scholarly journals Diet, Physical Activity, and Disinhibition in Middle-Aged and Older Adults: A UK Biobank Study

Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1607
Author(s):  
Lizanne J. S. Schweren ◽  
Daan van Rooij ◽  
Huiqing Shi ◽  
Henrik Larsson ◽  
Alejandro Arias-Vasquez ◽  
...  

Disinhibition is a prominent feature of multiple psychiatric disorders, and has been associated with poor long-term somatic outcomes. Modifiable lifestyle factors including diet and moderate-to-vigorous physical activity (MVPA) may be associated with disinhibition, but their contributions have not previously been quantified among middle-aged/older adults. Here, among N = 157,354 UK Biobank participants aged 40–69, we extracted a single disinhibition principal component and four dietary components (prudent diet, elimination of wheat/dairy/eggs, meat consumption, full-cream dairy consumption). In addition, latent profile analysis assigned participants to one of five empirical dietary groups: prudent-moderate, unhealthy, restricted, meat-avoiding, low-fat dairy. Disinhibition was regressed on the four dietary components, the dietary grouping variable, and self-reported MVPA. In men and women, disinhibition was negatively associated with prudent diet, and positively associated with wheat/dairy/eggs elimination. In men, disinhibition was also associated with consumption of meat and full-cream dairy products. Comparing groups, disinhibition was lower in the prudent-moderate diet (reference) group compared to all other groups. Absolute βs ranged from 0.02–0.13, indicating very weak effects. Disinhibition was not associated with MVPA. In conclusion, disinhibition is associated with multiple features of diet among middle-aged/older adults. Our findings foster specific hypotheses (e.g., early malnutrition, elevated immune-response) to be tested in alternative study designs.

2020 ◽  
Author(s):  
Lizanne JS Schweren ◽  
Daan van Rooij ◽  
Huiqing Shi ◽  
Alejandro Arias-Vasquez ◽  
Lin Li ◽  
...  

AbstractBackground and aimsBehavioural disinhibition is a prominent feature of multiple psychiatric disorders, and has been associated with poor long-term somatic health outcomes. Modifiable lifestyle factors including diet and moderate-to-vigorous physical activity (MVPA) may be associated with behavioural disinhibition, but their shared and unique contributions have not previously been quantified.MethodsN=157,354 UK Biobank participants who completed the online mental health assessment were included (age 40-69, 2006-2010). Using principal component analyses, we extracted a single disinhibition score and four dietary component scores (prudent diet, elimination of wheat/dairy/eggs, meat consumption, full-cream dairy consumption). In addition, latent profile analysis assigned participants to one of five empirical dietary groups: moderate-healthy, unhealthy, restricted, meat-avoiding, low-fat dairy. Participants self-reported MVPA in minutes/week. Disinhibition was regressed on the four dietary components, the dietary grouping variable and MVPA.Resultsin men and women, behavioural disinhibition was negatively associated with prudent diet scores, and positively associated with wheat/dairy/eggs elimination. In men only, disinhibition was associated with consumption of meat and full-cream dairy products. Comparing groups, disinhibition was lower in the moderate-and-prudent diet (reference) group compared to all other groups. Absolute βs ranged from 0.02-0.13 indicating very weak effects. Disinhibition was not associated with MVPA.ConclusionsAmong middle-aged and older adults, behavioural disinhibition is associated with multiple features of diet. While the observational nature of UK Biobank does not allow causal inference, our findings foster specific hypotheses (e.g. early malnutrition, elevated immune-response, dietary restraint) to be tested in alternative study designs.


2020 ◽  
Vol 28 (5) ◽  
pp. 740-748
Author(s):  
Yong Yang ◽  
Sheng Li ◽  
Kai Zhang ◽  
Xiaoling Xiang ◽  
Zhigang Li ◽  
...  

Knowledge of how smartphone use in daily life, rather than in the context of intervention, may influence people’s behaviors and health is limited and mixed. The 2017 National Household Travel Survey (NHTS) data were used to examine the associations between daily smartphone use and several outcomes, including engaging in vigorous physical activity, self-perceived being healthy, and the adjusted mean differences for total trips and active travels among older adults (≥65 years) as well as among young and middle-aged groups (18–64 years), respectively. The prevalence of daily smartphone use declined with increasing age. Daily smartphone use was associated with increased total trips and active travel, a higher likelihood of engaging in vigorous physical activity, and in self-perceived being healthy status. The associations were stronger among older adults than young and middle-aged adults. More studies are needed to address the complex pathways among daily smartphone use and other outcomes. Daily smartphone use has the potential to address the unmet daily needs of older adults and bridge health disparities for this disadvantaged group.


