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Abstract

Objectives: We investigate whether volunteering is associated with a reduced risk of first heart attack in later life and whether purpose in life moderates this relationship. Methods: Cox proportional hazards were used to examine seven waves of data (2006–2018) from the Health and Retirement Study–a nationally representative survey of adults 50 years and older (N = 5,079). Results: Volunteering a moderate number of hours was associated with a 46% lower risk of heart attack compared to non-volunteers. The association between high time-commitment volunteering and heart attack risk was contingent on level of purpose in life: compared to non-volunteers, people with high purpose in life who volunteered 100 + hours had the lowest risk of heart attack. Discussion: Meaningful volunteer activities may be one way for older adults to reduce their risk of heart attack.

Keywords

volunteering cardiovascular health purpose in life prosocial activities

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References

Anderson

N. D.

Damainakis

Kroger

Wagner

L. M.

Dawson

D. R.

Binns

M. A.

Cook

S. L.

The BRAVO Team . (2014). The benefits associated with volunteering among seniors: A critical review and recommendations for future research. Psychological Bulletin, 140(6), 1505–1533. https://doi.org/10.1037/a0037610

AshaRani

P. V.

Lai

Koh

Subramaniam

(2022). Purpose in life in older adults: A systematic review on conceptualization, measures, and determinants. International Journal of Environmental Research and Public Health, 19(10), 5860. https://doi.org/10.3390/ijerph19105860

Bell

M. J.

Ferraro

K. F.

Sauerteig-Rolston

M. R.

(2022). Volunteer engagement and systemic inflammation: Does helping others benefit oneself. The Gerontologist, 62(10), 1477–1485. https://doi.org/10.1093/geront/gnac073

Berkman

L. F.

Glass

Brissette

Seeman

T. E.

(2000). From social integration to health: Durkheim in the new millennium. Social Science & Medicine, 51(6), 843–857. https://doi.org/10.1016/S0277-9536(00)00065-4

Blossfeld

H.-P.

Rohwer

Schneider

Halpin

(2019). Event history data structures. In Event history analysis with stata (pp. 41–62). Routledge. https://doi.org/10.4324/9780429260407-2

Boen

Yang

Y. C.

(2018). Social relationships and cardiovascular health: Underlying mechanisms, life course processes, and future directions. In Lifestyle in heart health and disease (pp. 291–296). Academic Press.

Brown

S. L.

Brown

R. M.

(2015). Connecting prosocial behavior to improved physical health: Contributions from the neurobiology of parenting. Neuroscience & Biobehavioral Reviews, 55, 1–17. https://doi.org/10.1016/j.neubiorev.2015.04.004

Burr

J. A.

Han

S. H.

Lee

H. J.

Tavares

J. L.

Mutchler

J. E.

(2018). Health benefits associated with three helping behaviors: Evidence for incident cardiovascular disease. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 73(3), 492–500. https://doi.org/10.1093/geronb/gbx082

Burr

J. A.

Han

S. H.

Tavares

J. L.

(2016). Volunteering and cardiovascular disease risk: Does helping others get under the skin? The Gerontologist, 56(5), 937–947. https://doi.org/10.1093/geront/gnv032

10.

Burr

J. A.

Tavares

J. L.

Mutchler

J. E.

(2011). Volunteering and hypertension risk in later life. Journal of Aging and Health, 23(1), 24–51. https://doi.org/10.1177/0898264310388272

11.

Center for Disease Control (CDC) . (2022). Heart disease in the United States. https://www.cdc.gov/heartdisease/facts.htm

12.

Cohen

Bavishi

Rozanski

(2016). Purpose in life and its relationship to all- cause mortality and cardiovascular events: A meta-analysis. Psychosomatic Medicine, 78(2), 122–133. https://doi.org/10.1097/PSY.0000000000000274

13.

Cohen

(2004). Social relationships and health. American Psychologist, 59(8), 676–684. https://doi.org/10.1037/0003-066X.59.8.676

14.

Czaja

S. J.

Moxley

J. H.

Rogers

W. A.

(2021). Social support, isolation, loneliness, and health among older adults in the PRISM randomized controlled trial. Frontiers in Psychology, 12, 728658. https://doi.org/10.3389/fpsyg.2021.728658

15.

Diaz

K. M.

Shimbo

(2013). Physical activity and the prevention of hypertension. Current Hypertension Reports, 15(6), 659–668. https://doi.org/10.1007/s11906-013-0386-8

16.

Ekerdt

D. J.

(1986). The busy ethic: Moral continuity between work and retirement. The Gerontologist, 26(3), 239–244. https://doi.org/10.1093/geront/26.3.239

17.

Estrella

M. L.

Kelley

M. A.

Durazo-Arvizu

R. A.

Gallo

L. C.

Chambers

E. C.

Perreira

Zeng

Giachello

A. L.

Isasi

C. R.

Lash

J. P.

Daviglus

M. L.

(2020). Volunteerism and cardiovascular health: The HCHS/SOL sociocultural ancillary study. Health Behavior Policy Review, 7(2), 120–135. https://doi.org/10.14485/HBPR.7.2.5

18.

