A within-subject examination of grandparents' physical activity and sedentary behavior levels in the presence or absence of grandchild care provision.
Energy-expenditure related behavior
Healthy Grandparenting Project
Healthy aging
Intergenerational care
Older adults
Journal
European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity
ISSN: 1813-7253
Titre abrégé: Eur Rev Aging Phys Act
Pays: Germany
ID NLM: 101284836
Informations de publication
Date de publication:
07 May 2024
07 May 2024
Historique:
received:
12
02
2024
accepted:
04
04
2024
medline:
8
5
2024
pubmed:
8
5
2024
entrez:
7
5
2024
Statut:
epublish
Résumé
This study aimed to examine within-subject differences in levels of physical activity (PA) and sedentary behavior (SB) among Flemish grandparents aged 50 years and older during a day of providing versus not providing grandchild care. Additionally, grandparents' PA and SB levels of the specific caregiving moment within the included care day were also compared with those of the corresponding specific time frame on the matching non-care day. Data were obtained and pooled from three assessment time points of the Healthy Grandparenting Project. Objectively measured PA and SB levels were assessed through ActiGraphs wGT3x(+) worn during waking hours for seven consecutive days and expressed relative to the total wear time of the selected days or moments (i.e., percentage of time per day or per moment). Generalized linear mixed models were used to evaluate the within-subject differences in grandparents' light intensity PA (LIPA), moderate-to-vigorous intensity PA (MVPA) and SB levels between a care and non-care day as well as between the care and non-care moment of those respective days. A total of 92 grandparents (64.6 ± 4.8 years, 67.4% women) were included in the analyses. During the care day and care moment, grandparents showed higher relative levels of LIPA (∆=4.0% and ∆=7.9%, respectively) and lower relative levels of SB (∆=3.7% and ∆=6.7%, respectively) as compared to their respective non-care day and non-care moment (all p < 0.001). While there was no significant difference in relative MVPA levels between a day of providing versus not providing grandchild care (∆=0.3%, p = 0.500), the grandparents showed significantly lower relative levels of MVPA during the specific care moment against the non-care moment (∆=1.3%, p = 0.029). The higher percentage of time of LIPA and lower percentage of time spent on SB during a care day and care moment compared to a non-care day and non-care moment, highlight the positive impact of grandchild care provision on grandparents' activity levels, potentially improving other health-related outcomes. Furthermore, grandparents seem to compensate for their lower MVPA levels during the actual care moment since no differences in MVPA levels were found at day level when compared to a day without grandchild care. clinicaltrials.gov, Identifier: NTC04307589. Registered March 2020.
Sections du résumé
BACKGROUND
BACKGROUND
This study aimed to examine within-subject differences in levels of physical activity (PA) and sedentary behavior (SB) among Flemish grandparents aged 50 years and older during a day of providing versus not providing grandchild care. Additionally, grandparents' PA and SB levels of the specific caregiving moment within the included care day were also compared with those of the corresponding specific time frame on the matching non-care day.
METHODS
METHODS
Data were obtained and pooled from three assessment time points of the Healthy Grandparenting Project. Objectively measured PA and SB levels were assessed through ActiGraphs wGT3x(+) worn during waking hours for seven consecutive days and expressed relative to the total wear time of the selected days or moments (i.e., percentage of time per day or per moment). Generalized linear mixed models were used to evaluate the within-subject differences in grandparents' light intensity PA (LIPA), moderate-to-vigorous intensity PA (MVPA) and SB levels between a care and non-care day as well as between the care and non-care moment of those respective days.
RESULTS
RESULTS
A total of 92 grandparents (64.6 ± 4.8 years, 67.4% women) were included in the analyses. During the care day and care moment, grandparents showed higher relative levels of LIPA (∆=4.0% and ∆=7.9%, respectively) and lower relative levels of SB (∆=3.7% and ∆=6.7%, respectively) as compared to their respective non-care day and non-care moment (all p < 0.001). While there was no significant difference in relative MVPA levels between a day of providing versus not providing grandchild care (∆=0.3%, p = 0.500), the grandparents showed significantly lower relative levels of MVPA during the specific care moment against the non-care moment (∆=1.3%, p = 0.029).
