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

Vancampfort, Davy; Lara, Elvira; Smith, Lee; Rosenbaum, Simon; Firth, Joseph; Stubbs, Brendon; Hallgren, Mats; Koyanagi, Ai

doi:10.1002/gps.5202

Cited by 33 publications

(30 citation statements)

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“…Our findings are aligned with previous research that has linked social support with increased physical activity, 36 and loneliness with physical inactivity. 37 However, one study only identified greater social isolation to be cross-sectionally associated with reduced daily physical activity and sedentary behaviour among 267 participants aged 50-81 years. 38 Notably, daily physical activity was an objective measure in that study, 38 -1801…”

Section: Discussionmentioning

confidence: 99%

“…compared to our subjective assessment of physical activity.One study conducted in six low-and middle-income countries, links loneliness with physical inactivity among 34,129 adults aged ≥50 years, demonstrating an overall association between loneliness and physical inactivity 37. Social isolation and cardiovascular disease risk factors in the study cohort = and N = 5366 for women and men respectively for all CVD factors, excluding physical activity, where N = 6043 and N = 5297 for women and men respectively.Abbreviations: BMI, body mass index; CVD, cardiovascular disease; HDL, high-density lipoprotein; LDL, low-density lipoprotein.…”

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confidence: 92%

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Social isolation, social support, loneliness and cardiovascular disease risk factors: A cross‐sectional study among older adults

Fitzgerald

Owen

et al. 2021

Int J Geriat Psychiatry

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Background: Social health reflects one's ability to form interpersonal relationships.Poor social health is a risk factor for cardiovascular disease (CVD), however an indepth exploration of the link through CVD risk factors is lacking. Aim:To examine the relationship between social health (social isolation, social support, loneliness) and CVD risk factors among healthy older women and men. Methods: Data were from 11,498 healthy community-dwelling Australians aged ≥70 years from the ASPirin in Reducing Events in the Elderly (ASPREE) trial and the ASPREE Longitudinal Study of Older Persons sub-study. Ten-year CVD risk was estimated using the Atherosclerotic CVD Risk Scale (ASCVDRS) and the Framingham Risk Score (FRS).Results: Physical inactivity and experiencing depressive symptoms were the only CVD risk factors that consistently differed by all three social health constructs.Loneliness was associated with greater ASCVDRS (women: β = 0.01, p < 0.05; men: β = 0.03, p < 0.001), social isolation with greater FRS (women: β = 0.02, p < 0.01; men: β = 0.03, p < 0.01) and the social health composite of being lonely (regardless of social isolation and/or social support status) with greater ASCVDRS (women: β = 0.01, p = 0.02; men: β = 0.03, p < 0.001). Among men, loneliness was also associated with greater FRS (β = 0.03, p < 0.001) and social support with greater ASCVDRS (β = 0.02, p = 0.01). Men were more socially isolated, less socially supported and less lonely than women. Conclusion:Social isolation, social support and loneliness displayed diverse relationships with CVD risk factors and risk scores, emphasising the importance of distinguishing between these constructs. These findings inform on potential avenues to manage poor social health and CVD risk among older adults.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 92%

Social isolation, social support, loneliness and cardiovascular disease risk factors: A cross‐sectional study among older adults

Fitzgerald

Owen

et al. 2021

Int J Geriat Psychiatry

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“…The results of some studies on the associations between RPA and other demographic factors such as age, gender, marital status and income status were inconsistent in different countries [ 41 ]. For example, one study showed no significant association between age and physical activity level [ 20 ], while another study showed that physical activities of older adults had a negative relationship with age [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

Regular Physical Activities and Related Factors among Middle-Aged and Older Adults in Jinan, China: A Cross-Sectional Study