Ferraro

K. F.

Farmer

M. M.

(1995). Social compensation in adulthood and later life (pp. 141–160). Compensating for Psychological Deficits and Declines.

19.

Fried

L. P.

Carlson

M. C.

Freedman

Frick

K. D.

Glass

T. A.

Hill

McGill

Rebok

G. W.

Seeman

Tielsch

Wasik

B. A.

Zeger

(2004). A social model for health promotion for an aging population: Initial evidence on the experience corps model. Journal of Urban Health, 81(1), 64–78. https://doi.org/10.1093/jurban/jth094

20.

Hafez

Heisler

Choi

H. J.

Ankuda

C. K.

Winkelman

Kullgren

J. T.

(2018). Association between purpose in life and glucose control among older adults. Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 52(4), 309–318. https://doi.org/10.1093/abm/kax012

21.

Han

S. H.

Tavares

J. L.

Evans

Saczynski

Burr

J. A.

(2017). Social activities, incident cardiovascular disease, and mortality: Health behaviors mediation. Journal of Aging and Health, 29(2), 268–288. https://doi.org/10.1177/0898264316635565

22.

Health and Retirement Study, (Core Survey) public use dataset (2006-2018). Produced and distributed by the university of Michigan with funding from the national Institute on aging (grant number NIA U01AG009740). https://hrs.isr.umich.edu/data-products/access-to-public-data/conditions-of-use

23.

Health and Retirement Study, (Psychosocial Questionnaire) public use dataset (2006-2018). Produced and distributed by the university of Michigan with funding from the national Institute on aging (grant number NIA U01AG009740). https://hrs.isr.umich.edu/data-products/access-to-public-data/conditions-of-use

24.

Heckman

J. J.

(1979). Sample selection bias as a specification error. Econometrica: Journal of the Econometric Society, 47(1), 153–161. https://doi.org/10.2307/1912352

25.

Hooker

S. A.

Masters

K. S.

Park

C. L.

(2018). A meaningful life is a healthy life: A conceptual model linking meaning and meaning salience to health. Review of General Psychology, 22(1), 11–24. https://doi.org/10.1037/gpr0000115

26.

Infurna

F. J.

Okun

M. A.

Grimm

K. J.

(2016). Volunteering is associated with lower risk of cognitive impairment. Journal of the American Geriatrics Society, 64(11), 2263–2269. https://doi.org/10.1111/jgs.14398

27.

Jernberg

Hasvold

Henriksson

Hjelm

Thuresson

Janzon

(2015). Cardiovascular risk in post-myocardial infarction patients: Nationwide real world data demonstrate the importance of a long-term perspective. European Heart Journal, 36(19), 1163–1170. https://doi.org/10.1093/eurheartj/ehu505

28.

Kim

E. S.

Delaney

S. W.

Kubzansky

L. D.

(2019a). Sense of purpose in life and cardiovascular disease: Underlying mechanisms and future directions. Current Cardiology Reports, 21(11), 135. https://doi.org/10.1007/s11886-019-1222-9

29.

Kim

E. S.

Shiba

Boehm

J. K.

Kubzansky

L. D.

(2020). Sense of purpose in life and five health behaviors in older adults. Preventive Medicine, 139, Article 106172. https://doi.org/10.1016/j.ypmed.2020.106172

30.

Kim

E. S.

Strecher

V. J.

Ryff

C. D.

(2014). Purpose in life and use of preventive health care services. Proceedings of the National Academy of Sciences, 111(46), 16331–16336. https://doi.org/10.1073/pnas.1414826111

31.

Kim

E. S.

Sun

J. K.

Park

Kubzansky

L. D.

Peterson

(2013). Purpose in life and reduced risk of myocardial infarction among older U.S. Adults with coronary heart disease: A two-year follow-up. Journal of Behavioral Medicine, 36(2), 124–133. https://doi.org/10.1007/s10865-012-9406-4

32.

Kim

Shin

S. H.

Scicolone

M. A.

Parmelee

(2019b). Purpose in life protects against cognitive decline among older adults. American Journal of Geriatric Psychiatry, 27(6), 593–601. https://doi.org/10.1016/j.jagp.2019.01.010

33.

Kim

Ferraro

K. F.

(2014). Do productive activities reduce inflammation in later life? Multiple roles, frequency of activities, and C-reactive protein. Gerontologist, 54(5), 830–839. https://doi.org/10.1093/geront/gnt090

34.

Kim

Halvorsen

Han

S. H.

(2023). Volunteering and changes in cardiovascular biomarkers: Longitudinal evidence from the health and retirement study. Innovation in aging, 7(5), igad048. https://doi.org/10.1093/geroni/igad048

35.

