The Relationship Between Health-Promoting Behaviors and Metabolic Syndrome in Community-Dwelling Older Adults

Biol Res Nurs. 2016 Oct;18(5):549-57. doi: 10.1177/1099800416655882. Epub 2016 Jun 23.

Abstract

Background: Poor health-promoting behaviors increase the risk of chronic disease and disability in older adults. Nevertheless, the predictors of health-promoting behaviors and their relationship with metabolic syndrome have been poorly characterized in older Taiwanese adults.

Objective: To explore the determinants of health-promoting behaviors in community-dwelling older adults in Taiwan and the relationship of health-promoting behaviors with metabolic syndrome.

Methods: A cross-sectional design was used. A convenience sample of 200 community residents aged 60 years and over was recruited from two large communities in New Taipei City, Taiwan. Data collection included physical examination and a structured questionnaire including measures of health status, health-promoting behaviors, self-efficacy, social support, and metabolic syndrome.

Results: Metabolic syndrome was found in 60% of older Taiwanese adults. These participants had higher scores in interpersonal relationships but lower scores in physical activity. Half of the health-promoting behaviors were explained by behavior-specific cognitions and affect, and 44% of behavior-specific cognitions and affect was explained by the health status of the older adult.

Conclusions: Physical activity should be promoted in older Taiwanese adults. Positive behavior-specific cognitions and affect and better health status might impact the health-promoting behaviors of these adults.

Keywords: health-promoting behavior; metabolic syndrome; older adults.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Chronic Disease / psychology
  • Chronic Disease / therapy
  • Cross-Sectional Studies
  • Exercise / physiology*
  • Exercise / psychology*
  • Female
  • Health Behavior*
  • Health Promotion*
  • Health Status
  • Humans
  • Independent Living / statistics & numerical data
  • Interpersonal Relations
  • Male
  • Metabolic Syndrome / physiopathology
  • Metabolic Syndrome / psychology*
  • Metabolic Syndrome / therapy*
  • Middle Aged
  • Social Support
  • Surveys and Questionnaires
  • Taiwan