Social isolation, physical inactivity and inadequate diet among European middle-aged and older adults

. 2021 May 15 ; 21 (1) : 924. [epub] 20210515

Jazyk angličtina Země Anglie, Velká Británie Médium electronic

Typ dokumentu časopisecké články, Research Support, N.I.H., Extramural, práce podpořená grantem, Research Support, U.S. Gov't, P.H.S.

Perzistentní odkaz   https://www.medvik.cz/link/pmid33992074

Grantová podpora
P01 AG005842 NIA NIH HHS - United States
P01 AG008291 NIA NIH HHS - United States
P30 AG012815 NIA NIH HHS - United States
R21 AG025169 NIA NIH HHS - United States
U01 AG009740 NIA NIH HHS - United States
HHSN271201300071C NIA NIH HHS - United States

Odkazy

PubMed 33992074
PubMed Central PMC8122541
DOI 10.1186/s12889-021-10956-w
PII: 10.1186/s12889-021-10956-w
Knihovny.cz E-zdroje

BACKGROUND: Social isolation is a growing public health concern for older adults, as it has been associated with poor health and premature mortality. On the other hand, physical inactivity and an inadequate diet are important health risk behaviours associated with physical and mental health problems. Considering that there is no research examining the possible relationship between social isolation and the above mentioned health risk behaviours of European middle-aged and older adults, this cross-sectional study aims to contribute to filling this gap. METHODS: We used data from the SHARE project (Survey of Health, Ageing and Retirement in Europe), wave 6 (2015), release 7.0.0 (N = 67,173 individuals from 17 European countries plus Israel). Statistical tests for a two-group comparison were carried out to assess the differences between highly socially isolated individuals and low/intermediate socially isolated ones. Logistic regressions by country were performed to examine whether social isolation is associated with physical inactivity and an inadequate diet in the population aged 50 + . RESULTS: Our results point out that, for the majority of the countries analysed, highly socially isolated individuals are more likely than low/intermediate isolated ones to be physically inactive and to consume less fruit or vegetables on a daily basis. In 9 European countries (Austria, Germany, Sweden, Denmark, Greece, Belgium, Poland, Luxembourg and Estonia) highly socially isolated individuals are more likely to be physically inactive. On the other hand, in 14 European countries (Austria, Germany, Sweden, Italy, France, Denmark, Greece, Switzerland, Belgium, Czech Republic, Luxembourg, Slovenia, Estonia and Croatia), high social isolation increases the likelihood of having an inadequate diet. CONCLUSION: Highly socially isolated European middle-aged and older adults are more prone to be physically inactive and to have an inadequate diet in terms of daily consumption of fruit and vegetables. The reduced social integration, social support and companionship of the highly socially isolated individuals may explain this association. Our results reinforce the importance of social and health policies targeting highly socially isolated European individuals aged 50 + .

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Boulos C, Salameh P, Barberger-Gateau P. Social isolation and risk for malnutrition among older people. Geriatr Gerontol Int. 2017;17(2):286–94. [cited 2019 Oct 10]. Available from: http://doi.wiley.com/10.1111/ggi.12711. PubMed DOI

Holt-Lunstad J, Smith TB, Baker M, Harris T, Stephenson D. Loneliness and Social Isolation as Risk Factors for Mortality. Perspect Psychol Sci. 2015;10(2):227–237. doi: 10.1177/1745691614568352. PubMed DOI

Nicholson NR. A review of social isolation: An important but underassessed condition in older adults. J Prim Prev. 2012;33:137–52. [cited 2020 Sep 29]. Available from: https://link.springer.com/article/10.1007/s10935-012-0271-2. PubMed DOI

Schrempft S, Jackowska M, Hamer M, Steptoe A. Associations between social isolation, loneliness, and objective physical activity in older men and women. BMC Public Health. 2019;19(1):74. [cited 2019 Jul 18]. Available from: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-019-6424-y. PubMed DOI PMC

D’Hombres B, Schnepf S, Barjakovà M, Mendonça F. Loneliness – an unequally shared burden in Europe. EU Commission. 2018. Available from: https://ec.europa.eu/jrc/sites/jrcsh/files/fairness_pb2018_loneliness_jrc_i1.pdf.

