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Original article| Volume 155, P24-31, January 2022

Identifying the specific associations between participation in social activities and healthy lifestyle behaviours in older adults

  • Takumi Abe
    Correspondence
    Corresponding author at: Integrated Research Initiative for Living Well with Dementia, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae, Itabashi, Tokyo 173-0015, Japan.
    Affiliations
    Integrated Research Initiative for Living Well with Dementia, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae, Itabashi, Tokyo 173-0015, Japan

    Centre for Urban Transitions, Swinburne University of Technology, Melbourne, VIC 3122, Australia
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  • Satoshi Seino
    Affiliations
    Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae, Itabashi, Tokyo 173-0015, Japan
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  • Yui Tomine
    Affiliations
    Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae, Itabashi, Tokyo 173-0015, Japan
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  • Mariko Nishi
    Affiliations
    Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae, Itabashi, Tokyo 173-0015, Japan
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  • Toshiki Hata
    Affiliations
    Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae, Itabashi, Tokyo 173-0015, Japan

    Department of Food and Nutritional Science, Graduate School of Applied Bioscience, Tokyo University of Agriculture, Setagaya, Tokyo 156-8502, Japan
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  • Shoji Shinkai
    Affiliations
    Department of Nutrition, Kagawa Nutrition University, 3-9-21 Chiyoda, Sakado City, Saitama prefecture 350-0288, Japan
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  • Yoshinori Fujiwara
    Affiliations
    Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae, Itabashi, Tokyo 173-0015, Japan
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  • Akihiko Kitamura
    Affiliations
    Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae, Itabashi, Tokyo 173-0015, Japan
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      Highlights

      • The type of social activity is important in the context of healthy behaviours.
      • Participation in multiple social activities leads to engagement in healthy behaviours.
      • Our findings suggest the importance of both the type and the number of social activities.

      Abstract

      Objectives

      To examine the longitudinal association between participation in social activities and healthy lifestyle behaviours.

      Study design

      This 2-year follow-up study used data from 6168 older adults (73.5 ± 5.3 years; 49% men). We studied participation in five types of social activities at baseline: participation in volunteer, sports, hobbies, senior clubs, and neighbourhood-association groups.

      Main outcome measures

      The healthy lifestyle behaviours were physical activity (time spent walking: ≥150 min/week; or less), eating habits (dietary variety score: ≥4 points; or less), and intellectual activity (subcomponents of the Tokyo Metropolitan Institute of Gerontology Index of Competence: 4 points; or less).

      Results

      In the follow-up survey, 19% of participants were physically inactive, 53% had unfavourable eating habits, and 34% had diminished intellectual activity. Multilevel modified Poisson regression analysis showed that participation in sports groups was associated with a lower relative risk (RR) of physical inactivity (RR=0.82 [0.72, 0.93]) and unfavourable eating habits (RR=0.95 [0.90, 1.00]). Participation in hobby groups reduced the RR of unfavourable eating habits (RR=0.93 [0.90, 0.97]) and diminished intellectual activity (RR=0.90 [0.85, 0.96]). Participation in volunteering was associated with a lower RR of diminished intellectual activity (RR=0.84 [0.75, 0.95]). Relative to non-participation, participating in two or more social activities was associated with a 9% (95% CI: 0.83, 1.00) lower RR for physical inactivity, a 12% (95% CI: 0.82, 0.95) lower RR for unfavourable eating habits, and a 17% (95% CI: 0.77, 0.89) lower RR for diminished intellectual activity.

      Conclusions

      Both the nature and the number of social activities determine the longitudinal effects of social participation on healthy lifestyle behaviours.

      Keywords

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