CONCLUSIONS
CONCLUSIONS
The higher percentage of time of LIPA and lower percentage of time spent on SB during a care day and care moment compared to a non-care day and non-care moment, highlight the positive impact of grandchild care provision on grandparents' activity levels, potentially improving other health-related outcomes. Furthermore, grandparents seem to compensate for their lower MVPA levels during the actual care moment since no differences in MVPA levels were found at day level when compared to a day without grandchild care.
TRIAL REGISTRATION
BACKGROUND
clinicaltrials.gov, Identifier: NTC04307589. Registered March 2020.
Identifiants
pubmed: 38714929
doi: 10.1186/s11556-024-00345-8
pii: 10.1186/s11556-024-00345-8
doi:
Types de publication
Journal Article
Langues
eng
Pagination
11Subventions
Organisme : Fonds Wetenschappelijk Onderzoek
ID : FWOTM974
Informations de copyright
© 2024. The Author(s).
Références
National Research Council (US). Panel on Statistics for an Aging Population. The Aging Population in the Twenty-First Century: Statistics for Health Policy. 1988.
Wilmoth JR. Demography of longevity: past, present, and future trends. Exp Gerontol. 2000;35(9–10):1111–29.
doi: 10.1016/S0531-5565(00)00194-7
pubmed: 11113596
Flatt T, Partridge L. Horizons in the evolution of aging. BMC Biol. 2018;16(1):93.
doi: 10.1186/s12915-018-0562-z
pubmed: 30124168
pmcid: 6100731
Oeppen J, Vaupel JW. Demography. Broken limits to life expectancy. Science. 2002;296(5570):1029–31.
doi: 10.1126/science.1069675
pubmed: 12004104
European Commission. The impact of demographic change in europe 2019, June 20 [ https://commission.europa.eu/strategy-and-policy/priorities-2019-2024/new-push-european-democracy/impact-demographic-change-europe_nl#demographic-trends .
Rudnicka E, Napierała P, Podfigurna A, Męczekalski B, Smolarczyk R, Grymowicz M. The World Health Organization (WHO) approach to healthy ageing. Maturitas. 2020;139:6–11.
doi: 10.1016/j.maturitas.2020.05.018
pubmed: 32747042
pmcid: 7250103
Glaser K, Price D, Di Gessa G, Ribe E, Stuchbury R, Tinker A. Grandparenting in Europe: family policy and grandsparents’ role in providing childcare. Grandparents plus. 2013.
Meulders D, O’Dorchai S. Childcare in Belgium. 2008.
Geurts T, Van Tilburg T, Poortman A-R, Dykstra PA. Child care by grandparents: changes between 1992 and 2006. Ageing Soc. 2015;35(6):1318–34.
doi: 10.1017/S0144686X14000270
Hank K, Buber I. Grandparents caring for their Grandchildren: findings from the 2004 survey of Health, Ageing, and Retirement in Europe. J Fam Issues. 2008;30(1):53–73.
doi: 10.1177/0192513X08322627
Group of Experts on Gender SI. Employment. The provision of childcare services: A comparative review of 30 European countries. 2009.
Bengtson VL. Beyond the Nuclear Family: the increasing importance of multigenerational bonds. J Marriage Family. 2001;63(1):1–16.
doi: 10.1111/j.1741-3737.2001.00001.x
Glaser K, Grandparents P, Fundação Calouste G, King’s College L. Beth Johnson F. Grandparenting in Europe. London: Grandparents Plus; 2010.
Szinovacz ME. Grandparents today: a demographic profile. Gerontologist. 1998;38(1):37–52.
doi: 10.1093/geront/38.1.37
pubmed: 9499652
Glaser K, Di Gessa G, Tinker A, Grandparents P, King’s College London. Institute of G. Grandparenting in Europe: the health and wellbeing of grandparents caring for grandchildren: the role of cumulative advantage/disadvantage. London: Grandparents Plus; 2014.
Di Gessa G, Glaser K, Tinker A. The impact of caring for grandchildren on the health of grandparents in Europe: a lifecourse approach. Soc Sci Med. 2016;152:166–75.
doi: 10.1016/j.socscimed.2016.01.041
pubmed: 26854626
Danielsbacka M, Křenková L, Tanskanen AO. Grandparenting, health, and well-being: a systematic literature review. Eur J Ageing. 2022;19(3):341–68.
doi: 10.1007/s10433-021-00674-y
pubmed: 36052183
pmcid: 9424377
Reinkowski J. Should we care that they care? Grandchild Care and its impact on Grandparent Health. ifo Institute - Leibniz Institute for Economic Research at the University of Munich; 2013.
