Health-promoting behaviors in older adulthood and intrinsic capacity 10 years later: the HUNT study.
HUNT
Health-promoting behaviors
Intrinsic capacity
Public health
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
24 Jan 2024
24 Jan 2024
Historique:
received:
03
11
2023
accepted:
22
01
2024
medline:
25
1
2024
pubmed:
25
1
2024
entrez:
24
1
2024
Statut:
epublish
Résumé
With the global population growing older, there is a need for more knowledge of how to improve and/or maintain functional capacities to promote healthy ageing. In this study we aimed to assess the effect of several known health-promoting behaviors in old age with intrinsic capacity ten years later. This was a prospective cohort study looking at participants that were ≥ 65 years at the time of the third wave of the Trøndelag Health Study (HUNT3, 2006-2008) who also took part in the 70 + sub-study of the fourth wave (HUNT4 70+, 2017-2019). Self-reported behavior data from short questionnaires, including diet and physical activity, were collected in HUNT3, and data on the five domains of intrinsic capacity defined by the World Health Organization were collected in HUNT4 70+. A composite index was created for both healthy life and intrinsic capacity, awarding points for how well participants adhered to guidelines for healthy living and their level of functional impairment, respectively. Ordinal logistic regression was used to assess the relationship between health-promoting behaviors and intrinsic capacity. Of 12,361 participants in HUNT3 ≥ 65 years, 4699 (56.5% women) also participated in HUNT4 70+. On the health-promoting behaviors, lowest adherence to healthy living guidelines were seen for fruit and vegetables intake (47.2%), milk intake (46.7%) and physical activity (31.1%). On intrinsic capacity domains, highest impairment was seen in the domains of locomotion (29.7%), hearing (11.1%) and vitality (8.3%). A higher adherence to guidelines for healthy living was associated with higher intrinsic capacity 10 years later. A one-point increase in the healthy life index was associated with a 1.15 (95% confidence interval 1.10-1.21) times increased odds of being in a higher intrinsic capacity category. Health-promoting behaviors in old age are associated with better intrinsic capacity ten years later. In clinical settings assessment of health-promoting behaviors could potentially be done using short questionnaires.
Sections du résumé
BACKGROUND
BACKGROUND
With the global population growing older, there is a need for more knowledge of how to improve and/or maintain functional capacities to promote healthy ageing. In this study we aimed to assess the effect of several known health-promoting behaviors in old age with intrinsic capacity ten years later.
METHODS
METHODS
This was a prospective cohort study looking at participants that were ≥ 65 years at the time of the third wave of the Trøndelag Health Study (HUNT3, 2006-2008) who also took part in the 70 + sub-study of the fourth wave (HUNT4 70+, 2017-2019). Self-reported behavior data from short questionnaires, including diet and physical activity, were collected in HUNT3, and data on the five domains of intrinsic capacity defined by the World Health Organization were collected in HUNT4 70+. A composite index was created for both healthy life and intrinsic capacity, awarding points for how well participants adhered to guidelines for healthy living and their level of functional impairment, respectively. Ordinal logistic regression was used to assess the relationship between health-promoting behaviors and intrinsic capacity.
RESULTS
RESULTS
Of 12,361 participants in HUNT3 ≥ 65 years, 4699 (56.5% women) also participated in HUNT4 70+. On the health-promoting behaviors, lowest adherence to healthy living guidelines were seen for fruit and vegetables intake (47.2%), milk intake (46.7%) and physical activity (31.1%). On intrinsic capacity domains, highest impairment was seen in the domains of locomotion (29.7%), hearing (11.1%) and vitality (8.3%). A higher adherence to guidelines for healthy living was associated with higher intrinsic capacity 10 years later. A one-point increase in the healthy life index was associated with a 1.15 (95% confidence interval 1.10-1.21) times increased odds of being in a higher intrinsic capacity category.
CONCLUSION
CONCLUSIONS
Health-promoting behaviors in old age are associated with better intrinsic capacity ten years later. In clinical settings assessment of health-promoting behaviors could potentially be done using short questionnaires.
