Department of Psychiatry, University of Michigan.
Institute for Social Research, University of Michigan.
Health Psychol. 2021 Jan;40(1):11-20. doi: 10.1037/hea0001040.
Chronic conditions in middle and later life are associated with lower physical activity. Yet little is known about chronic condition discordance (i.e., the extent to which conditions have nonoverlapping self-management requirements) within older individuals and couples and its implications for physical activity. We determined how the degrees of chronic condition discordance at the individual level and the couple level (i.e., between spouses) were linked to moderate physical activity across an 8-year period.
The U.S. sample included 1,621 couples from five waves of the Health and Retirement Study (2006-2014). Dyadic growth curve models estimated how individual-level and couple-level chronic condition discordance were linked to initial levels of and rates of change in moderate activity. Models controlled for age, minority status, education, and own and partner reports of baseline negative marital quality, time-varying depressive symptoms, and time-varying number of chronic conditions.
A considerable proportion of wives (25.4%) and husbands (18.9%) reported moderate activity less than once a week. When individuals (wives: β = -0.10; husbands: β = -0.09) or their spouses (wives: β = -0.04; husbands: β = -0.05) had greater individual-level chronic condition discordance, lower initial moderate activity was reported. When husbands had greater individual-level discordance, both wives (β = -0.16) and husbands (β = -0.19) had a faster rate of decline in moderate activity over time. Couple-level chronic condition discordance was not significantly linked to moderate activity.
These findings suggest the importance of promoting physical activity among individuals and couples managing complex chronic conditions. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
中老年时期的慢性疾病与较低的身体活动水平有关。然而，人们对老年人个体和夫妻之间的慢性疾病不一致（即，各种疾病的自我管理需求之间没有重叠的程度）及其对身体活动的影响知之甚少。我们确定了个体水平和夫妻水平（即配偶之间）的慢性疾病不一致程度与 8 年内适度身体活动的关联程度。
美国的样本包括来自健康与退休研究（2006-2014 年）五次调查的 1621 对夫妻。对偶增长曲线模型估计了个体水平和夫妻水平的慢性疾病不一致与适度活动初始水平和变化率之间的关系。模型控制了年龄、少数民族地位、教育以及自身和伴侣对基线负面婚姻质量、时变抑郁症状和时变慢性疾病数量的报告。
相当一部分妻子（25.4%）和丈夫（18.9%）每周的适度活动少于一次。当个体（妻子：β= -0.10；丈夫：β= -0.09）或其配偶（妻子：β= -0.04；丈夫：β= -0.05）有更大的个体水平的慢性疾病不一致时，报告的初始适度活动水平较低。当丈夫有更大的个体水平的不和谐时，妻子（β= -0.16）和丈夫（β= -0.19）的适度活动下降速度也更快。夫妻之间的慢性疾病不一致程度与适度活动没有显著关系。
这些发现表明，在管理复杂慢性疾病的个体和夫妻中促进身体活动的重要性。（心理学信息库记录（c）2020 年 APA，保留所有权利）。
