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Viola E, Martorana M, Ceriotti D, De Vito M, De Ambrosi D, Faggiano F. The effects of cultural engagement on health and well-being: a systematic review. Front Public Health 2024; 12:1369066. [PMID: 39050607 PMCID: PMC11266038 DOI: 10.3389/fpubh.2024.1369066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2024] [Accepted: 06/28/2024] [Indexed: 07/27/2024] Open
Abstract
Purpose This paper examines the effectiveness of culture-based activities in improving health-related outcomes among middle-aged and older adults. Based on the biopsychosocial model, this review aims to explore the impact of cultural engagement on health and well-being. Methods We conducted a systematic literature review based on peer-reviewed articles retrieved from various electronic databases. In total, 11 studies were included in this review. Our study population consisted of healthy adults aged over 40 years. Results The results provide evidence of positive association between cultural participation and better mental health (e.g., cognitive decline, depression, anxiety), frailty, resilience, well-being and social relations. Conclusion This review suggests that cultural engagement serves as an effective means for individuals to maintain and enhance their health and well-being. The field is mostly limited by the heterogeneity of the studies and poor conceptualization of cultural activities. Thus, it is recommended that future research consider the effects of different cultural interventions in developing effective strategies for promoting healthy lifestyles and enhancing quality of life in later stages of life.
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Affiliation(s)
- Erica Viola
- Department of Sustainable Development and Ecological Transition, University of Eastern Piedmont, Vercelli, Italy
| | - Marco Martorana
- Department of Sustainable Development and Ecological Transition, University of Eastern Piedmont, Vercelli, Italy
- Department of Statistics, Computer Science, and Applications “Giuseppe Parenti” (DiSIA), University of Florence, Florence, Tuscany, Italy
| | - Daniele Ceriotti
- Department of Translational Medicine, University of Eastern Piedmont, Novara, Piedmont, Italy
| | - Marta De Vito
- Department of Translational Medicine, University of Eastern Piedmont, Novara, Piedmont, Italy
| | - Damiano De Ambrosi
- Department of Translational Medicine, University of Eastern Piedmont, Novara, Piedmont, Italy
| | - Fabrizio Faggiano
- Department of Sustainable Development and Ecological Transition, University of Eastern Piedmont, Vercelli, Italy
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Chan JA, Bosma H, Lakerveld J, Schram MT, van Greevenbroek M, Koster A. Social cohesion and associations with sedentary time, physical activity and dietary quality in The Maastricht Study. Prev Med 2024; 183:107970. [PMID: 38653391 DOI: 10.1016/j.ypmed.2024.107970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/04/2024] [Revised: 04/04/2024] [Accepted: 04/20/2024] [Indexed: 04/25/2024]
Abstract
INTRO We aim to investigate the relationship between social cohesion and sedentary behavior (SB), total physical activity (PA), moderate-to-vigorous PA (MVPA), and dietary quality. Additionally, we assess whether these associations are independent of neighborhood walkability and the food environment. METHODS A total of 7641 participants from The Maastricht Study in the Netherlands between the ages of 40 and 75 years were analyzed. Neighborhood social cohesion was obtained by participant questionnaire completed at baseline and measured by the Dutch Livability meter. Home addresses were linked to geographic information system (GIS) data from the Geoscience and Health Cohort Consortium (GECCO) to create neighborhood exposures of walkability and food environment. A thigh worn accelerometer collected data to measure sedentary time, total daily PA, and MVPA. Dietary quality was measured with a food frequency questionnaire. Multivariate linear regression analyses were adjusted for age, sex, socioeconomic position, neighborhood walkability, and food environment. RESULTS Those living in the highest quartile area of perceived social cohesion had statistically significant lower levels of SB (Q4 B: -13.04; 95% CI = -20.23, -5.85), higher total PA (Q4 B: 4.39; 95% CI = 1.69, 7.10), and higher MVPA (Q4 B: 2.57; 95% CI = 0.83, 4.31) and better diet quality (Q4 B: 1.12; 95% CI = 0.24, 2.01) compared to the lowest quartile independent of walkability and food environment. Similar results were found using the Livability meter. CONCLUSION We discovered neighborhood social cohesion as an important obesogenic determinant that should be considered in policymaking to encourage higher levels of PA and higher diet quality.
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Affiliation(s)
- Jeffrey Alexander Chan
- Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, the Netherlands; Department of Social Medicine, Maastricht University, Maastricht, the Netherlands; Department of Physical Medicine and Rehabilitation, Northern California VA Healthcare System, Martinez, CA, USA.
| | - Hans Bosma
- Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, the Netherlands; Department of Social Medicine, Maastricht University, Maastricht, the Netherlands
| | - Jeroen Lakerveld
- Department of Epidemiology and Data Science, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands
| | - Miranda T Schram
- Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, the Netherlands; Department of Internal Medicine, Maastricht University, Maastricht, the Netherlands; Heart and Vascular Centre, Maastricht University Medical Centre+, Maastricht, the Netherlands
| | - Marleen van Greevenbroek
- Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, the Netherlands; Department of Internal Medicine, Maastricht University, Maastricht, the Netherlands
| | - Annemarie Koster
- Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, the Netherlands; Department of Social Medicine, Maastricht University, Maastricht, the Netherlands
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Place Attachment, Cultural Involvement, and Residents’ Attitudes towards Tourism Development: The Case of Novi Sad, the European Capital of Culture 2022. SUSTAINABILITY 2022. [DOI: 10.3390/su14159103] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The purpose of this study was to determine how residents in Novi Sad (The European Capital of Culture 2022) perceive the influence of cultural involvement and place attachment on their attitude toward tourism, and how this affects their support for tourism development. In order to investigate the relationships between these factors, structural equation modeling (SEM) was used. The proposed model was tested, and the findings show significant relationships between residents’ cultural involvement, place attachment, perceived positive and negative impacts of tourism (economic, socio-cultural, environmental), and support for tourism development. The findings of the study could assist tourism planners not only in Novi Sad but also in other urban destinations.