Identifiants
pubmed: 38267907
doi: 10.1186/s12889-024-17840-3
pii: 10.1186/s12889-024-17840-3
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
284Informations de copyright
© 2024. The Author(s).
Références
Vellas B, Morley JE. Editorial: Geriatrics in the 21st Century. J Nutr Health Aging. 2018;22:186–90.
doi: 10.1007/s12603-017-0988-y
pubmed: 29380844
George PP, Lun P, Ong SP, Lim WS. A Rapid Review of the measurement of intrinsic capacity in older adults. J Nutr Health Aging. 2021;25:774–82.
doi: 10.1007/s12603-021-1622-6
pubmed: 34179933
pmcid: 7966899
Schöley J, Aburto JM, Kashnitsky I, Kniffka MS, Zhang L, Jaadla H, et al. Life expectancy changes since COVID-19. Nat Hum Behav. 2022;6:1649–59.
doi: 10.1038/s41562-022-01450-3
pubmed: 36253520
pmcid: 9755047
Wang H, Abbas KM, Abbasifard M, Abbasi-Kangevari M, Abbastabar H, Abd-Allah F, et al. Global age-sex-specific fertility, mortality, healthy life expectancy (HALE), and population estimates in 204 countries and territories, 1950–2019: a comprehensive demographic analysis for the global burden of Disease Study 2019. The Lancet. 2020;396:1160–203.
doi: 10.1016/S0140-6736(20)30977-6
World Population Prospects. 2022: Summary of Results. United Nations Department of Economic and Social Affairs; 2022.
World Health Organization. Decade of healthy ageing: baseline report. World Health Organization; 2021.
World Health Organization. World report on ageing and health. World Health Organization; 2015.
World Health Organization. Integrated care for older people (ICOPE): Guidance for person-centred assessment and pathways in primary care. 2019.
Robinson SM, Jameson KA, Syddall HE, Dennison EM, Cooper C, Sayer AA. Clustering of lifestyle risk factors and poor physical function in older adults: the Hertfordshire Cohort Study. J Am Geriatr Soc. 2013;61:1684–91.
doi: 10.1111/jgs.12457
pubmed: 24083502
pmcid: 4930137
Visser M, Wijnhoven HAH, Comijs HC, Thomése FGCF, Twisk JWR, Deeg DJH. A healthy lifestyle in old age and prospective change in four domains of functioning. J Aging Health. 2019;31:1297–314.
doi: 10.1177/0898264318774430
pubmed: 29809092
Jia J, Zhao T, Liu Z, Liang Y, Li F, Li Y, et al. Association between healthy lifestyle and memory decline in older adults: 10 year, population based, prospective cohort study. BMJ. 2023;380:e072691.
doi: 10.1136/bmj-2022-072691
pubmed: 36696990
pmcid: 9872850
Fukunaga A, Inoue Y, Yamamoto S, Miki T, Nanri A, Ishiwari H, et al. Association between Adherence to Healthy Lifestyles and depressive symptoms among Japanese Hospital workers during the COVID-19 pandemic. Asia Pac J Public Health. 2021;33:847–53.
doi: 10.1177/10105395211007604
pubmed: 33829896
Chakravarty EF, Hubert HB, Krishnan E, Bruce BB, Lingala VB, Fries JF. Lifestyle risk factors predict disability and death in healthy aging adults. Am J Med. 2012;125:190–7.
Papadopoulou SK, Mantzorou M, Voulgaridou G, Pavlidou E, Vadikolias K, Antasouras G, et al. Nutritional status is Associated with Health-Related Quality of Life, Physical Activity, and Sleep Quality: a cross-sectional study in an Elderly Greek Population. Nutrients. 2023;15:443.
doi: 10.3390/nu15020443
pubmed: 36678316
pmcid: 9862893
Wallace E, Salisbury C, Guthrie B, Lewis C, Fahey T, Smith SM. Managing patients with multimorbidity in primary care. BMJ. 2015;350:h176.
doi: 10.1136/bmj.h176
pubmed: 25646760
Krokstad S, Langhammer A, Hveem K, Holmen TL, Midthjell K, Stene TR, et al. Cohort Profile: the HUNT study, Norway. Int J Epidemiol. 2013;42:968–77.
doi: 10.1093/ije/dys095
pubmed: 22879362
Nordic Council of Ministers NC of M. Nordic nutrition recommendations 2012. In: Nordic nutrition recommendations 2012. 5th edition. Copenhagen: Nordisk Ministerråd.; 2014. p. 1–627.
