Dog Ownership, Physical Activity, Loneliness and Mental Health: A Comparison of Older Adult and Younger Adult Companion Animal Owners

Dog Ownership, Physical Activity, Loneliness and Mental Health: A Comparison of Older Adult and Younger Adult Companion Animal Owners | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Dog Ownership, Physical Activity, Loneliness and Mental Health: A Comparison of Older Adult and Younger Adult Companion Animal Owners Kirrily Zablan, Glenn Melvin, Alexa Hayley This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-4356950/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 01 Nov, 2024 Read the published version in BMC Psychology → Version 1 posted 4 You are reading this latest preprint version Abstract Background and Aim: Dog ownership has been suggested as an intervention to increase physical activity and improve mental health, but few studies have investigated the relationships between dog ownership, physical activity, and mental health outcomes together. This study aimed to (1) investigate whether dog ownership, CA-related physical activity, and non-CA-related physical activity were explanatory variables for the relationships between CA ownership, depression, and anxiety via loneliness and (2) examine whether the relationships between these variables differed for older adult CA owners compared to younger adult CA owners. Method: Participants were Australian CA owners from the community ( N =588, 76.3% female) aged 18-84 years ( M =55.34, SD =14.90). A cross-sectional design and online/phone survey methodology were used. Results: Path analysis showed that dog owners (compared to owners of other CA types) engaged in higher levels of both CA-related and non-CA-related physical activity, but only non-CA-related physical activity was associated with mental health outcomes. Conclusion: Our findings indicate people who choose to own dogs over other CA types engage in more active lifestyles, but it is the physical activity they perform independently of their dog that is associated with less loneliness and greater mental health. Members of the public should not be universally encouraged by health or other professionals to own a dog to support their mental health based on a belief that dog ownership leads to beneficial physical activity. Companion Animals Pet Ownership Physical Activity Dog Walking Mental Health Loneliness Older Adults Figures Figure 1 Figure 2 Figure 3 Introduction The notion that companion animal ownership (CAO) can reduce loneliness and improve mental health outcomes is not a new one. Companion animal (CA) owners have long perceived their CAs make them happier and healthier (Animal Medicines Australia, 2019 ). This belief was reinforced during the COVID-19 pandemic as CA researchers and medical professionals released opinion pieces publicising the ‘benefits’ of CAO for mental health (Geppert, 2020 ; Heotis, 2021 ), and people bought and adopted CAs at increased rates to cope with pandemic lockdowns (Morgan et al., 2020 ; Roy, 2020 ). Qualitative research conducted during the pandemic reflects this positive public sentiment (Roe et al., 2023 ; Shoesmith et al., 2021 ; Zablan et al., 2022 ), but quantitative findings have largely disputed the ‘feel-good’ story of CAO and pandemic wellbeing. Quantitative CA COVID-19 studies comparing the loneliness, mental health, and wellbeing of CA owners and non-CA owners reported a non-significant effect of CAO (Clements et al., 2021 ; Denis-Robichaud et al., 2022 ; Grajfoner et al., 2021 ), or negative effect of CAO (Amiot et al., 2022 ; Law et al., 2022 ; Mueller et al., 2021 ), on these outcomes. Although only a small number of studies reported CAO being associated with better loneliness, mental health, or wellbeing (Bohn et al., 2021 ; Giansanti et al., 2022; Ratschen et al., 2020 ; Tan et al., 2021 ), these positive findings were over-represented in media articles during the pandemic, providing a biased view of the CAO COVID-19 literature (Carver, 2020 ; National Geographic, 2021 ). Taken as a whole, the body of literature instead indicates CAO did not significantly reduce loneliness and improve mental health during the COVID-19 pandemic. Dog Ownership, Physical Activity, Loneliness, and Mental Health Human-animal interactions (HAI) researchers have proposed explanations for the ‘pet effect paradox’ (Herzog, 2022 ), where qualitative evidence provides compelling support for CAO when sampling CA owners, but quantitative evidence indicates no significant relationship between CAO and mental health. One possible explanation is that merely comparing CA owners and non-owners does not account for CA-related variables possibly influencing the relationship between CAO and mental health, such as the type of CA owned, or whether a CA promotes increased physical activity (Hughes et al., 2020 ). The CAO COVID-19 evidence suggests CA type and physical activity may be meaningful explanatory variables when considering the relationship between CAO and mental health (Bohn et al., 2021 ; Tan et al., 2021 ). Two of the studies reporting a positive association between CAO and mental health outcomes included physical activity as a variable of interest (Bohn et al., 2021 ; Tan et al., 2021 ). Bohn and colleagues ( 2021 ) found dog ownership and physical activity to be independently