Wang

et al. 2021

IJERPH

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The objective of this study was to investigate the prevalence of regular physical activity (RPA) among middle-aged and older adults in urban communities in Jinan, China, and to identify the factors related to RPA. A cross-sectional survey was conducted among middle-aged and elderly urban residents. A total of 1406 participants were included in the final data analysis. The results of the four models consistently showed that the relevant factors of RPA were educational level, previously diagnosed hypertension (PDH) and depression. In terms of educational level, compared with illiteracy, from the first model to the fourth model, the odds ratios (ORs) and 95% confidence intervals (CIs) of senior middle school were 2.072 (1.418, 3.026), 2.072 (1.418, 3.026), 1.905 (1.289, 2.816) and 1.926 (1.302, 2.848), respectively, and the ORs and 95% CIs of college or above were 2.364 (1.462, 3.823), 2.364 (1.462, 3.823), 2.001 (1.208, 3.312) and 2.054 (1.239, 3.405). In terms of PDH, compared with those with PDH, from the first model to the fourth model, ORs and 95% CIs of non-PDH were 1.259 (1.003, 1.580), 1.259 (1.003, 1.580), 1.263 (1.006, 1.585) and 1.261 (1.004, 1.584), respectively. For depression, compared with those without depression, also from the first model to the fourth model, ORs and 95% CIs of depression were 0.702 (0.517, 0.951), 0.702 (0.517, 0.951), 0.722 (0.532, 0.981) and 0.719 (0.529, 0.977), respectively. In conclusion, the results of this study showed that participation in RPA among middle-aged and older adults in Jinan urban communities was significantly associated with education level, PDH and depression.

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“…Multivariable logistic regression models were adjusted by age group, education, marital status, subjective socioeconomic status, place of residence, food insecurity, tobacco use status, alcohol use, and body mass index. Confounders were selected based on previous literature review [ 4 , 6 , 11 , 20 ]. P < 0.05 was considered as significant, only complete cases were included, and no multi-collinearity was identified.…”

Section: Methodsmentioning

confidence: 99%

“…Regarding mental health and well-being, studies show that PA reduces fair or poor health [ 2 ], poor mental health [ 1 , 3 ], depression [ 4 , 5 , 6 , 7 , 8 , 9 , 10 ], loneliness [ 11 , 12 ], anxiety [ 13 ], and increases life satisfaction and happiness [ 14 ], cognitive function [ 15 , 16 ], and functional ability [ 17 ]. In addition, some studies and a review [ 5 , 18 , 19 , 20 , 21 ] showed that PA or exercise improves sleep quality, including among middle-aged and older adults.…”

Section: Introductionmentioning

confidence: 99%

Physical activity, health and well-being among a nationally representative population-based sample of middle-aged and older adults in India, 2017–2018

Pengpid

Peltzer

2021

Heliyon

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Background This study aimed to determine the association between physical activity (PA) and health and well-being in middle-aged and older community-dwelling adults in India. Methods The cross-sectional sample consisted of 72,262 individuals (≥45 years) from the Longitudinal Ageing Study in India (LASI) Wave 1 in 2017–2018. Logistic regression, adjusted for relevant confounders, was used to predict associations between PA levels and 23 health indicators. Results In all 23.8% of participants were inactive, 12.9% had low, 7.6% moderate, and 55.7% high PA. In the final adjusted logistic regression analyses, higher PA levels were associated with better mental health (less insomnia symptoms, less depressive symptoms, less loneliness, and better cognitive functioning), and better well-being (self-rated health status, life satisfaction, happiness, functional ability, and hand grip strength). Moreover, moderate and/or high PA were negatively associated with diabetes, heart disease, stroke, hypertension, chronic lung disease, vision impairment, cataract, chronic renal failure, and Alzheimer's disease/dementia. While in unadjusted analysis, moderate and/or high PA were protective against major depressive disorder and bone or joint diseases, this became non-significant in the adjusted model. PA was not significantly associated with abdominal obesity and cancer. Conclusion Overall, higher PA levels were positively associated with 10 of 11 mental health and well-being indicators as well as being protective against 9 of 12 chronic conditions.

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

Cited by 33 publications

References 56 publications

Social isolation, social support, loneliness and cardiovascular disease risk factors: A cross‐sectional study among older adults

Social isolation, social support, loneliness and cardiovascular disease risk factors: A cross‐sectional study among older adults

Regular Physical Activities and Related Factors among Middle-Aged and Older Adults in Jinan, China: A Cross-Sectional Study

Physical activity, health and well-being among a nationally representative population-based sample of middle-aged and older adults in India, 2017–2018

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