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Changes in routine health behaviors following late-life bereavement: a systematic review
Sarah T Stahl1, Richard Schulz
1Department of Psychiatry, University Center for Social and Urban Research, University of Pittsburgh, 3343 Forbes Ave., Pittsburgh, PA, 15260, USA, STS80@pitt.edu.
Abstract:
This systematic review examines the relationship between late-life spousal bereavement and changes in routine health behaviors. We review six behavioral domains/modifiable risk factors that are important for maintaining health among elderly populations: physical activity, nutrition, sleep quality, alcohol consumption, tobacco use, and body weight status. Thirty-four articles were identified, derived from 32 studies. We found strong evidence for a relationship between bereavement and nutritional risk and involuntary weight loss, and moderate evidence for impaired sleep quality and increased alcohol consumption. There was mixed evidence for a relationship between bereavement and physical activity. We identify several methodological shortcomings, and describe the clinical implications of this review for the development of preventive intervention strategies.
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