the structural model using a multi-group model according to participants’ stage of adulthood development. Methods A descriptive, non-experimental, cross-sectional study was carried out on a sample of 634 participants aged between 18 and 65 years (35.18 ± 9.68). An ad hoc socio-demographic questionnaire, Sociocultural Attitudes Towards Appearance Questtionnaire-4, Psychological Well-Being Scale, Predimed questtionnaire and International Physical Activity Questionnaire-Short Form were used for data collection. Results Participants in early adulthood show higher scores for media pressure and for pressure on physical build. It is also observed that participants in middle adulthood show higher scores for psychological well-being and physical activity levels. Conclusions In conclusion, it can be seen that there are a large number of physical, physical-health and psychological differences in each of the phases of adulthood.

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Analysis of exercise behavior and health promotion behavior according to the Theory of Planned Behavior in Taiwanese older adults

Cited by 3 publications

References 13 publications

Dynapenic Abdominal Obesity Increases Risk for Falls Among Adults Aged ≥50 Years: A Prospective Analysis of the Irish Longitudinal Study on Ageing

Dynapenic Abdominal Obesity Increases Risk for Falls Among Adults Aged ≥50 Years: A Prospective Analysis of the Irish Longitudinal Study on Ageing

Unclean Cooking Fuel Use and Slow Gait Speed Among Older Adults From 6 Countries

Mass media pressure on physical build, psychological well-being and physical-healthy profile. An explanatory model in adulthood

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