Coyle CE, Dugan E. Social Isolation, Loneliness and Health Among Older Adults. J Aging Health. 2012;24(8):1346–63. [cited 2019 Jul 18]. Available from: http://journals.sagepub.com/doi/10.1177/0898264312460275. PubMed DOI

Leigh-Hunt N, Bagguley D, Bash K, Turner V, Turnbull S, Valtorta N, et al. An overview of systematic reviews on the public health consequences of social isolation and loneliness. Public Health. 2017;152:157–71. [cited 2018 May 14]. Available from: https://www.sciencedirect.com/science/article/pii/S0033350617302731?via%3Dihub. PubMed

Laugesen K, Baggesen LM, Schmidt SAJ, Glymour MM, Lasgaard M, Milstein A, et al. Social isolation and all-cause mortality: a population-based cohort study in Denmark. Sci Rep. 2018;8(1):4731. [cited 2019 Jul 17]. Available from: http://www.nature.com/articles/s41598-018-22963-w. PubMed PMC

Menec VH, Newall NE, Mackenzie CS, Shooshtari S, Nowicki S. Examining individual and geographic factors associated with social isolation and loneliness using Canadian Longitudinal Study on Aging (CLSA) data. Latham-Mintus K, editor. PLoS One. 2019;14(2):e0211143. [cited 2019 Jul 29]. Available from: http://dx.plos.org/10.1371/journal.pone.0211143. PubMed DOI PMC

Fawaz Y, Mira P. Social isolation, health dynamics, and mortality: Evidence across 21 Europe countries. CEMFI Working Paper. Madrid; 2020. [cited 2020 Sep 17]. Available from: https://www.researchgate.net/publication/341940188_Social_isolation_health_dynamics_and_mortality_Evidence_across_21_Europe_countries.

Shankar A, Hamer M, McMunn A, Steptoe A. Social isolation and loneliness: Relationships with cognitive function during 4 years of follow-up in the English longitudinal study of ageing. Psychosom Med. 2013;75(2):161–70. [cited 2020 Sep 29]. Available from: https://pubmed.ncbi.nlm.nih.gov/23362501/. PubMed

Lara E, Caballero FF, Rico-Uribe LA, Olaya B, Haro JM, Ayuso-Mateos JL, et al. Are loneliness and social isolation associated with cognitive decline? Int J Geriatr Psychiatry. 2019;34(11):1613–22. [cited 2020 Sep 29]. Available from: https://pubmed.ncbi.nlm.nih.gov/31304639/. PubMed

Blazer D. Social Isolation Among Older Individuals: The Relationship to Mortality and Morbidity. In: Berg RL, Cassells J., editors. The Second Fifty Years: Promoting Health and Preventing Disabi. National A. Washington, DC; 1992. p. 243–62.

Hämmig O. Health risks associated with social isolation in general and in young, middle and old age. PLoS One. 2019;14(7). [cited 2019 Nov 4]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6638933/. PubMed PMC

Victor C, Scambler S, Bond J, Bowling A. Being alone in later life: loneliness, social isolation and living alone. Rev Clin Gerontol. 2000;10(4):407–4017. [cited 2018 May 21]. Available from: https://www.cambridge.org/core/journals/reviews-in-clinical-gerontology/article/being-alone-in-later-life-loneliness-social-isolation-and-living-alone/5B070D099EC989DF39F6114F071E9EDC.

Cornwell EY, Waite LJ. Social disconnectedness, perceived isolation, and health among older adults. J Health Soc Behav. 2009;50(1):31–48. [cited 2020 Sep 29]. Available from:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2756979/. PubMed PMC

Coe NB, Zamarro G. Retirement effects on health in Europe. J Health Econ. 2011;30(1):77–86. [cited 2020 Sep 17]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2756979/. PubMed PMC

Smith SG, Jackson SE, Kobayashi LC, Steptoe A. Social isolation, health literacy, and mortality risk: Findings from the English Longitudinal Study of Ageing. Heal Psychol. 2018;37(2):160–9. [cited 2020 Dec 17]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2756979/. PubMed PMC

Forouzanfar MH, Afshin A, Alexander LT, Anderson HR, Bhutta ZA, Biryukov S, et al. Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388(10053):1659–724. [cited 2019 Nov 6]. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0140673616316798. PubMed PMC

