Longevidade saudável e equilíbrios dinâmicos do bem-estar, da dieta e da atividade física

Albertina Lima Oliveira; Tiago Sousa; Manuela Alvarez

doi:10.31211/rpics.2024.10.1.315

Authors

Albertina Lima Oliveira Universidade de Coimbra, Centro de Estudos Interdisciplinares, Faculdade de Psicologia e Ciências da Educação https://orcid.org/0000-0001-9521-528X
Tiago Sousa Universidade de Coimbra, Centro de Investigação em Antropologia e Saúde, Faculdade de Ciências e Tecnologia, Departamento de Ciências da Vida, https://orcid.org/0000-0003-0355-5944
Manuela Alvarez Universidade de Coimbra, Centro de Investigação em Antropologia e Saúde, Faculdade de Ciências e Tecnologia, Departamento de Ciências da Vida, https://orcid.org/0000-0002-0336-2299

DOI:

https://doi.org/10.31211/rpics.2024.10.1.315

Keywords:

Physical activity, Subjective well-being, Mediterranean diet, Biophysiological indicators, Healthy longevity

Abstract

Background: Healthy longevity originates from the dynamic interaction between environmental, biological, and psychosocial factors such as health and subjective well-being. Objective: To analyze how subjective well-being, subjective health, physical activity, and the Mediterranean diet relate to aging biomarkers and the number of prescribed medications and how they vary according to groups differentiated by age, sex, and other sociodemographic variables. Method: A non-experimental cross-sectional methodology was used involving 290 non-institutionalized people aged 61 to 98 years living in the Coimbra Region. The biomarkers were collected from clinical analysis reports, and the remaining demographic, psychosocial, and lifestyle data were collected with questionnaires. Results: It was found that subjective well-being presents invariance as a function of chronological age and marital status but not gender. The perception of health emerged as a differentiating factor for life satisfaction, negative affect, depressive symptoms, and perception of social support, as well as the alkaline phosphatase, triglycerides, and HDL biomarkers and the number of medications. Physical activity differentiated depressive symptoms, the social network, the dietary pattern, alkaline phosphatase, and medications. Conclusions: The stability of subjective well-being throughout advanced adulthood is highlighted, and it is observed that most participants up to 79 years of age consider themselves in good health. Actions that promote positive affect, social networking, and the practice of moderate to intense physical activity are recommended, as they are associated with physical and subjective health and subjective well-being.

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References

Afonso, L., Moreira, T., & Oliveira, A. (2014). Índices de adesão ao padrão alimentar mediterrânico: A base metodológica para estudar a sua relação com a saúde. Revista Fatores de Risco, 31, 48–55. https://bit.ly/3WkvapL

Amin, M. R., Rahman, M. A., Alam, N., Hasan, M. N., & Hasan, G. S. (2016). Relationship between triglyceride HDL-cholesterol ratio and severity of coronary artery disease in patient with acute coronary syndrome. Bangladesh Medical Journal, 43(3), 157–161. https://doi.org/mtvv

Antunes, R., Couto, N., Vitorino, A., Monteiro, D., Marinho, D. A., & Cid, L. (2020). Physical activity and affect of the elderly: Contribution to the validation of the Positive and Negative Affect Shedule (PANAS) in the Portuguese population. Journal of Human Sport and Exercise, 15(2), 330–343. https://doi.org/mtvw

Barreto, J., Leuschner, A., Santos, F., & Sobral, M. (2007). Escala de Depressão Geriátrica. Em A. Mendonça, M. Guerreiro, & Grupo de Estudos de Envelhecimento Cerebral e Demência (Eds.), Escalas e testes na demência (2.ª ed.; pp. 37–43). Novartis.

