Abstract
This prospective study examined the effect of widowhood on physical activity by comparing widowed elders to health status-, age-, and sex-matched married controls. Participants included 396 married controls and 396 widows/widowers age 64–91 (M age = 72.7 years) who experienced the death of their spouse while participating in the Cardiovascular Health Study. Compared to married controls, widowed men, but not women, were more likely to increase their physical activity following the death of their spouse. However, this increased level of activity was not sustained and declines as time since spousal death passes. Moreover, during the year before spousal death, soon-to-be widowed men, but not women, increase their physical activity. Our results suggest that widowed men experience significant changes in physical activity and that the transition to widowhood contribute to these changes.
Similar content being viewed by others
References
Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park: Sage.
Albanes, D., Conway, J. M., Taylor, P. R., Moe, P. W., & Judd, J. (1990). Validation and comparison of eight physical activity questionnaires. Epidemiology, 1, 65–71.
Andresen, E. M., Malmgren, J. A., Carter, W. B., & Patrick, D. L. (1994). Screening for depression in well older adults: Evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression scale). American Journal of Preventative Medicine, 10, 77–84.
Avis, N. E., Brambilla, D. J., Vass, K., & McKinlay, J. B. (1991). The effect of widowhood on health: A prospective analysis from the Massachusetts women’s health study. Social Science Medicine, 33, 1063–1070.
Carr, D., House, J. S., Wortman, C., Neese, R., & Kessler, R. C. (2000). Psychological adjustment to sudden and anticipated spousal loss among older widowed persons. Journals of Gerontology: Psychological Sciences, 56, 237–248.
Caserta, M. S., Lund, D. A., & Rice, S. J. (2001). Participants’ Attendance at a health promotion program for older widows and widowers. American Journal of Health Education, 32, 229–236.
Chen, J. H., Gill, T. M., & Prigerson, H. G. (2005). Health behaviors associated with better quality of life for older bereaved persons. Journal of Palliative Medicine, 8, 96–106.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Lawrence Erlbaum Associates.
Elwert, F., & Christakis, N. (2006). Widowhood and race. American Sociological Review, 71, 16–41.
Eng, P. M., Kawachi, I., Fitzmaurice, G., & Rimm, E. B. (2005). Effects of marital transitions on changes in dietary and other health behaviours in US male health professionals. Journal of Epidemiological Community Health, 59, 56–62.
Engström, G., Khan, F. A., Ziab, E., Ijerntorpa, I., Pessag-Rasmussen, H., Norrving, B., et al. (2004). Marital dissolution is followed by an increased incidence of stroke. Cerebrovascular Diseases, 18, 318–324.
Erlangsen, A., Jeune, B., Bille-Brahe, U., & Vaupel, J. W. (2004). Loss of partner and suicide risk among oldest old: A population-based register study. Age and Ageing, 33, 378–383.
Fitzpatrick, T., Spiro, A., Kressin, N. R., Greene, E., & Bosse, R. (2001). Leisure activities, stress, and health among bereaved and non-bereaved elderly men: The Normative Aging Study. Omega, 43, 217–245.
Forte, A. L., Hill, M., Pazder, R., & Feudtner, C. (2004). Bereavement care interventions: A systematic review. BMC Palliative Care, 3, 3–17.
Fried, L. P., Borhani, N. O., Enright, P., Furberg, C. D., Gardin, J. M., Kronmal, R. A., et al. (1991). The cardiovascular health study: Design and rationale. Annals of Epidemiology, 1, 263–276.
Gilewski, M. J., Farberow, N. L., Gallagher, D. E., & Thompson, L. W. (1991). Interaction of depression and bereavement on mental health in the elderly. Psychology and Aging, 6, 67–75.
Harada, N. D., Chiu, V., King, A. C., & Stewart, A. L. (2001). An evaluation of three self-report physical activity instruments for older adults. Medicine and Science in Sports and Exercise, 33, 962–970.
Holmes, T. H., & Rahe, R. H. (1967). The social readjustment scale. Journal of Psychosomatic Research, 11, 213–228.
