Sleep, physical activity, and sedentary behaviors as factors related to depression and health-related quality of life among older women living alone: a population-based study.

Background: Although the number of older women living alone (OWLA) has risen steadily in aging societies, and research has been conducted on depression and health-related quality of life (HRQoL) among older adults, research is scarce on the health behaviors of OWLA, including their sleep, physical a...

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Publicado en:European Review of Aging & Physical Activity Vol. 20; no. 1; pp. 1 - 11
Autores principales: Jang, Soyoung, Yang, Eunjin
Formato: Artículo
Publicado: BioMed Central 3/13/2023
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 3/13/2023
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      pub: BioMed Central
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        10.1186/s11556-023-00314-7
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        atl: Sleep, physical activity, and sedentary behaviors as factors related to depression and health-related quality of life among older women living alone: a population-based study.
      aug:
        au:
          Jang, Soyoung
          Yang, Eunjin
        affil:
          Department of Nursing, Kyungil University, Gyeongsan, Republic of Korea
          Mo-Im Kim Nursing Research Institute, Yonsei University College of Nursing, Seoul, Republic of Korea
          College of Nursing, Gachon University, 191 Hambangmoe-Ro, Yeonsu-Gu, 21936, Incheon, Republic of Korea
      su:
        Quality of life
        Living alone
        Older women
        Health behavior
        Sedentary behavior
        Physical activity
        Bedtime
      sug:
        subj:
          Quality of life
          Living alone
          Older women
          Health behavior
          Sedentary behavior
          Physical activity
          Bedtime
      keyword:
        Depression
        Older adults
        Sleep
        Depression
        Older adults
        Sleep
      ab: Background: Although the number of older women living alone (OWLA) has risen steadily in aging societies, and research has been conducted on depression and health-related quality of life (HRQoL) among older adults, research is scarce on the health behaviors of OWLA, including their sleep, physical activity, and sedentary behaviors. Hence, we aimed to identify factors related to depression and HRQoL among this subset of the population, focusing on their health behaviors, using Andersen's model as a research framework. Methods: Data for secondary analysis were from the Korean National Health and Nutritional Examination Survey (2014, 2016, 2018, and 2020). The inclusion criteria were (1) women aged 65 and older and (2) those living alone. We included 794 older South Korean women living alone from 31,051 respondents. We used hierarchical regression analysis, considering sampling weight and a complex sample design, to identify factors related to depression and HRQoL. Results: Among the health behavior factors of Andersen's model as a research framework, sleep was associated with depression, whereas physical activity and sedentary behaviors were related to HRQoL. Subjective health status, limited activity, and perceived stress were associated with both depression and HRQoL. Household income, as an enabling factor, was only associated with HRQoL. The final regression model explained 39% of the variance in depression (p < 0.001) and 37% of the variance in HRQoL (p < 0.001). Conclusions: Our study highlights the importance of strategies to improve specific healthy behaviors that affect depression and HRQoL in OWLA. Appropriate interventions that target increasing physical activity and quality of sleep, and decreasing sedentary behaviors, will be effective to enhance the well-being of OWLA. Healthcare providers should comprehensively understand the characteristics of OWLA and pay more attention to enabling, need, and health behavior factors.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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