Community-Level Sports Group Participation and Health Behaviors Among Older Non-Participants in a Sports Group: A Multilevel Cross-Sectional Study

Tsuji, Taishi; Kanamori, Satoru; Miyaguni, Yasuhiro; Kondo, Katsunori

doi:10.3390/ijerph18020531

Cited by 5 publications

(4 citation statements)

References 30 publications

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“…The widespread participation in group sports at the group level may have positive spillover effects [ 5 ]. Based on the transtheoretical model, older adults residing in communities with high group sports participation rates, even if they do not participate themselves, were less likely to be homebound and had higher stages of change for exercise than those residing in communities with low participation rates [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…Based on previous studies examining the association between community-level group sports participation and health behaviors and status among older adults [ 5 , 6 , 11 ], several covariates were collected. Information on gender and age was collected as basic demographic characteristics, with age groups categorized as 65–69, 70–74, 75–79, 80–84, or ≥ 85 years.…”

Section: Methodsmentioning

confidence: 99%

“…The empirical evidence from the following studies supports the existence of this effect. Older adults, including those who do not participate in group sports, residing in a community with higher group sport participation rates among older adults are less likely to be homebound and exhibit higher transtheoretical model stages of change for exercise compared to those residing in communities with lower participation rates [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

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Community-level group sports participation and all-cause, cardiovascular disease, and cancer mortality: a 7-year longitudinal study

Tsuji,

Okada,

Saito

et al. 2024

Int J Behav Nutr Phys Act

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Background Community-level group sports participation is a structural aspect of social capital that can potentially impact individual health in a contextual manner. This study aimed to investigate contextual relationship between the community-level prevalence of group sports participation and the risk of all-cause, cardiovascular disease (CVD), and cancer mortality in older adults. Methods In this 7-year longitudinal cohort study, data from the Japan Gerontological Evaluation Study, a nationwide survey encompassing 43,088 functionally independent older adults residing in 311 communities, were used. Cause of death data were derived from the Japanese governmental agency, The Ministry of Health, Labour and Welfare, for secondary use. “Participation” was defined as engaging in group sports for one or more days per month. To analyze the data, a two-level survival analysis was employed, and hazard ratios (HRs) and 95% confidence intervals (CIs) were calculated. Results Among the participants, 5,711 (13.3%) deaths were identified, with 1,311 related to CVD and 2,349 to cancer. The average group sports participation rate was 28.3% (range, 10.0–52.7%). After adjusting for individual-level group sports participation and potential confounders, a higher community-level group sports participation rate was found to be significantly associated with a lower risk of both all-cause mortality (HR: 0.89, 95% CI: 0.83–0.95) and cancer mortality (HR: 0.89, 95% CI: 0.81–0.98) for every 10% point increase in the participation rate. For CVD mortality, the association became less significant in the model adjusted for all covariates (HR: 0.94, 95% CI: 0.82–1.09). Conclusions Our findings support the existence of a preventive relationship between community-level group sports participation and the occurrence of all-cause and cancer mortality among older individuals. Promoting group sports within communities holds promise as an effective population-based strategy for extending life expectancy, regardless of individual participation in these groups.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Community-level group sports participation and all-cause, cardiovascular disease, and cancer mortality: a 7-year longitudinal study

Tsuji,

Okada,

Saito

et al. 2024

Int J Behav Nutr Phys Act

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“…As community-level (i.e., level 2) factors, the proportion of sports group participants and the perception of park access and sidewalk for each community area was calculated. We defined participating 1 day/month or more as participation in a sports group, and aggregated individual-level sports group participation according to community area 28 , 29 . In addition, we asked participants if there were parks or sidewalks suitable for exercise or walking within approximately 1 km from their homes, and the percentage of respondents who answered “yes” was calculated by community area.…”

Section: Methodsmentioning

confidence: 99%

Correlates of engaging in sports and exercise volunteering among older adults in Japan

Tsuji

Kanamori

Yamakita

et al. 2022

Sci Rep

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This study aimed to identify factors associated with engaging in sports and exercise volunteering among older adults. We used cross-sectional data from the Japan Gerontological Evaluation Study (JAGES), a nationwide mail survey of 20,877 older adults from 60 municipalities. Multilevel mixed-effects logistic regression analysis was used to investigate the correlation between engaging in sports and exercise volunteering and 39 variables classified into five factors: (1) demographic and biological, (2) behavioral, (3) psychological, cognitive, and emotional, (4) social and cultural, and (5) environmental factors. Among the analyzed samples, 1580 (7.6%) participants volunteered a few times/year or more often. Factors that showed positive association with the volunteering were older age, a current drinking habit, excellent self-rated health, high proportion of sports group participants in a living area, low municipal population density, and rich social and cultural features (i.e., social cohesion, support, network, and participation). Meanwhile, those that had a negative association were women, low level of education, deteriorated instrumental activities of daily living, having a past or current smoking habit, poor self-rated health, and depressive symptoms. We clarified the characteristics of the population that is more likely to participate in sports and exercise volunteering as well as those of the population that is less likely to participate and requires support.

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Community-level social participation and functional disability among older adults: A JAGES multilevel longitudinal study

Fujihara¹,

Miyaguni²,

Tsuji³

et al. 2022

Archives of Gerontology and Geriatrics

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Community-Level Sports Group Participation and Health Behaviors Among Older Non-Participants in a Sports Group: A Multilevel Cross-Sectional Study

Cited by 5 publications

References 30 publications

Community-level group sports participation and all-cause, cardiovascular disease, and cancer mortality: a 7-year longitudinal study

Community-level group sports participation and all-cause, cardiovascular disease, and cancer mortality: a 7-year longitudinal study

Correlates of engaging in sports and exercise volunteering among older adults in Japan

Community-level social participation and functional disability among older adults: A JAGES multilevel longitudinal study

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