Ding D, Lawson KD, Kolbe-Alexander TL, Finkelstein EA, Katzmarzyk PT, van Mechelen W, et al. The economic burden of physical inactivity: a global analysis of major non-communicable diseases. Lancet. 2016;388(10051):1311–24. [cited 2020 Sep 17]. Available from: http://www.thelancet.com/article/S014067361630383X/fulltext. PubMed

Sun F, Norman IJ, While AE. Physical activity in older people: a systematic review. BMC Public Health. 2013;13(1):449. [cited 2019 Nov 6]. Available from: http://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-13-449. PubMed DOI PMC

Gomes M, Figueiredo D, Teixeira L, Poveda V, Paúl C, Santos-Silva A, et al. Physical inactivity among older adults across Europe based on the SHARE database. Age Ageing. 2017;46(1):71–7. [cited 2019 Nov 13]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/28181637. PubMed PMC

OECD. Health at a Glance 2017. OECD Publishing; 2017 [cited 2018 Feb 19]. (Health at a Glance). Available from: http://www.oecd-ilibrary.org/social-issues-migration-health/health-at-a-glance-2017_health_glance-2017-en.

Gehlich KH, Beller J, Lange-Asschenfeldt B, Köcher W, Meinke MC, Lademann J. Consumption of fruits and vegetables: improved physical health, mental health, physical functioning and cognitive health in older adults from 11 European countries. Aging Ment Health. 2019;1–8. [cited 2019 Dec 11]. Available from: https://www.tandfonline.com/doi/full/10.1080/13607863.2019.1571011. PubMed DOI

OECD. Health at a Glance 2019. OECD; 2019 [cited 2020 Jul 30]. (Health at a Glance). Available from: https://www.oecd-ilibrary.org/social-issues-migration-health/health-at-a-glance-2019_4dd50c09-en.

Appleton KM, McGill R, Woodside J V. Fruit and vegetable consumption in older individuals in Northern Ireland: levels and patterns. Br J Nutr. 2009 ;102(7):949–53. [cited 2019 Nov 6]. Available from: https://www.cambridge.org/core/product/identifier/S0007114509332122/type/journal_article. PubMed

Salehi L, Eftekhar H, Mohammad K, Tavafian SS, Jazayery A, Montazeri A. Consumption of fruit and vegetables among elderly people: a cross sectional study from Iran. Nutr J. 2010;9(1):2. [cited 2019 Nov 6]. Available from: http://nutritionj.biomedcentral.com/articles/10.1186/1475-2891-9-2. PubMed DOI PMC

Centers for Disease Control and Prevention (CDC). Fruit and vegetable consumption among adults--United States, 2005. MMWR Morb Mortal Wkly Rep. 2007;56(10):213–7. [cited 2019 Nov 13]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17363889. PubMed

Kobayashi LC, Steptoe A. Social Isolation, Loneliness, and Health Behaviors at Older Ages: Longitudinal Cohort Study. Ann Behav Med. 2018;52(7):582–93. [cited 2019 Jul 17]. Available from: https://academic.oup.com/abm/article/52/7/582/4825275. PubMed PMC

Willey JZ, Paik MC, Sacco R, Elkind MSV, Boden-Albala B. Social determinants of physical inactivity in the Northern Manhattan Study (NOMAS). J Community Health. 2010;35(6):602–8. [cited 2020 Sep 17]. Available from: /pmc/articles/PMC2946979/?report=abstract. PubMed PMC

Sahyoun N, Zhang X, Serdula M. Barriers to the Consumption of Fruits and Vegetables Among Older Adults. J Nutr Elder. 2006;24(4):5–21. [cited 2019 Jul 18]. Available from: http://www.tandfonline.com/doi/abs/10.1300/J052v24n04_03. PubMed DOI

Kalousova L. Social isolation as a risk factor for inadequate diet of older Eastern Europeans. Int J Public Health. 2014;59(5):707–14. [cited 2019 Jul 18]. Available from: http://link.springer.com/10.1007/s00038-014-0582-6. PubMed DOI

Börsch-supan A. Survey of Health, Ageing and Retirement in Europe (SHARE) Wave 6. Release version: 7.0.0. SHARE-ERIC. 2019;

Börsch-Supan A, Brandt M, Hunkler C, Kneip T, Korbmacher J, Malter F, et al. Data Resource Profile: the Survey of Health, Ageing and Retirement in Europe (SHARE). Int J Epidemiol. 2013;42(4):992–1001. [cited 2019 Oct 1]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23778574. PubMed PMC

Börsch-Supan A, Mariuzzo F. Our sample: 50+ in Europe. In: Börsch-Supan A, Brugiavini A, Jürges H, Mackenbach J, Siegrist J, Weber G, editors. Health, ageing and retirement in Europe—first results from the survey of health, ageing and retirement in Europe. Mannheim: Mannheim Research Institute for the Economics of Aging; 2005. pp. 30–34.