Street A. Canada’s Guidance on Alcohol and Health: final report. Canada Centre of Substance use and Addiction; 2023.
Li Q, Lesseur C, Neugut AI, Santella RM, Parada H, Teitelbaum S, et al. The associations of healthy lifestyle index with breast cancer incidence and mortality in a population-based study. Breast Cancer. 2022;29:957–66.
doi: 10.1007/s12282-022-01374-w
pubmed: 35657499
Lourida I, Bennett HQ, Beyer F, Kingston A, Jagger C. The impact of long-term conditions on disability-free life expectancy: a systematic review. PLOS Global Public Health. 2022;2:e0000745.
doi: 10.1371/journal.pgph.0000745
pubmed: 36962577
pmcid: 10021208
Stenholm S, Head J, Kivimäki M, Kawachi I, Aalto V, Zins M, et al. Smoking, physical inactivity and obesity as predictors of healthy and disease-free life expectancy between ages 50 and 75: a multicohort study. Int J Epidemiol. 2016;45:1260–70.
doi: 10.1093/ije/dyw126
pubmed: 27488415
pmcid: 6937009
R Core Team. R: a language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing; 2023.
Posit team. RStudio: Integrated development environment for r. Boston, MA: Posit Software, PBC; 2023.
Deng Y, Mixgb. Multiple Imputation Through ’XGBoost’. 2023. https://agnesdeng.github.io/mixgb/index.html . Accessed 9 Feb 2023.
Deng Y, Lumley T, Multiple Imputation Through. XGBoost. 2022. http://arxiv.org/abs/2106.01574 . Accessed 9 Dec 2022.
Ripley B. MASS: Support functions and datasets for venables and ripley’s MASS. 2023.
A.Williams R, Quiroz C. Ordinal Regression models. SAGE Publications Ltd; 2020.
Fox J, Weisberg S, Price B. Car: Companion to applied regression. 2023.
Utviklingen i norsk. Kosthold 2022 - Kortversjon. Helsedirektoratet; 2022.
Hansen BH, Steene-Johannessen J, Kolle E, Udahl K, Kaupang B, Andersen ID et al. Nasjonalt kartleggingssystem for fysisk aktivitet og fysisk form. 2023.
Li N, Wu X, Zhuang W, Xia L, Chen Y, Wu C, et al. Fish consumption and multiple health outcomes: Umbrella review. Trends Food Sci Technol. 2020;99:273–83.
doi: 10.1016/j.tifs.2020.02.033
Martínez-González MA, Sayón-Orea C, Bullón-Vela V, Bes-Rastrollo M, Rodríguez-Artalejo F, Yusta-Boyo MJ, et al. Effect of olive oil consumption on cardiovascular disease, cancer, type 2 diabetes, and all-cause mortality: a systematic review and meta-analysis. Clin Nutr. 2022;41:2659–82.
doi: 10.1016/j.clnu.2022.10.001
pubmed: 36343558
Ding M, Li J, Qi L, Ellervik C, Zhang X, Manson JE, et al. Associations of dairy intake with risk of mortality in women and men: three prospective cohort studies. BMJ. 2019;367:l6204.
doi: 10.1136/bmj.l6204
pubmed: 31776125
pmcid: 6880246
Drouin-Chartier J-P, Brassard D, Tessier-Grenier M, Côté JA, Labonté M-È, Desroches S, et al. Systematic review of the association between dairy product consumption and risk of Cardiovascular-related clinical Outcomes123. Adv Nutr. 2016;7:1026–40.
