Abstract
The objective of the study was to identify psychological well-being and its relationship with health and disease in older adults in western service centers in Puerto Rico. Exploratory research, descriptive with 19 participants of both sexes. A sociodemographic and general health data sheet was used, anthropometric measurements were made, and the 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. A Anova and Ji square analysis of variance to determine differences. The participants were mostly women. The average age was 75.5 ± 9.3, with predominant pre-university schooling and low socioeconomic status. They perceived health between regular and good; the health index was moderate. On average they reported 4 diseases. The main chronicity was hypertension. Psychological well-being was low (70.1 ± 7.5) and was positively and moderately associated with health, negatively with the disease and moderate with anthropometry. The influence of health, disease and risk factors on psychological well-being was evidenced.
References
ACSM’s Health-Related (2021). Health Related Physical Fitness Assessment Manual (5ta ed). Wolters Kluwer.
Alarcón-Riveros, M., & Troncoso-Pantoja, C. (2020). Bienestar psicológico en personas mayores del sur de Chile. Gad Med Bol, 43(2), 158-161.
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.
Alvarado San Román, X., Toffoletto, M.C., Oyanedel Sepúlveda, J.C., Salfate, S.V., & Reynaldos Grandón, K.L. (2017). Factores asociados al bienestar subjetivo en los adultos mayores. Texto & Contexto Enfermagem, 26(2), 1-10. https://doi.org/10.1590/0104-07072017005460015
Bawadi, H., Abouwatfa, M., Alsaeed, S., Kerkadi, A., & Shi, Z. (2019). Body Shape Index Is a Stronger Predictor of Diabetes. Nutrients, 11(5),1018. https://doi.org/10.3390/nu11051018
Bandura, A. (1994). Self-Efficacy. En V.S. Ramachaudram (Ed.) Encyclopedia of Human Behavior. 4, 71-81. Academic Press.
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
Bronfenbrenner, U. (1992). Ecological systems theory. En R.Vasta (Ed.), Six theories of child development: revised formulations and current issues (pp. 187-249). Bristol: Jessica Kingsley Publisher.
Casadei, K., & Kiel, J. (2022). Anthropometric Measurement. StatPearls Publishing LLC. Treasure Island.
Census (2020). Demographic Data Map. https://www.census.gov/
Corrêa, M.M., Thumé, E., de Oliveira, E.R., & Tomasi, E. (2016). Performance of the waist-to-height ratio in identifying obesity and predicting non-communicable diseases in the elderly population: A systematic literature review. Archives of gerontology and geriatrics, 65, 174-82. https://doi.org/10.1016/j.archger.2016.03.021
Díaz García, R., Felici, M.R., Cases, A., & Ruíz Serrano, K. (2021). Adulto Mayor 2019. División de Prevención y Control de Enfermedades Crónicas, Secretaria de Promoción para la Salud del Departamento de Salud de Puerto Rico.
Elliot, A.J., Turiano, N.A., Infurna, F.J., Lachman, M.E., & Chapman, B.P. (2018). Lifetime trauma, perceived control, and all-cause mortality: Results from the Midlife in the United States Study. Health Psychology, 37(3), 262-270. https://doi.org/10.1037/hea0000585
Faber, P. (2015). Envejecimiento activo. Un marco político ante la revolución de la longevidad. Río de Janeiro. International Longevity Centre Brazil (ILC-Brazil).
Fernández-Ballesteros, R. (2011). Envejecimiento saludable. Congreso sobre envejecimiento. La investigación.
Fernández-Ballesteros, R. (2014). Temas de Psicogerontología (1ra ed). Editorial Universitaria.
González-Rivera, J.A., Quintero-Jiménez, N., Veray-Alicea, J., & 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, B.G., Mendoza, M.M, López, B.M., García, P.J., Velasco-Ángeles, L.R., Beltrán S. M., Valdez, C.P., Medina-Mora, M.E., & Camacho, S.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. http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0185-33252014000100003&lng=es&tlng=es.
Gupta, P.D., & Pushkala K. (2021). Waist-to-Hip ratio: an indicator of health. Cell and Tissue Research, 21(2).
Heras, M.L., Grau-Grau, M., & Rofcanin, Y. (2022). Human Flourishing: A Multidisciplinary Perspective on Neuroscience, Health, Organizations and Arts. Springer. https://doi.org/0.1007/978-3-031-09786-7
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
Jakicic, J.M., Powell K.E., Campbell, W.W., Dipietro, L., Pate, R.R., Pescatello, L.S., Collins K.A., Bloodgood, B., Piercy, K.L, (2018). Physical Activity and the Prevention of Weight Gain in Adults: A Systematic Review. Med Sci Sports Exerc, 51(6), 1262-1269. https://doi.org/10.1249/MSS.0000000000001938
Kubzansky, L., Huffman, J.C., Boehm, J.K., Hernandez, R., Kim, E.S., Koga, H.K., Feig, E.H., Lloyd-Jones, D.M., Seligman, M., & Labarthe, D. (2018). Bienestar psicológico positivo y enfermedad cardiovascular. Journal of The American College of Cardiology, 72(12), 735-1097. https://doi.org/10.1016/j.jacc.2018.07.042
Lalonde, M. (1974). A new perspective on the health of Canadians. Minister of National Health and Welfare.
López, F. (2012). Sexualidad y Afectos en la Vejez (1ra ed.). Pirámide.