Jacobs, D. R, Jr, Ainsworth, B. E., Hartman, T. J., & Leon, A. S. (1993). A simultaneous evaluation of 10 commonly used physical activity questionnaires. Medicine and Science in Sports and Exercise, 25, 81–91.
Janke, M. C., Nimrod, G., & Kleiber, D. A. (2008a). Leisure activity and depressive symptoms of widowed and married women in later life. Journal of Leisure Research, 40, 250–266.
Janke, M. C., Nimrod, G., & Kleiber, D. A. (2008b). Reduction in leisure activity and well-being during the transition to widowhood. Journal of Women & Aging, 20, 83–98.
Janke, M. C., Nimrod, G., & Kleiber, D. A. (2008c). Leisure patterns and health among recently widowed adults. Activities, Adaptation & Aging, 32, 19–39.
Kowalski, K., Rhodes, R., Naylor, P., Tuokko, H., & MacDonald, S. (2012). Direct and indirect measurement of physical activity in older adults: A systematic review of the literature. International Journal of Behavioral Nutrition and Physical Activity, 9, 148–169.
Lee, M., & Carr, D. (2007). Does the context of spousal loss affect the physical functioning of older widowed persons? A longitudinal analysis. Research on Aging, 29, 454–487.
Lee, S., Cho, E., Grodstein, F., Kawachi, I., Hu, F. B., & Colditz, G. A. (2005). Effects of marital transitions on changes in dietary and other health behaviours in US women. International Journal of Epidemiology, 34, 69–78.
Lee, G. R., Willetts, M. C., & Seccombe, K. (1998). Widowhood and depression: Gender differences. Research on Aging, 20, 611–630.
McIntyre, G., & Howie, L. (2002). Adapting to widowhood through meaningful occupations: A case study. Scandinavian Journal of Occupational Therapy, 9, 54–62.
Mineau, G. P., Smith, K. R., & Bean, L. L. (2002). Historical trends of survival among widows and widowers. Social Science and Medicine, 54, 245–254.
Monk, T. H., Germain, A., & Reynolds, C. F, I. I. I. (2008). Sleep disturbances in bereavement. Psychiatric Annals, 38, 671–678.
Okun, M. L., Reynolds, C. F, I. I. I., Buysse, D. J., Monk, T. H., Mazumdar, S., Begley, A., et al. (2011). Sleep variability, health-related practices, and inflammatory markers in a community dwelling sample of older adults. Psychosomatic Medicine, 73, 142–150.
Orme, J. G., Reis, J., & Herz, E. J. (1986). Factorial and discriminant validity of the Center for Epidemiologic Studies Depression (CES-D) Scale. Journal of Clinical Psychology, 42, 28–33.
Patterson, I. (1996). Participation in leisure activities by older adults after a stressful life event: The loss of a spouse. Journal of Aging and Human Development, 42, 123–142.
Penedo, F. J., & Dahn, J. R. (2005). Exercise and well-being: A review of mental and physical health benefits associated with physical activity. Current Opinion in Psychiatry, 18, 189–193.
Prigerson, H. G., Bierhals, A. J., Kasl, S. V., Reynolds, C. F, I. I. I., Shear, M. K., Newson, J. T., et al. (1996). Complicated Grief as a disorder distinct from bereavement-related depression and anxiety A replication study. American Journal of Psychiatry, 11, 1484–1490.
Prohaska, T., Belansky, E., Belza, B., Buchner, D., Marshall, V., McTigue, K., et al. (2006). Physical activity, public health, and aging: Critical issues and research priorities. Journal of Gerontology, Social Sciences, 61, 267–273.
Schulz, R., Beach, S. R., Ives, D. G., Martire, L. M., Ariyo, A. A., & Kop, W. J. (2000). Association between depression and mortality in older adults: The Cardiovascular Health Study. Archives of Internal Medicine, 160, 1761–1768.
