Health-promoting behaviors in older adulthood and intrinsic capacity 10 years later: the HUNT study
Abstract 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 capaci...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-024-17840-3 |
| _version_ | 1797276264650768384 |
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| author | Aslaug Angelsen Sigrid Nakrem Ekaterina Zotcheva Bjørn Heine Strand Linn Beate Strand |
| author_facet | Aslaug Angelsen Sigrid Nakrem Ekaterina Zotcheva Bjørn Heine Strand Linn Beate Strand |
| author_sort | Aslaug Angelsen |
| collection | DOAJ |
| description | Abstract 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 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 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 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. |
| first_indexed | 2024-03-07T15:24:49Z |
| format | Article |
| id | doaj.art-6f4512d9f89043d69967b4118771a308 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-07T15:24:49Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-6f4512d9f89043d69967b4118771a3082024-03-05T17:08:24ZengBMCBMC Public Health1471-24582024-01-0124111010.1186/s12889-024-17840-3Health-promoting behaviors in older adulthood and intrinsic capacity 10 years later: the HUNT studyAslaug Angelsen0Sigrid Nakrem1Ekaterina Zotcheva2Bjørn Heine Strand3Linn Beate Strand4Norwegian University of Science and TechnologyNorwegian University of Science and TechnologyThe Norwegian National Centre for Ageing and HealthNorwegian Institute of Public HealthNorwegian University of Science and TechnologyAbstract 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 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 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 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.https://doi.org/10.1186/s12889-024-17840-3Intrinsic capacityHealth-promoting behaviorsPublic healthHUNT |
| spellingShingle | Aslaug Angelsen Sigrid Nakrem Ekaterina Zotcheva Bjørn Heine Strand Linn Beate Strand Health-promoting behaviors in older adulthood and intrinsic capacity 10 years later: the HUNT study BMC Public Health Intrinsic capacity Health-promoting behaviors Public health HUNT |
| title | Health-promoting behaviors in older adulthood and intrinsic capacity 10 years later: the HUNT study |
| title_full | Health-promoting behaviors in older adulthood and intrinsic capacity 10 years later: the HUNT study |
| title_fullStr | Health-promoting behaviors in older adulthood and intrinsic capacity 10 years later: the HUNT study |
| title_full_unstemmed | Health-promoting behaviors in older adulthood and intrinsic capacity 10 years later: the HUNT study |
| title_short | Health-promoting behaviors in older adulthood and intrinsic capacity 10 years later: the HUNT study |
| title_sort | health promoting behaviors in older adulthood and intrinsic capacity 10 years later the hunt study |
| topic | Intrinsic capacity Health-promoting behaviors Public health HUNT |
| url | https://doi.org/10.1186/s12889-024-17840-3 |
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