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It is well established that health and health behaviors in midlife are important determinants of healthy aging [4]. In women, midlife usually coincides with the menopausal transition, a life stage when physiologic changes occur that are linked to bone, cardiovascular, cognitive, and musculoskeletal health [4]. Furthermore, as populations globally are aging, the proportion of people with osteoarthritis is increasing [5].
Interact J Med Res 2024;13:e60949
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Midlife is generally viewed as spanning from the ages of 40 to 60 years [11]. Midlife is viewed as a bridge between generations and can involve multiple caregiving responsibilities (eg, grandchildren, adult children, and aging parents), career development and retirement planning, changes in family leadership, and changes in health status (eg, developing chronic illnesses) [11]. During midlife, women often juggle multiple demands.
JMIR Res Protoc 2024;13:e57886
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Midlife (40-64 years of age) may be an important time to harness meaning and establish a healthy behavior pattern to improve health in later life. Evidence suggests that PA tends to decline as individuals age [52,53], although engaging in health behaviors during this time may be more important than ever to prevent the development of chronic disease and enhance healthy aging [54,55].
JMIR Form Res 2024;8:e55722
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Behavior Change Techniques in Digital Health Interventions for Midlife Women: Systematic Review
Moreover, an individual’s health-related quality of life in midlife is influenced by many additional nonmenopausal factors such as lifestyle, physical activity (PA), and social integration [5]. Evidence suggests that midlife for women represents a critical window for preventing chronic disease and optimizing health and functioning, whereas it is increasingly recognized that a healthy lifestyle may mitigate such health risks [6].
JMIR Mhealth Uhealth 2022;10(11):e37234
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However, the gender disparity in PA engagement that favors men across the life span widens during midlife [11], and less than half of the women in the United States in this age range meet US national PA guidelines [12]. Consequently, promoting PA among women in midlife with elevated CVD risk has received considerable empirical and clinical attention as a key pathway for improving cardiovascular health in this population [4,13].
JMIR Form Res 2022;6(7):e36280
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During midlife, meaningful gender differences emerge with respect to CVD risk. For example, the onset of menopause confers a direct biological risk for women [4,5]. The risk of mortality from CVD events also increases more sharply for midlife women than men [6,7], in part because of gender differences in symptom presentation and concerns about seeking medical attention [8-11].
JMIR Res Protoc 2020;9(10):e19044
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However, none of these existing programs were tailored to any racial/ethnic minority midlife women [29,30].
The purpose of our study was to identify practical issues in developing and implementing a culturally tailored physical activity promotion program for 2 groups of Asian Americans—Chinese and Korean American midlife women. We targeted midlife women in this study because physical activity in midlife is a significant predictor of better health in later years [33].
J Med Internet Res 2016;18(11):e303
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