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Asian Nurs Res (Korean Soc Nurs Sci) ; 13(5): 313-317, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31778826


PURPOSE: There is a growing number of older adults moving into assisted-living facilities to maintain their independence while being assisted with certain tasks and having convenient access to services. Physical activity (PA) and vitality play an important role in independence, as well as in mental health, of older adults. However, no research has examined the difference in older adults' levels of vitality (defined as the state of feeling alive and alert) between those living in assisted-living facilities and those from community-living settings. This study also explored sociodemographic predictors of PA and vitality among older adults living in two different types of housing. METHODS: This cross-sectional study examined differences in PA levels and vitality between older adults (aged ≥ 60 years; n = 148, mean age = 74.70 years) living in assisted-living facilities (n = 85, mean age = 77.46 years) and those in community-living settings (n = 63, mean age = 70.98 years). PA was assessed by accelerometry, and vitality was measured using the subjective vitality scale. RESULTS: Engagement in light PA and moderate to vigorous PA was higher in individuals living in community-living settings after controlling for sociodemographic variables. However, vitality was not significantly different between the two types of housing after controlling for sociodemographic variables. Marital status, education, and number of diagnosed diseases were associated with vitality. CONCLUSION: The support is needed for designing strategies to increase PA in older adults living in assisted-living facilities. More attention should be paid to increasing subjective vitality of older adults in both types of housing to promote healthy aging.

Medicine (Baltimore) ; 98(39): e17287, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31574848


Evidence suggests that mental health is associated with multiple factors such as physical activity, sedentary behavior, and physical function in older adults. The present study used latent profile analysis to identify classes of older adults based on their health profile among a representative sample of Korean older adults with hypertension. Differences in mental health between these classes were also examined.Seven hundred and sixty seven participants (mean age = 70.23, SD = 6.08; men 45.6%) were included in the analysis.There were 3 latent classes (class 1: a physically inactive lifestyle with low physical function and body perception; class 2: a physically moderate lifestyle with moderate physical function and low body perception; class 3: a physically active lifestyle with high physical function and body perception). According to class comparisons, older adults in class 3 had significantly lower anxiety/depression levels than classes 1 and 2. Older adults in class 3 had significantly lower stress levels than class 1.It is possible that among older adults, having a positive attitude of one's body shape may also be important for improving anxiety/depression along with having a physically active lifestyle and maintaining physical function.

Imagem Corporal/psicologia , Força da Mão , Hipertensão/psicologia , Postura Sentada , Caminhada , Idoso , Idoso de 80 Anos ou mais , Ansiedade/psicologia , Estudos Transversais , Depressão/psicologia , Exercício/psicologia , Feminino , Humanos , Hipertensão/fisiopatologia , Análise de Classes Latentes , Estilo de Vida , Masculino , Pessoa de Meia-Idade , Inquéritos Nutricionais , Percepção , República da Coreia , Estresse Psicológico/psicologia
Am J Health Behav ; 43(6): 1040-1049, 2019 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-31662164


Objectives: In this study, we examined factors of moderate-to-vigorous physical activity (MVPA) and sedentary behavior (SB) in elderly Koreans. Methods: We used 2015 data from the Sixth National Health and Nutrition Examination Survey. To analyze physical activity (PA), we categorized participants were into those who met MVPA recommendations (150 minutes/week of moderate PA or 75 minutes/week of vigorous PA) or those who did not. We also categorized them into high SB (620-1200 minutes/day of sitting) and low SB (30-600 minutes/day). Results: Final analyses included 1501 adults over 60 years old (mean: 69.2 ± 6.2). We performed multiple logistic regressions examining impacts of grip strength and body mass index, along with self-reports of perceived health, sleep duration, and demographics on PA and SB. We found positive associations between meeting MVPA guidelines and self-perceived health and urban living, but negative associations with sleep duration and education. A strong grip, high self-perceived health, long sleep duration (8-14 hours), and living with a partner were factors of being less sedentary. High annual income was a factor of being more sedentary. Conclusion: Our findings support efforts that develop interventions promoting active lifestyles among elderly Koreans.