associated with lower depression during lockdown, while cat and bird ownership was not significantly associated with depression, demonstrating mixed results across CA types. Tan and colleagues ( 2021 ) investigated CAO and physical activity during lockdown in Singapore, finding CA owners reported higher mild-intensity physical activity and emotional wellbeing than non-owners. These findings suggest that CA type and physical activity may be unexpectantly impacting CAO comparison studies. Reviewing the proposed theories of HAI also provides guidance as to which individual differences could explain why the effect of CAO on loneliness and mental health outcomes varies. These theories of HAI attempt to explain how CAO may improve human mental health, including the companionship (O’Haire, 2010 ), stress reduction (Friedmann et al., 1980 ), attachment and oxytocin (Beetz et al., 2012 ), social catalyst (Wood et al., 2015 ), exposure to green spaces (Zijlema et al., 2019 ), and physical activity theories (Dall et al., 2017 ). Dog ownership has been a focus of HAI research due to the unique care dogs require. The exercise requirements of dogs far exceed those of other common CA types typically kept in the home, including cats, fish, birds, small mammals, and reptiles (Corridan, 2009 ). Dogs usually require exercise outside the home, not only for their physical health, but also for mental stimulation (Corridan, 2009 ). A wealth of evidence suggests dog ownership results in increased recreational walking and increased overall physical activity for dog owners (Christian et al., 2013 ; Westgarth et al., 2019 ), and there is clear evidence indicating physical activity strongly predicts both physical and mental health (Anderson & Shivakumar, 2013 ). Loneliness is a major contributor to poor mental health and longitudinal research has demonstrated loneliness as predicting the later development of depression (Green et al., 1992). Although loneliness can be conceptualised as an indicator of unmet social needs and a motivator to implement steps to increase social connection (Perlman & Peplau, 1984), during the COVID-19 pandemic, the ability to put these steps into action were significantly restricted by public health directives (Australian Institute of Health and Welfare [AIHW], 2021), resulting in increased depression and anxiety for global citizens during the pandemic (Robinson et al., 2022). Dog walking may benefit mental health and reduce loneliness via a social catalyst effect, as walking a dog increases the frequency of chance social interactions with strangers (McNicholas & Collis, 2000 ; Wood et al., 2015 ). During COVID-19 such chance ‘COVID-safe’ social encounters were at times the only social contact dog owners experienced (Zablan et al., 2022 ), and studies showed increased dog walking during COVID-19 resulted in reduced loneliness (Carr et al., 2021 ; Lee et al., 2022 ). Dog walking may also expose owners to natural outdoor environments, or green spaces. Exposure to green spaces has been cited as a positive contributor to mental health, in addition to the benefits of physical activity (Van den Berg et al., 2015 ). The physical activity, social catalyst, and exposure to green spaces theories all provide indications dog ownership may predict reduced loneliness and improved mental health via dog walking. Although the theoretical basis for relationships between dog ownership, physical activity, and mental health is strong, the research evidence is not so clear. This is, in part, because few studies investigate the two relationships of interest; whether dog ownership predicts increased physical activity, and whether this increased physical activity predicts mental health outcomes. Those that do, have reported mixed findings. Dunn and colleagues ( 2018 ) found dog ownership was associated with increased physical activity, but not depression or loneliness among cardiac patients. Conversely, studies conducted in Singapore suggested CA owners/caregivers engaged in more physical activity, and had higher scores on measures of emotional wellbeing, social functioning, and energy (Goh et al., 2020 ; Tan et al., 2021 ). Other studies investigated whether dog walking predicted mental health outcomes, but not whether dog ownership engaged in more physical activity or walking than non-dog ownership. Two of these studies found dog walking was associated with reduced loneliness (Carr et al., 2021 ; Lee et al., 2022 ), while one found no significant association between dog walking and loneliness (Qian Lau & Oliva, 2023 ). When considering depression outcomes, evidence was similarly mixed, with one study reporting no significant relationship between dog walking and depression (Cui et al., 2021 ), while one study found dog walking was associated with reduced depression (Lima et al., 2022 ). It is surprising, given the large research area of dog ownership and physical activity, that so few studies investigate dog ownership, physical activity, loneliness, and mental health outcomes together. Older Adult Dog Ownership, Physical Activity, Loneliness and Mental Health Older adult loneliness and mental health have been priorities of mental health research during COVID-19 (Legate et al., 2022 ; World Health Organisation, 2020 ). Research evidence suggests older adults did