ArticleEuropean review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity2023
Sleep, physical activity, and sedentary behaviors as factors related to depression and health-related quality of life among older women living alone: a population-based study.
Article in European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- The impact of sociodemographic, health status and health behavior factors on depression and quality of life in older adults.BMC public health · 2025Article
- [Factors affecting health-related quality of life for older adults living alone in rural areas in Korea: A cross-sectional descriptive study].Journal of Korean gerontological nursing · 2025Article
- Network of anxiety and depression symptoms in older Chinese adults living alone: a cross-sectional study.Frontiers in psychiatry · 2025Article
- Musculoskeletal Multimorbidity Burden and Trajectory in Relation to Later-Life Holistic Well-Being Among Middle-Aged and Elderly Individuals: A Prospective Study.Orthopaedic surgery · 2024Article
- Increased Salivary IL-1 Beta Level Is Associated with Poor Sleep Quality in University Students.Diseases (Basel, Switzerland) · 2023Article
- The relationship between living alone or not and depressive symptoms in older adults: a parallel mediation effect of sleep quality and anxiety.BMC geriatrics · 2023Article
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Abstract
backgroundAlthough the number of older women living alone (OWLA) has risen steadily in aging societies, and research has been conducted on depression and health-related quality of life (HRQoL) among older adults, research is scarce on the health behaviors of OWLA, including their sleep, physical activity, and sedentary behaviors. Hence, we aimed to identify factors related to depression and HRQoL among this subset of the population, focusing on their health behaviors, using Andersen's model as a research framework.
methodsData for secondary analysis were from the Korean National Health and Nutritional Examination Survey (2014, 2016, 2018, and 2020). The inclusion criteria were (1) women aged 65 and older and (2) those living alone. We included 794 older South Korean women living alone from 31,051 respondents. We used hierarchical regression analysis, considering sampling weight and a complex sample design, to identify factors related to depression and HRQoL.
resultsAmong the health behavior factors of Andersen's model as a research framework, sleep was associated with depression, whereas physical activity and sedentary behaviors were related to HRQoL. Subjective health status, limited activity, and perceived stress were associated with both depression and HRQoL. Household income, as an enabling factor, was only associated with HRQoL. The final regression model explained 39% of the variance in depression (p < 0.001) and 37% of the variance in HRQoL (p < 0.001).
conclusionsOur study highlights the importance of strategies to improve specific healthy behaviors that affect depression and HRQoL in OWLA. Appropriate interventions that target increasing physical activity and quality of sleep, and decreasing sedentary behaviors, will be effective to enhance the well-being of OWLA. Healthcare providers should comprehensively understand the characteristics of OWLA and pay more attention to enabling, need, and health behavior factors.
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