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Factors Associated with the Participation of Older Adults in Cultural and Sports Activities. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19106244. [PMID: 35627782 PMCID: PMC9141532 DOI: 10.3390/ijerph19106244] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Revised: 05/15/2022] [Accepted: 05/18/2022] [Indexed: 11/24/2022]
Abstract
In the context of population aging, we have witnessed an increased interest in studying the participation of older persons in cultural and sport activities. The aim of this paper is to identify the participation rate in cultural and sports activities among Romanian older adults and the sociodemographics/behavioral variables that correlate with the participation rate in cultural and sports activities. In order to answer our research questions, we employed a questionnaire-based survey, and we used a nationally representative sample. Results point to low participation in both cultural and sports activities. Gender, residence, education, income, degree of mobility, internet connection, and availability of financial resources are significant variables that correlate with the engagement of older people in cultural and sports activities. Our study could serve as a base for concrete policy measures in the field of health and social inclusion of older persons.
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Singh JA, Richards JS, Chang E, Joseph AM, Ng B. Telemedicine Use During the COVID-19 Pandemic by Resilient Rheumatology Providers: A National Veterans Affairs Follow-up Survey. J Rheumatol 2022; 49:424-431. [DOI: 10.3899/jrheum.210967] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/07/2022] [Indexed: 11/22/2022]
Abstract
Objective To assess rheumatology provider experience and practices at Veterans Affairs (VA) facilities during the COVID-19 pandemic. Methods We performed an anonymized follow-up national cross-sectional survey (11/2020-1/2021) to assess provider resilience, experience, practices, views, and opinions about changes to medications and laboratory monitoring of veterans with rheumatic disease. Results Of the 143 eligible VA rheumatology providers, 114 (80%) responded. Compared to the original survey, fewer providers reported using telephone visits, 91% vs. 78% (p =0.009), and more used clinical video telehealth (CVT), 7% vs. 16% (p=0.04) or in-person visits, 59% vs. 76% (p=0.007). Most providers were somewhat or very comfortable with the quality of clinical encounter for established but not new patients for telephone, video-based VA video connect (VVC), and CVT. The mean Connor-Davidson Resilience Scale ( CD-RISC2) score was 6.8 (SD, 1.11; range 0-8; higher=more resilient), significantly higher than the original April- May 2020 survey score of 6.35 (SD, 1.26; p=0.004). Adjusted for age, sex and ethnicity, high provider resilience was associated with significantly higher odds ratio (OR) of comfort with technology and the quality of the VVC visit: (1) established patient, 1.71 (95% CI, 0.67-4.40) and 4.13 (95% CI, 1.49-11.44); (2) new patient, 2.79 (95% CI, 1.11-7.05); and 2.69 (95% CI, 1.06-6.82), respectively. Conclusion Reassuringly, VA rheumatology providers became increasingly comfortable with video visits during the first 10 months of the pandemic. High provider resilience, and its association with better quality video visits, raise the possibility that video visits might be an acceptable substitute for in-person visits under appropriate circumstances.
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Raina P, Ali MU, Joshi D, Gilsing A, Mayhew A, Thompson M, Griffith LE. Associations of functional disability and behavioural risk factors with social participation of older adults: a cross-sectional analysis from the Canadian Longitudinal Study on Aging. BMJ Open 2022; 12:e052173. [PMID: 35045997 PMCID: PMC8772424 DOI: 10.1136/bmjopen-2021-052173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
OBJECTIVES To examine: (1) the associations of functional disability and behavioural risk factors with social participation; and (2) whether the association between functional disability and social participation is modified by co-occurrence of behavioural risk factors. DESIGN A cross-sectional analysis of data from the Canadian Longitudinal Study on Aging. SETTING A national stratified sample of 51 388 individuals living in the 10 Canadian provinces at the time of baseline data collection (2011-2015). PARTICIPANTS Participants included men and women aged 45-85 years and residing in the communities in the 10 Canadian provinces. OUTCOME MEASURES Social participation was assessed using frequency of participant involvement in eight different social activities in the past 12 months. Responses for each category were converted into number of days per month. Total social participation score (range: 0-180) was based on summing frequencies over all eight activities representing number of social activities per month. RESULTS Functional disability was associated with participating in fewer social activities (difference in mean total social participation score, b=-1.1, 95% CI -1.5 to -0.7). In comparison to no behavioural risk factors, presence of any one (b=-2.7, 95% CI -3.1 to -2.3), any two (b=-4.6, 95% CI -5.0 to -4.2), any three (b=-6.3, 95% CI -6.8 to -5.9) and all four (b=-7.8, 95% CI -9.0 to -6.6) behavioural risk factors was associated with lower social participation. The association between functional disability and social participation was modified by the presence of behavioural risk factors with the lowest social participation observed for adults with disability and all four behavioural risk factors (b=-4.3, 95% CI -7.5 to -1.2). CONCLUSIONS Individuals with functional disabilities and behavioural risk factors are more likely to experience restrictions in social participation. Public health interventions that encourage healthy lifestyle behaviours may help mitigate the impact of functional disabilities on social participation in the ageing population.
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Affiliation(s)
- Parminder Raina
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
| | - Muhammad Usman Ali
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
| | - Divya Joshi
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
| | - Anne Gilsing
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
| | - Alexandra Mayhew
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
| | - Mary Thompson
- Department of Statistics and Actuarial Science, University of Waterloo, Waterloo, Ontario, Canada
| | - Lauren E Griffith
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
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Illario M, De Luca V, Cano A, Tramontano D. Go for it! Exercising makes you happy and strong. TRANSLATIONAL MEDICINE AT UNISA 2021; 23:92-105. [PMID: 34447722 PMCID: PMC8370514 DOI: 10.37825/2239-9747.1019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Despite it is generally recognized the beneficial role of physical activity, large portion of the population is physically inactive. Very alarmingly, the well-known gender gap in physical activity is constantly increasing. Several barriers obstacle women to perform physical activity although exercising would be of paramount importance for their health in particular during pregnancy and menopause. In addition to physical health benefits, physical activity may influence well-being and resilience, greatly impacting on quality of life. Here we explore the relationship between physical activity resilience and well-being in a group of 1107 female residents in the Metropolitan area of Naples.