experience increased rates of loneliness (Su et al., 2022 ), depression (Briggs et al., 2021 ), and anxiety (Gosselin et al., 2022 ) during the pandemic, although people within other demographic groups, such as younger adults and women, appeared to experience similar or worse mental health outcomes (Bu et al., 2020 ; Li & Wang, 2020 ). Older adults have also been a particular focus of research investigating dog ownership and physical activity. Multiple studies have demonstrated older adult dog owners as engaging in significantly more walking than non-dog owners (Dall et al., 2017 ; Feng et al., 2014 ). It is possible the physical activity promoted by dog ownership is more beneficial for older adults, due to older adults engaging in less overall physical activity than younger adults (Chodzko-Zajko et al., 2009 ). Our study will add to the literature by being the first to investigate dog ownership, CA-related physical activity such as dog walking, physical activity not conducted with a CA, and mental health outcomes together. This will provide insights into the types of physical activity associated with mental health outcomes, and whether physical activity conducted with or without a CA is more beneficial. Our study is also the first to investigate whether the relationships between dog ownership, physical activity, and mental ill health are stronger for older adults compared to younger adults. Aims and Hypotheses This study aimed to (1) investigate whether dog ownership, CA-related physical activity, and non-CA-related physical activity were meaningful explanatory variables for the relationships between CAO, depression, and anxiety via loneliness and (2) examine whether the relationships between these variables differed for older adult CA owners compared to younger adult CA owners. The hypothesised relationships are displayed in Fig. 1 . We hypothesised these relationships would be stronger for older adult CA owners compared to younger adult CA owners. Method Human Ethics and Consent to Participate This study was approved by the Deakin University Human Research Ethics Committee (2020–231) and conducted in accordance with the Australian Code for the Responsible Conduct of Research, 2018. Informed consent was obtained from all participants. Participants Eligibility criteria required participants be: (1) an Australian citizen or permanent resident; (2) aged 18 years or older; and (3) currently own at least one CA. Participants ( N = 588, 76.3% female) were a convenience sample of CA owners from the Australian community, aged 18 to 84 years ( M = 55.34, SD = 14.90). The overall sample consisted of two subsamples, older adult CA owners aged 65 years and over ( M = 70.7 years, SD = 4.4 years, 88.4% female) and younger adult CA owners aged 64 and under ( M = 48.4 years, SD = 12.7 years, 71.4% female). Participant demographics for both the older adult and younger adult subsamples, including COVID-19 lifestyle impacts, are presented in Table 1 . Table 1 Participant Characteristics for Older Adult 65 + Sample U65 Sample n (%) n (%) Age M ( SD ) 70.7 (4.4) 48.4 (12.7) Sex Female 160 (88.4) 287 (71.4) Male 20 (11.0) 113 (28.1) Another sex 1 (0.6) 2 (0.5) Education Level Some University Education 87 (46.8) 195 (48.5) No University Education 114 (61.3) 205 (51.0) CA Type Owned Dog 129 (71.3) 279 (69.4) Cat 77 (42.5) 171 (42.5) Small mammal 1 (0.54) 18 (4.5) Fish 12 (6.6) 42 (10.4) Bird 28 (15.1) 58 (14.4) Horse/Pony 0 (0.0) 12 (3.0) Livestock as CA 14 (7.5) 13 (3.2) Wildlife as CA 6 (3.2) 1 (0.2) Relationship Status Not currently in a relationship 88 (47.3) 154 (38.3) In a relationship 91 (48.9) 243 (60.4) Living Situation Lives alone 89 (49.2) 95 (23.6) Lives with others 92 (49.5) 307 (76.4) Employment Status Employed 26 (14.0) 283 (70.4) Not employed 13 (7.0) 101 (25.1) Retired 153 (84.5) 54 (13.4) COVID-19 Impacts Made redundant/contract not renewed 4 (2.2) 21 (5.2) Reduced work hours 4 (2.2) 45 (11.2) Some or all work conducted from home 12 (6.5) 122 (30.3) Quarantined within previous 4 months 24 (13.3) 70 (17.4) Note . CA = Companion animal, M = mean, SD = standard deviation Design A cross-sectional online survey methodology was used. Data was collected over a 3-month period during the COVID-19 pandemic from November 1 2020 to January 31 2021. The data was timepoint 1 of a larger 12-month longitudinal survey dataset. Measures Demographics. Participant age, sex (i.e. male, female, non-binary/another sex), state/territory, highest level of education, employment status, relationship status, living situation, CA type/s owned, and COVID-19 lifestyle impacts including redundancy, reduced work hours, work from home, and quarantine. Dog Ownership. Dog ownership was a dichotomous measure where those who did not own a dog but owned another CA type were coded as 0, while those who owned a dog were coded as 1. Those owning a dog and another CA type were coded as 1 (dog owners). Depression, Anxiety, and Stress Scale – 21 (DASS-21; Lovibond & Lovibond, 1995 ). The DASS-21 consists of three self-report subscales measuring symptoms of depression, anxiety, and stress during the past four weeks. Participants responded to each item using a 4-point Likert-type scale (0 = ‘never’, 1 = ‘sometimes’, 2 = ‘often’, 3 = ‘almost always’), with a possible range of scores per subscale being 