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      Loneliness and Other Factors Associated with Physical Activity in Older Adults with Diabetes: A Cross-Sectional Study

      research-article
      , PhD, RN 1
      Gerontology & Geriatric Medicine
      SAGE Publications
      loneliness, depression, diabetes, older adults, physical activity

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          Abstract

          The purpose of this study was to examine the association of physical activity with socioeconomic conditions, demographic factors, depression, and loneliness among older adults with diabetes in the United States. Using data from Wave 3 of the National Social Life, Health, and Aging Project (NSHAP), we found that male respondents, those with incomes greater than $100,000, and those with less depression were more likely to be physically active among older adults with diabetes. Education level and loneliness were not significant factors influencing physical activity among older adults with diabetes. This suggests that changing gender-based social norms and increasing awareness of the need for physical activity should be considered when designing physical activity interventions for older adults with diabetes and highlights the need for programs to reduce disparities in physical activity opportunities among low-income populations. It also suggests the need to further integrate programs to promote mental health, such as depression, into physical activity interventions.

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          Most cited references40

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          The CES-D Scale: A Self-Report Depression Scale for Research in the General Population

          L Radloff (1977)
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            A Short Scale for Measuring Loneliness in Large Surveys: Results From Two Population-Based Studies.

            Most studies of social relationships in later life focus on the amount of social contact, not on individuals' perceptions of social isolation. However, loneliness is likely to be an important aspect of aging. A major limiting factor in studying loneliness has been the lack of a measure suitable for large-scale social surveys. This article describes a short loneliness scale developed specifically for use on a telephone survey. The scale has three items and a simplified set of response categories but appears to measure overall loneliness quite well. The authors also document the relationship between loneliness and several commonly used measures of objective social isolation. As expected, they find that objective and subjective isolation are related. However, the relationship is relatively modest, indicating that the quantitative and qualitative aspects of social relationships are distinct. This result suggests the importance of studying both dimensions of social relationships in the aging process.
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              UCLA Loneliness Scale (Version 3): reliability, validity, and factor structure.

              D. Russell (1996)
              In this article I evaluated the psychometric properties of the UCLA Loneliness Scale (Version 3). Using data from prior studies of college students, nurses, teachers, and the elderly, analyses of the reliability, validity, and factor structure of this new version of the UCLA Loneliness Scale were conducted. Results indicated that the measure was highly reliable, both in terms of internal consistency (coefficient alpha ranging from .89 to .94) and test-retest reliability over a 1-year period (r = .73). Convergent validity for the scale was indicated by significant correlations with other measures of loneliness. Construct validity was supported by significant relations with measures of the adequacy of the individual's interpersonal relationships, and by correlations between loneliness and measures of health and well-being. Confirmatory factor analyses indicated that a model incorporating a global bipolar loneliness factor along with two method factor reflecting direction of item wording provided a very good fit to the data across samples. Implications of these results for future measurement research on loneliness are discussed.
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                Author and article information

                Journal
                Gerontol Geriatr Med
                Gerontol Geriatr Med
                GGM
                spggm
                Gerontology & Geriatric Medicine
                SAGE Publications (Sage CA: Los Angeles, CA )
                2333-7214
                10 May 2024
                Jan-Dec 2024
                : 10
                : 23337214241253365
                Affiliations
                [1 ]The University of Pennsylvania School of Nursing, Philadelphia, USA
                Author notes
                [*]Emma Cho, The University of Pennsylvania School of Nursing, 418 Curie Blvd, Philadelphia, PA 19104-6243, USA. Email: emmacho@ 123456upenn.edu
                Author information
                https://orcid.org/0000-0003-2799-3914
                Article
                10.1177_23337214241253365
                10.1177/23337214241253365
                11084991
                38737719
                83f8888a-0585-4304-a5c4-34ad6c133527
                © The Author(s) 2024

                This article is distributed under the terms of the Creative Commons Attribution 4.0 License ( https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                : 14 February 2024
                : 16 April 2024
                : 19 April 2024
                Categories
                Article
                Custom metadata
                January-December 2024
                ts1

                loneliness,depression,diabetes,older adults,physical activity

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