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Affiliation(s)
- M Illario
- Department of Public Health; Research & Development Unit, Federico II University & Hospital, Naples, Italy
| | - V De Luca
- Department of Public Health; Research & Development Unit, Federico II University & Hospital, Naples, Italy
| | - A Cano
- Department of Pediatrics, Obstetrics and Gynecology, University of Valencia, Spain
| | - D Tramontano
- Department of Molecular Medicine and Medical Biotechnology, Federico II University, Naples, Italy; Fondazione GENS, Naples Italy
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Impacto del COVID-19 en población adulta mexicana: conductas de salud pública y salud mental. REVISTA IBEROAMERICANA DE PSICOLOGÍA 2021. [DOI: 10.33881/2027-1786.rip.14301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
La crisis de salud pública del COVID-19 ha implicado que se lleven a cabo conductas para su prevención y a su vez ha acarreado consecuencias psicológicas en los ciudadanos. El objetivo de esta investigación es comparar las relaciones existentes entre las variables sociodemográficas y las variables de salud mental y de salud pública contra el coronavirus en población mexicana. El estudio se desarrolló mediante un diseño transversal de una sola etapa. Participaron 7,693 adultos quienes contestaron el cuestionario en línea PSY-COVID diseñado ad hoc durante junio de 2020. Los resultados indican que existe una relación positiva entre todas las variables de salud pública: expectativas de resultados, autoeficacia, norma social subjetiva, barreras/facilitadores, experiencia en conductas de prevención e intención de conductas de prevención post-confinamiento y las variables de salud mental: ansiedad, depresión y resiliencia. Por el contrario, hay una correlación negativa de estas últimas. Existen más síntomas de estrés y de depresión entre las mujeres y las personas de 16-26 años. Además, los hallazgos indican que los comportamientos de salud pública difieren de acuerdo con el género, nivel educativo, tener personas al cargo, nivel de información y haberse contagiado. A partir de nuestros hallazgos, consideramos importante el promover intervenciones desde la psicología de la salud, sensibles a los distintos grupos de personas que contribuyan al desarrollo de la resiliencia y, a partir de ello, aminorar el impacto psicológico por la pandemia.
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Predebon ML, Ramos G, Pizzol FLFD, Soares JV, Paskulin LMG, Rosset I. Life satisfaction and health self-assessment of older adults assisted through home care. Rev Bras Enferm 2021; 74Suppl 2:e20200357. [PMID: 33759941 DOI: 10.1590/0034-7167-2020-0357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2020] [Accepted: 10/18/2020] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE to identify sociodemographic and health characteristics according to age groups and to analyze the association between self-assessed health status and satisfaction with regular/bad life with sociodemographic characteristics, global functioning and falls of older adults linked to home care within the primary health care network. METHOD cross-sectional study with 124 older adults, conducted using home interviews. A sociodemographic data and health status questionnaire was used, together with Barthel Index, Lawton Instrumental Activities of Daily Living Scale (IADL), the Mini-Mental State Examination, the Geriatric Depression Scale and the Timed Up and Go Test. Bivariate and multivariate analyses (Poisson regression) were applied. RESULTS there was a predominance of female octogenarians. Self-assessment of regular/bad health was associated with mild (p=0.002) and severe (p<0.001) depressive symptoms. Satisfaction with regular/bad life was associated with fear of falling (p=0.019) and with mild (p<0.001) and severe (p<0.001) depressive symptoms. CONCLUSION depressive symptoms were associated with a worse life satisfaction and health self-assessment.
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Affiliation(s)
| | - Gilmara Ramos
- Universidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul, Brazil
| | | | - Juana Vieira Soares
- Universidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul, Brazil
| | | | - Idiane Rosset
- Universidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul, Brazil
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Associations of resilience with quality of life levels in adults experiencing homelessness and mental illness: a longitudinal study. Health Qual Life Outcomes 2021; 19:74. [PMID: 33663538 PMCID: PMC7971123 DOI: 10.1186/s12955-021-01713-z] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Accepted: 02/22/2021] [Indexed: 12/01/2022] Open
Abstract
Background Homelessness constitutes a traumatic period that adversely impacts health and quality of life outcomes. The potential mitigating effects of resilience on quality of life levels in people experiencing homelessness are underresearched. This study assesses the longitudinal associations between resilience and quality of life scores among adults experiencing homelessness and mental illness. Methods This study is a secondary analysis of longitudinal data collected over 6 years from participants (N = 575) of the At Home/Chez Soi study on Housing First, Toronto site. Repeatedly measured resilience scores are the primary exposure and repeatedly measured global quality of life scores and mental health-specific quality of life scores are the primary outcomes. Mixed effect models were used to assess the association between the exposures and the outcomes. Results The majority of the participants were men (69.2%) and were on average 40.4 (± 11.8) years old at baseline. The average resilience score ranged between 5.00 to 5.62 over 8 data collection points across the 6-year follow-up period. After adjusting for gender, age, ethno-racial background, Housing First intervention, physical and mental comorbidities, and lifetime homelessness, higher resilience scores were positively associated with higher Global quality of life (Adjusted-coefficient: 0.23, 95% CI 0.19–0.27) and mental health-related quality of life values (Adjusted-coefficient: 4.15, 95% CI 3.35–4.95). Conclusion In homeless adults with mental illness, higher resilience levels were positively associated with higher global and mental health related quality of life values. Further interventions and services aimed to enhance resilience mechanisms and strategies are warranted to enhance better mental health and quality of life outcomes of this population group. Trial registration At Home/Chez Soi trial was registered with ISRCTN, ISRCTN42520374. Registered 18 September 2009, http://www.isrctn.com/ISRCTN42520374.
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Low E, Kellett J, Bacon R, Naumovski N. Food Habits of Older Australians Living Alone in the Australian Capital Territory. Geriatrics (Basel) 2020; 5:geriatrics5030055. [PMID: 32962146 PMCID: PMC7555807 DOI: 10.3390/geriatrics5030055] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2020] [Revised: 09/11/2020] [Accepted: 09/15/2020] [Indexed: 12/05/2022] Open
Abstract
The link between adequate nutrition and quality of life for older persons is well established. With the proportion of older adults increasing, policy regarding support and care for the ageing has shifted emphasis to keeping older adults in their homes for as long as possible. Risk of malnutrition is an issue of importance for this population and, while this risk is well researched within the hospital setting, it is still relatively under-researched within the community-dwelling elderly, particularly with respect to the lived experience. This qualitative study (underpinned by interpretative phenomenology philosophy) explores how the lived experiences of community-dwelling older people living in one-person households in the Australian Capital Territory (ACT) influences dietary patterns, food choices and perceptions about food availability. Using purposeful and snowballing sampling, older people (65 years and over) living alone in the community participated in focus group discussions triangulated with their family/carers. Data were thematically analysed using a previously established approach. Participants (n = 22) were interviewed in three focus groups. Three themes were identified: active and meaningful community connectedness; eating well and behaviours to promote dietary resilience. Of these, community connectedness was pivotal in driving food patterns and choices and was a central component influencing behaviours to eating well and maintaining dietary resilience.