0 to 21. Only the depression and anxiety subscales were used in the current study. Internal consistency of the depression subscale was α = .93 (younger adult subsample), α = .94 (older adult subsample) and the anxiety subscale was α = .66 (younger adult subsample), α = .86 (older adult subsample). UCLA Loneliness Scale – Version 3 (UCLA; Russell, 1996 ). The UCLA is a 20-item scale designed to measure one’s subjective feelings of loneliness and social isolation. Participants responded to each item on a 4-point Likert scale (1 = ‘never’, 2 = ‘rarely’, 3 = ‘sometimes’, 4 = ‘often’) with a minimum score of 20 and a maximum score of 80. Internal consistency was observed as α = .95 in the current study. Physical Activity. CA-related physical activity and non-CA-related physical activity were measured using the following original items: ‘ Approximately how many hours of pet-related physical activity do you participate in per week? (e.g., walking a dog, cleaning up after your pet etc.)’ and ‘Approximately how many hours of physical activity do you participate in per week? (e.g., walking, gardening, running, strength exercises, sports etc.)’. Participants responded to each item on a 4-point Likert scale (1 = ‘less than one hour’, 2 = ‘1 to 3 hours’, 3 = ‘3 to 6 hours’, 4 = ‘more than 6 hours’). Procedure Participants were recruited for a mixed-methods longitudinal survey using two recruitment strategies to allow older adults with varied digital literacy to participate; (1) paid and unpaid social media advertisements (Facebook, Instagram), with the advertisement’s URL directed to the online survey hosted on survey platform Qualtrics; and (2) 450 paper flyers distributed at 12 physical sites visited by older adults (i.e. retirement villages, Returned Service League, and Rotary Club) inviting eligible participants to complete the online or phone survey. On completion of the survey (approximately 30 mins), respondents were invited to enter a prize draw to win one of two $50 e-gift vouchers. Data analysis was completed using IBM SPSS Statistics 28 and IBM SPSS AMOS 26 software. Data Analysis Plan Preliminary analyses included descriptive statistics for age, sex, education level, employment status, state/territory, relationship status, living situation, and type of CA owned, as well as for COVID-19 lifestyle impacts including lockdown, redundancy, reduced work hours, working from home, and quarantine. Bivariate correlation analyses were conducted to identify linear associations among the variables prior to path analysis. Independent sample t -tests were performed to determine age-based differences for loneliness, depression, and anxiety. Path analysis, employing maximum likelihood estimation, was used to identify the relationships between variables of interest. One conceptual path analysis was used to assess the relationships between dog ownership, CA-related physical activity, non-CA-related physical activity, loneliness, depression, and anxiety. This analysis was conducted twice, one on a subsample of older adult CA owners and one on a subsample of younger adult CA owners. Path analysis global fit was calculated using the criteria: χ²( df ), p > .05; χ²/ df < 3; root mean square error of approximation (RMSEA < .08, <.11 for samples .95) and incremental fit index (IFI > .95; Kline, 1998 ). A p -value < .05 was considered significant for path analysis local fit. AMOS was used to assess relationships between variables using a path model drawn from theory (see Fig. 1 ). The model conducted on each subsample was optimised by removing non-significant paths ( p > .05) and addition of paths indicated by modification indices (MI > 3.84; Kline, 1998 ). Multigroup analysis was conducted to compare the standardised coefficients for each path of the conceptual model between each subsample to determine whether significant differences existed between the older adult CA owner and younger adult CA owner path analyses. The minimum necessary sample size for statistical significance at the p < .05 level, using the 10:1 rule for path analysis is 120 per path analysis (Kline, 1998 ). Sample sizes for each subsample met these criteria. Results Preliminary Analyses Of the initial 959 survey responses from CA owners, n = 371 cases were removed due to incomplete responses, leaving N = 588 participants. Descriptive statistics for outcome measures depression and anxiety are summarised in Table 2 . Descriptive statistics and t -tests results are also presented in Table 2 . As shown, older adults scored significantly lower on depression and anxiety than younger adults ( p ’s < .001). There was no significant difference between older adults and younger adults on loneliness ( p = .50). Table 3 shows the results of bivariate correlation analyses between the study variables for both older adult CA owners and younger adult CA owners. Bivariate correlations indicated several significant, small to medium, associations between variables of interest from r = − .12 to r = .37 (Cohen, 1992). Absence of multicollinearity was confirmed with all associations among outcome variables r < .80. Bivariate correlations indicated for older adult CA owners, dog ownership (versus ownership of another CA type) was significantly negatively associated with anxiety ( r = − .16), but not associated with loneliness