Association WM. World Medical Association declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA. 2013;310:2191–4. [cited 2020 Dec 17]. Available from: www.jama.com. PubMed

Shankar A, McMunn A, Banks J, Steptoe A. Loneliness, social isolation, and behavioral and biological health indicators in older adults. Heal Psychol. 2011;30(4):377–85. [cited 2019 Jul 11]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21534675. PubMed

Stockwell S, Stubbs B, Jackson SE, Fisher A, Yang L, Smith L. Internet use, social isolation and loneliness in older adults. Ageing Soc. 2020;1–24. [cited 2021 Mar 4]. Available from: https://www.cambridge.org/core/journals/ageing-and-society/article/abs/internet-use-social-isolation-and-loneliness-in-older-adults/6B07AFB1ABEE8D4FB23D76B2AE4C3D30.

Jackson SE, Firth JA, Firth J, Veronese N, Gorely T, Grabovac I, et al. Social isolation and physical activity mediate associations between free bus travel and wellbeing among older adults in England. J Transp Heal. 2019;13:274–84. 10.1016/j.jth.2019.03.006.

Litwin H, Stoeckel KJ, Roll A. Relationship status and depressive symptoms among older co-resident caregivers. Aging Ment Heal. 2013/09/21. 2014;18(2):225–31. PubMed

Ploubidis GB, Grundy E. Health Measurement in Population Surveys: Combining Information from Self-reported and Observer-Measured Health Indicators. Demography. 2011;48(2):699–724. [cited 2017 Jul 20]. Available from: http://link.springer.com/10.1007/s13524-011-0028-1. PubMed DOI

Di Gessa G, Glaser K, Tinker A. The impact of caring for grandchildren on the health of grandparents in Europe: A lifecourse approach. Soc Sci Med. 2016;152:166–75. [cited 2017 Jul 20]. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0277953616300429. PubMed

Prince MJ, Reischies F, Beekman AT, Fuhrer R, Jonker C, Kivela SL, et al. Development of the EURO-D scale--a European, Union initiative to compare symptoms of depression in 14 European centres. Br J Psychiatry. 1999;174:330–8. [cited 2017 Jul 20]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/10533552. PubMed

Dewey M, Prince M. Mental Health. In: Borsch-Supan A, Jurges H, editors. Health, Ageing and Retirement in Europe- First results from survey of Health, Ageing and Retirement in Europe. Mannheim: Mannheim Research Institute for the Economics of Ageing (MEA); 2005. p. 108–17.

Cerdá M, Johnson-Lawrence VD, Galea S. Lifetime income patterns and alcohol consumption: Investigating the association between long- and short-term income trajectories and drinking. Soc Sci Med. 2011;73(8):1178–85. [cited 2019 Nov 4]. Available from: https://www.sciencedirect.com/science/article/pii/S0277953611004965?via%3Dihub. PubMed PMC

Jakobsen JC, Gluud C, Wetterslev J, Winkel P. When and how should multiple imputation be used for handling missing data in randomised clinical trials - A practical guide with flowcharts. BMC Med Res Methodol. 2017;17(1):162. [cited 2020 Apr 9]. Available from: https://bmcmedresmethodol.biomedcentral.com/articles/10.1186/s12874-017-0442-1. PubMed DOI PMC

Terza JV, Basu A, Rathouz PJ. Two-stage residual inclusion estimation: addressing endogeneity in health econometric modeling. J Health Econ. 2008;27(3):531–543. doi: 10.1016/j.jhealeco.2007.09.009. PubMed DOI PMC

Staiger D, Stock JH. Instrumental Variables Regression with Weak Instruments. Econometrica. 1997;65(3):557. [cited 2020 Jan 15]. Available from: https://www.jstor.org/stable/2171753?origin=crossref.