Ecol Food Nutr ; 57(1): 50-68, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29199859


This study examines nutrient intake and factors influencing eating behaviors in a sample of 76 migrant older women (≥ 60 years) living in the UK. Nutrient intake was assessed using a 24-hr recall enhanced by an in-depth probing dietary interview. Median energy intake was significantly lower than the UK RNIs (5,125.4 v. 7,301.1 kJ/d, p < .001). Main nutrients of concern were retinol, vitamin D, magnesium, potassium, copper, selenium, and monounsaturated fatty acids. Semistructured interviews were conducted with a subsample (n = 46) and analyzed using thematic analysis. Although women were knowledgeable about what constitutes a healthy diet, factors such as the presence and awareness of obesity and noncommunicable diseases, changes to household roles, and dietary restrictions related to religious beliefs were identified key influences on participants' dietary intake. Strategies targeting this population need to promote not only a healthy energy balance, but also dietary adequacy to optimize nutrient intake.

Dieta , Emigrantes e Imigrantes , Comportamento Alimentar , Desnutrição/etiologia , Saúde da Mulher , Fatores Etários , Idoso , Cultura , Inquéritos sobre Dietas , Ingestão de Energia , Grupos Étnicos , Feminino , Avaliação Geriátrica , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Desnutrição/prevenção & controle , Pessoa de Meia-Idade , Doenças não Transmissíveis , Avaliação Nutricional , Necessidades Nutricionais , Obesidade , Religião , Migrantes , Reino Unido
J Aging Phys Act ; 26(2): 194-203, 2018 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-28605284


There is limited evidence examining the association between physical activity (PA), sedentary time (ST), frailty, and factors influencing PA behaviors in migrant older women from ethnically diverse backgrounds. The aims of this mixed-methods study were to: 1) examine PA levels and ST across frailty status; 2) identify any differences in PA/ST between ethnic and religious groups; and 3) qualitatively explore factors influencing PA among older (≥60 years) migrant women (n = 60). PA/ST were assessed using accelerometry and frailty status using the frailty phenotype. Key factors influencing PA were explored via semi-structured interviews (n = 36) and analyzed using thematic analysis. Participants were highly sedentary irrespective of frailty status. Moderate-to-vigorous-physical activity (MVPA) was independently associated with frailty. Participants spent 69% of waking time in ST, with only 15% meeting current weekly PA recommendations. Health-related and socio-cultural factors were reported as common barriers to achieving PA recommendations. Maintaining independence, preventing physical decline and depression were key factors promoting PA. Understanding the challenges and needs of this population can help to inform strategies to promote PA and thus optimize physical function.

Exercício , Fragilidade , Comportamento Sedentário , Migrantes , Acelerometria , Idoso , Grupos Étnicos , Feminino , Humanos , Pessoa de Meia-Idade , Motivação , Reino Unido
J Nutr Educ Behav ; 49(1): 3-10.e1, 2017 01.
Artigo em Inglês | MEDLINE | ID: mdl-27720601


OBJECTIVE: To examine associations between energy/nutrient intakes and frailty in older migrant women, and to explore perceptions of body weight, dietary intake, and physical function. DESIGN: Cross-sectional, mixed-methods study. SETTING: Birmingham, United Kingdom. PARTICIPANTS: Seventy-six first-generation migrant women ≥ 60 years of age. MAIN OUTCOME MEASURES: Energy/nutrient intakes (assessed by 24-hour dietary recall), frailty (using the frailty phenotype), and links between perceptions of body weight, dietary intake, and physical function (via semi-structured interviews). ANALYSIS: Bivariate and logistic regression analyses examined associations between frailty and low energy/nutrient intakes. Interviews were analyzed using inductive thematic analysis. RESULTS: Seventy-six women completed a 24-hour dietary recall; 46 participated in a semi-structured interview. Low energy intake was associated with frailty (odds ratio [OR], 11.71; 95% confidence interval [CI], 2.36-57.97). After adjusting for energy and other confounders, a low intake of > 3 nutrients was associated with frailty (OR, 6.58; 95% CI, 1.01-43.08). Qualitative data suggest that dietary intake was influenced by concerns about body weight and perceptions that unhealthy foods reduce mobility. CONCLUSIONS AND IMPLICATIONS: Among older migrant women with high prevalence of overweight/obesity, an inadequate dietary intake may be a stronger predictor of frailty than weight loss. Dietary interventions should focus on healthy weight maintenance and optimization of nutritional adequacy and physical function.

Emigrantes e Imigrantes/estatística & dados numéricos , Idoso Fragilizado/estatística & dados numéricos , Obesidade/epidemiologia , Sobrepeso/epidemiologia , Idoso , Idoso de 80 Anos ou mais , Peso Corporal , Estudos Transversais , Dieta , Feminino , Humanos , Pessoa de Meia-Idade , Inquéritos Nutricionais , Obesidade/fisiopatologia , Sobrepeso/fisiopatologia , Reino Unido