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对衰老的积极看法可降低晚年患肥胖症的风险。

Positive views of aging reduce risk of developing later-life obesity.

作者信息

Levy Becca R, Slade Martin D

机构信息

Social and Behavioral Sciences Department, Yale School of Public Health, 60 College Street, PO Box 208034, New Haven, CT 06520-8034, United States.

Department of Internal Medicine, Yale School of Medicine, 333 Cedar Street, PO Box 208034, New Haven, CT 06520-8034, United States.

出版信息

Prev Med Rep. 2018 Dec 28;13:196-198. doi: 10.1016/j.pmedr.2018.12.012. eCollection 2019 Mar.

Abstract

The obesity epidemic among older adults is expected to continue increasing unless public-health efforts address this age group. Yet, little is known about psychosocial determinants of obesity that relate specifically to older persons. In this study, we investigated for the first time whether self-perceptions of aging (SPA), defined as beliefs about oneself as an older person that are assimilated from society, relate to new cases of obesity. This seemed plausible because older persons who report more-positive SPA tend to engage in more health-promoting behaviors. Our sample consisted of 5702 Americans in the nationally representative Health and Retirement Study who were aged 60 years or older and not obese at baseline. The participants were followed from 2008 to 2014. As predicted, older persons with more-positive SPA, compared to those with more-negative SPA, were significantly less likely to become obese over the next 6 years, after adjusting for relevant covariates. For example, according to our model, a participant with the most-positive SPA score was 27% less likely to become obese than a same-aged peer with an average score on the SPA measure. These findings suggest that interventions aimed at reducing the prevalence of obesity in later life could benefit from targeting SPA.

摘要

除非公共卫生工作关注这一年龄段人群,否则老年人中的肥胖流行情况预计将持续加剧。然而,对于与老年人特别相关的肥胖心理社会决定因素,我们却知之甚少。在本研究中,我们首次调查了衰老自我认知(SPA)——定义为从社会中吸收的关于自己作为老年人的信念——是否与肥胖新病例有关。这似乎是合理的,因为报告更积极的SPA的老年人往往会采取更多促进健康的行为。我们的样本包括来自具有全国代表性的健康与退休研究中的5702名美国人,他们年龄在60岁及以上,且在基线时不肥胖。参与者从2008年到2014年接受随访。正如预测的那样,在调整了相关协变量后,与SPA较消极的老年人相比,SPA较积极的老年人在接下来6年中肥胖的可能性显著更低。例如,根据我们的模型,SPA得分最积极的参与者比在SPA测量中得分平均的同龄同龄人肥胖的可能性低27%。这些发现表明,旨在降低晚年肥胖患病率的干预措施可能会从针对SPA入手中受益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/870a/6348756/ea039cbf4d1e/gr1.jpg

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