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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

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Published on: September 30, 2020

Religious service attendance and allostatic load among high-functioning elderly.

Joanna Maselko¹, Laura Kubzansky, Ichiro Kawachi

¹Department of Public Health, Temple University, Philadelphia, Pennsylvania, USA. maselko@temple.edu

Psychosomatic Medicine

|June 15, 2007

Summary

Weekly religious service attendance was linked to lower allostatic load (AL) in women, but not men. This suggests physiological dysregulation may be a key pathway connecting religious engagement to health outcomes.

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Area of Science:

Gerontology
Psychology
Public Health

Background:

Growing evidence links religious engagement to better clinical health outcomes.
The physiological mechanisms underlying the religion-health connection remain unclear, particularly at subclinical levels.
Allostatic load (AL) offers a measure of cumulative physiological dysregulation.

Purpose of the Study:

To investigate the association between religious service attendance frequency and allostatic load (AL).
To explore potential physiological pathways linking religious engagement to health.

Main Methods:

Utilized data from 853 participants in the MacArthur Successful Aging Study (1988).
Assessed religious service attendance frequency and measured a ten-item cumulative AL index from blood and urine samples.
Employed gender-stratified multivariate linear regression, controlling for covariates.

Main Results:

At least weekly religious service attendance was associated with significantly lower AL levels in women (p < .01).
No significant association between weekly religious service attendance and AL was found in men (p = .88).
The observed association in women was not attributable to specific AL components, physical functioning, or social integration.

Conclusions:

Cumulative physiological dysregulation, as measured by AL, may be a significant pathway through which religious engagement influences health.
Findings highlight potential sex differences in the physiological impact of religious service attendance.