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Affiliation(s)
- Elizabeth Low
- Discipline of Nutrition and Dietetics, Faculty of Health, University of Canberra, Bruce ACT 2617, Australia; (J.K.); (R.B.); (N.N.)
- Functional Foods and Nutrition Research (FFNR) Laboratory, University of Canberra, Bruce ACT 2617, Australia
- Correspondence:
| | - Jane Kellett
- Discipline of Nutrition and Dietetics, Faculty of Health, University of Canberra, Bruce ACT 2617, Australia; (J.K.); (R.B.); (N.N.)
- Functional Foods and Nutrition Research (FFNR) Laboratory, University of Canberra, Bruce ACT 2617, Australia
| | - Rachel Bacon
- Discipline of Nutrition and Dietetics, Faculty of Health, University of Canberra, Bruce ACT 2617, Australia; (J.K.); (R.B.); (N.N.)
| | - Nenad Naumovski
- Discipline of Nutrition and Dietetics, Faculty of Health, University of Canberra, Bruce ACT 2617, Australia; (J.K.); (R.B.); (N.N.)
- Functional Foods and Nutrition Research (FFNR) Laboratory, University of Canberra, Bruce ACT 2617, Australia
- Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, 17676 Athens, Greece
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Tziraki C, Grimes C, Ventura F, O’Caoimh R, Santana S, Zavagli V, Varani S, Tramontano D, Apóstolo J, Geurden B, De Luca V, Tramontano G, Romano MR, Anastasaki M, Lionis C, Rodríguez-Acuña R, Capelas ML, dos Santos Afonso T, Molloy DW, Liotta G, Iaccarino G, Triassi M, Eklund P, Roller-Wirnsberger R, Illario M. Rethinking palliative care in a public health context: addressing the needs of persons with non-communicable chronic diseases. Prim Health Care Res Dev 2020; 21:e32. [PMID: 32928334 PMCID: PMC7503185 DOI: 10.1017/s1463423620000328] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2020] [Revised: 06/18/2020] [Accepted: 07/14/2020] [Indexed: 11/12/2022] Open
Abstract
Non-communicable chronic diseases (NCCDs) are the main cause of morbidity and mortality globally. Demographic aging has resulted in older populations with more complex healthcare needs. This necessitates a multilevel rethinking of healthcare policies, health education and community support systems with digitalization of technologies playing a central role. The European Innovation Partnership on Active and Healthy Aging (A3) working group focuses on well-being for older adults, with an emphasis on quality of life and healthy aging. A subgroup of A3, including multidisciplinary stakeholders in health care across Europe, focuses on the palliative care (PC) model as a paradigm to be modified to meet the needs of older persons with NCCDs. This development paper delineates the key parameters we identified as critical in creating a public health model of PC directed to the needs of persons with NCCDs. This paradigm shift should affect horizontal components of public health models. Furthermore, our model includes vertical components often neglected, such as nutrition, resilience, well-being and leisure activities. The main enablers identified are information and communication technologies, education and training programs, communities of compassion, twinning activities, promoting research and increasing awareness amongst policymakers. We also identified key 'bottlenecks': inequity of access, insufficient research, inadequate development of advance care planning and a lack of co-creation of relevant technologies and shared decision-making. Rethinking PC within a public health context must focus on developing policies, training and technologies to enhance person-centered quality life for those with NCCD, while ensuring that they and those important to them experience death with dignity.
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Affiliation(s)
- Chariklia Tziraki
- Israel Gerontological Data Center, Hebrew University of Jerusalem, Jerusalem, Israel
- MELABEV – Community Clubs for Elders, Jerusalem, Israel
| | | | - Filipa Ventura
- The Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra, Portugal
| | - Rónán O’Caoimh
- Department of Medicine, Clinical Sciences Institute, National University of Ireland, Galway, Ireland
| | - Silvina Santana
- Department of Economics, Management, Industrial Engineering and Tourism, Institute of Electronics and Informatics Engineering of Aveiro, University of Aveiro, Aveiro, Portugal
| | | | | | - Donatella Tramontano
- Department of Molecular Medicine and Medical Biotechnology, Federico II University of Naples, Naples, Italy
| | - João Apóstolo
- Department of Nursing, Nursing School of Coimbra, Coimbra, Portugal
| | - Bart Geurden
- Nursing and Midwifery, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Vincenzo De Luca
- Research and Development Unit, Federico II University Hospital, Naples, Italy
| | - Giovanni Tramontano
- Hospital Care Division, General Directorate for Health, Campania Region, Naples, Italy
| | - Maria Rosaria Romano
- Hospital Care Division, General Directorate for Health, Campania Region, Naples, Italy
| | - Marilena Anastasaki
- Clinic of Social and Family Medicine, School of Medicine, University of Crete, Heraklion, Crete, Greece
| | - Christos Lionis
- Department of Social Medicine, School of Medicine, University of Crete, Heraklion, Crete, Greece
| | | | - Manuel Luis Capelas
- Interdisciplinary Health Research Center (CIIS), Institute of Health Sciences, Portuguese Catholic University, Lisbon, Portugal
| | - Tânia dos Santos Afonso
- Faculty of Pharmacy, Center for Pharmaceutical Studies, University of Coimbra, Coimbra, Portugal
| | - David William Molloy
- Centre for Gerontology and Rehabilitation, School of Medicine, University College of Cork, Cork, Ireland
| | - Giuseppe Liotta
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy
| | - Guido Iaccarino
- Department of Advanced Biomedical Sciences, Federico II University of Naples, Naples, Italy
| | - Maria Triassi
- Department of Public Health, Federico II University of Naples, Naples, Italy
| | - Patrik Eklund
- Department of Computing Science, Umeå University, Umeå, Sweden
| | | | - Maddalena Illario
- Department of Public Health, Federico II University of Naples, Naples, Italy
- Health Innovation Division, General Directorate for Health, Campania Region, Naples, Italy
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Kim DE, Lim HS, Ahn H, Kim YS, Park YK. Sex Differences in the Association between Living Environmental Factors and Nutritional Status in Community-Dwelling Elderly Koreans. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17176034. [PMID: 32825086 PMCID: PMC7504555 DOI: 10.3390/ijerph17176034] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Revised: 08/14/2020] [Accepted: 08/15/2020] [Indexed: 12/18/2022]
Abstract
The association between nutritional status and living environment among 703 community-dwelling participants (268 men and 435 women) aged 65 years and older was assessed. In this cross-sectional survey study, living environmental factors, health-related factors, and nutrition (the Nutrition Quotient for the Elderly scores; NQ-E) were assessed. NQ-E scores were significantly higher in men than women, as were diversity and behavior factor scores (diversity: men, 50.2 ± 16.1; women, 44.1 ± 17.5; behavior: men, 59.3 ± 16.9; women, 54.1 ± 16.6). Participants living with a spouse and engaging in frequent sports activities had significantly higher adjusted odds ratio (OR) for having a high NQ-E than those who lived alone and engaged in restful activities and hobbies (men: adjusted OR for high NQ-E = 8.99; 95% confidence interval (CI): 1.35-59.56; women: adjusted OR for high NQ-E = 5.62; 95%CI: 2.36-13.38). We confirmed that women's nutritional status, unlike men's, was better when proper nutrition education was provided and when food security was guaranteed. For all participants, social activities and networks were important for maintaining good nutritional status and a healthy life. We suggest that different nutritional management strategies are needed for elderly people depending on sex.