doi: 10.3945/an.115.011403
pubmed: 28140321
pmcid: 5105032
Shah SJ, Fang MC, Wannier SR, Steinman MA, Covinsky KE. Association of Social Support with Functional outcomes in older adults who live alone. JAMA Intern Med. 2022;182:26–32.
doi: 10.1001/jamainternmed.2021.6588
pubmed: 34779818
Shamlou R, Nikpeyma N, Pashaeipour S, Sahebi L, Mehrgou Z. Relationship of loneliness and social isolation with self-care ability among older adults. J Psychosoc Nurs Ment Health Serv. 2021;59:15–20.
doi: 10.3928/02793695-20201210-04
pubmed: 33382436
Kjelvik G, Selbæk G, Rokstad AMM. Knowledge and motivation to adopt recommended health behaviours to reduce dementia risk among the elderly in Norway: a qualitative study. Public Health. 2023;221:60–5.
doi: 10.1016/j.puhe.2023.06.002
pubmed: 37406451
Tavassoli N, Barreto P, de Berbon S, Mathieu C, Kerimel C, de Lafont J. Implementation of the WHO integrated care for older people (ICOPE) programme in clinical practice: a prospective study. The Lancet Healthy Longevity. 2022;3:e394–404.
doi: 10.1016/S2666-7568(22)00097-6
pubmed: 36098317
Gjøra L, Strand BH, Bergh S, Borza T, Brækhus A, Engedal K, et al. Current and future prevalence estimates of mild cognitive impairment, dementia, and its subtypes in a Population-based sample of people 70 years and older in Norway: the HUNT study. J Alzheimers Dis. 2021;79:1213–26.
doi: 10.3233/JAD-201275
pubmed: 33427745
pmcid: 7990439
Howe LD, Tilling K, Galobardes B, Lawlor DA. Loss to follow-up in Cohort studies. Epidemiology. 2013;24:1–9.
doi: 10.1097/EDE.0b013e31827623b1
pubmed: 23211345
pmcid: 5102324
Hildebrandt T, Bode L, Ng JSC. Effect of lifestyle stigma on public support for NHS-provisioned pre-exposure prophylaxis (PrEP) and preventative interventions for HPV and type 2 diabetes: a nationwide UK survey. BMJ Open. 2019;9:e029747.
doi: 10.1136/bmjopen-2019-029747
pubmed: 31444189
pmcid: 6707679
Chang Y-H, Chen Y-C, Ku L-JE, Chou Y-T, Chen H-Y, Su H-C, et al. Association between sleep health and intrinsic capacity among older adults in Taiwan. Sleep Med. 2023;109:98–103.
doi: 10.1016/j.sleep.2023.06.016
pubmed: 37423025
Skirbekk V, Dieleman JL, Stonawski M, Fejkiel K, Tyrovolas S, Chang AY. The health-adjusted dependency ratio as a new global measure of the burden of ageing: a population-based study. The Lancet Healthy Longevity. 2022;3:e332–8.
doi: 10.1016/S2666-7568(22)00075-7
pubmed: 36098308
Organization WH. Global status report on physical activity 2022. Geneva: World Health Organization; 2022.
Leme ACB, Hou S, Fisberg RM, Fisberg M, Haines J. Adherence to food-based dietary guidelines: a systemic review of high-income and low- and middle-income countries. Nutrients. 2021;13:1038.
doi: 10.3390/nu13031038
pubmed: 33807053
pmcid: 8004702
Langhammer A, Krokstad S, Romundstad P, Heggland J, Holmen J. The HUNT study: participation is associated with survival and depends on socioeconomic status, diseases and symptoms. BMC Med Res Methodol. 2012;12:143.
doi: 10.1186/1471-2288-12-143
pubmed: 22978749
pmcid: 3512497
Angelsen A. AslaugL/health_promoting_behaviors_intrinsic_capacity: Publish on Zenodo [Internet]. Zenodo; 2024. Available from: https://zenodo.org/records/10495185 .