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Journal of Behavioral Medicine

, Volume 37, Issue 4, pp 736–755 | Cite as

Changes in Routine Health Behaviors Following Late-life Bereavement: A Systematic Review

  • Sarah T. StahlEmail author
  • Richard Schulz
Article

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.

Keywords

Routine health behaviors Lifestyle change Behavioral change Bereavement Widowhood Older adults 

Notes

Acknowledgments

Preparation of this manuscript was supported in part by Grants from NIH P30 MH090333-01A1, MHO19986, NR009573, NR013450, AG026010, AG032370, and NSF 0540865.

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© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Department of Psychiatry, University Center for Social and Urban ResearchUniversity of PittsburghPittsburghUSA

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