Adherence to 24-hour movement guidelines among rural middle-aged and older adults in South Africa: prevalence, antecedents, and consequences on mental health outcomes.

Objective: The purpose of this study was to look into the prevalence, correlates, and mental health effects of middle-aged and older adults in South Africa meeting the 24-hour movement guidelines (HMG). Methods: We analyzed data (N = 5059, aged 40 years and older) from A Longitudinal Study of an IND...

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Publicado en:Journal of Human Behavior in the Social Environment Vol. 36; no. 3; pp. 93 - 105
Autores principales: Pengpid, Supa, Peltzer, Karl, Gyasi, Razak M., Hajek, André
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Apr2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2026
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      pub: Taylor & Francis Ltd
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        atl: Adherence to 24-hour movement guidelines among rural middle-aged and older adults in South Africa: prevalence, antecedents, and consequences on mental health outcomes.
      aug:
        au:
          Pengpid, Supa
          Peltzer, Karl
          Gyasi, Razak M.
          Hajek, André
        affil: Department of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University, Bangkok, Thailand
      sug:
        subj:
          Movement
          Physical Activity In Middle Age
          Physical Activity In Old Age
          Rural Areas South Africa
          Health Behavior Evaluation
          Mental Health
          Mental Disorders Prevention and Control
          Funding Source
          Human
          Prospective Studies
          South Africa
          Depression Prevention and Control
          Stress Disorders, Post-Traumatic Prevention and Control
          Loneliness Prevention and Control
          Happiness
          Scales
          Questionnaires
          Descriptive Statistics
          Data Analysis Software
          Chi Square Test
          Logistic Regression
          Multivariate Analysis
          Male
          Female
          Middle Age
          Aged
          Aged, 80 and Over
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Objective: The purpose of this study was to look into the prevalence, correlates, and mental health effects of middle-aged and older adults in South Africa meeting the 24-hour movement guidelines (HMG). Methods: We analyzed data (N = 5059, aged 40 years and older) from A Longitudinal Study of an INDEPTH Community in South Africa, Health and Ageing in Africa (HAALSI, conducted in 2014/2015). Measures included demographics, activity limitations, depressive symptoms, posttraumatic stress disorder (PTSD), loneliness, happiness, and self-reported 24-HMG defined as follows: 150 minutes or more of physical activity per week; 480 minutes or less of sedentary time; 180 minutes or less of screen time; 7-9 hours of sleep for those aged 40–64; and 7-8 hours of sleep for those aged 65 and over. The relationship between self-rated mental health (e.g. measured using the CES-D 8-item version) and meeting the 24-HMG number was investigated using logistic regression models. Results: The percentages of participants who adhered to none, one, and two movement guidelines were 10.9%, 29.7%, and 37.9%, respectively, whereas only 21.5% of participants met all three 24-HMG. Participants who were older, were South African, and had functional disabilities were less likely to meet all three 24-HMG. In adjusted analysis, compared with meeting all 3 24-HMG, all participants and male participants who met fewer 24-HMG were more likely to report depressive symptoms, PTSD and less likely to report happiness, and all participants, male and female participants who met fewer 24-HMG were more likely to report loneliness. Conclusions: This is the first study to look at the prevalence, correlates, and relationships between 24-HMG adherence and mental health outcomes among older adults in Africa. The results highlight how critical it is to encourage senior citizens in South Africa to engage in healthy movement behaviors. Future mental health interventions for older adults should focus on improving their overall movement behaviors while taking demographic differences into account.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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