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Zeidan RS, McElroy T, Rathor L, Martenson MS, Lin Y, Mankowski RT. Sex differences in frailty among older adults. Exp Gerontol 2023; 184:112333. [PMID: 37993077 DOI: 10.1016/j.exger.2023.112333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2023] [Revised: 10/24/2023] [Accepted: 11/14/2023] [Indexed: 11/24/2023]
Abstract
By definition, aging is a natural, gradual and continuous process. On the other hand, frailty reflects the increase in vulnerability to stressors and shortens the time without disease (health span) while longevity refers to the length of life (lifespan). The average life expectancy has significantly increased during the last few decades. A longer lifespan has been accompanied by an increase in frailty and decreased independence in older adults, with major differences existing between men and women. For example, women tend to live longer than men but also experience higher rates of frailty and disability. Sex differences prevent optimization of lifestyle interventions and therapies to effectively prevent frailty. Sex differences in frailty and aging are rooted in a complex interplay between uncontrollable (genetic, epigenetic, physiological), and controllable factors (psychosocial and lifestyle factors). Thus, understanding the underlying causes of sex differences in frailty and aging is essential for developing personalized interventions to promote healthy aging and improve quality of life in older men and women. In this review, we have discussed the key contributors and knowledge gaps related to sex differences in aging and frailty.
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Affiliation(s)
- Rola S Zeidan
- Department of Physiology and Aging, College of Medicine, University of Florida, Gainesville, FL, United States of America; Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL, United States of America.
| | - Taylor McElroy
- Department of Physiology and Aging, College of Medicine, University of Florida, Gainesville, FL, United States of America; Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL, United States of America.
| | - Laxmi Rathor
- Department of Physiology and Aging, College of Medicine, University of Florida, Gainesville, FL, United States of America.
| | - Matthew S Martenson
- Department of Physiology and Aging, College of Medicine, University of Florida, Gainesville, FL, United States of America.
| | - Yi Lin
- Department of Physiology and Aging, College of Medicine, University of Florida, Gainesville, FL, United States of America.
| | - Robert T Mankowski
- Department of Physiology and Aging, College of Medicine, University of Florida, Gainesville, FL, United States of America.
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Lin XY, Lachman ME. Daily Stress and Affect Across Adulthood: The Role of Social Interactions via Different Communication Modes. TECHNOLOGY, MIND, AND BEHAVIOR 2021; 2:10.1037/tmb0000026. [PMID: 35369392 PMCID: PMC8974319 DOI: 10.1037/tmb0000026] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Communication with one's social network can take place in-person or using technology. Past studies have mainly focused on the effects of communication modality (in-person, telephone calling, text messaging, and internet) on stress and affect at a between-person level by exploring the individual differences. Yet few studies have compared such effects at a within-person level, that is, how an individual varies over time. We conducted a diary study over seven days for 145 participants (ages 22 to 94) mostly from the greater Boston area to test the role each communication mode played in daily stress exposure, stress reactivity, and positive and negative affect using within-person analyses. Multilevel modeling results revealed that days with more frequent text messaging were associated with greater stress exposure and negative affect. Days with more in-person communication were associated with more positive affect. Days with more telephone calls were associated with less negative affect. Internet communication was not associated with stress or affect at a within-person level. To address the directionality of our findings, we also conducted lagged analyses that suggested higher previous day frequency of text messaging was related to higher stress exposure on the subsequent day. In addition, higher previous stress exposure was related to less telephone calling on the subsequent day. Implications and future research are discussed with a focus on how social interactions via different communication modes with one's social network can make a difference for daily well-being.
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Affiliation(s)
- Xin Yao Lin
- Department of Psychology, Brandeis University
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