Keywords
psychological well-being
elderly
Salud
bienestar psicológico
persona adulta mayor
How to Cite
Abstract
The objective of the study was to identify the health and psychological well-being of older adults in service centers in the southwestern region of Puerto Rico. Descriptive research with 55 participants of both sexes. A spreadsheet of sociodemographic and general health data was used, anthropometric measurements were made, and Ryff psychological well-being scale was applied. Statistical analysis included a Mann-Whitney U normality test; Pearson and Spearman correlation to determine associations between variables. An A t-test, Anova and Chi-square analysis of variance to determine differences. The participants were mostly women. The median age was 75. 0 ± 8. 5, with predominant pre-university schooling and low socioeconomic status. Self-reported health between fair and good; the health index was moderate, lower in females. The main is chronicity it was hypertension, diabetes, and arthritis. Most slept adequately, few drank and smoked. They were mostly obese and with enlarged waists. Psychological well-being was low (72. 4 ± 10. 4), lower in men. Autonomy was positively associated with health and negatively with BMI and disease.
References
ACSM’s Health Related Physical Fitness Assessment Manual. (2021). Philadelphia, PA: Wolters Kluwer.
Alcántara, M. G. (2008). La definición de salud de la Organización Mundial de la Salud y la interdisciplinariedad. Sapiens Revista Universitaria de Investigación, 9(1), 93-107.
Assiri, Y. M., Alhayyani, R. M., Alshahrany, A. M., Othman, L. M. & Alqahtani, N. A. (2022). Body mass index among elderly population and its association with neurological and musculoskeletal diseases in Aseer, Saudi Arabia. Journal of Family Medicine and Primary Care, 11(6), 2834-2838.
Alarcón-Riveros, M. y Troncoso-Pantoja, C. (2020). Bienestar psicológico en personas mayores del sur de Chile. Gad Med Bol, 43(2), 158-161.
Benavente-Cuesta, M. H. y Quevedo-Aguado, M. P. (2019). Autopercepción de Salud, Calidad de vida y Bienestar Psicológico en una muestra de mayores. Revista española de comunicación en salud, 10(1), 21-29. https://doi.org/10.20318/recs.2019.3993
Bennie, J. A., Chau, J. Y., Van Der Ploeg, H. P., Stamatakis, E., Do, A. & Bauman, A. (2013). The prevalence and correlates of sitting in European adults -a comparison of 32 Eurobarometer-participating countries. Int J Behav Nutr Phys Act, 10(107), 1-13. https://doi.org/10.1186/1479-5868-10-107
Bortz, W. (2018). Perspective: Why Exercise Is Good and Its Lack Bad for Everything. American Journal of Lifestyle Medicine. https://doi.org/10.1177/1559827618778236
Cancio-Bello Ayes, C., Lorenzo Ruiz, A. y Alarcó Estévez, G. (2020). Autocuidado una aproximación teórica al concepto. Informes psicológicos, 20(2), 119-138. https://doi.org/10.18566/infpsic.v20n2a9
Carr, P. R., Webb, K. L., Neumann, J. T., Thao, L. T. P., Beilin, L. J., Ernst, M. E., Fitzgibbon,
B., Gasevic, D., Nelson, M. R., Newman, A. B., Orchard, S. G., Owen, A., Reid, C. M., Stocks, N. P., Tonkin, A. M., Woods, R. L. & McNeil, J. J. (2023). Associations of body size with all-cause and cause-specific mortality in healthy older adults. Scientific Reports, 13(1), 3799. https://doi.org/10.1038/s41598-023-29586-w
Casadei, K. y Kiel, J. (2022). Anthropometric Measurement. In: StatPearls [Internet]. Treasure Island (FL): StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK537315/
Casas-Herrero, A., Cadore, E., Martínez, V. y Izquierdo, R. (2015). El ejercicio físico en el anciano frágil: una actualización. Revista Española de Geriatría y Gerontología, 50(2), 74-81. www.elsevier.es/regg
Centro para el control de enfermedades-CDC (2022). Body mass index (BIM). Body Mass Index (BMI) | Healthy Weight, Nutrition, and Physical Activity | CDC Chronic Diseases and Cognitive Decline – A Public Health Issue.
Diccionario de la Real Academia de la Lengua Española. (2023).Diccionario de la lengua española |Edición del Tricentenario | RAE - ASALE
De Morais Silva, A., Couto de Almeida, N. y Chalegre de Freitas, V. L. (2023). La Salud en la Transversalidad del Conocimiento Educativo. EDUCA International Journal, 1(3), 1-13. https://doi.org/10.55040/educa.v3i1.44
Flecha-García, A. C. (2019). Autoaceptación y sentido/propósito vital en personas mayores institucionalizadas. Revista universitaria Pedagogía social (33), 137-150.
Furman, H. (2021). Propósito, Satisfacción y Proyecto de Vida: una relación dialéctica. Subjetividad y procesos cognitivos, 25(1), 73-83.
