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Apathy as a determinant of health behaviors in older adults: Implications for dementia risk reduction
INTRODUCTION: Long‐term improvements in physical inactivity and other behavioral risk factors are integral to dementia risk reduction; however, sustained behavior change is challenging. Apathy, depression, and fatigue may impact engagement in health behaviors, but their presentation overlaps. This s...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10668002/ https://www.ncbi.nlm.nih.gov/pubmed/38026759 http://dx.doi.org/10.1002/dad2.12505 |
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author | Harrison, Fleur Mortby, Moyra E. Mather, Karen A. Sachdev, Perminder S. Brodaty, Henry |
author_facet | Harrison, Fleur Mortby, Moyra E. Mather, Karen A. Sachdev, Perminder S. Brodaty, Henry |
author_sort | Harrison, Fleur |
collection | PubMed |
description | INTRODUCTION: Long‐term improvements in physical inactivity and other behavioral risk factors are integral to dementia risk reduction; however, sustained behavior change is challenging. Apathy, depression, and fatigue may impact engagement in health behaviors, but their presentation overlaps. This study investigates whether these symptoms are differentially associated with multiple health behaviors. METHODS: In 1037 community‐dwelling older adults without dementia (aged 70–90, 55% women), regression analyses examined apathy, depression, and fatigue as predictors of health behaviors (physical activity, diet, alcohol, smoking) and a behavioral risk index. RESULTS: Apathy was associated with reduced physical activity and alcohol use, and one or multiple behavioral risk factors. No or inconsistent relations were found between depression or fatigue and health behaviors. DISCUSSION: Apathy is relevant to multiple health behaviors and should be considered when designing health promotion for older adults, including interventions for dementia risk reduction. Findings highlight the importance of distinguishing apathy from comorbid symptoms. HIGHLIGHTS: Novel theory‐based perspective on behavioural risk factors for dementia. Higher apathy predicted less physical activity and alcohol use, and increased odds of lifestyle risk factors. Depressive symptoms were not associated with any health behavior. Apathy may be a determinant of multiple health behaviors in older adults, distinct from depression and fatigue. Considering apathy in precision prevention of dementia appears warranted. |
format | Online Article Text |
id | pubmed-10668002 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-106680022023-11-23 Apathy as a determinant of health behaviors in older adults: Implications for dementia risk reduction Harrison, Fleur Mortby, Moyra E. Mather, Karen A. Sachdev, Perminder S. Brodaty, Henry Alzheimers Dement (Amst) Research Articles INTRODUCTION: Long‐term improvements in physical inactivity and other behavioral risk factors are integral to dementia risk reduction; however, sustained behavior change is challenging. Apathy, depression, and fatigue may impact engagement in health behaviors, but their presentation overlaps. This study investigates whether these symptoms are differentially associated with multiple health behaviors. METHODS: In 1037 community‐dwelling older adults without dementia (aged 70–90, 55% women), regression analyses examined apathy, depression, and fatigue as predictors of health behaviors (physical activity, diet, alcohol, smoking) and a behavioral risk index. RESULTS: Apathy was associated with reduced physical activity and alcohol use, and one or multiple behavioral risk factors. No or inconsistent relations were found between depression or fatigue and health behaviors. DISCUSSION: Apathy is relevant to multiple health behaviors and should be considered when designing health promotion for older adults, including interventions for dementia risk reduction. Findings highlight the importance of distinguishing apathy from comorbid symptoms. HIGHLIGHTS: Novel theory‐based perspective on behavioural risk factors for dementia. Higher apathy predicted less physical activity and alcohol use, and increased odds of lifestyle risk factors. Depressive symptoms were not associated with any health behavior. Apathy may be a determinant of multiple health behaviors in older adults, distinct from depression and fatigue. Considering apathy in precision prevention of dementia appears warranted. John Wiley and Sons Inc. 2023-11-23 /pmc/articles/PMC10668002/ /pubmed/38026759 http://dx.doi.org/10.1002/dad2.12505 Text en © 2023 The Authors. Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring published by Wiley Periodicals LLC on behalf of Alzheimer's Association. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Articles Harrison, Fleur Mortby, Moyra E. Mather, Karen A. Sachdev, Perminder S. Brodaty, Henry Apathy as a determinant of health behaviors in older adults: Implications for dementia risk reduction |
title | Apathy as a determinant of health behaviors in older adults: Implications for dementia risk reduction |
title_full | Apathy as a determinant of health behaviors in older adults: Implications for dementia risk reduction |
title_fullStr | Apathy as a determinant of health behaviors in older adults: Implications for dementia risk reduction |
title_full_unstemmed | Apathy as a determinant of health behaviors in older adults: Implications for dementia risk reduction |
title_short | Apathy as a determinant of health behaviors in older adults: Implications for dementia risk reduction |
title_sort | apathy as a determinant of health behaviors in older adults: implications for dementia risk reduction |
topic | Research Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10668002/ https://www.ncbi.nlm.nih.gov/pubmed/38026759 http://dx.doi.org/10.1002/dad2.12505 |
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