2021 ◽  
pp. jech-2020-215883
Author(s):  
Amy Hofman ◽  
Trudy Voortman ◽  
M. Arfan Ikram ◽  
Annemarie I Luik

BackgroundPhysical activity, sedentary behaviour and sleep are potential risk factors of mental health disorders, but previous studies have not considered the dependency between these activity domains. Therefore, we examined the associations of reallocations of time among older adults’ physical activity, sedentary behaviour and sleep with depressive and anxiety symptoms using compositional isotemporal substitution analyses.MethodsWe included 1943 participants (mean age 71 years, SD: 9; 52% women) from the population-based Rotterdam Study. Between 2011 and 2016, we collected accelerometer data (mean duration 5.8 days, SD: 0.4) on physical activity, sedentary behaviour and sleep and self-reported data on depressive symptoms and anxiety.ResultsA reallocation of 30 min more moderate-to-vigorous physical activity was associated with a −0.55 (95% CI −1.04 to −0.06) points lower depressive symptoms score when replacing sleep and a −0.59 (95% CI −1.06 to −0.12) points lower score when replacing sedentary behaviour, but not when replacing light physical activity (−0.70, 95% CI −1.63 to 0.24). No associations were found for anxiety.ConclusionReplacing sedentary behaviour or sleep with more moderate-to-vigorous physical activity was associated with less depressive symptoms, suggesting that mainly intensive types of physical activity are important for middle-aged and older adults in relation to depressive symptoms.


2019 ◽  
Vol 32 ◽  
Author(s):  
Ana Esther Pereira de Oliveira ◽  
Thatiane Lopes Valentim Di Paschoale Ostolin ◽  
Wesley de Oliveira Vieira ◽  
Rodolfo Leite Arantes ◽  
Antônio Ricardo de Toledo Gagliardi ◽  
...  

Abstract Introduction: Sedentary behavior (SB) has been described as an independent risk factor for health, regardless of the recommended amount of moderate-to-vigorous physical activity (MVPA). However, SB and MVPA as predictors of falls have been poorly investigated. Objective: To compare the associations between SB and MVPA and the occurrence of falls in middle-aged and older adults. Method: The participants wore a triaxial accelerometer over the dominant hip for seven days to measure SB and MVPA. The occurrence of falls and cardiovascular risk factors were assessed by self-report. Isokinetic peak torque (PT) of knee extension, peak oxygen uptake (V’O2) in a ramp treadmill protocol, and lean (LBM) body mass and body fat (BFM) (bioelectrical impedance) were also assessed. The critical roles of SB and MVPA on the occurrence of falls were compared by multiple logistic regression adjusted for age, sex, cardiovascular risk factors, LBM, peak V’O2, and PT of knee extension. Results: 379 participants were evaluated, aged 40-80 years. Forty-eight participants reported at least one fall in the previous 12 months (14.5%). Fallers presented lower SB and higher MVPA. They were predominantly women and older adults with lower physical fitness. After multivariate analysis, MVPA, but not SB, was selected as an independent predictor of falls, increasing the odds ratio of having a fall (1.184, 95% confidence interval, 1.016 - 1.378). Conclusion: Episodes of falls in predominantly middle-aged and women subjects were associated with a higher amount of MVPA, not the opposite, indicating an adverse effect of MVPA in these subjects.


2016 ◽  
Vol 48 ◽  
pp. 557
Author(s):  
Victor Z. Dourado ◽  
Evandro Sperandio ◽  
Ana Esther Oliveira ◽  
Marcello Romiti ◽  
Antônio Gagliardi ◽  
...  

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii1-iii16
Author(s):  
Daniel Carter ◽  
Katie Robinson ◽  
John Forbes ◽  
Sara Hayes

Abstract Background Well-documented health benefits are associated with 150 min/week of moderate-to-vigorous physical activity (PA). However, a majority of older adults do not follow this guideline and calls to address this disparity with technology have been made (1). Recommendations from the wider PA literature suggest the incorporation of mobile and wireless technology, i.e. mobile health (mHealth), into PA interventions (2). This study aims to identify and synthesise the evidence base on the experiences of adults using smartphone applications for the promotion of PA. Methods A systematic search of CINAHL, Embase, ERIC, Medline and PsycINFO was conducted in October 2017. Primary qualitative studies with extractable data on the experiences of adults using mHealth for the promotion of PA were included. Data were analysed in NVivo using a meta-ethnographic approach. Results The initial search yielded 4,420 articles. After screening, fifteen articles were included, of which three included young adults, two included young and middle-aged adults, six included middle-aged and older adults and three included young, middle-aged and older adults, while one study did not report age. Because findings were not stratified by age, data were analysed collectively. Our inductive findings included the idea that end-users value the experience of personalisation offered by smartphone applications. Furthermore, mHealth raised awareness of individuals’ PA level, supporting them to strategise ways of incorporating PA into their routines. Finally, negative experiences were not uncommon, though were largely caused by poor design and technical faults (e.g. battery life/ inaccurate data). Conclusion Our review provides evidence of the paucity of studies focused on the experiences of older adults using mHealth for the promotion of PA. Given recommendations for PA interventions to be tailored, particularly across the lifespan (2), and the positive findings noted in the current study, further primary qualitative studies exploring the perspectives of older adults are warranted.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 190-190
Author(s):  
Kristen Moore ◽  
Kaigang Li ◽  
Manfred Diehl ◽  
Katherine Thompson ◽  
Abigail Nehrkorn-Bailey

