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Fang H, Xiong Z, Li Y, Cui W, Cheng Z, Xiang J, Ye T. Physical activity and transitioning to retirement: evidence from the China health and retirement longitudinal study. BMC Public Health 2023; 23:1937. [PMID: 37803340 PMCID: PMC10557290 DOI: 10.1186/s12889-023-16870-7] [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: 03/23/2023] [Accepted: 10/01/2023] [Indexed: 10/08/2023] Open
Abstract
BACKGROUND The impact of retirement on physical activity among older individuals remains ambiguous. This study aims to investigate the influence of retirement on physical activity and delineate the trajectories of physical activity changes during the retirement transition among elderly Chinese residents. Additionally, we endeavor to examine the factors that contribute to each trajectory. METHODS This longitudinal cohort study used data from four surveys of the China Health and Retirement Longitudinal Study and included a sample of 428 individuals who underwent formal retirement and provided information on physical activity. We employed generalized estimating equation to explore the impact of the retirement transition on physical activity among Chinese older adults. Latent class growth analysis was used to identify distinct trajectories of physical activity, and binary logistic regression was performed to identify pre-retirement factors influencing changes in physical activity. RESULTS Our findings indicate that retirement can lead to a decline in physical activity among older Chinese residents (OR = 0.85, 95%CI 0.75 ~ 0.97). We identified three distinct trajectories of physical activity during the retirement transition: Trajectory 1 - "sustained low level of physical activity" (7.94%); Trajectory 2 - "middle level of physical activity with gradual decline" (69.16%); Trajectory 3 - "sustained high level of physical activity with significant fluctuations" (22.90%). Furthermore, we discovered that individuals in the "middle level of physical activity and gradual decline" trajectory were more likely to have an annual income exceeding 40,000 yuan (OR = 9.69, 95%CI 1.12 ~ 83.63), reside in urban areas (OR = 2.27, 95%CI 1.14 ~ 4.52), and have a fondness for playing Mahjong (OR = 2.42, 95%CI 1.18 ~ 5.00) compared to those in the "sustained high level of physical activity with significant fluctuations" trajectory. Additionally, having an annual income exceeding 40,000 yuan (OR = 19.67, 95%CI 1.30 ~ 298.61) predicted membership in the "sustained low level of physical activity" trajectory when compared to the "sustained high level of physical activity with significant fluctuations" trajectory. CONCLUSION Retirement represents a substantial milestone in the life course and is associated with notable alterations in physical activity patterns. Among older Chinese residents, the trajectories of physical activity during the retirement transition exhibit diverse paths and are influenced by pre-retirement factors, including annual income, residential location, and hobbies. The findings of this study have important implications for the formulation of policies aimed at promoting healthy aging among individuals approaching retirement age.
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Affiliation(s)
- Huiyan Fang
- School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
- Department of Education, Research Center for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei Provincial, Wuhan, China
| | - Zihui Xiong
- School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
- Department of Education, Research Center for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei Provincial, Wuhan, China
| | - Yilin Li
- School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
- Department of Education, Research Center for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei Provincial, Wuhan, China
| | - Wenhui Cui
- School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
- Department of Education, Research Center for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei Provincial, Wuhan, China
| | - Ziping Cheng
- School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
- Department of Education, Research Center for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei Provincial, Wuhan, China
| | - Ji Xiang
- School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
- Department of Education, Research Center for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei Provincial, Wuhan, China
| | - Ting Ye
- School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
- Department of Education, Research Center for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei Provincial, Wuhan, China.
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Spiteri K, Xerri de Caro J, Grafton K, Laventure B, Broom DR. Physical Activity and Sedentary Behaviour with Retirement in Maltese Civil Servants: A Dialectical Mixed-Method Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14598. [PMID: 36361478 PMCID: PMC9654557 DOI: 10.3390/ijerph192114598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Revised: 10/29/2022] [Accepted: 10/30/2022] [Indexed: 06/16/2023]
Abstract
(1) Background: Retirement is a life event that can influence physical activity (PA) and sedentary behaviour (SB) and can be used as an opportunity to promote positive lifestyle choices. The aims of this study were to (a) to identify changes in PA and SB resulting from retirement and (b) to explore predictors of any changes in PA and SB following retirement in Maltese civil servants. (2) Methods: a hybrid mixed-method (MM) study, using first quantitative followed by qualitative methods, of civil servants aged ≥60 years, who were followed during their retirement transition for two years. A proportion of the research participants in the MM study retired while the others remained employed. Questionnaires and semi-structured interviews were used to collect data. (3) Results: there were no changes in total PA and sitting behaviour with retirement in Maltese civil servants. People who retired carried out more domestic PA compared to when they were in employment, which resulted in more moderate-intensity PA behaviour. People perceived that their sitting time increased with retirement in the qualitative interviews, but this was not observed in the quantitative data. Past PA behaviour was an important predictor of future PA behaviour, but not for SB. (4) Conclusions: A change in PA occurs with the retirement transition. However, the uptake of exercise is a personal choice that is dependent on previous experience. Increasing SB is perceived as part of the retirement plan but is not necessarily seen in the measured quantitative data.
