Relationships between Social Resources and Healthful Behaviors across the Age Spectrum

Kristina H Lewis, Matthew W Gillman, Mary L Greaney, Elaine Puleo, Gary G Bennett, Karen M Emmons, Kristina H Lewis, Matthew W Gillman, Mary L Greaney, Elaine Puleo, Gary G Bennett, Karen M Emmons

Abstract

Background. We examined cross-sectional relationships of social resources with health behaviors in adults ages 18-93 years. Methods. Baseline data from a 2009 risk behavior intervention trial were used to measure social resources, physical activity, and fruit and vegetable intake in 2,440 adults. To evaluate associations overall and within 4 age groups (18-34, 35-49, 50-64, and 65-93 y), we used multivariable regression. Results. Mean (SD) age was 49.4 (15) years, physical activity was 346 (304) minutes/week, and fruit and vegetable intake was 3.4 (2.4) servings/day. Mean social resource score was 1.2 (0-4 scale) in 18-34 year olds, 1.1 in all other age groups (P = 0.04). In multivariable models, for each one-point increment in social resource score, the odds ratio for getting 150-959 minutes of physical activity/wk (compared to <150 min/wk) was 3.7 (95% CI 3.0-4.6). Each one-point increment in score was also associated with 29% (95% CI: 23-35%) more servings of fruit and vegetables. We did not observe effect modification by age group. Conclusions. Although younger adults reported slightly higher resources than older adults, the magnitude of association between social resources and healthful behaviors did not differ between them.

Figures

Figure 1
Figure 1
Mean score on 9 items of the CIRS (0–4 point scale) according to age group. one-way ANOVA P value across age groups = 0.04.
Figure 2
Figure 2
Self-reported mean moderate and vigorous physical activity, according to age group. One-way ANOVA P value across age groups = 0.07.
Figure 3
Figure 3
Self-reported mean fruit and vegetable intake, according to age group. one-way ANOVA P-value across age groups < 0.0001.