Abstract Physical Activity (PA) Guidelines for Americans recommend engagement in moderate or moderate-to-vigorous physical activity (MVPA) for middle-aged and older adults. Although these guidelines encourage adults to “move more and sit less,” there are no explicit recommendations for engaging in Light PA (LPA). The purpose of this study was to examine the association between LPA and health Indicators among middle-aged and older adults, in the context of sedentary time (ST) and MVPA. We used baseline data from 171 individuals (Mean age: 59.3±8.51 years), participating in Colorado State University’s AgingPlus program. Selected health Indicators included Body Mass Index (BMI), waist circumference (WC in cm), mean arterial pressure (MAP in mmHg), grip strength (GS in lbs), and indirect VO2max (ml/kg/min). ST and PA were measured using Actigraph accelerometers worn for 7 days (excluding wear time <500 mins/day). Linear regression analyses, controlling for sex, age group, and race, indicated that more ST was associated with greater BMI (B=3.33), greater WC (B=3.35), and lower VO2max (B=-3.09). More LPA was associated with lower BMI (B=-4.47), lower WC (B=-5.0), lower MAP (B=-2.81), and higher VO2max (B=4.64). MVPA was associated with lower BMI (B=-3.04), lower WC (B=-4.21), higher VO2max (B=4.74), and higher grip strength (B=2.33). In conclusion, more ST was associated with indicators of poorer physical health. LPA, similar to MVPA, was associated with indicators of better physical health and performance. Future longitudinal and experimental studies examining the causal relationship between LPA and physical health and performance are warranted.


Author(s):  
Jolanthe de Koning ◽  
Suzanne H. Richards ◽  
Grace E. R. Wood ◽  
Afroditi Stathi

Objective: Loneliness and social isolation are associated with higher risk of morbidity and mortality and physical inactivity in older age. This study explored the socioecological context in which both physically active and inactive older adults experience loneliness and/or social isolation in a UK rural setting. Design: A mixed-methods design employed semi structured interviews and accelerometer-measured moderate-to-vigorous physical activity (MVPA). Interviews explored the personal, social and environmental factors influencing engagement with physical activities, guided by an adapted-socioecological model of physical activity behaviour. Findings: Twenty-four older adults (MeanAge = 73 (5.8 SD); 12 women) were interviewed. Transcripts were thematically analysed and seven profiles of physical activity, social isolation and loneliness were identified. The high-MVPA group had established PA habits, reported several sources of social contact and evaluated their physical environment as activity friendly. The low MVPA group had diverse experiences of past engagement in social activities. Similar to the high MVPA, they reported a range of sources of social contact but they did not perceive the physical environment as activity friendly. Conclusions: Loneliness and/or social isolation was reported by both physically active and inactive older adults. There is wide diversity and complexity in types and intensity of PA, loneliness and social isolation profiles and personal, social and environmental contexts.


Author(s):  
Manasa S. Yerramalla ◽  
Duncan E. McGregor ◽  
Vincent T. van Hees ◽  
Aurore Fayosse ◽  
Aline Dugravot ◽  
...  

Abstract Background Moderate-to-vigorous physical activity (MVPA) is proposed as key for cardiovascular diseases (CVD) prevention. At older ages, the role of sedentary behaviour (SB) and light intensity physical activity (LIPA) remains unclear. Evidence so far is based on studies examining movement behaviours as independent entities ignoring their co-dependency. This study examines the association between daily composition of objectively-assessed movement behaviours (MVPA, LIPA, SB) and incident CVD in older adults. Methods Whitehall II accelerometer sub-study participants free of CVD at baseline (N = 3319, 26.7% women, mean age = 68.9 years in 2012–2013) wore a wrist-accelerometer from which times in SB, LIPA, and MVPA during waking period were extracted over 7 days. Compositional Cox regression was used to estimate the hazard ratio (HR) for incident CVD for daily compositions of movement behaviours characterized by 10 (20 or 30) minutes greater duration in one movement behaviour accompanied by decrease in another behaviour, while keeping the third behaviour constant, compared to reference composition. Analyses were adjusted for sociodemographic, lifestyle, cardiometabolic risk factors and multimorbidity index. Results Of the 3319 participants, 299 had an incident CVD over a mean (SD) follow-up of 6.2 (1.3) years. Compared to daily movement behaviour composition with MVPA at recommended 21 min per day (150 min/week), composition with additional 10 min of MVPA and 10 min less SB was associated with smaller risk reduction – 8% (HR, 0.92; 95% CI, 0.87–0.99) – than the 14% increase in risk associated with a composition of similarly reduced time in MVPA and more time in SB (HR, 1.14; 95% CI, 1.02–1.27). For a given MVPA duration, the CVD risk did not differ as a function of LIPA and SB durations. Conclusions Among older adults, an increase in MVPA duration at the expense of time in either SB or LIPA was found associated with lower incidence of CVD. This study lends support to public health guidelines encouraging increase in MVPA or at least maintain MVPA at current duration.


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