and depression. For younger adult CA owners, dog ownership (versus ownership of another CA type) was significantly negatively associated with loneliness ( r = − .13), and depression ( r = − .12), but not associated with anxiety. For both older adults and younger adults, dog ownership (versus ownership of another CA type) was positively associated with CA-related physical activity and non-CA-related physical activity, with small to medium effect sizes ( r = .19 to r = .37; Cohen, 1992). CA-related physical activity was significantly negatively associated with depression ( r = − .19) and anxiety ( r = − .20) in older adult CA owners, but not in younger adult CA owners. In older adult CA owners, non-CA-related physical activity was significantly negatively associated with depression ( r = − .19) and anxiety ( r = − .20), while in younger adult CA owners, non-CA-related physical activity was significantly negatively associated with loneliness ( r = − .12) and depression ( r = − .12). Hypothesis Testing Loneliness, Depression, and Anxiety in Older Adult CA Owners. Figure 1 shows the conceptual model while Fig. 2 shows the final model with good model fit (RMSEA = .06; CFI = .97; IFI = .97; χ² = 15.54, df = 9, p = .08, χ²/ df = 1.73). Table 4 shows the fit statistics for alternative models. The final model (Fig. 2 ) demonstrates dog ownership was significantly positively associated with non-CA-related physical activity (β = 0.22, p = .003) and CA-related physical activity (β = 0.37, p < .001), while these were not significantly associated with loneliness resulting in no complete pathways in the path analysis. Dog ownership explained 5% of the variance in non-CA-related physical activity (R² = .05), and 14% of the variance in CA-related physical activity (R² = .14). The error terms for non-CA-related physical activity and CA-related physical activity were significantly positively associated (β = 0.39, p < .001), indicating possible overlap in these constructs. Loneliness was significantly positively associated with depression (β = 0.63, p < .001), and anxiety (β = 0.38, p < .001), with loneliness explaining 40% of the variance in depression (R² = .40), and 14% of the variance in anxiety (R² = .14). Table 2 Descriptive Statistics, Symptom Severity on the DASS-21 Depression and Anxiety Subscales for Older Adult (65+) Companion Animal Owners (n = 186) and Younger Adult (U65) Companion Animal Owners (n = 402), and Results of T-Tests Examining Age Differences on Loneliness, Depression, and Anxiety Levels for Companion Animal Owners Outcome Measures 65+ Outcome Measures U65 t df p M (SD) α Symptom Severity n (%) M (SD) α Symptom Severity n (%) Depression 4.06 (4.52) 0.93 Normal 112 (61.9) Depression 6.37 (5.84) 0.94 Normal 199 (49.5) 4.79 601 < .001 Mild 28 (15.5) Mild 38 (9.5) Moderate 22 (12.2) Moderate 71 (17.7) Severe 10 (5.5) Severe 33 (8.2) Extremely Severe 9 (5.0) Extremely Severe 61 (15.2) Anxiety 1.63 (2.09) 0.66 Normal 154 (85.1) Anxiety 3.32 (3.89) 0.86 Normal 264 (65.7) 5.57 601 < .001 Mild 12 (6.6) Mild 47 (11.7) Moderate 11 (6.1) Moderate 33 (8.2) Severe 4 (2.2) Severe 28 (7.0) Extremely Severe 0 (0.0) Extremely Severe 30 (7.5) Loneliness 2.10 (0.65) 0.95 Loneliness 2.40 (0.67) 0.95 5.1 601 0.5 CA Related Physical Activity 2.94 (1.10) CA Related Physical Activity 2.70 (1.09) Non-CA Related Physical Activity 3.00 (1.02) Non-CA Related Physical Activity 2.75 (1.06) Note . M = mean, SD = standard deviation, α = Cronbach’s alpha, CA = Companion animal. ***p < 001, **p < .01, *p < .05. Table 3 Bivariate Correlations for Older Adult (65+) Companion Animal Owners and Younger Adult (U65) Companion Animal Owners Variable Older Adult CA Owners Younger Adult CA Owners 1 2 3 4 5 1 2 3 4 5 1. Dog Ownership - - 2. CA-Related Physical Activity .37** - .33** - 3. Non-CA Related Physical Activity .22** .44** - .19** .57** - 4. Loneliness .01 .02 − .10 - − .13* − .09 − .12* - 5. Depression − .04 − .19* − .19* .63** - − .12* − .06 − .12* .73** - 6. Anxiety − .16* − .20** − .20** .38** .49** − .08 − .03 − .06 .51** .66** Note . ** p < .01, * p < .05. CA = Companion animal. Table 4 Fit Statistics for Alternative Models Model χ² df p χ²/ df RMSEA CFI IFI 1 67.16 9 .000 7.46 .19 .72 .73 2 68.10 10 .000 6.81 .18 .72 .73 3 69.99 11 .000 6.36 .17 .72 .72 4 39.66 10 .000 3.97 .13 .86 .86 5 15.54 9 .08 1.73 .06 .97 .97 Note. RMSEA = root mean square error of estimation; CFI = comparative fit index; IFI = incremental fit index. Loneliness, Depression, and Anxiety in Younger Adult CA Owners. Figure 1 shows the conceptual model, while Fig. 3 shows the final model with good model fit (RMSEA = .00; CFI = 1.00; IFI = 1.00; χ² = 6.79, df = 8, p = .56, χ²/ df = 0.85). Table 5 shows the fit statistics for alternative models. The final model (Fig. 3 ) demonstrates dog ownership was significantly positively associated with non-CA-related physical activity (β = 0.19, p < .001), and CA-related physical activity (β = 0.33, p < .001), while only non-CA-related physical activity was associated with loneliness (β = -0.12, p = .01). Loneliness was significantly positively associated with depression (β = 0.73, p < .001), and anxiety (β = 0.51, p < .001), with loneliness explaining 53% of the variance in depression (R² = .53), and 26% of the variance in anxiety (R² = .26). Dog ownership