Sekentei and objectively-measured physical activity among older Japanese people: a cross-sectional analysis from the NEIGE study.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
      Attitude to Health* ; Health Behavior* ; Health Status*; Exercise/*psychology ; Quality of Life/*psychology; Aged ; Aged, 80 and over ; Cross-Sectional Studies ; Female ; Humans ; Independent Living ; Japan ; Male ; Middle Aged ; Odds Ratio ; Prospective Studies ; Social Behavior ; Social Class
    • Abstract:
      Background: The concept of sekentei (social appearance), defined as sensitivity about one's reputation, reflects Japanese behavioral principles and involves pressure to conform to social norms, particularly among people living in rural areas. However, data regarding the relationship between sekentei and health behaviors are sparse. In this study, we examined the relationship between sekentei and objectively-measured physical activity among community-dwelling older people in Japan.
      Methods: We used data from the Neuron to Environmental Impact across Generations Study (NEIGE Study), which is a prospective cohort study of randomly-sampled community-dwelling individuals aged 65-84 years living in Tokamachi City, Niigata Prefecture, Japan. The baseline survey was conducted in 2017 and included 527 independent older people. We analyzed the baseline data cross-sectionally. To measure activity behaviors, participants wore a tri-axial accelerometer for seven consecutive days. Physically active individuals were defined based on the World Health Organization recommendation guidelines on physical activity. Sekentei was measured using the 12-item Sekentei Scale (score range: 12-60).
      Results: After excluding 15 people for whom we had three or fewer days of valid accelerometer-assessed activity data, we used data from 512 participants in our analysis (average 73.4 years old; 46.9% men). Physically active individuals made up 22.3% of the sample, and the proportion of physically active men was higher than that of women. A logistic regression analysis showed that higher levels of sekentei were inversely associated with physical activity after adjusting for demographic factors, socioeconomic status, and health conditions (odds ratio [95% confidence interval]: 0.58 [0.36-0.91] for every 10-point increase in the Sekentei Scale score). This association was stronger in women than in men (0.66 [0.34-1.26] for men and 0.51 [0.26-1.00] for women).
      Conclusions: Our findings indicate that an individual's sense of sekentei may be an important socio-cultural factor affecting their level of physical activity. Culturally appropriate approaches may be beneficial in addressing insufficient physical activity in older adults.
    • References:
      J Womens Health (Larchmt). 2010 Oct;19(10):1815-22. (PMID: 20929415)
      Gait Posture. 2010 Mar;31(3):370-4. (PMID: 20138524)
      Lancet. 2012 Jul 21;380(9838):258-71. (PMID: 22818938)
      Nihon Koshu Eisei Zasshi. 1996 Mar;43(3):209-19. (PMID: 8991497)
      Int J Behav Nutr Phys Act. 2017 May 2;14(1):59. (PMID: 28464833)
      Br J Nutr. 2011 Jun;105(11):1681-91. (PMID: 21262061)
      Med Sci Sports Exerc. 2008 Jan;40(1):181-8. (PMID: 18091006)
      Exerc Sport Sci Rev. 2008 Oct;36(4):173-8. (PMID: 18815485)
      Annu Rev Psychol. 2001;52:1-26. (PMID: 11148297)
      J Clin Psychiatry. 2014 Sep;75(9):964-74. (PMID: 24813261)
      Prev Chronic Dis. 2012;9:E113. (PMID: 22698174)
      Int J Environ Res Public Health. 2012 Feb;9(2):391-407. (PMID: 22470299)
      Lancet. 2012 Jul 21;380(9838):247-57. (PMID: 22818937)
      Soc Work. 2005 Apr;50(2):111-8. (PMID: 15853188)
      JAMA Intern Med. 2016 May 1;176(5):702-3. (PMID: 26999758)
      Eur J Epidemiol. 2015 Jul;30(7):529-42. (PMID: 26092138)
      Psychol Bull. 2015 Sep;141(5):993-1021. (PMID: 26191955)
      PLoS One. 2017 Oct 18;12(10):e0186523. (PMID: 29045441)
      Sports Med. 2018 Feb;48(2):481-489. (PMID: 28647914)
      J Aging Phys Act. 2017 Jan;25(1):41-50. (PMID: 27180730)
      BMJ. 2016 Aug 09;354:i3857. (PMID: 27510511)
      J Alzheimers Dis. 2012;31(3):569-80. (PMID: 22647258)
      Lancet Glob Health. 2018 Oct;6(10):e1077-e1086. (PMID: 30193830)
      Lancet. 2016 Sep 24;388(10051):1325-36. (PMID: 27475270)
      J Nurs Scholarsh. 2001;33(4):375-80. (PMID: 11775309)
      Geriatr Gerontol Int. 2011 Apr;11(2):166-73. (PMID: 21070553)
      Hypertension. 2013 Dec;62(6):1021-6. (PMID: 24082054)
      Circulation. 2007 Aug 28;116(9):1081-93. (PMID: 17671237)
      J Epidemiol. 2019 May 25;:null. (PMID: 31130558)
    • Grant Information:
      NA Ministry of Agriculture, Forestry and Fisheries; NA Pfizer Health Research Foundation; 16H03249 Japan Society for the Promotion of Science; 17K19794 Japan Society for the Promotion of Science; 18K10829 Japan Society for the Promotion of Science; 19H03910 Japan Society for the Promotion of Science
    • Contributed Indexing:
      Keywords: Japan; Older people; Physical activity; Sekentei; Social appearance; Social norm
    • Publication Date:
      Date Created: 20191024 Date Completed: 20200107 Latest Revision: 20200108
    • Publication Date:
      20221213
    • Accession Number:
      PMC6805600
    • Accession Number:
      10.1186/s12889-019-7702-4
    • Accession Number:
      31640651