Barros-Oliveira, J. (2000). Felicidade: Teorias e factores. Psicologia Educação e Cultura, 4(2), 281–309. https://bit.ly/4a5AMXU

Bauger, L., Bongaardt, R., & Bauer, J. J. (2021). Maturity and well-being: The development of self-authorship, eudaimonic motives, age, and subjective well-being. Journal of Happiness Studies, 22(3), 1313–1340. https://doi.org/mtvx

Blanchflower, D. G., & Bryson, A. (2023). The gender well-being gap. NBER Working Paper, 2013–2015. https://doi.org/mtvz

Boerma, T., Hosseinpoor, A. R., Verdes, E., & Chatterji, S. (2016). A global assessment of the gender gap in self-reported health with survey data from 59 countries. BMC Public Health, 16(1), 675. https://doi.org/f8xz9d

Buecker, S., Simacek, T., Ingwersen, B., Terwiel, S., & Simonsmeier, B. A. (2021). Physical activity and subjective well-being in healthy individuals: A meta-analytic review. Health Psychology Review, 15(4), 574–592. https://doi.org/gmx5dj

Cabiedes-Miragaya, L., Diaz-Mendez, C., & García-Espejo, I. (2021). Well-being and the lifestyle habits of the Spanish population: The association between subjective well-being and eating habits. International Journal of Environmental Research and Public Health, 18(4), 1–13. https://doi.org/mtv3

Carstensen, L. L., & DeLiema, M. (2018). The positivity effect: A negativity bias in youth fades with age. Current Opinion in Behavioral Sciences, 19, 7–12. https://doi.org/ghxgdt

Carstensen, L. L., Fung, H. H., & Charles, S. T. (2003). Socioemotional selectivity theory and the regulation of emotion in the second half of life. Motivation and Emotion, 27(2), 103–123. https://doi.org/ft582k

Cheng, G., & Yan, Y. (2021). Sociodemographic, health-related, and social predictors of subjective well-being among Chinese oldest-old: A national community-based cohort study. BMC Geriatrics, 21(1), 1–13. https://doi.org/mtv5

Cheng, S. T. (2004). Age and subjective well-being revisited: A discrepancy perspective. Psychology and Aging, 19(3), 409–415. https://doi.org/fmqxhf

Craig, C. L., Marshall, A. L., Sjöström, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., Pratt, M., Ekelund, U., Yngve, A., Sallis, J. F., & Oja, P. (2003). International physical activity questionnaire: 12-Country reliability and validity. Medicine and Science in Sports and Exercise, 35(8), 1381–1395. https://doi.org/bk5h6s

Diener, E. (2000). Subjective well-being: The science of happiness and a proposal for a national index. American Psychologist, 55(1), 34–43. https://doi.org/cqx7nv

Diener, E. (2009). The collected works of Ed Diener. Em E. Diener (Ed.), Media Neliti (pp. 11–58). Springer Netherlands. https://doi.org/fgcwkb

Diener, E., & Chan, M. Y. (2011). Happy people live longer: Subjective well-being contributes to health and longevity. Applied Psychology: Health and Well-Being, 3(1), 1–43. https://doi.org/ckbjqs

Diener, E., & Diener, M. (1995). Cross-cultural correlates of life satisfaction and self-esteem. Journal of Personality and Social Psychology, 68(4), 653–663. https://doi.org/dn9dsg

Diener, E., & Diener, M. (2009). Cross-cultural correlates of life satisfaction and self-esteem. Em E. Diener (Ed.), Culture and well-being: The collected works of Ed Diener. Social Indicators Research Series (Vol. 38, pp. 71-92). Springer. https://doi.org/dn8v7p

Diener, E., Emmons, R. A., Larsem, R. J., & Griffin, S. (1985). The Satisfaction With Life Scale. Journal of Personality Assessment, 49(1), 71–75. https://doi.org/fqqbmr

Diener, E., Oishi, S., & Lucas, R. E. (2003). Personality, culture, and subjective well-being: Emotional and cognitive evaluations of life. Annual Review of Psychology, 54, 403–425. https://doi.org/gts

Diener, E., Pressman, S. D., Hunter, J., & Delgadillo-Chase, D. (2017). If, why, and when subjective well-being influences health, and future needed research. Applied Psychology: Health and Well-Being, 9(2), 133–167. https://doi.org/gbpm7f

Diener, E., & Suh, M. E. (1998). Subjective well-being and age: An international analysis. Em K. W. Schaie & M. P. Lawton (Eds.), Annual review of gerontology and geriatrics. Focus on emotion and adult development (Vol. 17, pp. 304–324). Springer Publishing Company.