explained 4% of the variance in non-CA-related physical activity (R² = .04), and 11% of the variance in CA-related physical activity (R² = .11). The error terms for non-CA-related physical activity and CA-related physical activity were significantly positively associated (β = 0.55, p < .001) indicating some possible overlap in these constructs. Table 5 Fit Statistics for Alternative Models Model χ² df p χ²/ df RMSEA CFI IFI 1 263.73 9 .00 29.30 .27 .66 .66 2 263.90 10 .00 26.39 .25 .66 .66 3 119.88 9 .00 13.32 .18 .85 .85 4 6.79 8 .56 0.85 .00 1.00 1.00 Note. RMSEA = root mean square error of estimation; CFI = comparative fit index; IFI = incremental fit index. Multigroup moderation analyses. The results of the multigroup moderation analyses, comparing each regression path for older adults versus younger adults, are presented in Table 6 . The path analyses displayed two significantly different paths, the loneliness to depression path, and the loneliness to anxiety path. The positive relationship of loneliness with depression and anxiety, was stronger for younger adults than for older adults. There was no significant difference between older adults and younger adults on the relationship between non-CA-related physical activity and loneliness, despite path analyses indicating a significant relationship for younger adults, and a non-significant relationship for older adults. This indicates a possible type II error for this path in the older adult path analysis due to a smaller sample size ( n = 186). Table 6 Multigroup Analysis (Chi-Square Difference) for Loneliness, Depression, and Anxiety Models Path 65+ U65 Estimate p Estimate p z -score Result Dog Ownership → Non-CA-Related Physical Activity 0.49 .00 0.43 .00 -0.28 Not Different Dog Ownership → CA-Related Physical Activity 0.91 .00 0.77 .00 -0.74 Not Different Non-CA-Related Physical Activity → Loneliness -0.07 .17 -0.08 .01 -0.24 Not Different Loneliness → Depression 1.13 .00 1.65 .00 3.99*** Different Loneliness → Anxiety 0.39 .00 0.98 .00 5.46*** Different Note. *** p < .01; ** p < .05. Table 7 Bivariate Linear Regressions Between Dog Ownership, CA-Related Physical Activity, Non-CA-Related Physical Activity, Loneliness, Depression, and Anxiety Outcome Measure Predictor Older Adults ( n = 181) Outcome Measure Predictor Younger Adults ( n = 402) b SE R² F (1,180) p b SE R² F (1,401) p Loneliness Constant 2.09 .09 Loneliness Constant 2.54 .06 Dog Ownership 0.02 .11 .00 0.03 .87 Dog Ownership -0.18 .07 .02 6.39 .01 Depression Constant 1.83 .16 Depression Constant 2.57 .14 Dog Ownership − .09 .19 .00 0.22 .64 Dog Ownership -0.39 .16 .01 5.65 .02 Anxiety Constant 1.42 .09 Anxiety Constant 2.00 .12 Dog Ownership -0.24 .11 .02 4.77 .03 Dog Ownership -0.23 .14 .01 2.86 .09 CA-Related Physical Activity Constant 2.29 .14 CA-Related Physical Activity Constant 2.17 .09 Dog Ownership 0.91 .17 .14 29.20 .00 Dog Ownership 0.77 .11 .11 47.30 < .001 Non-CA-Related Physical Activity Constant 2.65 .14 Non-CA-Related Physical Activity Constant 2.46 .09 Dog Ownership 0.49 .16 .05 8.73 .00 Dog Ownership 0.43 .11 .04 14.52 < .001 Loneliness Constant 2.06 .14 Loneliness Constant 2.56 .09 CA-Related Physical Activity 0.01 .04 .00 0.07 .79 CA-Related Physical Activity -0.05 .03 .01 3.12 .08 Depression Constant 2.00 .25 Depression Constant 2.51 .20 CA-Related Physical Activity -0.08 .08 .01 1.04 .31 CA-Related Physical Activity -0.08 .07 .00 1.20 .28 Anxiety Constant 1.36 .14 Anxiety Constant 1.87 .17 CA-Related Physical Activity -0.04 .05 .00 0.68 .41 CA-Related Physical Activity -0.03 .06 .00 .27 .61 Loneliness Constant 2.29 .15 Loneliness Constant 2.63 .09 Non-CA-Related Physical Activity -0.07 .05 .01 1.90 .17 Non-CA-Related Physical Activity -0.08 .03 .02 6.29 .01 Depression Constant 2.40 .27 Depression Constant 2.75 .21 Non-CA-Related Physical Activity -0.21 .08 .04 6.45 .01 Non-CA-Related Physical Activity -0.17 .07 .01 5.42 .02 Anxiety Constant 1.64 .15 Anxiety Constant 2.00 .18 Non-CA-Related Physical Activity -0.13 .05 .04 7.10 .01 Non-CA-Related Physical Activity -0.08 .06 .00 1.65 .20 Note. b = unstandardised coefficient; SE = standard error; CA = companion animal. Discussion This study examined the relationships between dog ownership, CA related physical activity, and non-CA related physical activity with depression and anxiety via loneliness, within the context of the COVID-19 pandemic. These variables of interest were examined in both older adult CA owners (those aged 65 years and over) and younger adult CA owners (those aged under 65 years). Our study found both older adult and younger adult CA owners experienced similar moderate levels of loneliness, but the positive relationship between loneliness and mental ill health was stronger for younger adults compared to older adults. When considering dog ownership and physical activity, dog owners engaged in higher levels of both CA-related physical activity and non-CA related physical activity, but only non-CA-related physical activity was significantly associated with better mental health outcomes. Bivariate correlations indicated in older adults, non-CA-related physical activity was negatively associated with depression and anxiety, but not associated with loneliness, while in younger adults, non-CA-related physical activity was negatively associated with