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Affiliation(s)
- Dong Eun Kim
- Department of Medical Nutrition, Graduated School of East-West Medical Science, Kyung Hee University, Yongin 17104, Korea; (D.E.K.); (H.A.)
| | - Hee-Sook Lim
- Department of Food Sciences and Nutrition, Yeonsung University, Anyang 14011, Korea;
| | - Hyejin Ahn
- Department of Medical Nutrition, Graduated School of East-West Medical Science, Kyung Hee University, Yongin 17104, Korea; (D.E.K.); (H.A.)
- New Aging Center, Kyung Hee University, Yongin 17104, Korea
| | - Young Sun Kim
- New Aging Center, Kyung Hee University, Yongin 17104, Korea
- Department of Gerontology, Graduate School of East-West Medical Science, Kyung Hee University, Yongin 17104, Korea
- Correspondence: (Y.S.K.); (Y.K.P.)
| | - Yoo Kyoung Park
- Department of Medical Nutrition, Graduated School of East-West Medical Science, Kyung Hee University, Yongin 17104, Korea; (D.E.K.); (H.A.)
- New Aging Center, Kyung Hee University, Yongin 17104, Korea
- Correspondence: (Y.S.K.); (Y.K.P.)
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Cocozza S, Sacco PL, Matarese G, Maffulli GD, Maffulli N, Tramontano D. Participation to Leisure Activities and Well-Being in a Group of Residents of Naples-Italy: The Role of Resilience. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17061895. [PMID: 32183311 PMCID: PMC7143665 DOI: 10.3390/ijerph17061895] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/15/2020] [Revised: 03/05/2020] [Accepted: 03/05/2020] [Indexed: 01/01/2023]
Abstract
We explored the relationship between cultural and social participation, physical activity, and well-being in a group of residents of the metropolitan area of Naples, Italy and the role that resilience plays in this relationship. Naples offers a remarkable urban environment with the potentially beneficial psychological effects of outstanding natural beauty, and one of the world’s most impressive repositories of tangible and intangible cultural heritage. However, Naples was also, and still is, heavily affected by the 2008 economic crisis, in addition to preexisting social and economic issues. The major finding of this study is that, despite this highly contrasting urban environment, the combination of physical activity and engagement in social and cultural activities has a positive effect on subjective (self-reported) psychological well-being (SPWB) in a group of residents, and that resilience mediates this relationship.
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Affiliation(s)
- Sergio Cocozza
- Department of Molecular Medicine and Medical Biotechnology, University “Federico II” of Naples, 80131 Naples, Italy; (S.C.); (G.M.)
| | - Pier Luigi Sacco
- Department of Humanities, IULM University Milan, 20143 Milan, Italy
- metaLAB (at) Harvard and Berkman-Klein Center for Internet & Society, Harvard University, Boston, MA 02138, USA
- Bruno Kessler Foundation, 38122 Trento, Italy
- Correspondence: (P.L.S.); (D.T.)
| | - Giuseppe Matarese
- Department of Molecular Medicine and Medical Biotechnology, University “Federico II” of Naples, 80131 Naples, Italy; (S.C.); (G.M.)
| | - Gayle D. Maffulli
- Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, Mile End Hospital, 275 Bancroft Road, London E1 4DG, England; (G.D.M.); (N.M.)
| | - Nicola Maffulli
- Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, Mile End Hospital, 275 Bancroft Road, London E1 4DG, England; (G.D.M.); (N.M.)
- Department of Musculoskeletal Surgery, University of Salerno School of Medicine, Surgery and Dentistry, 84121 Salerno, Italy
| | - Donatella Tramontano
- Department of Molecular Medicine and Medical Biotechnology, University “Federico II” of Naples, 80131 Naples, Italy; (S.C.); (G.M.)
- Correspondence: (P.L.S.); (D.T.)
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15
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Luo M, Ding D, Bauman A, Negin J, Phongsavan P. Social engagement pattern, health behaviors and subjective well-being of older adults: an international perspective using WHO-SAGE survey data. BMC Public Health 2020; 20:99. [PMID: 31973695 PMCID: PMC6979381 DOI: 10.1186/s12889-019-7841-7] [Citation(s) in RCA: 45] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2019] [Accepted: 10/24/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Social engagement forms the basis of social relationships by providing a sense of belonging, social identity, and fulfillment. Previous research demonstrates that social engagement was associated with positive health behaviors among older adults. However, the results have been different across health-related behaviors, and mostly based on data from high-income countries. For example, studies from the US and UK showed that social engagement was protective against smoking, while others found social engagement encouraged more smoking in many Asian cultures. In this study, we aim to examine the association between social engagement and a range of health-related behaviors and subjective well-being among older adults in six low- to middle-income countries. METHODS Data from the WHO Study on Global Ageing and Adult Health (SAGE Wave 1) were used. A total of 33,338 individuals aged 50 and older in China, Russia, India, Ghana, South Africa, and Mexico were included. Social engagement, tobacco use, alcohol consumption, fruit and vegetable intake, physical activity, sedentary behavior, sleep duration, depression symptoms, self-rated health status, and quality of life were assessed using established self-reported measures. Multiple logistic regression models were used to examine the relationship between social engagement and nine outcome variables, adjusting for socio-demographic characteristics. RESULTS Lower levels of social engagement were positively related to physical inactivity, prolonged sitting time, unhealthy sleep duration, perceived depression, poor self-rated health, and low quality of life. However, the associations between social engagement and tobacco use, excessive drinking, and insufficient fruit and vegetable intake were mixed across countries. CONCLUSION This international study found high social engagement as a potential health-promoting factor in some low- to middle-income countries. Although the impacts of social engagement on tobacco and alcohol use and diet were complicated and culture-specific, interventions at both individual and community levels should encourage healthy lifestyles through positive social engagement.
