Health Care Providers' Advice on Lifestyle Modification for Older Adults
journal contributionposted on 2023-08-30, 16:26 authored by Sandra Haider, Igor Grabovac, Lee Smith, Sinisa Stefanac, Sarah E. Jackson, Li Ying, Cao Chao, Thomas Waldhoer, Yin Zhang, Thomas Dorner, Lin Yang
Objectives: To describe the pattern of healthcare providers’ advice on lifestyle modification to older adults, and identify correlates of receiving such advice. Design: cross-sectional survey. Setting and Participants: Data from the National Health and Nutrition Examination Survey study from 2007-2016 on adults ≥65 years (n=3,758) were analysed. Methods: We estimated the weighted prevalence and correlates of receiving advice on the following lifestyle modifications: 1) increase physical activity, 2) reduce fat/calories, 3) control/lose weight and 4) a combination of control/lose weight and physical activity. Data were analysed according to level of comorbidity (number of chronic conditions including high blood pressure, high blood cholesterol, type 2 diabetes mellitus, coronary heart disease, and arthritis) and body mass index (BMI). Results: Physical activity was the most widely prescribed lifestyle modification, reported by 15.7% of older adults free of chronic conditions and 28.9%, 35.4% and 52.6% of older adults with 1, 2 and ≥3 comorbidities. Advice on reducing fat/calories was reported by 9.2%, 18.5%, 26.3% and 40.9% of older adults with 0, 1, 2 and ≥3 comorbidities, respectively, and advice on weight loss/control was reported by 6.5%, 19.1%, 20.8% and 37.5% respectively. The combination of advice on weight loss/control and physical activity was least commonly reported: 5.1%, 13.5%, 16.6% and 32.0% respectively. Overall, lifestyle modifications were more frequently advised to older adults who were overweight, obese, or Hispanic. Conclusions and implications: In the US, lifestyle modifications are not routinely recommended to older adults, particularly those free of chronic conditions, presenting a missed opportunity for chronic disease prevention and management. Among those advised to lose or manage weight, concurrent advice to increase physical activity is not consistently provided.
Publication titleJournal of the American Medical Directors Association
- Accepted version