Women carry the weight of deprivation on physical inactivity: Moderated mediation analyses in a European sample of adults over 50 Years of age
Deprived people are less physically active than privileged individuals. However, pathways underlying the association between deprivation and physical activity remain overlooked. We examined whether the association between deprivation and physical activity was mediated by body mass index (BMI). Consi...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-12-01
|
| Series: | SSM: Population Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352827322002518 |
| _version_ | 1811187732915945472 |
|---|---|
| author | Silvio Maltagliati Ilyes Saoudi Philippe Sarrazin Stéphane Cullati Stefan Sieber Aïna Chalabaev Boris Cheval |
| author_facet | Silvio Maltagliati Ilyes Saoudi Philippe Sarrazin Stéphane Cullati Stefan Sieber Aïna Chalabaev Boris Cheval |
| author_sort | Silvio Maltagliati |
| collection | DOAJ |
| description | Deprived people are less physically active than privileged individuals. However, pathways underlying the association between deprivation and physical activity remain overlooked. We examined whether the association between deprivation and physical activity was mediated by body mass index (BMI). Consistent with an intersectional perspective (how the combination of belongingness to vulnerable social categories widens inequalities), we tested whether gender moderated this mediating pathway and hypothesized that the mediating effect of BMI would be stronger among women (vs men). Large-scale longitudinal data from 20,961 adults 50 years of age or older (57% women) from the Survey of Health, Ageing and Retirement in Europe were used. Social and material deprivation were measured by questionnaire, BMI and physical activity were reported from two to six years later. Simple mediation models showed that BMI partly mediated the association of material (total effect c = -0.14, proportion of mediated effect = 8%) and of social deprivation (c = -0.24, proportion of mediated effect = 4%) with physical activity. Moderated mediation models revealed that this mediating pathway was moderated by gender. The effect of deprivation on BMI was stronger among women (vs men), with BMI mediating 18% and 7% of the association of material and social deprivation with physical activity among women (vs 4% and 2% among men). Lower levels of physical activity observed among deprived older adults could be partly attributed to a higher BMI. Critically, this mechanism was exacerbated among women, reinforcing the need to understand how deprivation and gender interact to predict health behaviors. |
| first_indexed | 2024-04-11T14:08:28Z |
| format | Article |
| id | doaj.art-b9f24989fa844a63bc125f9ee1781aee |
| institution | Directory Open Access Journal |
| issn | 2352-8273 |
| language | English |
| last_indexed | 2024-04-11T14:08:28Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | SSM: Population Health |
| spelling | doaj.art-b9f24989fa844a63bc125f9ee1781aee2022-12-22T04:19:49ZengElsevierSSM: Population Health2352-82732022-12-0120101272Women carry the weight of deprivation on physical inactivity: Moderated mediation analyses in a European sample of adults over 50 Years of ageSilvio Maltagliati0Ilyes Saoudi1Philippe Sarrazin2Stéphane Cullati3Stefan Sieber4Aïna Chalabaev5Boris Cheval6Univ. Grenoble Alpes, SENS, F-38000, Grenoble, France; Corresponding author. Laboratoire SENS, UFR STAPS, 1741 rue de la Piscine, 38400, Saint-Martin d’Hères, France.Univ. Grenoble Alpes, SENS, F-38000, Grenoble, FranceUniv. Grenoble Alpes, SENS, F-38000, Grenoble, FrancePopulation Health Laboratory, University of Fribourg, Switzerland; Department of Readaptation and Geriatrics, University of Geneva, SwitzerlandLIVES Centre, Swiss Centre of Expertise in Life Course Research, University of Lausanne, SwitzerlandUniv. Grenoble Alpes, SENS, F-38000, Grenoble, FranceSwiss Center for Affective Sciences, University of Geneva, Geneva, Switzerland; Laboratory for the Study of Emotion Elicitation and Expression (E3Lab), Department of Psychology, University of Geneva, Geneva, Switzerland; Corresponding author. Campus, Biotech, Chemin des Mines 9, 1202, Geneva, Switzerland.Deprived people are less physically