Fernandes Ana Paula Gomes, Cardoso Veronica Ribeiro, Dos Santos Kamila Cristina, Migliaccio Mariane Martins, Pinto Juliana Martins
Graduate Program in Physical Therapy, Federal University of Triangulo Mineiro, Uberaba, Minas Gerais Brazil.
Undergraduate Program in Physical Therapy, Federal University of Triangulo Mineiro, Uberaba, Minas Gerais Brazil.
J Popul Ageing. 2022;15(3):677-690. doi: 10.1007/s12062-022-09376-4. Epub 2022 Jul 14.
The adoption and maintenance of healthy behaviors contribute for its accumulation throughout life, which require more than information disclosure and recommendations. Biopsychosocial factors may work as barriers to adherence to healthier behaviors, and yet have been underexplored. The objective was to investigate the factors related to the accumulation of healthy behavior among older adults attending Primary Health Care. Cross-sectional analysis with 201 older adults from baseline of Longitudinal Investigation of Functioning Epidemiology (LIFE) was performed in a Southeastern Brazilian city. The Healthy Behavior Score (HBS), ranging from 0 to 8, was calculated by the sum of the following habits: Physical activity practice, healthy eating, water consumption, night sleep time, not smoking, not drinking alcohol, frequent social relations, and spirituality. A linear multivariate regression was performed to test the influence of biopsychosocial aspects on HBS, with 95% confidence interval. Higher number of healthy behaviors was related to high social support, better cognitive status, less depressive symptoms and lower functional performance. Additionally, age and resilience score were correlated to healthy behaviors, which were higher among women and those with sufficient income. Multivariate analysis revealed depressive symptoms, functional performance and education as independent predictors of HBS. Depressive symptoms, functional performance and education are predictors of accumulation of health behaviors, independently of health status, contextual and sociodemographic aspects. Higher social support partially contributed to the higher number of healthy behaviors, and should be considered in public health policies for healthy longevity.
健康行为的养成与维持有助于其在一生中不断积累，而这需要的不仅仅是信息披露和建议。生物心理社会因素可能成为坚持更健康行为的障碍，但尚未得到充分研究。目的是调查在初级卫生保健机构就诊的老年人中与健康行为积累相关的因素。在巴西东南部的一个城市，对来自功能流行病学纵向调查（LIFE）基线的201名老年人进行了横断面分析。健康行为评分（HBS）范围为0至8分，通过以下习惯的总和计算得出：体育活动、健康饮食、饮水、夜间睡眠时间、不吸烟、不饮酒、频繁的社会关系和精神信仰。进行了线性多变量回归分析，以检验生物心理社会因素对HBS的影响，并给出95%置信区间。更多的健康行为与高社会支持、更好的认知状态、更少的抑郁症状和更低的功能表现相关。此外，年龄和复原力得分与健康行为相关，女性和收入充足者的健康行为得分更高。多变量分析显示，抑郁症状、功能表现和教育程度是HBS的独立预测因素。抑郁症状、功能表现和教育程度是健康行为积累的预测因素，与健康状况、背景和社会人口学因素无关。更高的社会支持部分促成了更多的健康行为，在促进健康长寿的公共卫生政策中应予以考虑。