World Health Organisation. Physical activity https://www.who.int/news-room/fact-sheets/detail/physical-activity2022 [.
Peel NM, McClure RJ, Bartlett HP. Behavioral determinants of healthy aging. Am J Prev Med. 2005;28(3):298–304.
doi: 10.1016/j.amepre.2004.12.002
pubmed: 15766620
Daskalopoulou C, Stubbs B, Kralj C, Koukounari A, Prince M, Prina AM. Physical activity and healthy ageing: a systematic review and meta-analysis of longitudinal cohort studies. Ageing Res Rev. 2017;38:6–17.
doi: 10.1016/j.arr.2017.06.003
pubmed: 28648951
Seefeldt V, Malina RM, Clark MA. Factors affecting levels of physical activity in adults. Sports Med. 2002;32(3):143–68.
doi: 10.2165/00007256-200232030-00001
pubmed: 11839079
Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020;54(24):1451–62.
doi: 10.1136/bjsports-2020-102955
pubmed: 33239350
Rezende LFMd, Rey-López JP, Matsudo VKR, Luiz OC. Sedentary behavior and health outcomes among older adults: a systematic review. BMC Public Health. 2014;14(1):333.
doi: 10.1186/1471-2458-14-333
Harvey JA, Chastin SFM, Skelton DA. Prevalence of sedentary behavior in older adults: a systematic review. Int J Environ Res Public Health. 2013;10(12):6645–61.
doi: 10.3390/ijerph10126645
pubmed: 24317382
pmcid: 3881132
Gennuso KP, Gangnon RE, Matthews CE, Thraen-Borowski KM, Colbert LH. Sedentary behavior, physical activity, and markers of Health in older adults. Med Sci Sports Exerc. 2013;45(8).
Whitley DM, Fuller-Thomson E, Brennenstuhl S. Health characteristics of Solo Grandparent caregivers and single parents: a comparative Profile using the behavior risk factor Surveillance Survey. Curr Gerontol Geriatr Res. 2015;2015:630717.
doi: 10.1155/2015/630717
pubmed: 26448744
pmcid: 4581507
Vermote M. Healthy grandparenting: The impact of non-residential grandchild care on physical activity and sedentary behavior in people aged 50 years and over. Crazy Copy Center Productions; 2024.
Vermote M, Deliens T, Deforche B, D'Hondt E. The impact of non-residential grandchild care on physical activity and sedentary behavior in people aged 50 years and over: study protocol of the Healthy Grandparenting Project. BMC Public Health. 2021;21(1):38.
Stewart A, Marfell-Jones M, De Olds T. Ridder J. International Standards for Anthropometric Assessment2011.
Braveman PA, Cubbin C, Egerter S, Chideya S, Marchi KS, Metzler M, et al. Socioeconomic status in health research: one size does not fit all. JAMA. 2005;294(22):2879–88.
doi: 10.1001/jama.294.22.2879
pubmed: 16352796
Aadland E, Ylvisåker E. Reliability of the actigraph GT3X + accelerometer in adults under free-living conditions. PLoS ONE. 2015;10(8):e0134606.
doi: 10.1371/journal.pone.0134606
pubmed: 26274586
pmcid: 4537282
Freedson PS, Melanson E, Sirard J. Calibration of the Computer Science and Applications, Inc. accelerometer. Med Sci Sports Exerc. 1998;30(5):777–81.
doi: 10.1097/00005768-199805000-00021
pubmed: 9588623
Bates D, Mächler M, Bolker B, Walker S. Fitting Linear mixed-effects models using lme4. J Stat Softw. 2015;67(1):1–48.
doi: 10.18637/jss.v067.i01
Brooks M, Kristensen K, van Benthem K, Magnusson A, Berg C, Nielsen A, et al. glmmTMB balances speed and flexibility among packages for zero-inflated generalized Linear mixed modeling. R J. 2017;9:378–400.
doi: 10.32614/RJ-2017-066
Hadley Wickham DN. Thomas Lin Pedersen. ggplot2: Elegant Graphics for Data Analysis (Use R). Ed n. editor: Springer; 2016.
Lüdecke DBA, Schwemmer C, Powell C, Djalovski A, Titz J. sjPlot: Data Visualization for Statistics in Social Science. 2021.
