Felez-Nobrega Mireia, Haro Josep Maria, Stubbs Brendon, Smith Lee, Koyanagi Ai
Research and Development Unit, Parc Sanitari Sant Joan de Déu, Barcelona, Spain.
Centre for Biomedical Research on Mental Health (CIBERSAM), Madrid, Spain.
Age Ageing. 2021 Feb 26;50(2):488-497. doi: 10.1093/ageing/afaa137.
low levels of well-being (including happiness) in the older population are major global concern given rapid population ageing especially in low- and middle-income countries (LMICs). Physical activity may increase levels of happiness, but data on the older population are scarce, while there are no data from LMICs.
we investigated the relationship between physical activity and happiness, and the influential factors in this association among older adults employing nationally representative datasets from six LMICs.
community-based cross-sectional data from the Global Ageing and Adult Health study were analysed. Physical activity was assessed with the Global Physical Activity Questionnaire. Participants were grouped into those who do and do not meet physical activity recommendations. Happiness was assessed with a cross-culturally validated single-item question (range 0-4) with higher scores indicating higher levels of happiness. Multivariable ordinal logistic regression and mediation analyses were performed.
the sample included 14,585 adults aged ≥65 years (mean age = 72.6 ± SD 11.4 years; 55% female). After adjusting for multiple confounders, meeting physical activity guidelines was positively associated with more happiness (fully adjusted model, odds ratio = 1.27; 95% confidence interval = 1.04-1.54). The physical activity-happiness association was largely explained by difficulties in mobility, cognitive impairment, disability and social cohesion, which explained ≥20% of the association.
meeting recommended physical activity levels was positively linked with happiness in older adults from LMICs. Longitudinal and interventional studies among older people in LMICs are warranted to assess directionality and the potential for physical activity promotion to improve mental well-being in this population.
鉴于人口迅速老龄化，尤其是在低收入和中等收入国家（LMICs），老年人群体幸福感（包括快乐感）水平较低是全球主要关注的问题。体育活动可能会提高幸福感，但关于老年人群体的数据稀缺，且尚无来自低收入和中等收入国家的数据。
我们利用六个低收入和中等收入国家具有全国代表性的数据集，调查了老年人体育活动与幸福感之间的关系以及该关联中的影响因素。
分析了来自全球老龄化与成人健康研究的基于社区的横断面数据。使用全球体育活动问卷评估体育活动情况。参与者被分为达到和未达到体育活动建议标准的两组。使用经过跨文化验证的单项问题（范围为0 - 4）评估幸福感，得分越高表明幸福感越强。进行了多变量有序逻辑回归和中介分析。
样本包括14585名年龄≥65岁的成年人（平均年龄 = 72.6 ±标准差11.4岁；55%为女性）。在调整多个混杂因素后，达到体育活动指南与更高的幸福感呈正相关（完全调整模型，优势比 = 1.27；95%置信区间 = 1.04 - 1.54）。体育活动与幸福感之间的关联很大程度上由行动不便、认知障碍、残疾和社会凝聚力来解释，这些因素解释了该关联的≥20%。
在来自低收入和中等收入国家的老年人中，达到推荐的体育活动水平与幸福感呈正相关。有必要在低收入和中等收入国家的老年人中开展纵向和干预性研究，以评估方向性以及体育活动促进对改善该人群心理健康的潜力。