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Affiliation(s)
- Mengyun Luo
- The University of Sydney, Sydney School of Public Health, Faculty of Medicine and Health and Charles Perkins Centre, Sydney, NSW 2006 Australia
- School of Public Health, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200025 People’s Republic of China
| | - Ding Ding
- The University of Sydney, Sydney School of Public Health, Faculty of Medicine and Health and Charles Perkins Centre, Sydney, NSW 2006 Australia
| | - Adrian Bauman
- The University of Sydney, Sydney School of Public Health, Faculty of Medicine and Health and Charles Perkins Centre, Sydney, NSW 2006 Australia
| | - Joel Negin
- The University of Sydney, Sydney School of Public Health, Faculty of Medicine and Health and Charles Perkins Centre, Sydney, NSW 2006 Australia
| | - Philayrath Phongsavan
- The University of Sydney, Sydney School of Public Health, Faculty of Medicine and Health and Charles Perkins Centre, Sydney, NSW 2006 Australia
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16
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Bernardo LD, Carvalho CRAD. The role of cultural engagement for older adults: an integrative review of scientific literature. REVISTA BRASILEIRA DE GERIATRIA E GERONTOLOGIA 2020. [DOI: 10.1590/1981-22562020023.190141] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract Objective: to understand the role of cultural engagement in the lives of older adults. Method: an integrative literature review of publications from 2014 and 2019 in English, Portuguese, and Spanish was conducted. The Scopus, Web of Science, MEDLINE/PubMed, CINAHL, PsycNET®, LILACS, SciELO Citation Index and Science Direct databases were used as sources of information. The descriptors “aged” and the related term “cultural engagement” in the three idioms were used in the search, together with the Boolean operators “AND” or “ OR”. A total of 12 articles that met the inclusion criteria were found. These were categorized based on the theme. No Brazilian studies were found. Results: the panorama found revealed that older adults are more interested in receptive cultural activities, such as going to museums, exhibitions and the theater, as these enrich and add greater social value to their lives. Cultural engagement was associated with a reduction in the incidence of neuropsychiatric disorders (dementia and depression), as well as reducing the incidence of episodes of violence. Participation in cultural activities also constituted a protective factor for cognitive abilities and for the reduction of chronic pain. There is also evidence that associates cultural engagement with a better perception of quality of life and greater well-being, happiness and positive affect, as well as the reduction of negative affect. Conclusion: engaging in cultural activities is a way of understanding and respecting cultural diversity, salvaging social identities, and enjoying and providing experiences of great social value, with beneficial impacts in the lives of older adults.
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Limon-Miro AT, Lopez-Teros V, Astiazaran-Garcia H. Dynamic Macronutrient Meal-Equivalent Menu Method: Towards Individual Nutrition Intervention Programs. Methods Protoc 2019; 2:E78. [PMID: 31491882 PMCID: PMC6789454 DOI: 10.3390/mps2030078] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2019] [Revised: 08/24/2019] [Accepted: 09/03/2019] [Indexed: 11/23/2022] Open
Abstract
Nutrition interventions should reflect the state of the art in science and dietetics to meet each patient's requirements. Incorporating new knowledge into individualized food-based nutrition interventions is a major challenge, and health care professionals constantly search for novel approaches through specific and standardized methods. The dynamic macronutrient meal-equivalent menu method involves individuals making informed food choices that match their requirements, schedule, and food availability and affinity, helping them maintain a sense of control and motivation to adhere to a nutrition intervention program. This protocol includes the steps required to prepare a nutrition plan containing equivalent meal options consistent with the patient's needs and preferences. Standard food servings are planned according to population specific dietary guidelines and individual characteristics. Servings are distributed at required mealtimes, and are all equivalent in energy and macronutrient content, providing every patient with interchangeable choices within each mealtime. This empowers individuals to select foods in a guided format whilst adhering to a dietary plan. Acceptable variations for calculated energy and macronutrient content are as follows: protein ±1 g/day, fat ±1 g/day, carbohydrate ±2 g/day, and energy ±15 kcal/day. Following this method, health care professionals can develop individualized nutrition intervention programs that may improve patients' adherence, nutritional status, and health.
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Affiliation(s)
- Ana Teresa Limon-Miro
- Department of Nutrition, Centro de Investigacion en Alimentacion y Desarrollo A.C. (CIAD), Carretera Gustavo Enrique Astiazaran Rosas 46, Hermosillo 83304, Sonora, Mexico
| | - Veronica Lopez-Teros
- Department of Chemical and Biological Sciences, Universidad de Sonora, Hermosillo 83000, Sonora, Mexico
| | - Humberto Astiazaran-Garcia
- Department of Nutrition, Centro de Investigacion en Alimentacion y Desarrollo A.C. (CIAD), Carretera Gustavo Enrique Astiazaran Rosas 46, Hermosillo 83304, Sonora, Mexico.
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18
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Grossi E, Tavano Blessi G, Sacco PL. Magic Moments: Determinants of Stress Relief and Subjective Wellbeing from Visiting a Cultural Heritage Site. Cult Med Psychiatry 2019; 43:4-24. [PMID: 29998384 DOI: 10.1007/s11013-018-9593-8] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
We provide an experimental evaluation of the impact of aesthetic experiences in terms of stress reduction (cortisol levels) and wellbeing increase. The test experience is a visit to the vault of the Sanctuary of Vicoforte, Italy. Data have been collected using a double step method. A structured interview in relation to the individual subjective well-being has been administered to a sample of 100 subjects. In addition, a sample of their saliva has been taken, and its cortisol level measured, before and after the experience, and likewise for momentary wellbeing measured on a Visual Analogous Scale. Subjects reported an average increase of 40% in wellbeing and a decrease of the 60% in the cortisol level. The recorded cortisol level values dropped on average well beyond the decrease normally associated to its circadian cycle. The modulating role of various variables has been appreciated, and profiling of the typical subjects who are wellbeing respondents/non-respondents and cortisol respondents/non-respondents has been carried out. We conclude that aesthetic experience seems to have a noticeable impact on individual physical and mental health. In both dominions, cultural participation intensity is significantly correlated to the response. The study underlines the potential of the arts and culture as a new platform for public health practices and new approaches to welfare policy design.
