Is car use related with successful aging of older adults? Results from the multinational Mediterranean islands study

Tyrovolas, Stefanos; Polychronopoulos, Evangelos; Morena, Marianthi; Mariolis, Anargiros; Piscopo, Suzanne; Valacchi, Giuseppe; Bountziouka, Vassiliki; Anastasiou, Foteini; Zeimbekis, Akis; Tyrovola, Dimitra; Foscolou, Alexandra; Gotsis, Efthimios; Metallinos, George; Soulis, George; Tur, Josep A.; Matalas, Antonia‐Leda; Lionis, Christos; Sidossis, Labros S.; Panagiotakos, Demosthenes B.

doi:10.1016/j.annepidem.2016.12.006

Cited by 16 publications

(14 citation statements)

References 18 publications

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“…typology 1 and 5 in men, and 3 in women). The positive associations between motorized transport and health outcomes are in line with previous studies (48,49), and are assumed to be bidirectional. Older adults with physical health problems, impaired mobility, and visual and cognitive de cit might experience di culties to drive a car, as car driving is a complex activity requiring a range of cognitive and psychomotor abilities (50).…”

Section: Discussionsupporting

confidence: 84%

“…On the other hand, participants who do not drive a car might experience transportation de ciency (52) and face social exclusion (53), which might affect older adults' mental health. Given that social interaction as well as engagement in social activities are basic components of successful aging (48), it is recommended that healthy aging researchers focus on older adults who are in the transition to driving cessation, and on the increase of alternative transport modes, such as public transport and e-bikes (54), rather than on reducing transport-related sitting time.…”

Section: Discussionmentioning

confidence: 99%

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Gender-specific typologies of older adults’ sedentary behaviors and their associations with health-related and socio-demographic factors: a latent profile analysis

Compernolle¹,

Bourdeaudhuij

Cardon

et al. 2020

Preprint

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Background. Some types of sedentary behaviors tend to cluster in individuals or groups of older adults. Insight into how these different types of sedentary behavior cluster is needed, as recent research suggests that not all types of sedentary behavior may have the same negative effects on physical and mental health. Therefore, the aim of this study was to identify gender-specific typologies of older adults’ sedentary behavior, and to examine their associations with health-related and socio-demographic factors. Methods. Cross-sectional data were collected as part of the BEPAS Seniors, and the Busschaert study among 696 Flemish older adults (60+). Typologies of self-reported sedentary behavior were identified using latent profile analysis, and associations with health-related and sociodemographic factors were examined using analyses of variances. Results. Five distinct typologies were identified from seven sedentary behaviors (television time, computer time, transport-related sitting time, sitting for reading, sitting for hobbies, sitting for socializing and sitting for meals) in men, and three typologies were identified from six sedentary behaviors (television time, transport-related sitting time, sitting for reading, sitting for hobbies, sitting for socializing and sitting for meals) in women. Typologies that are characterized by high television time seem to be related to more negative health outcomes, like a higher BMI, less grip strength, and a lower physical and mental health-related quality-of-life. Typologies that are represented by high computer time and motorized transport seem to be related to more positive health outcomes, such as a lower BMI, more grip strength and a higher physical and mental health-related quality-of-life.Conclusions. Although causal direction between identified typologies and health outcomes remains uncertain, our results suggests that future interventions should better focus on specific types of sedentary behavior (e.g. television time), or patterns of sedentary behavior, rather than on total sedentary behavior.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Gender-specific typologies of older adults’ sedentary behaviors and their associations with health-related and socio-demographic factors: a latent profile analysis

Compernolle¹,

Bourdeaudhuij

Cardon

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…typology 1 and 5 in men, and 3 in women). The positive associations between motorized transport and health outcomes are in line with previous studies (34,35), and are assumed to be bidirectional. Older adults with physical health problems, impaired mobility, and visual and cognitive de cit might experience di culties to drive a car, as car driving is a complex activity requiring a range of cognitive and psychomotor abilities (36).…”

Section: Discussionsupporting

confidence: 84%

“…On the other hand, participants who do not drive a car might experience transportation de ciency (38) and face social exclusion (39), which might affect older adults' mental health. Given that social interaction as well as engagement in social activities are basic components of successful aging (34), it is recommended that healthy aging researchers focus on older adults who are in the transition to driving cessation, and on the increase of alternative transport modes, such as public transport and e-bikes (40), rather than on reducing transport-related sitting time.…”