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Affiliation(s)
- Karl Spiteri
- Faculty Research Centre for Sport, Exercise and Life Sciences, Coventry University, Coventry CV1 5FB, UK
- Physiotherapy Department, St. Vincent De Paul Long-Term Care Facility, LQA 3301 Luqa, Malta
| | - John Xerri de Caro
- Physiotherapy Department, Faculty of Health Sciences, University of Malta, MSD 2080 Msida, Malta
| | - Kate Grafton
- School of Health & Social Care, University of Lincoln, Lincoln LN6 7TS, UK
| | | | - David R. Broom
- Faculty Research Centre for Sport, Exercise and Life Sciences, Coventry University, Coventry CV1 5FB, UK
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Individual and country-level factors associated with self-reported and accelerometer-based physical activity in old age: a cross-national analysis of European countries. Eur J Ageing 2022; 19:1529-1542. [PMID: 36311335 PMCID: PMC9589794 DOI: 10.1007/s10433-022-00737-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/11/2022] [Indexed: 02/05/2023] Open
Abstract
This study aimed to investigate associations between individual-level (personality traits, quality of life) and country-level (gross domestic product per capita, number of policies and action plans for physical activity) factors with self-reported and accelerometer-based physical activity and cross-level interactions among European countries. Based on the Survey of Health, Ageing and Retirement in Europe (SHARE) from 2019-2020, self-reported physical activity (N = 46,617 from 27 countries) and accelerometer-based average acceleration and intensity gradient (N = 855 from 10 countries) were analyzed. Mixed-model regressions with two levels (individuals nested within countries) were used for analyses. Between countries differences accounted for relatively small portions of the variability in self-reported physical activity (intraclass correlation, ICC = 7.5%), average acceleration (ICC = 3.5%), and intensity gradient (ICC = 1.9%). There were more associations between individual- and country-level factors and self-reported physical activity than with accelerometer-based physical activity. The association between individual-level variables and accelerometer-based physical activity did not differ between countries. Cross-level interactions suggested that associations between some personality traits and self-reported physical activity were stronger in countries with lower GDP. Both individual- and country-level factors are related to participation in more intensive physical activities. Adults with less resilient personality traits living in countries with lower resources are at the highest risk for physical inactivity. Supplementary Information The online version contains supplementary material available at 10.1007/s10433-022-00737-8.
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Socioeconomic Differences in Physical Activity and Sedentary Behavior During the Retirement Transition: A Systematic Review of Longitudinal Studies. J Phys Act Health 2022; 19:623-637. [PMID: 35985645 DOI: 10.1123/jpah.2022-0196] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Revised: 06/24/2022] [Accepted: 07/19/2022] [Indexed: 01/09/2023]
Abstract
BACKGROUND The retirement transition constitutes both a risk and an opportunity for changes in physical activity (PA) and sedentary behavior (SB). The present systematic review aims to summarize the current evidence regarding the differences between socioeconomic status (SES) groups in changes in PA and SB across the retirement transition. METHODS The authors searched 5 databases. Inclusion criteria were: investigating statutory retirement, measuring PA and/or SB at least once before and once after retirement, and reporting information on SES differences. Results are reported by means of a narrative synthesis, combined with harvest plots based on direction of effect. RESULTS We included 24 papers from 19 studies. Sixteen papers focused on PA, 3 on SB, and 5 investigated both. For total PA, occupational PA, and total sedentary time, nearly all publications reported more favorable changes for high SES groups. For recreational PA, active transport, and screen time, there seemed to be a tendency toward more favorable changes for high SES groups. Changes in household/caregiving PA did not appear to differ between SES groups. CONCLUSIONS Changes in movement behavior during the retirement transition are potentially more favorable for high SES adults. Nonetheless, the differences between SES groups seem to depend on the domain of movement behavior.
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Functional Status, Quality of Life, and Physical Activity of Senior Club Members-A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19031900. [PMID: 35162920 PMCID: PMC8835297 DOI: 10.3390/ijerph19031900] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/06/2022] [Revised: 02/04/2022] [Accepted: 02/05/2022] [Indexed: 12/02/2022]
Abstract
This study aims to assess the functional status, quality of life, and physical activity (PA) of the elderly who are members of senior social clubs. The study included 63 participants (65–95 years old) who were members of a seniors club. The study utilized the following instruments: Barthel scale, Lawton’s scale of Instrumental Activities of Daily Living (IADL), WHO Quality of Life-BREF questionnaire, author’s survey questionnaire containing questions about the type of PA. Duration of membership in the senior club has a statistically significant effect on Barthel index score (F = 19.68, p < 0.001) and Lawton’s IADL scale results (F = 17.59, p < 0.001). All four domains of life quality were strongly related to the duration of attendance to senior clubs. Participants who attended the senior club for more than five years were more likely to report a longer PA duration than participants who attended the senior club for less than 5 years (Chi2 = 25.84, p < 0.001). Attendance to senior social clubs has a strong positive impact on functional status, quality of life, and PA of the elderly. Moreover, our study identified numerous social-demographic factors associated with PA, quality of life, and functional status of senior club members.
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