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Affiliation(s)
- Enzo Grossi
- Villa Santa Maria Institute, Tavernerio, Italy
| | | | - Pier Luigi Sacco
- IULM University, Milan, Italy.
- FBK-IRVAPP, Trento, Italy.
- Harvard University and MetaLAB (at) Harvard, Cambridge, MA, USA.
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Liotta G, Ussai S, Illario M, O'Caoimh R, Cano A, Holland C, Roller-Wirnsberger R, Capanna A, Grecuccio C, Ferraro M, Paradiso F, Ambrosone C, Morucci L, Scarcella P, De Luca V, Palombi L. Frailty as the Future Core Business of Public Health: Report of the Activities of the A3 Action Group of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15122843. [PMID: 30551599 PMCID: PMC6313423 DOI: 10.3390/ijerph15122843] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/20/2018] [Revised: 12/06/2018] [Accepted: 12/09/2018] [Indexed: 12/19/2022]
Abstract
Background: The prevalence of frailty at population-level is expected to increase in Europe, changing the focus of Public Health. Here, we report on the activities of the A3 Action Group, focusing on managing frailty and supporting healthy ageing at community level. Methods: A three-phased search strategy was used to select papers published between January 2016 and May 2018. In the third phase, the first manuscript draft was sent to all A3-Action Group members who were invited to suggest additional contributions to be included in the narrative review process. Results: A total of 56 papers were included in this report. The A3 Action Group developed three multidimensional tools predicting short–medium term adverse outcomes. Multiple factors were highlighted by the group as useful for healthcare planning: malnutrition, polypharmacy, impairment of physical function and social isolation were targeted to mitigate frailty and its consequences. Studies focused on the management of frailty highlighted that tailored interventions can improve physical performance and reduce adverse outcomes. Conclusions: This review shows the importance of taking a multifaceted approach when addressing frailty at community level. From a Public Health perspective, it is vital to identify factors that contribute to successful health and social care interventions and to the health systems sustainability.
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Affiliation(s)
- Giuseppe Liotta
- Department of Biomedicine and Prevention, University of Rome "Tor Vergata", 00133 Rome, Italy.
| | - Silvia Ussai
- International Healthcare Programs, Lombardy Region/LISPA, 20124 Milan, Italy.
| | - Maddalena Illario
- Unità Operativa Dipartimentale 14 Promozione e Potenziamento dei Programmi di Healths Innovation, Direzione Generale per la Tutela della Salute ed il Coordinamento del Sistema Sanitario Regionale, Regione Campania, 80143 Naples, Italy.
- Dipartimento di Scienze Mediche Traslazionali, Università degli Studi di Napoli Federico II, 80138 Naples, Italy.
| | - Rónán O'Caoimh
- Clinical Sciences Institute, National University of Ireland, Galway, Galway City, H91 TK33 Ireland.
| | - Antonio Cano
- Department of Pediatrics, Obstetrics and Gynecology, University of Valencia-INCLIVA, 46010 Valencia, Spain.
| | - Carol Holland
- Centre for Ageing Research, University of Lancaster, Lancaster, LA1 4YG, UK.
| | | | - Alessandra Capanna
- School of Specialization in Hygiene and Medicine Prevention, University of Rome "Tor Vergata", 00133 Rome, Italy.
| | - Chiara Grecuccio
- School of Specialization in Hygiene and Medicine Prevention, University of Rome "Tor Vergata", 00133 Rome, Italy.
| | - Mariacarmela Ferraro
- School of Specialization in Hygiene and Medicine Prevention, University of Rome "Tor Vergata", 00133 Rome, Italy.
| | - Francesca Paradiso
- School of Specialization in Hygiene and Medicine Prevention, University of Rome "Tor Vergata", 00133 Rome, Italy.
| | - Cristina Ambrosone
- School of Specialization in Hygiene and Medicine Prevention, University of Rome "Tor Vergata", 00133 Rome, Italy.
| | - Luca Morucci
- School of Specialization in Hygiene and Medicine Prevention, University of Rome "Tor Vergata", 00133 Rome, Italy.
| | - Paola Scarcella
- Department of Biomedicine and Prevention, University of Rome "Tor Vergata", 00133 Rome, Italy.
| | - Vincenzo De Luca
- Unità Operativa Semplice Ricerca e Sviluppo, Azienda Ospedaliera Universitaria Federico II, 80138 Naples, Italy.
| | - Leonardo Palombi
- Department of Biomedicine and Prevention, University of Rome "Tor Vergata", 00133 Rome, Italy.