Schulz, R., Beach, S. R., Ling, B., Martire, L. M., Zdaniuk, B., Hirsch, C., et al. (2001). Involvement in caregiving and adjustment to death of a Spouse: Findings from the caregiver health effects study. Journal of the American Medical Association, 285, 3123–3129.
Schulz, R., Boerner, K., Shear, K., Zhang, S., & Gitlin, L. N. (2006). Predictors of complicated grief among dementia caregivers: A prospective study of bereavement. The American Journal of Geriatric Psychiatry, 14, 650–658.
Stroebe, M. S. (1998). New directions in bereavement research: Exploration of gender differences. Palliative Medicine, 12, 5–12.
Stroebe, M., Schut, H., & Stroebe, W. (2007). Health outcomes of bereavement. Lancet, 370, 1960–1973.
Stroebe, M., Stroebe, W., & Schut, H. (2001). Gender differences in adjustment to bereavement: An empirical and theoretical review. Review of General Psychology, 5, 62–83.
Taylor, H. L., Jocobs, D. R., Schucker, B., Knudsen, J., Leon, A. S., & Debacker, G. (1978). A questionnaire for the assessment of leisure time physical activity. Journal of Chronic Diseases, 31, 741–755.
Tran, M. H. B. (2007). The caregiving stress process: Examining the influence of the nature of the care-recipient illness, stress-buffering variables, mediating factors, and caregiving transitions on caregiver health. (Doctoral dissertation). Retrieved from ProQuest Information & Learning. (AAINR31877).
Umberson, D. (1987). Family status and health behaviors: Social control as a dimension of social integration. Journal of Health and Social Behavior, 28, 306–319.
Umberson, D. (1992). Gender, marital status, and the social control of health behavior. Social Science and Medicine, 34, 907–917.
Umberson, D., Wortman, C. B., & Kessler, R. C. (1992). Widowhood and depression: Explaining long-term gender differences in vulnerability. Journal of Health and Social Behavior, 33, 10–24.
Utz, R. L., Carr, D., Nesse, R., & Wortman, C. B. (2002). The effect of widowhood on older adults’ social participation. An evaluation of activity, disengagement, and continuity theories. The Gerontologist, 42, 522–533.
Wallace, R. B. (1992). Aging and disease: From laboratory to community. In The epidemiology study of the elderly. Oxford: Oxford University Press.
Wilcox, S., Evenson, K. R., Aragaki, A., Wassertheil-Smoller, S., Mouton, C. P., & Loevinger, B. L. (2003). The effects of widowhood on physical and mental health, health behaviors, and health outcomes: The women’s health initiative. Health Psychology, 22, 513–522.
Wilcox, S., & King, A. C. (2004). The effects of life events and interpersonal loss on exercise adherence in older adults. Journal of Aging and Physical Activity, 12, 117–130.
Williams, K. (2004). The transition to widowhood and the social regulation of health: Consequences for health and health risk behaviors. Journals of Gerontology: Social Sciences, 59, 5343–5349.
Acknowledgments
The research reported was supported by contracts HHSN268201200036C, N01-HC-85239, N01-HC-85079 through N01-HC-85086, N01-HC-35129, N01 HC-15103, N01 HC-55222, N01-HC-75150, N01-HC-45133, and grant HL080295 from the National Heart, Lung, and Blood Institute (NHLBI), with additional contribution from the National Institute of Neurological Disorders and Stroke (NINDS). Additional support was provided through AG-023629, AG-15928, AG-20098, and AG-027058 from the National Institute on Aging (NIA). A full list of principal CHS investigators and institutions can be found at http://www.chs-nhlbi.org/pi.htm. Preparation of this manuscript was also supported in part by grants from NIH P30 MH090333-01A1, MHO19986, NR009573, NR013450, AG026010, AG032370, and NSF 0540865.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Stahl, S.T., Schulz, R. The effect of widowhood on husbands’ and wives’ physical activity: the cardiovascular health study. J Behav Med 37, 806–817 (2014). https://doi.org/10.1007/s10865-013-9532-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10865-013-9532-7