Physical activity and loneliness among adults aged ≥50 years in six low- and middle-income Countries

Vancampfort, Davy and Lara, Elvira and Smith, Lee and Rosenbaum, Simon and Firth, Joseph and Stubbs, Brendon and Hallgren, Mats and Koyanagi, Ai (2019) Physical activity and loneliness among adults aged ≥50 years in six low- and middle-income Countries. International Journal of Geriatric Psychiatry. ISSN 1099-1166

[img] Text
Accepted Version
Restricted to Repository staff only until 21 August 2020.
Available under the following license: Creative Commons Attribution Non-commercial No Derivatives.

Download (650kB) | Request a copy
Official URL: https://doi.org/10.1002/gps.5202

Abstract

Introduction: Loneliness is widespread and associated with deleterious outcomes in middle-aged and older age people in low- and middle-income countries (LMICs). Physical activity is one potential psychosocial strategy with the potential to reduce loneliness in this population. Thus, the aim of this study was to explore associations between physical activity (PA) and loneliness in middle-aged and older people from 6 LMICs. Materials and Methods: Data from the Study on Global Ageing and Adult Health (SAGE) were analyzed. Self-reported data on loneliness and PA (as assessed by the Global Physical Activity Questionnaire) were collected. Participants were dichotomized into those who do and do not meet the international recommendation of 150 minutes of moderate-to-vigorous PA per week. Associations between loneliness and PA were examined using logistic regressions. Results: Among 34,129 individuals aged ≥50 years, the prevalence of loneliness was higher among those not meeting the PA guidelines in all countries, although this difference was not significant in Mexico and South Africa. After full adjustment, not meeting PA guidelines was positively associated with loneliness in the meta-analysis based on country-wise estimates, with a moderate level of between country heterogeneity being observed (OR=1.31, 95% CI=1.07-1.61, I2=48.7%). At an individual country level, statistical significance was only reached in Ghana (OR=1.89; 95%CI=1.44-2.49). Discussion: Our data suggest that physical inactivity and loneliness commonly co-occur in adults aged ≥50 years in LMICs overall but that this association differs by country. Longitudinal studies are required to confirm these findings, and investigate potential mechanisms that may inform future interventions.

Item Type: Journal Article
Keywords: elderly, loneliness, mental health, physical activity, physical health
Faculty: Faculty of Science & Engineering
Depositing User: Lee Smith
Date Deposited: 13 Aug 2019 09:42
Last Modified: 14 Nov 2019 16:07
URI: http://arro.anglia.ac.uk/id/eprint/704632

Actions (login required)

Edit Item Edit Item