Thursday, February 7, 2013

I Will If You Will: What Motivates Spouses To Get Fit, Manage Illness

Before spouses take their first step toward fitness, their partner's interest or willingness to participate can sway them, says a Purdue University family studies expert.

"Marriage commitments focus on a couple's devotion in either a state of sickness or in health, but it's also about the in between - a person's readiness to change for better health," says Melissa M. Franks, an assistant professor of human development and family studies. "Married people are likely to engage in similar health behaviors and, in general, a married person's lifestyle choices can directly and indirectly influence their partners. So what happens, when one just person is ready to change?"

Franks, who studies marriage and chronic illness management, says people often focus on the action: what a person is doing to lose weight or get fit. But, she says, it's also important to consider whether individuals are thinking about change and how spouses influence each other in early stages of change.

"If I'm trying to change, and you are not with me, that may affect my process and ability to change," says Franks who has studied married couples with Type 2 diabetes and spouses who participate in worksite wellness programs. "Our research suggests that partners realize one other's willingness to make a change - even if they haven't talked about it with their spouse. The other's position affects their confidence to change."

Franks says there are some patterns based on gender. For example, in one of her studies, a husband feels less confident about losing weight if his wife is not as ready to lose weight. But, the husbands' confidence about getting more exercise was not associated with what their wives were thinking.

"However, a husband's readiness to change was associated more consistently with his wife's confidence," says Franks, who also is affiliated with Purdue's Center on Aging and the Life Course and Regenstrief Center for Healthcare Engineering. "Women tend to be the family's gatekeeper on health issues, so we speculate that women may be more aware if the husband is ready to make changes."

Written by Amy Patterson Neubert

Drinkers Can Underestimate Alcohol Habits, UK

Some people could be underestimating their alcohol intake by as much as 40 per cent, according to new figures the Department of Health published today.

The snapshot into the nation's drinking habits come as this year's Change4life TV ad campaign is launched to raise awareness of the health harms caused by regularly drinking over the guidelines.

The recent Health Survey for England highlighted underestimations in both the amount and frequency that people drink, raising major concerns about the nation's knowledge of alcohol.

The campaign, which calls on people to check their intake using an online Drinks Checker tool, shows how simple changes can save both money and reduce calories.

Research shows across the country 80 per cent of those that drink too much acknowledge the health risks but think of themselves at most as moderate drinkers. More than 60 per cent of these drinkers have no intention of cutting down.

To get a picture of drinking habits, the Change4Life team asked 19 individuals to keep a detailed drinks diary for two weeks. The findings show those that took part were drinking on average the equivalent of an extra large glass of wine each day, or 40 per cent more that they thought.

After keeping a drinks diary for a week, people were offered simple tips on cutting down and as a result, they:
  • cut their alcohol consumption by over a third;
  • saved around £33.35 a week - or over £1,730 a year; and
  • consumed 1,658 fewer calories a week an average of 236 calories a day - around 10 per cent of the average person's daily intake and the equivalent to 125ml (a small wine glass) of cream per day.
Participants also said that cutting down improved their physical and emotional wellbeing. And those involved also reported that adding more mixer to drinks and substituting alcoholic drinks with soft drinks were the most popular tips to include in their lifestyle.

Other tips for cutting down included having booze-free days if they drink every day, not drinking at home before going out, swapping to low-alcohol or alcohol-free drinks and simply using smaller glasses.

Chief Medical Officer Professor Dame Sally Davies said:

"I understand that people enjoy having a glass of wine or beer to unwind at the end of a busy day - but these drinks stack up and can increase your risk of high blood pressure, cancer or liver disease.

"The alcohol guidelines recommend that men should not regularly drink more than three to four units a day and women should not regularly drink more than two to three units a day.

"The Change4Life campaign aims to help and encourage people to check how much they are drinking using the Drinks Checker app or online and if they find they are drinking over the guidelines, provide helpful tips and advice to cut down.

"Cutting back your drinking can reduce your health risks, reduce your calorie intake, help you sleep better and boost your energy. To find out more I strongly recommend people to search Change4Life."