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20
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Johnson RA, Milner KA, Heng C, Greer AE, DeNisco S. Implementation and Evaluation of a Physical Activity and Dietary Program in Federal Incarcerated Females. JOURNAL OF CORRECTIONAL HEALTH CARE 2018; 24:395-406. [DOI: 10.1177/1078345818793142] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Rosemary A. Johnson
- US Public Health Service, Federal Correctional Institution, Danbury, CT, USA
| | - Kerry A. Milner
- College of Nursing, Sacred Heart University, Fairfield, CT, USA
| | - Christine Heng
- US Public Health Service, Federal Correctional Institution, Danbury, CT, USA
| | - Anna E. Greer
- Department of Public Health, Sacred Heart University, Fairfield, CT, USA
| | - Sue DeNisco
- College of Nursing, Sacred Heart University, Fairfield, CT, USA
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Wang Y, Ma T, Zhu YS, Chu XF, Yao S, Wang HF, Cai J, Wang XF, Jiang XY. The KSR2-rs7973260 Polymorphism is Associated with Metabolic Phenotypes, but Not Psychological Phenotypes, in Chinese Elders. Genet Test Mol Biomarkers 2017; 21:416-421. [PMID: 28537769 DOI: 10.1089/gtmb.2016.0402] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
Abstract
OBJECTIVE To examine the associations between genetic variants of KSR2 (kinase suppressor of RAS)-rs7973260, RAPGEF6 (guanine nucleotide exchange factor 6)-rs3756290, LOC105377703-rs4481363, and subjective well-being (SWB) and depressive symptoms (DSs) in Chinese elders, which were recently associated in a genome-wide association study conducted in Caucasians. The pleiotropic effects of KSR2-rs7973260 on metabolic phenotypes were also explored. MATERIALS AND METHODS We used data from 1788 older individuals aged 70-84 years from the aging arm of the Rugao Longevity and Aging Study, a population-based cohort study conducted in the Jiangsu province of China. RESULTS No significant distributions of genotype frequencies were observed between life-satisfied and -unsatisfied groups across those with the three polymorphisms. The level of SWB components (positive affect, negative affect, and affect balance) and DSs did not differ among genotypes of the three variants. However, the presence of GA+AA of KSR2-rs7973260 was significantly higher in the metabolic syndrome (MetS), severe hypertriglyceridemia (HTG), and diabetes groups than in control groups (43.7% vs. 37.6%, 46.4% vs. 37.6%, 45.8% vs. 37.9%, respectively). The A allele of rs7973260 was associated with increased risk of MetS, severe HTG, and diabetes with an odds ratios (95% confidence intervals) of 1.289 (1.002-1.658), 1.438 (1.076-1.921), and 1.384 (1.022-1.875), which remained significant after multiple adjustments. CONCLUSION Rs7973260, rs3756290, and rs4481363 were not associated with SWB and DSs in Chinese elders. However, the KSR2-rs7973260 A allele exhibited pleiotropic effects on some metabolic phenotypes in Chinese elders. These effects should be validated in future studies.
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Affiliation(s)
- Yong Wang
- 1 Rugao People's Hospital , Rugao, China
| | - Teng Ma
- 2 Unit of Epidemiology, MOE Key Laboratory of Contemporary Anthropology, State Key Laboratory of Genetic Engineering School of Life Sciences, Institutes of Biomedical Sciences, Fudan University , Shanghai, China
| | | | | | - Shun Yao
- 2 Unit of Epidemiology, MOE Key Laboratory of Contemporary Anthropology, State Key Laboratory of Genetic Engineering School of Life Sciences, Institutes of Biomedical Sciences, Fudan University , Shanghai, China
| | - Hong-Fei Wang
- 3 Department of Vascular Surgery, Changhai Hospital, Second Military Medical University , Shanghai, China
| | - Jian Cai
- 4 Department of Neurology, First Affiliated Hospital, Xinjiang Medical University , Urumqi, China
| | - Xiao-Feng Wang
- 2 Unit of Epidemiology, MOE Key Laboratory of Contemporary Anthropology, State Key Laboratory of Genetic Engineering School of Life Sciences, Institutes of Biomedical Sciences, Fudan University , Shanghai, China
| | - Xiao-Yan Jiang
- 5 Key Laboratory of Arrhythmias of the Ministry of Education of China, Tongji University School of Medicine , Shanghai, China .,6 Department of Pathology and Pathophysiology, Tongji University School of Medicine , Shanghai, China .,7 Institute of Medical Genetics, Tongji University , Shanghai, China
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22
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Bureš V, Čech P, Mikulecká J, Ponce D, Kuca K. The effect of cognitive training on the subjective perception of well-being in older adults. PeerJ 2016; 4:e2785. [PMID: 28028465 PMCID: PMC5180580 DOI: 10.7717/peerj.2785] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2016] [Accepted: 11/11/2016] [Indexed: 02/03/2023] Open
Abstract
Background There is a growing number of studies indicating the major consequences of the subjective perception of well-being on mental health and healthcare use. However, most of the cognitive training research focuses more on the preservation of cognitive function than on the implications of the state of well-being. This secondary analysis of data from a randomised controlled trial investigated the effects of individualised television-based cognitive training on self-rated well-being using the WHO-5 index while considering gender and education as influencing factors. The effects of cognitive training were compared with leisure activities that the elderly could be engaged in to pass time. Methods Cognitively healthy participants aged 60 years or above screened using the Mini-Mental State Examination (MMSE) and Major Depression Inventory (MDI) were randomly allocated to a cognitive training group or to an active control group in a single-blind controlled two-group design and underwent 24 training sessions. Data acquired from the WHO-5 questionnaire administered before and after intervention were statistically analysed using a mixed design model for repeated measures. The effect of individualised cognitive training was compared with leisure activities while the impact of gender and education was explored using estimated marginal means. Results A total of 81 participants aged 67.9 ± 5.59 [60–84] without cognitive impairments and absent of depression symptoms underwent the study. Participants with leisure time activities declared significantly higher scores compared to participants with cognitive training M = 73.48 ± 2.88, 95% CI [67.74–79.22] vs M = 64.13 ± 3.034, 95% CI [58.09–70.17] WHO-5 score. Gender and education were found to moderate the effect of cognitive training on well-being when compared to leisure activities. Females engaged in leisure activities in the control group reported higher by M = 9.77 ± 5.4, 95% CI [−0.99–20.54] WHO-5 scores than females with the cognitive training regimen. Participants with high school education declared leisure activities to increase WHO-5 scores by M = 14.59 ± 5.39, 95% CI [3.85–25.34] compared to individualised cognitive training. Discussion The findings revealed that individualised cognitive training was not directly associated with improvements in well-being. Changes in the control group indicated that involvement in leisure time activities, in which participants were partly free to choose from, represented more favourable stimulation to a self-perceived sense of well-being than individualised cognitive training. Results also supported the fact that gender and education moderated the effect of cognitive training on well-being. Females and participants with high school education were found to be negatively impacted in well-being when performance connected with cognitive training was expected.
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Affiliation(s)
- Vladimír Bureš
- Faculty of Informatics and Management, University of Hradec Kralove , Hradec Kralove , Czech Republic
| | - Pavel Čech
- Faculty of Informatics and Management, University of Hradec Kralove , Hradec Kralove , Czech Republic
| | - Jaroslava Mikulecká
- Faculty of Informatics and Management, University of Hradec Kralove , Hradec Kralove , Czech Republic
| | - Daniela Ponce
- Faculty of Informatics and Management, University of Hradec Kralove , Hradec Kralove , Czech Republic
| | - Kamil Kuca
- Faculty of Informatics and Management, University of Hradec Kralove, Hradec Kralove, Czech Republic; Biomedical Research Centre, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic
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