Harvard Medical School. (2021). Rising alcohol use among older adults. https://www.health.harvard.edu/blog/rising-alcohol-use-among-older-adult-202109242599#:~:text=Drinking%20too%20much%20alcohol%20can%20have%20negative%20physical,older%20adults%20who%20drink%20alcohol%20at%20additional%20risk.
Las Heras, M. L., Grau-Grau, M. & Rofcanin, Y. (2022). Human Flourishing: A Multidisciplinary Perspective on Neuroscience, Health, Organizations and Arts. https://doi.org/10.1007/978-3-031-09786-7
Hernández Soto, O. (2023). Bienestar psicológico y el binomio salud enfermedad en adultos mayores: Estudio exploratorio. Psicologías, 6, 107-137. https://revistas.upr.edu/index.php/psicologias/article/view/21040
Hollander, E. L., Bemelmans, W. J., Boshuizen, H. C., Friedrich, N., Wallaschofski, H., Guallar-
Castillón, P., Walter, S., Zillikens, M. C., Rosengren, A., Lissner, L., Bassett, J. K., Giles, G. G., Orsini, N., Heim, N., Visser, M. & de Groot, L. C. (2012). The association between waist circumference and risk of mortality considering body mass index in 65- to 74-year-olds: a meta-analysis of 29 cohorts involving more than 58 000 elderly persons. Int J Epidemiol, 41(3), 805-817. https://doi.org/10.1093/ije/dys008
González-Rivera, J. A., Quintero-Jiménez, N., Veray-Alicea, J. y Rosario-Rodríguez, A. (2016). Adaptación y Validación de la Escala de Bienestar Psicológico de Ryff en una Muestra de Adultos Puertorriqueños. Salud y Conducta Humana, 3(1), 1-14.
Guimaraes-Borges, G. L, Mendoza-Meléndez, M. A., López-Brambila, M. A., García-Pacheco, J. A., Velasco-Ángeles, L. R., Beltrán Silva, M. A., Valdez-Corchado, P. E., Medina-Mora, M. E. y Camacho-Solís, R. (2014). Prevalencia y factores asociados al consumo de tabaco, alcohol y drogas en una muestra poblacional de adultos mayores del Distrito Federal. Salud mental, 37(1), 15-25.
Gupta, P. D. & Pushkala, K. (2021). Waist-to-Hip ratio: an indicator of health. J. Cell Tissue Research, 21(2), 3.
Instituto Nacional de la Diabetes y las Enfermedades Digestivas y Renales (NIDDK, 2019). Overweight & Obesity Statistics - NIDDK (nih.gov)
Instituto Nacional de Salud (NIH, 2023). Los beneficios de dormir. Porqué hay que descansar bien durante la noche. https://salud.nih.gov/recursos-de-salud/nih-noticias-de-salud/los-beneficios-de-dormir
De La Guardia Gutiérrez, M. A. y Ruvalcaba Ledezma, J. C. (2020). La salud y sus determinantes, promoción de la salud y educación sanitaria. JONNPR, 5(1), 81-90. https://doi.org/10.19230/jonnpr.3215
Lalonde, M. A new perspective on the health of Canadians. (1974). A working document. Ottawa: Government of Canada, 11-26.
Moilanen, T., Kangasniemi, M., Papinaho, O., Mynttinen, M., Siipi, H., Suominen, S. & Suhonen, R. (2021). Older people's perceived autonomy in residential care: An integrative review. Nurs Ethics, 28(3), 414-434. https://doi.org/10.1177/0969733020948115
Moschny, A., Platen, P., Klaaßen-Mielke, R., Trampisch, U. & Hinrichs, T. (2011). Barriers to physical activity in older adults in Germany: a cross-sectional study. International Journal of Behavioral Nutrition and Physical Activity, 8(121), 1-10. https://doi.org/10.1186/1479-5868-8-121
Matud, M. P., López-Curbelo, M. & Demelza Fortes. (2019). Gender and Psychological Well-Being. International Journal of Environmental Research and Public Health,16(19): 3531. https://doi.org/10.3390/ijerph16193531
Kıskaç, M., Soysal, P., Smith, L., Capar, E. & Zorlu, M. E. (2022). What is the Optimal Body Mass Index Range for Older Adults? Annals of Geriatric Medicine and Research, 26, 49-57. https://doi.org/10.4235/agmr.22.0012
Organización Mundial de la Salud. Comisión sobre Determinantes Sociales de la Salud. (2008). Subsanar las desigualdades en una generación. Informe Final. Ginebra: OMS/OPS. Microsoft Word - A62_9-sp.doc (who.int)
Orrego, S., García-González, L., Murillo, B., Zaragoza, J. & Aibar, A. (2017). Physical Activity Programmes in the Elderly: Successful Strategy for Healthy Ageing. European Journal of Human Movement, 39, 48-64.https://doaj.org/article/28ffd01e99fd410d9d7bf33a664cca60
Ottawa Charter for Health Promotion. (1986). WHO/HPR/HEP/95.1.WHQ Geneva. Health Promotion (who.int)
Padilla, C. J., Ferreyro, F.A. & Arnold, W. D. (2021). Anthropometry as a readily accessible health assessment of older adults. Exp Gerontol, 1, 153, 111464. https://doi.org/10.1016/j.exger.2021.111464
Recalde, M., Davila-Batista, V., Díaz, Y., Leitzmann, M., Romieu, I., Freisling, H. & Duarte-Salles, T. (2021). Body mass index and waist circumference in relation to the risk of 26 types of cancer: a prospective cohort study of 3.5 million adults in Spain. BMC Med, 14, 19(1), 10. https://doi.org/10.1186/s12916-020-01877-3
Romero, A., García-Mas, A. & Brustad, R. (2009). Estado del arte, y perspectiva actual del concepto de bienestar psicológico en psicología del deporte. Revista Latinoamericana de Psicología, 41(2), 335-347.
