Informal caregiving and physical activity among 204,315 adults in 38 low-and middle-income countries: A cross-sectional study

PREVENTIVE MEDICINE

卷:132

Article

Jacob, Louis^1,2  Smith, Lee³  Jackson, Sarah E.⁴  Shin, Jae Il⁵  Maria Haro, Josep²  Vancampfort, Davy^6,7  Stubbs, Brendon^8,9  Koyanagi, Ai^2,10 

[1] Univ Versailles St Quentin En Yvelines, Fac Med, 2 Ave Source Bievre, F-78180 Montigny Le Bretonneux, France

[2] CIBERSAM, Res & Dev Unit, Parc Sanit St Joan de Deu,Dr Antoni Pujadas 42, Barcelona 08830, Spain

[3] Anglia Ruskin Univ, Cambridge Ctr Sport & Exercise Sci, Cambridge, England

[4] UCL, Dept Behav Sci & Hlth, London, England

[5] Yonsei Univ, Dept Pediat, Coll Med, Yonsei Ro 50,CPO Box 8044, Seoul 03722, South Korea

[6] Katholieke Univ Leuven, Dept Rehabil Sci, Leuven, Belgium

[7] Univ Psychiat Centrum St Jozef, KU Leuven, Leuven, Kortenberg, Belgium

[8] Kings Coll London, Inst Psychiat Psychol & Neurosci, London, England

[9] South London & Maudsley NHS Fdn Trust, Denmark Hill, London SE5 8AZ, England

[10] ICREA, Pg Lluis Companys 23, Barcelona, Spain

关键词: Informal caregiving;    Physical activity;    Low- and middle-income countries;    Epidemiology;    Multi-country study;   

DOI  :  10.1016/j.ypmed.2020.106007

来源: Elsevier

【 摘 要 】

Data on the association between informal caregiving and physical activity (PA) levels are scarce, especially from low- and middle-income countries (LMICs). Furthermore, previous research has yielded conflicting results. Thus, we investigated this association in adults from 38 LMICs. Data from the World Health Survey (WHS), a cross-sectional, predominantly nationally representative survey conducted in 2002-2004, were analyzed. PA was assessed by the International Physical Activity Questionnaire and participants were dichotomized into those who do 150 min of moderate-to-vigorous PA per week) and do not (>= 150 min = low PA) comply with the World Health Organization PA recommendations. Those who provided help to a relative or friend (adult or child), because this person has a long-term physical or mental illness or disability, or is getting old and weak in the past year were considered to be informal caregivers. Multivariable logistic regression analysis was conducted to assess the associations. There were 204,315 adults aged >= 18 years from 38 LMICs included in this study [mean (standard deviation) age 38.6 (16.1) years; 50.7% female]. Overall, the prevalence of caregiving and low PA was 19.5% and 29.9%, respectively. After adjustment for potential confounders, caregivers were at a lower risk for low PA compared to non-caregivers (OR = 0.79; 95% CI = 0.72-0.86). Engagement in greater number of caregiving activities was associated with lower odds for low PA dose-dependently. Informal caregiving was associated with higher levels of PA in adults in LMICs. Future studies of longitudinal design are warranted to understand causality and the underlying mechanisms of this association.

【 授权许可】

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