loneliness and depression, but not associated with anxiety. Overall, in older adults, dog ownership was significantly associated with lower anxiety, but not associated with lower loneliness or depression. In younger adults, dog ownership (compared to ownership of other CA types) was significantly associated with lower loneliness and depression, but not with anxiety. Our study found older and younger adult dog owners engaged in higher levels of CA-related physical activity than non-dog CA owners This supports research evidence suggesting the care requirements of dogs leads to increased dog-related physical activity such as dog-walking and playing fetch, activities generally not undertaken with other common CA types (Westgarth et al., 2019 ). Interestingly, dog ownership was associated with higher levels of physical activity independent of their dog, such as running, strength training, and sports. This indicates people who already have a more active lifestyle may choose to acquire a dog as a CA, as this may be perceived as more able to fit in with their already active lifestyle than other common CA types. This inference is supported by research evidence investigating personality differences between dog and cat owners, with dog owners scoring higher on a measure of ‘liveliness’ (Guastello et al., 2017 ). Our findings indicated non-dog related physical activity (such as running, strength training, and sports) may be more beneficial for mental health than dog-related physical activity, as CA-related physical activity was not associated with mental health outcomes for older adult or younger adult CA owners. It is possible the intensity of walking a dog or playing fetch is not sufficient to confer mental health benefits. Dog walking is largely considered light to moderate intensity exercise (Richards et al., 2014 ; Tan et al., 2021 ), with research indicating high-intensity exercise provides superior results for mental health compared to lower intensity exercise (Stathopoulou et al., 2006 ). In older adult CA owners, non-CA-related physical activity was associated with lower depression and anxiety, but not loneliness, while in younger adult CA owners non-CA-related physical activity was associated with lower loneliness and anxiety, but not depression. This may reflect differences in the nature of the exercise younger adults and older adults engaged in during the pandemic. Some research evidence suggests during COVID-19 older adults preferred to exercise closer to home with the purpose of engaging in physical activity only, rather than incorporating physical activity and social contact due to fears of contracting the virus (Portegijs et al., 2021 ). While exercise of this nature may have resulted in reduced depression and anxiety via physiological pathways (Anderson & Shivakumar, 2013 ) the lack of social contact meant this activity was unlikely to provide a reduction in loneliness. While we found some evidence for the ‘pet effect’ within dog owners compared to non-dog CA owners, this evidence was mixed and differed based on the age of the subsample, with varied symptoms reduced. These mixed results are consistent with existing mixed CA research conducted during COVID-19 (Herzog, 2022 ). While we theorised differences in mental health outcomes for dog owners may be due to CA-related physical activity such as dog walking, chance social encounters while walking a dog, and exposure to green spaces while walking a dog, our results indicated it was not this CA-related physical activity associated with mental health outcomes. As our results did not support this hypothesis, other explanations as to why dog ownership may confer better mental health outcomes should be considered. One possible explanation for further investigation is that those with more active lifestyles tend to acquire dogs over other animals as CAs. Implications This study raised interesting findings regarding the relative benefits of dog CA ownership and associated physical exercise compared to other types of CA ownership for loneliness and mental health outcomes, suggesting dog ownership may be more beneficial to reduce symptoms of loneliness, anxiety, depression- with caveats. These caveats relate to the age range of owners, and acknowledgement that there are likely individual differences such as personality traits of dog owners generally that predispose them to both seek out dog CAs over other types, and to engage in exercise regardless of dog ownership. Given the mixed results of this and other studies in HAI, we suggest members of the public should not be universally encouraged by health and other professionals to acquire CAs for their perceived benefits to the mental health of owners via increased physical activity associated with animal care, especially for dogs who have higher care requirements than many other CA types. Encouraging people to acquire a dog to benefit their mental health, who do not express a specific desire to acquire a dog, is unlikely to result in mental health benefits for owners. Furthermore, encouraging dog ownership on this basis poses significant potential welfare risks to individual dogs which may suffer neglect and relinquishment, as well as dog populations which may be bred to meet demand in times of social need, only to be relinquished to shelters or euthanised by