AI Article Synopsis
- This study followed 536 adults over 65 to explore how unhealthy behaviors during the COVID-19 pandemic affected their functional capacity.
- Participants were categorized into healthy and unhealthy behavior groups based on changes in activities like social interactions and exercise before and after Japan's state of emergency.
- Key findings showed that factors such as being male, having diabetes, experiencing depression, and poor economic status were linked to unhealthy behaviors, which were associated with a significant decline in functional capacity.
Article Abstract
Background: This two-year follow-up study aimed to identify factors associated with unhealthy behaviors during the COVID-19 pandemic and examine their impact on functional capacity in older adults.
Methods: Altogether, 536 adults aged ≥65 years participated in this study. The frequency of going out, exercise habits, face-to-face and non-face-to-face interactions, social participation, and eating habits were examined as behavioral factors before and after the first declaration of a state of emergency in Japan. Functional capacity was assessed using the Tokyo Metropolitan Institute of Gerontology Index of Competence.
Results: Using latent class analysis considering changes in the six behaviors, the participants were divided into healthy (n = 289) and unhealthy (n = 247) behavior groups. The male sex was associated with 2.36 times higher odds, diabetes with 2.19 times higher odds, depressive mood with 1.83 times higher odds, poor subjective economic status with 2.62 times higher odds, and living alone with 44% lower odds of being unhealthy. The unhealthy behavior group showed significantly decreased functional capacity (B =-1.56 [-1.98, -1.14]) than the healthy behavior group. For each behavior, negative changes in going out (B =-0.99 [-1.60, -0.37]), face-to-face interaction (B =-0.65 [-1.16, -0.13]), and non-face-to-face interactions (B =-0.80 [-1.36, -0.25]) were associated with a decline in functional capacity.
Conclusion: Our results showed four factors associated with engaging in unhealthy lifestyle behaviors and how behavioral changes affect functional capacity decline during the COVID-19 pandemic, which will help to develop public health approaches.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9022396 | PMC |
| http://dx.doi.org/10.1016/j.archger.2022.104708 | DOI Listing |
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