Espírito-Santo, H., & Daniel, F. (2017). Calcular e apresentar tamanhos do efeito em trabalhos científicos (2): Guia para reportar a força das relações. Revista Portuguesa de Investigação Comportamental e Social, 3(1), 53–64. https://doi.org/gm3m

Espírito-Santo, H. M. A., & Daniel, F. (2018). Calcular e apresentar tamanhos do efeito em trabalhos científicos (3): Guia para reportar os tamanhos do efeito para análises de regressão e ANOVAs. Revista Portuguesa de Investigação Comportamental e Social, 4(1), 43–60. https://doi.org/f92f

Farriol-Baroni, V., González-García, L., Luque-García, A., Postigo-Zegarra, S., & Pérez-Ruiz, S. (2021). Influence of social support and subjective well-being on the perceived overall health of the elderly. International Journal of Environmental Research and Public Health, 18(10), Artigo 5438. https://doi.org/mtv8

Flores, G., Kieny, C., & Maurer, J. (2022). Deconstructing gender differences in experienced well-being among older adults in the developing world: The roles of time use and activity-specific affective experiences. Social Indicators Research, 160(2–3), 757–790. https://doi.org/mtwb

Ganjali, S., Banach, M., Pirro, M., Fras, Z., & Sahebkar, A. (2021). HDL and cancer - causality still needs to be confirmed? Update 2020. Seminars in Cancer Biology, 73, 169–177. https://doi.org/grk3xp

Gellert, P., Wienert, J., Ziegelmann, J. P., & Kuhlmey, A. (2019). Profiles of physical activity biographies in relation to life and aging satisfaction in older adults: Longitudinal findings. European Review of Aging and Physical Activity, 16(1), 1–7. https://doi.org/mtwc

Gutierrez, J., & Isaacson, R. S. (2013). Prevention of cognitive decline. Em L. D. Ravdin & H. L. Katzen (Eds.), Handbook on the neuropsychology of aging and dementia (pp. 167–192). Springer New York. https://doi.org/mtwd

Hoogwegt, M. T., Versteeg, H., Hansen, T. B., Thygesen, L. C., Pedersen, S. S., & Zwisler, A. D. (2013). Exercise mediates the association between positive affect and 5-year mortality in patients with ischemic heart disease. Circulation: Cardiovascular Quality and Outcomes, 6(5), 559–566. https://doi.org/f5dnv3

Humboldt, S., & Leal, I. (2017). A health-related satisfaction with life scale measure for use with cross-national older adults: A validation study. Review of European Studies, 9(3), 21–29. https://doi.org/mtwg

Iecovich, E., & Cwikel, J. (2010). The relationship between well-being and self-rated health among middle-aged and older women in Israel. Clinical Gerontologist, 33(4), 255–269. https://doi.org/cf2xhn

Jylhä, M. (2009). What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Social Science and Medicine, 69(3), 307–316. https://doi.org/fcsch9

Keyes, C. L. M., & Waterman, M. B. (2003). Dimensions of well-being and mental health in adulthood. Em M. H. Bornstein, L. Davidson, C. L. M. Keyes, & K. A. Moore (Eds.), Well-being: Positive development across the life course (pp. 477–497). Lawrence Erlbaum Associates Publishers.