Hausman JA. Specification Tests in Econometrics. Econometrica. 1978;46(6):1251. [cited 2020 Jan 15]. Available from: https://www.jstor.org/stable/1913827?origin=crossref.

IBM Corp . IBM SPSS statistics for windows. Armonk: IBM Corp; 2017.

Core R. Team. R: A language and environment for statistical computing. Vienna, Austria: R Foundation for statistical. Computing. 2020; Available from: https://www.r-project.org.

Reed S, Crespo C, Harvey W, Andersen R. Social isolation and physical inactivity in older US adults: results from the third National Health and nutrition examination survey. Eur J Sport Sci - EUR J Sport SCI. 2011;11(5):347–353. doi: 10.1080/17461391.2010.521585. DOI

Rook KS. The Functions of Social Bonds: Perspectives From Research on Social Support, Loneliness and Social Isolation. In: Social Support: Theory, Research and Applications. Springer Netherlands; 1985. p. 243–67. [cited 2020 Dec 23]. Available from: https://link.springer.com/chapter/10.1007/978-94-009-5115-0_14. DOI

Umberson D. Gender, marital status and the social control of health behavior. Soc Sci Med. 1992;34(8):907–17. [cited 2020 Dec 23]. Available from: https://pubmed.ncbi.nlm.nih.gov/1604380/. PubMed

Steptoe A, Shankar A, Demakakos P, Wardle J. Social isolation, loneliness, and all-cause mortality in older men and women. Proc Natl Acad Sci U S A. 2013;110(15):5797–801. [cited 2019 Jul 29]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23530191. PubMed PMC

Cudjoe TKM, Roth DL, Szanton SL, Wolff JL, Boyd CM, Thorpe RJ. The Epidemiology of Social Isolation: National Health and Aging Trends Study. J Gerontol Ser B. 2018 [cited 2019 Jul 29]; Available from: https://academic.oup.com/psychsocgerontology/advance-article/doi/10.1093/geronb/gby037/4953727. PubMed DOI PMC

Newall NEG, Menec VH. Loneliness and social isolation of older adults: Why it is important to examine these social aspects together. J Soc Pers Relat. 2019;36(3):925–39. [cited 2019 Jul 17]. Available from: http://journals.sagepub.com/doi/10.1177/0265407517749045. DOI

Szaflarski M. Gender, self-reported health, and health-related lifestyles in Poland. Heal Care Woman Int. 2001;22(3):207–27. [cited 2020 Dec 23]. Available from: https://www.tandfonline.com/doi/abs/10.1080/073993301300357160. PubMed DOI

Ge L, Yap CW, Ong R, Heng BH. Social isolation, loneliness and their relationships with depressive symptoms: A population-based study. Khan HTA, editor. PLoS One. 2017;12(8):e0182145. [cited 2019 Dec 16]. Available from: http://dx.plos.org/10.1371/journal.pone.0182145. PubMed DOI PMC

Shankar A, McMunn A, Banks J, Steptoe A. Loneliness, social isolation, and behavioral and biological health indicators in older adults. Heal Psychol. 2011;30(4):377–85. [cited 2019 Dec 16]. Available from: http://doi.apa.org/getdoi.cfm?doi=10.1037/a0022826. PubMed DOI

WHO. Global Action Plan For The Prevention And Control Of Noncommunicable Diseases 2013-2020. World Health Organization, editor. Geneva; 2013. [cited 2018 Apr 11]. Available from: www.who.int/about/licensing/copyright_form/en/index.html.

Knight JA. Physical inactivity: associated diseases and disorders. Ann Clin Lab Sci. 2012;42(3):320–37. [cited 2019 Dec 11]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22964623. PubMed

Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1·9 million participants. Lancet Glob Heal. 2018;6(10):e1077–86. [cited 2019 Nov 13]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30193830. PubMed

WHO | Promoting fruit and vegetable consumption around the world. WHO. World Health Organization; 2015. [cited 2019 Dec 11]. Available from: https://www.who.int/dietphysicalactivity/fruit/en/.

WHO. Fruit and vegetable promotion initiative - report of the meeting. Geneva; 2003. Available from: https://www.who.int/dietphysicalactivity/publications/f&v_promotion_initiative_report.pdf?ua=1.

Organization WH . Global recommendations on physical activity for health. World Health Organization; 2010. PubMed

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