Identifying the specific associations between participation in social activities and healthy lifestyle behaviours in older adults
Identifying the specific associations between participation in social activities and healthy lifestyle behaviours in older adults
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DOI：
10.1016/j.maturitas.2021.10.003
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发表时间：
2021-10-13
期刊：
影响因子：
4.9
通讯作者：
Kitamura, Akihiko
中科院分区：
文献类型：
--
作者：
Abe, Takumi;Seino, Satoshi;Kitamura, Akihiko
目的：研究参与社会活动与健康生活方式行为之间的纵向关联。研究设计：这项为期2年的随访研究使用了6168名老年人（73.5 ± 5.3岁; 49%为男性）的数据。我们研究了参与五种类型的社会活动的基线：参与志愿者，体育，爱好，高级俱乐部，和邻里协会团体。主要观察指标：健康的生活方式行为是身体活动（步行时间：>150分钟/周;或更少），饮食习惯（饮食多样性评分：>4分;或更少）和智力活动（东京都老年学研究所能力指数的子成分：4分;或更少）。结果如下：在后续调查中，19%的参与者身体不活跃，53%的人有不良的饮食习惯，34%的人智力活动减少。多水平改良Poisson回归分析显示，参加运动组与身体活动不足（RR=0.82 [0.72，0.93]）和不良饮食习惯（RR=0.95 [0.90，1.00]）的相对风险（RR）较低相关。参加爱好小组降低了不良饮食习惯的RR（RR=0.93 [0.90，0.97]）和智力活动减少（RR=0.90 [0.85，0.96]）。参与志愿服务与智力活动减少的RR较低相关（RR=0.84 [0.75，0.95]）。相对于不参与，参与两个或两个以上的社会活动与身体不活动的RR降低9%（95% CI：0.83，1.00），不良饮食习惯的RR降低12%（95% CI：0.82，0.95），智力活动减少的RR降低17%（95% CI：0.77，0.89）相关。结论：社会活动的性质和数量决定了社会参与对健康生活方式行为的纵向影响。
Objectives: To examine the longitudinal association between participation in social activities and healthy lifestyle behaviours. Study design: This 2-year follow-up study used data from 6168 older adults (73.5 +/- 5.3 years; 49% men). We studied participation in five types of social activities at baseline: participation in volunteer, sports, hobbies, senior clubs, and neighbourhood-association groups. Main outcome measures: The healthy lifestyle behaviours were physical activity (time spent walking: >150 min/ week; or less), eating habits (dietary variety score: >4 points; or less), and intellectual activity (subcomponents of the Tokyo Metropolitan Institute of Gerontology Index of Competence: 4 points; or less). Results: In the follow-up survey, 19% of participants were physically inactive, 53% had unfavourable eating habits, and 34% had diminished intellectual activity. Multilevel modified Poisson regression analysis showed that participation in sports groups was associated with a lower relative risk (RR) of physical inactivity (RR=0.82 [0.72, 0.93]) and unfavourable eating habits (RR=0.95 [0.90, 1.00]). Participation in hobby groups reduced the RR of unfavourable eating habits (RR=0.93 [0.90, 0.97]) and diminished intellectual activity (RR=0.90 [0.85, 0.96]). Participation in volunteering was associated with a lower RR of diminished intellectual activity (RR=0.84 [0.75, 0.95]). Relative to non-participation, participating in two or more social activities was associated with a 9% (95% CI: 0.83, 1.00) lower RR for physical inactivity, a 12% (95% CI: 0.82, 0.95) lower RR for unfavourable eating habits, and a 17% (95% CI: 0.77, 0.89) lower RR for diminished intellectual activity. Conclusions: Both the nature and the number of social activities determine the longitudinal effects of social participation on healthy lifestyle behaviours.