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Living - Health & Fitness
TS-Si News Service   
Sunday, 10 April 2011 15:00
Zhunan, Miaoli, Taiwan. Shopping captures several dimensions of personal well-being, health, and security as well as contributing to the community's cohesiveness and economy. And, regular retail therapy really does seem to help people live longer, suggests research published in the Journal of Epidemiology and Community Health (JECH).

Encouraging physical activity is the basis for conventional recommendations for better health, but engaging in social and economic activities in later life may also contribute to the same outcome.


The authors base their findings on almost 1,850 elderly (65+) Taiwanese people who were living independently at home, and included in the nationally representative Elderly Nutrition and Health Survey in Taiwan (NAHSIT Elderly), carried out in 1999-2000. Participants were asked how often they went shopping, with options ranging from "never" to "every day."



[Fran and Stephen are observing from the roof of the mall]

Francine Parker: What are they doing? Why do they come here?

Stephen: Some kind of instinct. Memory, of what they used to do. This was an important place in their lives.

— George Romero, dialogue,
Dawn of the Dead (1978)
Intellectual and physical capacities were measured using validated questionnaires, and age, gender, education, ethnicity, financial and employment status, lifestyle factors and the prevalence of long term conditions were also factored in.

The researchers then tracked how long each of the participants lived by linking individuals to national death registration data between 1999 and 2008.

Nearly half (48%) of the participants never or infrequently shopped during the week, and around one in four (22%) shopped between two and four times a week. A further 17% shopped every day, and the remainder shopped just once a week.

Almost two thirds of respondents were under the age of 75. Just over half (54%) were men. Most had a healthy lifestyle and three out of four were financially self sufficient. Almost two thirds (60%) had up to two long term conditions.

Those who shopped daily were 27% less likely to die, with male daily shoppers 28% less likely to die, compared with female shoppers who were 23% less likely to die. Daily shopping seemed to benefit older men the most.

The researchers used different approaches to take account of physical limitations and cognitive impairment, but even so, those who shopped daily lived longer than those who shopped less frequently.

Those who went shopping more than once a week tended to be at the younger end of the age spectrum, and male. They also tended to be smokers and drinkers, have better physical and mental health, take regular exercise and have a network of dinner companions.

The authors acknowledge that shopping could be a surrogate for good health to begin with, but suggest that shopping itself may improve health, by ensuring a good supply of food, to maintain a healthy diet, for example.

Frequent shopping among the elderly may not always be about buying things, but about seeking companionship or taking exercise, which is easier to do than more formal exercise that usually requires motivation, they say.

CitationFrequent shopping by men and women increases survival in the older Taiwanese population. Yu-Hung Chang, Rosalind Chia-Yu Chen, Mark L Wahlqvist, Meei-Shyuan Lee. Journal of Epidemiology and Community Health 2011; ePub ahead of print. doi:10.1136/jech.2010.126698

Abstract

Background. Active ageing is a key to healthy ageing; shopping behaviour is an economically relevant activity of the elderly.

Methods. Analysis was based on the NAHSIT 1999–2000 dataset. A total of 1841 representative free-living elderly Taiwanese people were selected and information included demographics, socioeconomic status, health behaviours, shopping frequencies, physical function and cognitive function. These data were linked to official death records. Cox proportional hazard models were used to evaluate shopping frequency on death from 1999–2008 with possible covariate adjustment.

Results. Highly frequent shopping compared to never or rarely predicted survival (HR 0.54, 95% CI 0.43 to 0.67) with adjustment for physical function and cognitive function and other covariates HR was 0.73 (95% CI 0.56 to 0.93). Elderly who shopped every day have 27% less risk of death than the least frequent shoppers. Men benefited more from everyday shopping than women with decreased HR 28% versus 23% compared to the least.

Conclusion. Shopping behaviour favourably predicts survival. Highly frequent shopping may favour men more than women. Shopping captures several dimensions of personal well-being, health and security as well as contributing to the community's cohesiveness and economy and may represent or actually confer increased longevity.

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Last Updated on Sunday, 10 April 2011 13:32
 
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