Mayordomo, T., Sales, A., Satorres, E. & Meléndez, J. (2016). Bienestar psicológico en función de la etapa de vida, el sexo y su interacción. Pensamiento psicológico, 14(2), 101-112. https://doi.org/10.11144/Javerianacali.PPSI14-2.bpfe
Mesa-Fernández, M., Pérez-Padilla, J., Cristina-Nunes, & Susana-Méndez, (2016). Bienestar psicológico en las personas mayores no dependientes y su relación con la autoestima y la autoeficacia. ABRASCO- Associação Brasileira de Saúde Coletiva, 24(1). https://doi.org/10.1590/1413-81232018241.35302016
Midei, A.J. & Matthews, K.A. (2014). Positive attributes protect adolescents from risk for the metabolic syndrome. Elsevier, 55(5), 678-683. https://doi.org/10.1016/j.jadohealth.2014.05.018
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. The International Journal of Behavioral Nutrition and Physical Activity, 8, 121-121. https://doi.org/10.1186/1479-5868-8-121
Navarro, A., & Bueno, B. (2015). Afrontamiento de problemas de salud en personas muy mayores. Anales de psicología, 31(3), 1008-1017. https://doi.org/10.6018/analesps.31.3.172481
Netuveli, G., Pikhart, H., Bobak, M., & Blane, D. (2012). Generic quality of life predicts allcause mortality in the short term: evidence from British household panel survey. Journal of Epidemiology and Community Health, 66(10), 962-966. https://doi.org/10.1136/jech-2011-200310
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.
Padilla, C.J., Ferreyro, F.A., & Arnold, W.D. (2021). Anthropometry as a readily accessible health assessment of older adults. Experimental Gerontology, 1(153), 1-9. https://10.1016/j.exger.2021.111464
Pressman, S.D., Jenkins, B.N., & Moskowitz, J.T. (2019). Positive affect and health: what do we know and where next should we go? Annual Journal of Psychology, 70, 627-650. https://doi.org/10.1146/annurev-psych-010418-102955
Rosenstock, I.M. (1974). Historical origins of the health belief model. Health Education Monographs, 2, 328-335. https://doi.org/10.1177/109019817400200403
Ruscin, M., & Linnebur, S. (2019). Problemas relacionados con los fármacos en los ancianos. MANUAL MERCK. https://www.merckmanuals.com/es-pr/professional/geriatr%C3%ADa/farmacoterapia-en-los-ancianos/problemas-relacionados-con-los-fármacos-en-los-ancianos
Ryff, C. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57(6), 1069-1081.
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., Love, G., Urry, H., Muller, D., Rosenkranz, M., Friedman, E., Davidson, R., & Singer, B. (2006). Psychological well- being and illbeing: Do they have distinct or mirrored biological correlates? Psychotherapy and Psychosomatics, 75(2), 85-95. https://doi.org/10.1159/000090892
Ryff, C. (2008). Know Thyself and Become What You Are: A Eudaimonic Approach To Psychological Well-Being. Journal of Happiness Studies, 9, 13-39.
Ryff, C. (2014). Psychological Well-Being Revisited: Advances in Science and Practice of Eudaimonia. Psychother Psychosom, 83(1),10-28.
Sallis, J., & Owen, N. (1998). Physical Activity and Behavioral Medicine. Sage Publications.
Sarabia-Cobo, C. (2012). La imagen corporal en los ancianos: Estudio descriptivo. Gerokomos, 23(1), 15-18. https://dx.doi.org/10.4321/S1134-928X2012000100003
Streng, K.W., Voors A.A., Hillege, H.L., Anker, S.D., Cleland, J.G., Dickstein, K., Filippatos, G., Metra, M., Ng, L.L., 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
Telzer, E., Fulgini, A., Lieberman, M., &Galvan, A. (2014). Neural sensitivity to eudaimonic
and hedonic rewards differentially predict adolescent depressive symptoms over time. Proceedings of National Academy of Sciences, 111(18), 6600-6605. https://doi.org/10.1073/pnas.1323014111
Tieland, M., Trouwborst, I., & Clark, B.C. (2018) Skeletal muscle performance and ageing. Journal of Cachexia, Sarcopenia and Muscle, 9, 3-19. https://doi.org/10.1002/jcsm.12238.
Trudel-Fitzgerald, C., Millstein, R.A., von Hippel, C., Howe, C.J., Tomasso, L.P., Wagner, G.R., & VanderWeele, T.J. (2019). Psychological well-being as part of the public health debate? Insight into dimensions, interventions, and policy. BMC Public Health, 19, 1712.
Turiano, N.A., Chapman, B.P., Agrigoroaei, S., Infurna, F.J., & Lachman, M. (2014). Perceived control reduces mortality risk at low, not high, education levels. Health Psychol, 33(8), 83-90.
U.S. Department of Health and Human Services (2018). Physical Activity Guidelines for Americans (2nd ed.). https://health.gov/sites/default/files/2019-09/Physical_Activity_Guidelines_2nd_edition.pdf
Vázquez, C., Hervás, G., Rahona, J., & Gómez, D. (2009). Bienestar psicológico y salud: Aportaciones desde la Psicología Positiva. Anuario de Psicología Clínica y de la Salud, 5, 15-28.
World Health Organization (2011). Waist circumference and waist–hip ratio: report of a who expert consultation. https://www.who.int/publications/i/item/9789241501491
Zarebski, G. (2011). El Futuro se construye hoy. La reserva humana un pasaporte hacia un buen envejecimiento (1ra ed.). Paidós.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.