Kieny, C., Flores, G., & Maurer, J. (2021). Assessing and decomposing gender differences in evaluative and emotional well-being among older adults in the developing world. Review of Economics of the Household, 19(1), 189–221. https://doi.org/mtwf

Kokkinos, P. (2012). Physical activity, health benefits, and mortality risk. ISRN Cardiology, 2012, 1–14. https://doi.org/gb7r95

Kushlev, K., Drummond, D. M., & Diener, E. (2020). Subjective well-being and health behaviors in 2.5 million Americans. Applied Psychology: Health and Well-Being, 12(1), 166–187. https://doi.org/ggnr5s

Leitão, C., Mignano, A., Estrela, M., Fardilha, M., Figueiras, A., Roque, F., & Herdeiro, M. T. (2022). The effect of nutrition on aging: A systematic review focusing on aging-related biomarkers. Nutrients, 14(3), Artigo 554. https://doi.org/gp57jw

Lubben, J. E. (1988). Assessing social networks among elderly populations. Family and Community Health, 11(3), 42–52. https://doi.org/gmf7bs

Lyubomirsky, S., King, L., & Diener, E. (2005). The benefits of frequent positive affect: Does happiness lead to success? Psychological Bulletin, 131(6), 803–855. https://doi.org/bcnt2d

Martínez-González, M. A., García-Arellano, A., Toledo, E., Salas-Salvadó, J., Buil-Cosiales, P., Corella, D., Covas, M. I., Schröder, H., Arós, F., Gómez-Gracia, E., Fiol, M., Ruiz-Gutiérrez, V., Lapetra, J., Lamuela-Raventos, R. M., Serra-Majem, L., Pintó, X., Muñoz, M. A., Wärnberg, J., Ros, E., & Estruch, R. (2012). A 14-item Mediterranean diet assessment tool and obesity indexes among high-risk subjects: The PREDIMED trial. PLoS ONE, 7(8), Artigo e43134. https://doi.org/f396tw

Montoliu, I., Scherer, M., Beguelin, F., DaSilva, L., Mari, D., Salvioli, S., Martin, F. P. J., Capri, M., Bucci, L., Ostan, R., Garagnani, P., Monti, D., Biagi, E., Brigidi, P., Kussmann, M., Rezzi, S., Franceschi, C., & Collino, S. (2014). Serum profiling of healthy aging identifies phospho- and sphingolipid species as markers of human longevity. Aging, 6(1), 9–25. https://doi.org/mtwh

Mroczek, D. K., & Kolarz, C. M. (1998). The effect of age on positive and negative affect: A developmental perspective on happiness. Journal of Personality and Social Psychology, 75(5), 1333–1349. https://doi.org/fvq8wm

Mulsant, B. H., Ganguli, M., & Seaberg, E. C. (1997). The relationship between self-rated health and depressive symptoms in an epidemiological sample of community-dwelling older adults. Journal of the American Geriatrics Society, 45(8), 954–958. https://doi.org/mtwk

Nogueira De Sá, A. C. M. G., Machado, Í. E., Ivata Bernal, R. T., & Malta, D. C. (2021). Factors associated with high LDL-cholesterol in the Brazilian adult population: National health survey. Ciência e Saúde Coletiva, 26(2), 541–553. https://doi.org/mtwm

Nummela, O., Seppänen, M., & Uutela, A. (2011). The effect of loneliness and change in loneliness on self-rated health (SRH): A longitudinal study among aging people. Archives of Gerontology and Geriatrics, 53(2), 163–167. https://doi.org/db5cmk

Oliveira, A. L., Vieira, C., Lima, M. P., Nogueira, S., Alcoforado, L., Ferreira, J. A, & Zarifis, G. (2011). Developing instruments to improve learning and development of disadvantage seniors in Europe: The Paladin project. Em Pixel (Ed.), Conference proceedings of the International Conference The Future of Education (Vol. 1, pp. 268-274). Simonelli Editore.