References

    1. Arterburn DE, Crane PK, Sullivan SD. The coming epidemic of obesity in elderly Americans. Journal of the American Geriatrics Society. 2004;52(11):1907–1912.
    1. Anderson G, Horvath J. The growing burden of chronic disease in America. Public Health Reports. 2004;119(3):263–270.
    1. Ozminkowski RJ, Goetzel RZ, Wang F, et al. The savings gained from participation in health promotion programs for medicare beneficiaries. Journal of Occupational and Environmental Medicine. 2006;48(11):1125–1132.
    1. He FJ, Nowson CA, Lucas M, MacGregor GA. Increased consumption of fruit and vegetables is related to a reduced risk of coronary heart disease: meta-analysis of cohort studies. Journal of Human Hypertension. 2007;21(9):717–728.
    1. Joseph J, Cole G, Head E, Ingram D. Nutrition, brain aging, and neurodegeneration. Journal of Neuroscience. 2009;29(41):12795–12801.
    1. Polidori MC, Praticó D, Mangialasche F, et al. Hiigh fruit and vegetable intake is positively correlated with antioxidant status and cognitive performance in healthy subjects. Journal of Alzheimer’s Disease. 2009;17(4):921–927.
    1. Centers for Disease Control and Prevention. Physical Activity for Everyone: Physical Activity for Health. 2011, .
    1. Larson EB, Wang L, Bowen JD, et al. Exercise is associated with reduced risk for incident dementia among persons 65 years of age and older. Annals of Internal Medicine. 2006;144(2):73–81.
    1. Feskanich D, Willett W, Colditz G. Walking and leisure-time activity and risk of hip fracture in postmenopausal women. Journal of the American Medical Association. 2002;288(18):2300–2306.
    1. Gregg EW, Pereira MA, Caspersen CJ. Physical activity, falls, and fractures among older adults: a review of the epidemiologic evidence. Journal of the American Geriatrics Society. 2000;48(8):883–893.
    1. Drewnowski A, Evans WJ. Nutrition, physical activity, and quality of life in older adults: summary. Journals of Gerontology Series A. 2001;56(2):89–94.
    1. Wendel-Vos W, Droomers M, Kremers S, Brug J, Van Lenthe F. Potential environmental determinants of physical activity in adults: a systematic review. Obesity Reviews. 2007;8(5):425–440.
    1. Brownson RC, Baker EA, Housemann RA, Brennan LK, Bacak SJ. Environmental and policy determinants of physical activity in the United States. American Journal of Public Health. 2001;91(12):1995–2003.
    1. Popkin BM. What can public health nutritionists do to curb the epidemic of nutrition-related noncommunicable disease? Nutrition Reviews. 2009;67(1, supplement):S79–S82.
    1. Kahn EB, Ramsey LT, Brownson RC, et al. The effectiveness of interventions to increase physical activity. A systematic review. American Journal of Preventive Medicine. 2002;22(4, supplement):73–107.
    1. Carlson JA, Sallis JF, Conway TL, et al. Interactions between psychosocial and built environment factors in explaining older adults' physical activity. Preventive Medicine. 2012;54(1):68–73.
    1. Eyler AA, Brownson RC, Donatelle RJ, King AC, Brown D, Sallis JF. Physical activity social support and middle- and older-aged minority women: results from a US survey. Social Science and Medicine. 1999;49(6):781–789.
    1. Shaikh AR, Yaroch AL, Nebeling L, Yeh MC, Resnicow K. Psychosocial predictors of fruit and vegetable consumption in adults. A review of the literature. American Journal of Preventive Medicine. 2008;34(6):535–543.
    1. Croezen S, Picavet HSJ, Haveman-Nies A, Verschuren WM, De Groot LC, Van'T Veer P. Do positive or negative experiences of social support relate to current and future health? Results from the Doetinchem Cohort Study. BMC Public Health. 2012;12(1, article 65)
    1. White AM, Philogene GS, Fine L, Sinha S. Social support and self-reported health status of older adults in the United States. American Journal of Public Health. 2009;99(10):1872–1878.
    1. Christakis NA, Fowler JH. The spread of obesity in a large social network over 32 years. New England Journal of Medicine. 2007;357(4):370–379.
    1. Buchman AS, Boyle PA, Wilson RS, Fleischman DA, Leurgans S, Bennett DA. Association between late-life social activity and motor decline in older adults. Archives of Internal Medicine. 2009;169(12):1139–1146.
    1. Koh HK, Sebelius KG. Promoting prevention through the affordable care act. New England Journal of Medicine. 2010;363(14):1296–1299.
    1. Anderson LM, Quinn TA, Glanz K, et al. The effectiveness of worksite nutrition and physical activity interventions for controlling employee overweight and obesity. A systematic review. American Journal of Preventive Medicine. 2009;37(4):340–357.
    1. Tamers SL, Beresford SAA, Cheadle AD, Zheng Y, Bishop SK, Thompson B. The association between worksite social support, diet, physical activity and body mass index. Preventive Medicine. 2011;53(1-2):53–56.
    1. Clarke P, Nieuwenhuijsen ER. Environments for healthy ageing: a critical review. Maturitas. 2009;64(1):14–19.
    1. Yen IH, Michael YL, Perdue L. Neighborhood environment in studies of health of older adults: a systematic review. American Journal of Preventive Medicine. 2009;37(5):455–463.
    1. Yen IH, Shim JK, Martinez AD, Barker JC. Older people and social connectedness: how place and activities keep people engaged. Journal of Aging Research. 2012;2012:10 pages.139523
    1. Glasgow RE, Toobert DJ, Barrera M, Strycker LA. The chronic illness resources survey: cross-validation and sensitivity to intervention. Health Education Research. 2005;20(4):402–409.
    1. Estabrooks PA, Bradshaw M, Dzewaltowski DA, Smith-Ray RL. Determining the impact of walk Kansas: applying a team-building approach to community physical activity promotion. Annals of Behavioral Medicine. 2008;36(1):1–12.
    1. Centers for Disease Control and Prevention. Physical Activity for Everyone: How much physical activity do older adults need? 2010, .
    1. IPAQ Research Committee. Guidelines for Data Processing and Analysis of the International Physical Activity Questionnaire (IPAQ)—Short and Long Forms. 2005, .
    1. Serdula M, Coates R, Byers T, et al. Evaluation of a brief telephone questionnaire to estimate fruit and vegetable consumption in diverse study populations. Epidemiology. 1993;4(5):455–463.
    1. Ware JE, Jr., Sherbourne CD. The MOS 36-item short-form health survey (SF-36)—I. Conceptual framework and item selection. Medical Care. 1992;30(6):473–483.
    1. Weyers S, Dragano N, Richter M, Bosma H. How does socio economic position link to health behaviour? Sociological pathways and perspectives for health promotion. Global Health Promotion. 2010;17(2):25–33.
    1. Carlson SA, Fulton JE, Galuska DA, Kruger J, Lobelo F, Loustalot FV. Prevalence of self-reported physically active adults—United States, 2007. Morbidity and Mortality Weekly Report. 2008;57(48):1297–1300.
    1. Kruger J, Yore MM, Solera M, Moeti R. Prevalence of fruit and vegetable consumption and physical activity by race/ethnicity - United States, 2005. Morbidity and Mortality Weekly Report. 2007;56(13):301–304.
    1. Kimmons J, Gillespie C, Seymour J, Serdula M, Blanck HM. Fruit and vegetable intake among adolescents and adults in the United States: percentage meeting individualized recommendations. MedGenMed Medscape General Medicine. 2009;11(1, article 26)
    1. Tamers SL, Agurs-Collins T, Dodd KW, Nebeling L. US and France adult fruit and vegetable consumption patterns: an international comparison. European Journal of Clinical Nutrition. 2009;63(1):11–17.
    1. USDA Agricultural Research Service. Away from home: Percentages of Selected Nutrients Contributed by Foods Eaten Away from Home by Gender and Age, What We Eat in America. NHANES 2007, 2008, and 2010, .
    1. Giles-Corti B, Donovan RJ. Relative influences of individual, social environmental, and physical environmental correlates of walking. American Journal of Public Health. 2003;93(9):1583–1589.
    1. Boyington JE, Schoster B, Remmes Martin K, Shreffler J, Callahan LF. Perceptions of individual and community environmental influences on fruit and vegetable intake, North Carolina, 2004. Preventing Chronic Disease. 2009;6(1, article A04)
    1. Baruth M, Wilcox S, Condrasky MD. Perceived environmental church support is associated with dietary practices among African-American adults. Journal of the American Dietetic Association. 2011;111(6):889–893.
    1. Cutler GJ, Flood A, Hannan P, Neumark-Sztainer D. Multiple sociodemographic and socioenvironmental characteristics are correlated with major patterns of dietary intake in adolescents. Journal of the American Dietetic Association. 2011;111(2):230–240.

Source: PubMed

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