Informal caregiving and physical activity among 204,315 adults in 38 low- and middle-income countries: A cross-sectional study.
Por:
Jacob L, Smith L, Jackson SE, Shin JI, Haro JM, Vancampfort D, Stubbs B and Koyanagi A
Publicada:
1 mar 2020
Ahead of Print:
27 ene 2020
Resumen:
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.
Filiaciones:
Jacob L:
Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Montigny-le-Bretonneux 78180, France
Research and development unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona 08830, Spain
Smith L:
The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, United Kingdom
Jackson SE:
Department of Behavioural Science and Health, University College London, United Kingdom
Shin JI:
Department of Pediatrics, Yonsei University College of Medicine, Yonsei-ro 50, Seodaemun-gu, C.P.O. Box 8044, Seoul 03722, Republic of Korea
Haro JM:
Research and development unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona 08830, Spain
Vancampfort D:
KU Leuven, Department of Rehabilitation Sciences, Leuven, Belgium
KU Leuven, University Psychiatric Center KU Leuven, Leuven, Kortenberg, Belgium
Stubbs B:
Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom
South London and Maudsley NHS Foundation Trust, Denmark Hill, London SE5 8AZ, United Kingdom
Koyanagi A:
Research and development unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona 08830, Spain
ICREA, Pg. Lluís Companys 23, Barcelona, Spain
Green Accepted, hybrid, Green Published
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