Ruscin, M. y Linnebur, S. (2019). Problemas relacionados con los fármacos en los ancianos. MANUAL MERCK versión para profesionales. https://www.merckmanuals.com/es
Ryff, C., & Keyes, C. (1995). The Structure of Psychological Well-Being Revisited. Journal of Personality and Social Psychology, 69(4), 719-727. https://doi.org/10.1037/0022-3514.69.4.719
Ryff, C. (2014). Psychological Well-Being Revisited: Advances in Science and Practice of Eudaimonia. Psychother Psychosom, 83(1),10-28.
Sleep Fundation (2021). How much sleep do you really need. How Much Sleep Do You Really Need? - National Sleep Foundation (thensf.org)
Sánchez-García, S., García-Peña, C., Ramírez-García, E., Moreno-Tamayo, K. & Cantú-Quintanilla, G. R. (2019). Decreased autonomy in community-dwelling older adults. Clin Interv Aging, 18(14), 2041-2053. https://doi.org/10.2147/CIA.S225479
Satici, S. A. (2016). Psychological vulnerability, resilience, and subjective well-being: the mediating role of hope. Person Indiv Diff, 102, 68-73 https://doi.org/10.1016/j.paid.2016.06.057
Streng K. W, Voors A. A., Hillege H. L., Anker S. D., Cleland, J. G., Dickstein, K., Filippatos, G., Metra, M., Ponikowski, P., Samani, N. J., Van Veldhuisen, D. J., Zwinderman, A. H., Zannad, F., Damman, K., Van Der Meer, P. & Lang, C. C. (2018). Waist-to-hip ratio and mortality in heart failure. Eur J Heart Fail, 20(9),1269-1277. https://doi.org/10.1002/ejhf.1244
Tamosiunas, A., Sapranaviciute‑Zabazlajeva, L., Luksiene, D., Virviciute, D. & Peasey, A. (2019). Psychological well-being and mortality: longitudinal findings from Lithuanian middle-aged and older adults study. Social Psychiatry and Psychiatric Epidemiology, 54, 803-811. https://doi.org/10.1007/s00127-019-01657-2
Tang, Y. Y., Tang, R. & Gross, J. J. (2019). Promoting Psychological Well-Being Through an Evidence-Based Mindfulness Training Program. Front Hum Neurosci, 10, 13:237. https://doi.org/10.3389/fnhum.2019.00237
The Yakarta Declaration on Leading Health Promotion into the 21st Century. HPR/HEP/41CHP/BR/97.4.WHO, Geneva. (1997). The Jakarta Declaration : on leading health promotion into the 21st century (who.int)
Whelan, E. G. (1984). Analysis and application of Dorothea Orem’s Self-Care Practice Model. J Nurs Educ, 23(8), 342-5. https://doi.org/10.3928/0148-4834-19841001-07
Winkler, T. W., Justice, A. E., Graff. M., Barata, L., Feitosa, M. F. & Chu, S. (2015) The Influence of Age and Sex on Genetic Associations with Adult Body Size and Shape: A Large-Scale Genome-Wide Interaction Study. PLoS Genet, 11(10), https://doi.org/10.1371/journal.pgen.1005378 Erratum in: PLoS Genet. 2016 Jun;12(6):e1006166.
World Health Organization. Constitution. (1948). couv arabe.indd (who.int)
World Health Organization. (2011). Waist circumference and waist–hip ratio: report of a WHO expert consultation, Geneva, 8-11.
Wuorela, M., Lavonius, S., Salminen, M., Vahlberg, T., Viitanen, M. & Viikari, L. (2020). Self-rated health and objective health status as predictors of all-cause mortality among older people: a prospective study with a 5-, 10-, and 27-year follow-up. BMC Geriatr, 30,20(1):120. https://doi.org/10.1186/s12877-020-01516-9
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