Evidence map›Paper›PMID 34374757›Full record

ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2022

Physical Activity as a Mediator Between Race/Ethnicity and Changes in Multimorbidity.

Jason T Newsom, Emily C Denning, Miriam R Elman, Anda Botoseneanu, Heather G Allore, Corey L Nagel, David A Dorr, Ana R Quiñones

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Jason T NewsomDepartment of Psychology, Portland State University, Oregon, USA.
Emily C DenningDepartment of Psychology, Portland State University, Oregon, USA.
Miriam R ElmanSchool of Public Health, Oregon Health & Science University/Portland State University, USA.
Anda BotoseneanuDepartment of Health and Human Services and Institute of Gerontology, University of Michigan, Ann Arbor, USA.ORCID 0000-0003-0628-5820
Heather G AlloreInternal Medicine and Department of Biostatistics, Yale University, New Haven, Connecticut, USA.ORCID 0000-0001-7685-8175
Corey L NagelCollege of Nursing, University of Arkansas for Medical Sciences, Little Rock, USA.
David A DorrDepartment of Medical Informatics and Clinical Epidemiology, School of Medicine, Oregon Health and Science University, Portland, USA.ORCID 0000-0003-2318-7261
Ana R QuiñonesDepartment of Family Medicine, Oregon Health and Science University, Portland, USA.ORCID 0000-0001-6554-7734
Portland State University · USOregon Health & Science University · USUniversity of Arkansas for Medical Sciences · USUniversity of Michigan · USYale University · US

Funding

Multimorbidity Combinations and Dementia Onset Among Race/Ethnic Older AdultsRF1AG058545 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI QUINONES, ANA ROMAN · 2019 to 2019
$3.6M
Changes in Multimorbidity and Disability Among Race/Ethnic Older Adults (Administrative Supplement)R01AG055681 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI QUINONES, ANA ROMAN · 2017 to 2021
$2.8M
NIA NIH HHS R01 AG055681NIA NIH HHS RF1 AG058545
6 · The paper itself

Abstract

objectivesStudies report racial/ethnic disparities in multimorbidity (≥2 chronic conditions) and their rate of accumulation over time as well as differences in physical activity. Our study aimed to investigate whether racial/ethnic differences in the accumulation of multimorbidity were mediated by physical activity among middle-aged and older adults.

methodWe assessed racial/ethnic differences in the accumulation of multimorbidity (of 9 conditions) over 12 years (2004-2016) in the Health and Retirement Study (N = 18,264, mean age = 64.4 years). Structural equation modeling was used to estimate latent growth curve models of changes in multimorbidity and investigate whether the relationship of race/ethnicity (non-Hispanic Black, Hispanic, non-Hispanic White participants) to changes in the number of chronic conditions was mediated by physical activity after controlling for age, sex, education, marital status, household wealth, insurance coverage, smoking, alcohol, and body weight.

resultsThere was a significant increase in multimorbidity over time. Initial levels and changes in multimorbidity over time varied significantly across individuals. Indirect effects of the relationship between race/ethnicity and changes in multimorbidity as mediated by physical activity were significant, consistent with the mediational hypothesis. Black respondents engaged in significantly lower levels of physical activity than White respondents after controlling for covariates, but there were no differences between Hispanic and White respondents once education was included. Discussion: These results provide important new information for understanding how modifiable lifestyle factors may help explain disparities in multimorbidity in mid-to-late life, suggesting greater need to intervene to reduce sedentary behavior and increase physical activity.

Indexed as

EthnicityMultimorbidityAgedChronic DiseaseExerciseHispanic or LatinoHumansMiddle AgedChronic illnessDisparitiesExercise

Identifiers

PMID34374757
PMCPMC9371457
OpenAlexW3187952152

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.