Leimer B, van Ewijk R. Are grandchildren good for you? Well-being and health effects of becoming a grandparent. Soc Sci Med. 2022;313:115392.
doi: 10.1016/j.socscimed.2022.115392
pubmed: 36215928
Vermote M, Deliens T, Deforche B, D’Hondt E. Determinants of caregiving grandparents’ physical activity and sedentary behavior: a qualitative study using focus group discussions. European Review of Aging and Physical Activity. 2023;20(1):20.
Sneed RS, Schulz R. Grandparent Caregiving, Race, and cognitive functioning in a Population-based sample of older adults. J Aging Health. 2019;31(3):415–38.
doi: 10.1177/0898264317733362
pubmed: 29254404
Ainsworth BE, Haskell WL, Herrmann SD, Meckes N, Bassett DR Jr., Tudor-Locke C, et al. 2011 Compendium of Physical activities: a second update of codes and MET values. Med Sci Sports Exerc. 2011;43(8):1575–81.
doi: 10.1249/MSS.0b013e31821ece12
pubmed: 21681120
Corcoran L, Steinley K, Statistics NCE. Research AIf. Early Childhood Program participation, results from the National Household Education Surveys Program of 2016. First look. NCES 2017 – 101: ERIC Clearinghouse; 2017.
Warburton DER, Bredin SSD. Health benefits of physical activity: a systematic review of current systematic reviews. Curr Opin Cardiol. 2017;32(5):541–56.
doi: 10.1097/HCO.0000000000000437
pubmed: 28708630
Chastin SFM, De Craemer M, De Cocker K, Powell L, Van Cauwenberg J, Dall P, et al. How does light-intensity physical activity associate with adult cardiometabolic health and mortality? Systematic review with meta-analysis of experimental and observational studies. Br J Sports Med. 2019;53(6):370–6.
doi: 10.1136/bjsports-2017-097563
pubmed: 29695511
Kelley SJ, Whitley DM, Escarra SR, Zheng R, Horne EM, Warren GL. The Mental Health well-being of grandparents raising Grandchildren: a systematic review and Meta-analysis. Marriage Family Rev. 2021;57(4):329–45.
doi: 10.1080/01494929.2020.1861163
Danielsbacka M, Křenková L, Tanskanen AO. Grandparenting, health, and well-being: a systematic literature review. Eur J Ageing. 2022;19(3):341–68.
doi: 10.1007/s10433-021-00674-y
pubmed: 36052183
pmcid: 9424377
Yang X, Yin D. The Protective Effect of Caring for Grandchildren on the Mental Health of the Elderly: a structural equation modeling analysis. Int J Environ Res Public Health. 2022;19(3).
Singh A, Misra N. Loneliness, depression and sociability in old age. Ind Psychiatry J. 2009;18(1):51–5.
doi: 10.4103/0972-6748.57861
pubmed: 21234164
pmcid: 3016701
Statistiek CBvd. Ziekteverzuim en werkdruk in kinderopvang toegenomen na coronaperiode België: Centraal Bureau voor de Statistiek; 2023 [ https://www.cbs.nl/nl-nl/nieuws/2023/06/ziekteverzuim-en-werkdruk-in-kinderopvang-toegenomen-na-coronaperiode#:~:text=In%20de%20kinderopvang%20was%20het,de%20sector%20zorg%20en%20welzijn .
Fergusson E, Maughan B, Golding J. Which children receive grandparental care and what effect does it have? J Child Psychol Psychiatry Allied Discip. 2008;49:161–9.
doi: 10.1111/j.1469-7610.2007.01840.x
Portney LG. Foundations of clinical research: applications to evidence-based practice. FA Davis; 2020.
Chan ACY, Lee SK, Zhang J, Banegas J, Marsalis S, Gewirtz AH. Intensity of Grandparent Caregiving, Health, and well-being in Cultural Context: a systematic review. Gerontologist. 2023;63(5):851–73.
doi: 10.1093/geront/gnac026
pubmed: 35176155
Di Gessa G, Glaser K, Price D, Ribe E, Tinker A. What drives National differences in Intensive Grandparental Childcare in Europe? J Gerontol B Psychol Sci Soc Sci. 2016;71(1):141–53.
doi: 10.1093/geronb/gbv007
pubmed: 25783973