Zaixing Shi1,2, Jianlin Lin2, Jian Xiao2, Ya Fang3,4. 1. State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen, China. 2. Key Laboratory of Health Technology Assessment of Fujian Province, School of Public Health, Xiamen University, Xiamen, China. 3. State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen, China. fangya@xmu.edu.cn. 4. Key Laboratory of Health Technology Assessment of Fujian Province, School of Public Health, Xiamen University, Xiamen, China. fangya@xmu.edu.cn.
Abstract
BACKGROUND: A healthy lifestyle may prevent disability for older adults. But research to date is limited to a single lifestyle behavior and ignore sex difference in the lifestyle-disability association. This study aimed at identifying sex-specific latent classes of lifestyle and their relationship with disability among older Chinese adults. METHODS: Data were obtained from adults aged 65 years or above in the 2018 Chinese Longitudinal Healthy Longevity Survey, a nationally representative sample of older adults in China. We used latent class analysis to categorize participants into subgroups based on three dimensions of lifestyle factors: health behaviors, psychological wellbeing, and social engagement. Disability was assessed by the activities of daily living (ADL). Multivariable logistic regression was used to evaluate the associations between the latent lifestyle classes and disability. RESULTS: A total of 15,771 older adults were included in this analysis, of whom 56% were women and 66% aged 80 years or above. We identified four latent lifestyle classes among older women: "Health Promoting" (28%), "Isolated and Health Harming" (34%), "Restless and Dismal" (21%), and "Restless" (17%). A different set of four lifestyle classes were identified in older men: "Health Promoting" (21%), "Isolated and Health Harming" (26%), "Restless and Dismal" (20%), and "Discordant" (33%). Compared with the "Health Promoting" class, the "Isolated and Health Harming" class (OR = 1.88, 95% CI: 1.46-2.43) and the "Restless and Dismal" class (OR = 1.67, 95% CI: 1.27-2.20) had higher risk of disability in women. The "Discordant" class had lower risk of disability in men (OR = 0.52, 95% CI: 0.37-0.72). CONCLUSIONS: Our analyses revealed different lifestyle patterns for older women and men in China. Sex differences in the associations between lifestyle and disability need to be considered when formulating interventions to prevent disability.
BACKGROUND: A healthy lifestyle may prevent disability for older adults. But research to date is limited to a single lifestyle behavior and ignore sex difference in the lifestyle-disability association. This study aimed at identifying sex-specific latent classes of lifestyle and their relationship with disability among older Chinese adults. METHODS: Data were obtained from adults aged 65 years or above in the 2018 Chinese Longitudinal Healthy Longevity Survey, a nationally representative sample of older adults in China. We used latent class analysis to categorize participants into subgroups based on three dimensions of lifestyle factors: health behaviors, psychological wellbeing, and social engagement. Disability was assessed by the activities of daily living (ADL). Multivariable logistic regression was used to evaluate the associations between the latent lifestyle classes and disability. RESULTS: A total of 15,771 older adults were included in this analysis, of whom 56% were women and 66% aged 80 years or above. We identified four latent lifestyle classes among older women: "Health Promoting" (28%), "Isolated and Health Harming" (34%), "Restless and Dismal" (21%), and "Restless" (17%). A different set of four lifestyle classes were identified in older men: "Health Promoting" (21%), "Isolated and Health Harming" (26%), "Restless and Dismal" (20%), and "Discordant" (33%). Compared with the "Health Promoting" class, the "Isolated and Health Harming" class (OR = 1.88, 95% CI: 1.46-2.43) and the "Restless and Dismal" class (OR = 1.67, 95% CI: 1.27-2.20) had higher risk of disability in women. The "Discordant" class had lower risk of disability in men (OR = 0.52, 95% CI: 0.37-0.72). CONCLUSIONS: Our analyses revealed different lifestyle patterns for older women and men in China. Sex differences in the associations between lifestyle and disability need to be considered when formulating interventions to prevent disability.
Entities:
Keywords:
Aging; Disability; Latent class analysis; Lifestyle; Sex differences
Authors: Robyn E Wootton; Harriet S R Greenstone; Abdel Abdellaoui; Damiaan Denys; Karin J H Verweij; Marcus R Munafò; Jorien L Treur Journal: Addiction Date: 2020-06-29 Impact factor: 6.526
Authors: C Hou; Z Ping; K Yang; S Chen; X Liu; H Li; M Liu; Y Ma; N Van Halm-Lutterodt; L Tao; Y Luo; X Yang; W Wang; X Li; X Guo Journal: J Nutr Health Aging Date: 2018 Impact factor: 4.075
Authors: Marita Södergren; Wei Chun Wang; Jo Salmon; Kylie Ball; David Crawford; Sarah A McNaughton Journal: Maturitas Date: 2013-09-29 Impact factor: 4.342
Authors: Ruby Yu; Moses Wong; Billy Chang; Xin Lai; C M Lum; T W Auyeung; Jenny Lee; Kelvin Tsoi; Ruby Lee; Jean Woo Journal: BMJ Open Date: 2016-12-15 Impact factor: 2.692
Authors: Linda Clare; Yu-Tzu Wu; Julia C Teale; Catherine MacLeod; Fiona Matthews; Carol Brayne; Bob Woods Journal: PLoS Med Date: 2017-03-21 Impact factor: 11.069