TY - JOUR
T1 - Mobility limitations and emotional dysfunction in old age
T2 - The moderating effects of physical activity and social ties
AU - Gyasi, Razak M.
AU - Asante, Felix
AU - Hambali, Mohammed Gazali
AU - Odei, Julius
AU - Jacob, Louis
AU - Obeng, Bernard
AU - Peprah, Prince
AU - Asamoah, Edward
AU - Agyemang-Duah, Williams
AU - Abass, Kabila
AU - Asiki, Gershim
AU - Adam, Anokye M.
N1 - Publisher Copyright:
© 2023 The Authors. International Journal of Geriatric Psychiatry published by John Wiley & Sons Ltd.
PY - 2023/7
Y1 - 2023/7
N2 - Background: This study aims to examine the association between mobility limitations and emotional dysfunction among older Ghanaians and evaluate the buffering effect of physical activity (PA) and social ties in this association. Methods: The analysis included 1201 adults aged ≥50 from the 2016-17 Aging, Health, Psychological Well-being, and Health-seeking Behavior study. The Medical Outcomes Study Short Form-36 (MOS SF-36) assessed mobility limitations and emotional dysfunction. We measured PA using the International Physical Activity Questionnaire Short Form (IPAQ-SF). Hierarchical OLS regressions were performed to evaluate the hypothesized direct and interactive relationships. Results: The mean age of the sample was 66.2 (SD = 11.9), and 63.3% were women. After full adjustment for potential confounders, OLS regressions found that mobility limitations increased the risk of emotional dysfunction (β = 0.113, p = 0.004). Moreover, social ties (β = −0.157, p < 0.001) and PA (β = −0.096, p < 0.001) were independently and negatively associated with emotional dysfunction. We finally found a significant effect modification of the association of mobility limitations with emotional dysfunction by PA (β = −0.040, p < 0.002) and social ties (β = −0.013, p = 0.013). Conclusions: Mobility-enhancing strategies such as engagement in positive behavioral choices, focusing on regular PA, and maintaining resourceful interpersonal social networks can mitigate the impact of mobility limitations on emotional dysfunction in later life.
AB - Background: This study aims to examine the association between mobility limitations and emotional dysfunction among older Ghanaians and evaluate the buffering effect of physical activity (PA) and social ties in this association. Methods: The analysis included 1201 adults aged ≥50 from the 2016-17 Aging, Health, Psychological Well-being, and Health-seeking Behavior study. The Medical Outcomes Study Short Form-36 (MOS SF-36) assessed mobility limitations and emotional dysfunction. We measured PA using the International Physical Activity Questionnaire Short Form (IPAQ-SF). Hierarchical OLS regressions were performed to evaluate the hypothesized direct and interactive relationships. Results: The mean age of the sample was 66.2 (SD = 11.9), and 63.3% were women. After full adjustment for potential confounders, OLS regressions found that mobility limitations increased the risk of emotional dysfunction (β = 0.113, p = 0.004). Moreover, social ties (β = −0.157, p < 0.001) and PA (β = −0.096, p < 0.001) were independently and negatively associated with emotional dysfunction. We finally found a significant effect modification of the association of mobility limitations with emotional dysfunction by PA (β = −0.040, p < 0.002) and social ties (β = −0.013, p = 0.013). Conclusions: Mobility-enhancing strategies such as engagement in positive behavioral choices, focusing on regular PA, and maintaining resourceful interpersonal social networks can mitigate the impact of mobility limitations on emotional dysfunction in later life.
KW - emotional health
KW - epidemiology
KW - exercise interventions
KW - healthy aging
KW - physical function
KW - social networks
UR - http://www.scopus.com/inward/record.url?scp=85165015160&partnerID=8YFLogxK
U2 - 10.1002/gps.5969
DO - 10.1002/gps.5969
M3 - Article
C2 - 37458413
AN - SCOPUS:85165015160
SN - 0885-6230
VL - 38
JO - International Journal of Geriatric Psychiatry
JF - International Journal of Geriatric Psychiatry
IS - 7
M1 - e5969
ER -