Reducing Isolation and Loneliness Through Membership in a Fitness Program for Older Adults: Implications for Health

被引:14
作者
Brady, Samantha [1 ]
D'Ambrosio, Lisa A. [1 ]
Felts, Adam [1 ]
Rula, Elizabeth Y. [2 ]
Kell, Kenneth P. [2 ]
Coughlin, Joseph F. [1 ]
机构
[1] MIT AgeLab, 77 Massachusetts Ave,E40-275, Cambridge, MA 02139 USA
[2] Tivity Hlth Inc, Franklin, TN USA
关键词
social isolation; loneliness; physical activity; older adults; group membership; SOCIAL-ISOLATION; PHYSICAL-ACTIVITY; RISK-FACTORS; MORTALITY; PEOPLE; LIFE; PREDICTOR; DECLINE; DISEASE; IMPACT;
D O I
10.1177/0733464818807820
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Objectives: To explore the effects of membership in a fitness program for older adults on social isolation, loneliness, and health. Method: Using survey responses from SilverSneakers members and matched nonmembers, regression path analysis was used to examine the influence of SilverSneakers membership on physical activity, social isolation, loneliness, and health, and the interrelationships among these concepts. Results: SilverSneakers membership directly increased physical activity and self-rated health, directly decreased social isolation, and indirectly decreased loneliness. Decreased social isolation and loneliness were associated with better self-rated health: social isolation and loneliness had independent direct effects on health, while social isolation also had an indirect effect on health mediated through loneliness. Discussion: Members of SilverSneakers experienced better health through increased physical activity, reduced social isolation, and reduced loneliness. Future research should explore independent effects of social isolation and loneliness on health and the mechanisms by which membership reduces social isolation and loneliness.
引用
收藏
页码:301 / 310
页数:10
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