Haider, S;
Grabovac, I;
Smith, L;
Stefanac, S;
Jackson, S;
Li, Y;
Cao, C;
... Yang, L; + view all
(2020)
Health Care Providers' Advice on Lifestyle Modification for Older Adults.
Journal of the American Medical Directors Association
, 21
(3)
361-366.e1.
10.1016/j.jamda.2019.07.019.
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Abstract
Objectives: To describe the pattern of health care providers' advice on lifestyle modification to older adults, and identify correlates of receiving such advice. / Design: Cross-sectional survey. / Setting and participants: Data from the National Health and Nutrition Examination Survey study from 2007-2016 on adults ≥65 years (n = 3758) were analyzed. / Methods: We estimated the weighted prevalence and correlates of receiving advice on the following lifestyle modifications: (1) increase physical activity, (2) reduce fat/calories, (3) control/lose weight, and (4) a combination of control/lose weight and physical activity. Data were analyzed according to level of comorbidity (number of chronic conditions including high blood pressure, high blood cholesterol, type 2 diabetes mellitus, coronary heart disease, and arthritis) and body mass index (BMI). / Results: Physical activity was the most widely prescribed lifestyle modification, reported by 15.7% of older adults free of chronic conditions and 28.9%, 35.4%, and 52.6% of older adults with 1, 2, and ≥3 comorbidities. Advice on reducing fat/calories was reported by 9.2%, 18.5%, 26.3%, and 40.9% of older adults with 0, 1, 2, and ≥3 comorbidities, respectively, and advice on weight loss/control was reported by 6.5%, 19.1%, 20.8%, and 37.5%, respectively. The combination of advice on weight loss/control and physical activity was least commonly reported: 5.1%, 13.5%, 16.6%, and 32.0%, respectively. Overall, lifestyle modifications were more frequently advised to older adults who were overweight, obese, or Hispanic. / Conclusions and implications: In the United States, lifestyle modifications are not routinely recommended to older adults, particularly those free of chronic conditions, presenting a missed opportunity for chronic disease prevention and management. Among those advised to lose or manage weight, concurrent advice to increase physical activity is not consistently provided.
| Type: | Article |
|---|---|
| Title: | Health Care Providers' Advice on Lifestyle Modification for Older Adults |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.jamda.2019.07.019 |
| Publisher version: | https://doi.org/10.1016/j.jamda.2019.07.019 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | older adults; NHANES; lifestyle advice; chronic illness |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10081870 |
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