Ribeiro, O., Teixeira, L., Duarte, N., Azevedo, M. J., Araújo, L., Barbosa, S., & Paúl, C. (2012). Versão Portuguesa da Escala Breve de Redes Sociais de Lubben (LSNS-6). Revista Temática Kairós Gerontologia, 15(1), 217–234. https://bit.ly/44qQBHF

Richardson, J. T. E. (2011). Eta squared and partial eta squared as measures of effect size in educational research. Educational Research Review, 6(2), 135–147. https://doi.org/d7ngqf

Rodríguez-Artalejo, F., Díez-Gañán, L., Artiñano, A. B., & Banegas Banegas, J. R. (2003). Effectiveness and equity of serum cholesterol and blood pressure testing: A population-based study in Spain. Preventive Medicine, 37(2), 82–91. https://doi.org/dj2qx3

Simões, A. (1992). Ulterior validação de uma Escala de Satisfação com a Vida (SWLS). Revista Portuguesa de Pedagogia, 26(3), 503–515. https://bit.ly/44nDJSs

Simões, A., Ferreira, J. A. G. A., Lima, M. P., Pinheiro, M. do R., Vieira, C. M. C., Matos, A. P. M., & Oliveira, A. L. (2003). O bem-estar subjectivo dos adultos: Um estudo transversal. Revista Portuguesa de Pedagogia, 37(1), 5–30. https://bit.ly/44nGNOq

Simões, A., Ferreira, J. A. G. A., Lima, M. P., Pinheiro, M. do R., Vieira, C. M. C., Matos, A. P. M., & Oliveira, A. L. (2000). O bem-estar subjectivo: Estado actual dos conhecimentos. Psicologia Educação e Cultura, IV(2), 243–279. https://bit.ly/4dqKNlp

Simões, M. R., Prieto, G., Pinho, M. S., & Firmino, H. (2015). Geriatric Depression Scale (GDS-30). Em M. R. Simões, I. Santana & Grupo de Estudos de Envelhecimento Cerebral e Demência (Eds.), Escalas e testes na demência (3.ª ed.; pp. 128–133). Novartis.

Son, D. H., Kwon, Y. J., Lee, H. S., Kim, H. M., & Lee, J. W. (2021). Effects of a calorie-restricted Mediterranean-style diet on plasma lipids in hypercholesterolemic South Korean patients. Nutrients, 13(10). https://doi.org/gsxgpp

Steptoe, A., Deaton, A., & Stone, A. A. (2015). Subjective wellbeing, health, and ageing. The Lancet, 385(9968), 640–648. https://doi.org/f25v3k

Stone, A. A., Broderick, J. E., Wang, D., & Schneider, S. (2020). Age patterns in subjective well-being are partially accounted for by psychological and social factors associated with aging. PloS One, 15(12), Artigo e0242664. https://doi.org/mtwp

Strachan, S. M., Brawley, L. R., Spink, K., & Glazebrook, K. (2010). Older adults’ physically-active identity: Relationships between social cognitions, physical activity and satisfaction with life. Psychology of Sport and Exercise, 11(2), 114–121. https://doi.org/c94th4

Villas-Boas, S., Oliveira, A. L., Ramos, N., & Montero, I. (2018). Apoio Social e diversidade geracional: O potencial da LSNS-6. Pedagogia Social. Revista Interuniversitária, 31, 177–189. https://doi.org/mtwr

Villas-Boas, S., Oliveira, A. L., Ramos, N., & Montero, I. (2019). Predictors of quality of life in different age groups across adulthood. Journal of Intergenerational Relationships, 17(1), 42–57. https://doi.org/gpbwqt

Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063–1070. https://doi.org/cs7zhv

World Health Organization. (2021). Decade of healthy ageing: Baseline report: summary. World Health Organization. https://bit.ly/3UrmYkM

Yang, F., & Gu, D. (2020). Predictors of loneliness incidence in Chinese older adults from a life course perspective: A national longitudinal study. Aging and Mental Health, 24(6), 879–888. https://doi.org/mtws

Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., & Leirer, V. O. (1982). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17(1), 37–49. https://doi.org/cgjfp3