Morrow-Howell

(2010). Volunteering in later life: Research frontiers. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 65(4), 461–469. https://doi.org/10.1093/geronb/gbq024

36.

Musich

Wang

S. S.

Kraemer

Hawkins

Wicker

(2018). Purpose in life and positive health outcomes among older adults. Population Health Management, 21(2), 139–147. https://doi.org/10.1089/pop.2017.0063

37.

Musick

M. A.

Wilson

(2003). Volunteering and depression: The role of psychological and social resources in different age groups. Social Science & Medicine, 56(2), 259–269. https://doi.org/10.1016/s0277-9536(02)00025-4

38.

Omoto

A. M.

Snyder

(1995). Sustained helping without obligation: Motivation, longevity of service, and perceived attitude change among aids volunteers. Journal of Personality and Social Psychology, 68(4), 671–686. https://doi.org/10.1037/0022-3514.68.4.671

39.

Reed

G. W.

Rossi

J. E.

Cannon

C. P.

(2017). Acute myocardial infarction. Lancet, 389(10065), 197–210. https://doi.org/10.1016/S0140-6736(16)306778

40.

Ryff

C. D.

(1995). Psychological well-being in adult life. Current Directions in Psychological Science, 4(4), 99–104. https://doi.org/10.1111/1467-8721.ep10772395

41.

Sakkinen

Abbott

R. D.

Curb

J. D.

Rodriguez

B. L.

Yano

Tracy

R. P.

(2002). C-reactive protein and myocardial infarction. Journal of Clinical Epidemiology, 55(5), 445–451. https://doi.org/10.1016/s0895-4356(01)00502-9

42.

Schreier

H. M.

Schonert-Reichl

K. A.

Chen

(2013). Effect of volunteering on risk factors for cardiovascular disease in adolescents: A randomized controlled trial. JAMA Pediatrics, 167(4), 327–332. https://doi.org/10.1001/jamapediatrics.2013.1100

43.

Shiba

Kubzansky

L. D.

Williams

D. R.

VanderWeele

T. J.

Kim

E. S.

(2022). Purpose in life and 8-year mortality by gender and race/ethnicity among older adults in the US. Preventive Medicine, 164, Article 107310. https://doi.org/10.1016/j.ypmed.2022.107310

44.

Smith

K. P.

Christakis

N. A.

(2008). Social networks and health. Annual Review of Sociology, 34(1), 405–429. https://doi.org/10.1146/annurev.soc.34.040507.134601

45.

Sneed

R. S.

Cohen

, (2013). A prospective study of volunteerism and hypertension risk in older adults. Psychology and Aging 28(2), 578–586. https://doi.org/10.1037/a0032718

46.

Tang

(2009). Late-life volunteering and trajectories of physical health. Journal of Applied Gerontology, 28(4), 524–533. https://doi.org/10.1177/0733464808327454

47.

Tavares

J. L.

Burr

J. A.

Mutchler

J. E.

(2013). Race differences in the relationship between formal volunteering and hypertension. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 68(2), 310–319. https://doi.org/10.1093/geronb/gbs162

48.

Tian

Meng

(2019). Exercise for prevention and relief of cardiovascular disease: Prognoses, mechanisms, and approaches. Oxidative Medicine and Cellular Longevity, 2019, Article 3756750. https://doi.org/10.1155/2019/3756750

49.

Tsao

C. W.

Aday

A. W.

Almarzooq

Z. I.

Anderson

C. A. M.

Arora

Avery

C. L.

Baker-Smith

C. M.

Beaton

A. Z.

Boehme

A. K.

Buxton

A. E.

Commodore-Mensah

Elkind

M. S. V.

Evenson

K. R.

Eze-Nliam

Fugar

Generoso

Heard

D. G.

Hiremath

J. E.

Martin

S. S.

American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee . (2023). Heart disease and stroke statistics-2023 update: A report from the American heart association. Circulation, 147(8), e93–e621. https://doi.org/10.1161/CIR.0000000000001123

50.

Umberson

Montez

J. K.

(2010). Social relationships and health: A flashpoint for health policy. Journal of Health and Social Behavior, 51(Suppl), S54–S66. https://doi.org/10.1177/0022146510383501

51.

Varma

V. R.

Tan

E. J.

Gross

A. L.

Harris

Romani

Fried

L. P.

Rebok

G. W.

Carlson

M. C.

(2016). Effect of community volunteering on physical activity: A randomized controlled trial. American Journal of Preventive Medicine, 50(1), 106–110. https://doi.org/10.1016/j.amepre.2015.06.015

52.

Zilioli

Slatcher

R. B.

Ong

A. D.

Gruenewald

T. L.

(2015). Purpose in life predicts allostatic load ten years later. Journal of Psychosomatic Research, 79(5), 451–457. https://doi.org/10.1016/j.jpsychores.2015.09.013

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Volunteering and Risk of Heart Attack in Later Life: The Moderating Role of Purpose in Life?

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