active than privileged individuals. However, pathways underlying the association between deprivation and physical activity remain overlooked. We examined whether the association between deprivation and physical activity was mediated by body mass index (BMI). Consistent with an intersectional perspective (how the combination of belongingness to vulnerable social categories widens inequalities), we tested whether gender moderated this mediating pathway and hypothesized that the mediating effect of BMI would be stronger among women (vs men). Large-scale longitudinal data from 20,961 adults 50 years of age or older (57% women) from the Survey of Health, Ageing and Retirement in Europe were used. Social and material deprivation were measured by questionnaire, BMI and physical activity were reported from two to six years later. Simple mediation models showed that BMI partly mediated the association of material (total effect c = -0.14, proportion of mediated effect = 8%) and of social deprivation (c = -0.24, proportion of mediated effect = 4%) with physical activity. Moderated mediation models revealed that this mediating pathway was moderated by gender. The effect of deprivation on BMI was stronger among women (vs men), with BMI mediating 18% and 7% of the association of material and social deprivation with physical activity among women (vs 4% and 2% among men). Lower levels of physical activity observed among deprived older adults could be partly attributed to a higher BMI. Critically, this mechanism was exacerbated among women, reinforcing the need to understand how deprivation and gender interact to predict health behaviors.http://www.sciencedirect.com/science/article/pii/S2352827322002518Physical activityDeprivationBody mass indexGenderIntersectional approach |
| spellingShingle | Silvio Maltagliati Ilyes Saoudi Philippe Sarrazin Stéphane Cullati Stefan Sieber Aïna Chalabaev Boris Cheval Women carry the weight of deprivation on physical inactivity: Moderated mediation analyses in a European sample of adults over 50 Years of age SSM: Population Health Physical activity Deprivation Body mass index Gender Intersectional approach |
| title | Women carry the weight of deprivation on physical inactivity: Moderated mediation analyses in a European sample of adults over 50 Years of age |
| title_full | Women carry the weight of deprivation on physical inactivity: Moderated mediation analyses in a European sample of adults over 50 Years of age |
| title_fullStr | Women carry the weight of deprivation on physical inactivity: Moderated mediation analyses in a European sample of adults over 50 Years of age |
| title_full_unstemmed | Women carry the weight of deprivation on physical inactivity: Moderated mediation analyses in a European sample of adults over 50 Years of age |
| title_short | Women carry the weight of deprivation on physical inactivity: Moderated mediation analyses in a European sample of adults over 50 Years of age |
| title_sort | women carry the weight of deprivation on physical inactivity moderated mediation analyses in a european sample of adults over 50 years of age |
| topic | Physical activity Deprivation Body mass index Gender Intersectional approach |
| url | http://www.sciencedirect.com/science/article/pii/S2352827322002518 |
| work_keys_str_mv | AT silviomaltagliati womencarrytheweightofdeprivationonphysicalinactivitymoderatedmediationanalysesinaeuropeansampleofadultsover50yearsofage AT ilyessaoudi womencarrytheweightofdeprivationonphysicalinactivitymoderatedmediationanalysesinaeuropeansampleofadultsover50yearsofage AT philippesarrazin womencarrytheweightofdeprivationonphysicalinactivitymoderatedmediationanalysesinaeuropeansampleofadultsover50yearsofage AT stephanecullati womencarrytheweightofdeprivationonphysicalinactivitymoderatedmediationanalysesinaeuropeansampleofadultsover50yearsofage AT stefansieber womencarrytheweightofdeprivationonphysicalinactivitymoderatedmediationanalysesinaeuropeansampleofadultsover50yearsofage AT ainachalabaev womencarrytheweightofdeprivationonphysicalinactivitymoderatedmediationanalysesinaeuropeansampleofadultsover50yearsofage AT borischeval womencarrytheweightofdeprivationonphysicalinactivitymoderatedmediationanalysesinaeuropeansampleofadultsover50yearsofage |