Family- and neighborhood-level environmental associations with physical health conditions in 9- and 10-year-olds.

Marshall, Andrew T.; Adise, Shana; Cardenas‐Iniguez, Carlos; Hippolyte, Ogechi K; Parchment, Camille A; Villalobos, Tanya I; Wong, L. T. K.; Cisneros, Cynthia Pace; Kan, Eric C; Palmer, Clare E.; Bodison, Stefanie; Herting, Megan M.

doi:10.1037/hea0001254

Cited by 4 publications

(3 citation statements)

References 96 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…At a minimum, investigators and clinicians should ask about whether the individual at the focus of treatment lives alone and, if so, how available (both geographically and in terms of time) other caregivers are (Sweegers et al, 2019;Fearnbach et al, 2021;Tsuji, 2022;Tanaka et al, 2023). A related and increasingly available metric to assess structural support are emerging area deprivation indices, which provide information on environmental impoverishment that appear to predict health behavior outcomes over and above family income levels (Steppuhn et al, 2019;Melo et al, 2021;Congdon, 2022;Marshall et al, 2023;Witkam et al, 2023).…”

Section: Discussionmentioning

confidence: 99%

Engineering Virtuous health habits using Emotion and Neurocognition: Flexibility for Lifestyle Optimization and Weight management (EVEN FLOW)

Smith,

Whitson,

Merwin

et al. 2023

Front. Aging Neurosci.

View full text Add to dashboard Cite

Interventions to preserve functional independence in older adults are critically needed to optimize ‘successful aging’ among the large and increasing population of older adults in the United States. For most aging adults, the management of chronic diseases is the most common and impactful risk factor for loss of functional independence. Chronic disease management inherently involves the learning and adaptation of new behaviors, such as adopting or modifying physical activity habits and managing weight. Despite the importance of chronic disease management in older adults, vanishingly few individuals optimally manage their health behavior in the service of chronic disease stabilization to preserve functional independence. Contemporary conceptual models of chronic disease management and health habit theory suggest that this lack of optimal management may result from an underappreciated distinction within the health behavior literature: the behavioral domains critical for initiation of new behaviors (Initiation Phase) are largely distinct from those that facilitate their maintenance (Maintenance Phase). Psychological factors, particularly experiential acceptance and trait levels of openness are critical to engagement with new health behaviors, willingness to make difficult lifestyle changes, and the ability to tolerate aversive affective responses in the process. Cognitive factors, particularly executive function, are critical to learning new skills, using them effectively across different areas of life and contextual demands, and updating of skills to facilitate behavioral maintenance. Emerging data therefore suggests that individuals with greater executive function are better able to sustain behavior changes, which in turn protects against cognitive decline. In addition, social and structural supports of behavior change serve a critical buffering role across phases of behavior change. The present review attempts to address these gaps by proposing a novel biobehavioral intervention framework that incorporates both individual-level and social support system-level variables for the purpose of treatment tailoring. Our intervention framework triangulates on the central importance of self-regulatory functioning, proposing that both cognitive and psychological mechanisms ultimately influence an individuals’ ability to engage in different aspects of self-management (individual level) in the service of maintaining independence. Importantly, the proposed linkages of cognitive and affective functioning align with emerging individual difference frameworks, suggesting that lower levels of cognitive and/or psychological flexibility represent an intermediate phenotype of risk. Individuals exhibiting self-regulatory lapses either due to the inability to regulate their emotional responses or due to the presence of executive functioning impairments are therefore the most likely to require assistance to preserve functional independence. In addition, these vulnerabilities will be more easily observable for individuals requiring greater complexity of self-management behavioral demands (e.g. complexity of medication regimen) and/or with lesser social support. Our proposed framework also intuits several distinct intervention pathways based on the profile of self-regulatory behaviors: we propose that individuals with intact affect regulation and impaired executive function will preferentially respond to ‘top-down’ training approaches (e.g., strategy and process work). Individuals with intact executive function and impaired affect regulation will respond to ‘bottom-up’ approaches (e.g., graded exposure). And individuals with impairments in both may require treatments targeting caregiving or structural supports, particularly in the context of elevated behavioral demands.

show abstract

Section: Discussionmentioning

confidence: 99%

Engineering Virtuous health habits using Emotion and Neurocognition: Flexibility for Lifestyle Optimization and Weight management (EVEN FLOW)

Smith,

Whitson,

Merwin

et al. 2023

Front. Aging Neurosci.

View full text Add to dashboard Cite

show abstract

“…Many studies, including some in this special issue (see papers led by Adise et al, 2023; Marshall et al, 2023), have found that adverse neighborhood and environmental factors can lead to adverse biopsychosocial outcomes. Adise et al (2023) Adise and colleagues found support for the associations between neighborhood deprivation, brain structure, and childhood obesity.…”

Section: Overview Of Papers In the Special Issuementioning

confidence: 99%

“…In addition to neighborhood deprivation, Marshall et al (2023) examined whether environmental factors were associated with physical health conditions among 9- to 10-year-olds, and how this relationship was moderated by family-level socioeconomic status. They found that exposure to neurotoxicants including lead and particulate matter was associated with various physical health outcomes including increased odds of unhealthy weight gain, reduced sports and physical activity, and short sleep duration.…”

Section: Overview Of Papers In the Special Issuementioning

confidence: 99%