Section: Discussionmentioning

confidence: 99%

Gender-specific typologies of older adults’ sedentary behaviors and their associations with health-related and socio-demographic factors: a latent profile analysis

Compernolle

Bourdeaudhuij

Cardon

et al. 2020

Preprint

View full text Add to dashboard Cite

Background. The aim of this study was to identify gender-specific typologies of older adults’ sedentary behavior, and to examine their associations with health-related and socio-demographic factors. Methods. Cross-sectional data were collected as part of the BEPAS Seniors, and the Busschaert study among 696 Flemish older adults (60+). Typologies of self-reported sedentary behavior were identified using latent profile analysis, and associations with health-related and sociodemographic factors were examined using analyses of variances. Results. Five distinct typologies were identified from seven sedentary behaviors (television time, computer time, transport-related sitting time, sitting for reading, sitting for hobbies, sitting for socializing and sitting for meals) in men, and three typologies were identified from six sedentary behaviors (television time, transport-related sitting time, sitting for reading, sitting for hobbies, sitting for socializing and sitting for meals) in women. Typologies that are characterized by high television time seem to be related to more negative health outcomes, like a higher BMI, less grip strength, and a lower physical and mental health-related quality-of-life. Typologies that are represented by high computer time and motorized transport seem to be related to more positive health outcomes, such as a lower BMI, more grip strength and a higher physical and mental health-related quality-of-life. Conclusions. Although causal direction between identified typologies and health outcomes remains uncertain, our results suggests that future interventions should better focus on specific types of sedentary behavior (e.g. television time), or patterns of sedentary behavior, rather than on total sedentary behavior.

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“…It encompasses many factors and situations, i.e., absence of disease and disability, maintenance of cognitive function and physical activity, and engagement in social activities [8]. Many other lifestyle [9] or nutritional [10][11][12] factors commonly seen in the Mediterranean region are already associated with successful aging.…”

Section: Introductionmentioning

confidence: 99%

Midday Napping and Successful Aging in Older People Living in the Mediterranean Region: The Epidemiological Mediterranean Islands Study (MEDIS)

et al. 2019

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The aim of the present study was to investigate the association between midday napping, sleeping hours, and successful aging among 2564 older (65+ years) individuals living in the insular Mediterranean region. Anthropometric, clinical, and socio-demographic characteristics, dietary habits, and lifestyle parameters were derived through standard procedures, while successful aging was evaluated using the validated Successful Aging Index (SAI; range 0–10). Of the 2564 participants, 74% reported midday napping. The SAI score was 2.9/10 for non-midday nappers vs. 3.5/10 for midday nappers (p = 0.001). Midday nappers were more likely to be physically active (p = 0.01) and to have higher adherence to the Mediterranean diet (p = 0.02) compared to non-midday nappers. In a fully adjusted model, midday nappers had 6.7% higher SAI score compared to the rest (p < 0.001), and the effect of midday napping was more prominent among males and participants 80+ years of age. Further analysis indicated a significant U-shaped trend between sleeping hours/day and SAI score (p < 0.001), with 8–9 h total of sleep/day, midday napping included, proposed as optimal in achieving the best SAI score. Midday napping seems to be a beneficial habit that should be promoted and encouraged in older people.

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Is car use related with successful aging of older adults? Results from the multinational Mediterranean islands study

Abstract: In conclusion, the activity of car use seems to be an indicator of quality of life among older adults, as measured through successful aging.

Cited by 16 publications

References 18 publications

Gender-specific typologies of older adults’ sedentary behaviors and their associations with health-related and socio-demographic factors: a latent profile analysis

Gender-specific typologies of older adults’ sedentary behaviors and their associations with health-related and socio-demographic factors: a latent profile analysis

Gender-specific typologies of older adults’ sedentary behaviors and their associations with health-related and socio-demographic factors: a latent profile analysis

Midday Napping and Successful Aging in Older People Living in the Mediterranean Region: The Epidemiological Mediterranean Islands Study (MEDIS)

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