veterinarians when no longer desired by ambivalent owners (Cornish, 2021 ). While the media hype that suggested CAs were beneficial for mental health prompted a boom of CA adoptions during the pandemic (Morgan et al., 2020 ; Roy, 2020 ), in Australia, shelter operators also reported a 30% increase in CA relinquishments after COVID-19 restrictions were lifted in 2021 (Cornish, 2021 ). This trend is concerning for animal welfare organisations and highlights the ethical dangers in overstating the effects of CAO for loneliness and mental health in humans. Strengths, Limitations, and Future Research This study was the first to investigate both CA-related and non-CA related physical activity and their relationships with mental health among CA owners with dogs, and the first to compare these relationships between older adult and younger adult CA owners with dogs. A large sample of CA owners representing all Australian states and territories was obtained. The varied recruitment methods of this study, via both social media and paper flyer advertisements, supported participation of older adults with varied digital literacy. Participants were able to complete the online and phone survey in the privacy of their own homes, reducing the risk of socially desirable responding. This study also had some limitations. The sample collected did not include older adults aged 85 years and over, partly due to strict COVID-19 lockdowns for aged care residents preventing recruitment of this group (Cousins, 2020 ). Novel, unvalidated items developed by the research team were used to measure CA-related physical activity and non-CA related physical activity. Further, our sample was skewed towards female participants (76.3%), consistent with the systemic gender skew in HAI research (Rodriguez et al., 2021 ). Caution should be taken when generalising the results of this study to male CA owners. Finally, as this study used a cross-sectional data set, the path analysis was not able to indicate causal effects of the variables of interest on loneliness, depression, and anxiety beyond the theorised temporal order modelled. Future research in this area should focus on examining additional CA-related variables that may influence the mental health of CA owners, such as personality factors, CA attachment, and burden of CA care. These studies should aim to recruit older adults aged 85 years and over due to high rates of depression and suicidality in this under-researched group (Sinyor et al., 2016 ). Conclusion Dog owners engaged in higher levels of both CA-related physical activity and non-CA-related physical activity, however only non-CA-related physical activity was significantly associated with better mental health outcomes. Older adult CA owners and younger adult CA owners experienced varying effects of dog ownership and non-CA-related physical activity on loneliness, depression, and anxiety. Our findings indicate people who choose to own dogs engage in more active lifestyles, but it is the physical activity they perform independently of their dog that is associated with lower loneliness and better mental health. Members of the public should not be universally encouraged to own a dog in order to support their mental health via increased physical activity. Declarations Disclosure Statement The authors report no actual or potential conflict of interest. Funding Declaration This research received no specific grant from any funding agency. Note This research was supported by an Australian Government Research Training Program (RTP) Scholarship. Author Contribution K.Z, G.M. and A.H. conceptualised the study design. K.Z. sought ethical approval to undertake the study. K.Z. and A.H. collected data for the study. K.Z. completed data analysis and G.M. and A.H. reviewed the data analysis. K.Z. wrote the full draft of the manuscript and G.M. and A.H provided edits to the manuscript. Data Availability Data used for this study is available upon request of the corresponding author and following approval by the Deakin University Human Research Ethics Committee. References Anderson, E., & Shivakumar, G. (2013). Effects of exercise and physical activity on anxiety. Frontiers in Psychiatry , 4 , 27. https://doi.org/10.3389/fpsyt.2013.00027 Animal Medicines Australia. (2019). 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Environment International , 125 , 430–436. https://doi.org/10.1016/j.envint.2019.01.075 Appendix Appendix A Supplementary Information Post-Hoc Analyses Given the significant unique associations between dog ownership, CA-related physical activity, and non-CA-related physical activity on outcome measures shown in bivariate correlations, but the broken pathways between dog ownership, CA-related physical activity, and non-CA-related physical activity and outcome measures in path analyses, a series of bivariate linear regressions were conducted to clarify the relationships between dog ownership, non-CA-related physical activity, CA-related physical activity, loneliness, depression, and anxiety in older adult and younger adult CA owners. For a linear bivariate regression (two-tailed) with one group for a = .05 and 1-β = .80, an a priori statistical power analysis indicated N = 171 would detect a slope of .21. Table 7 displays the results of the bivariate linear regressions. As shown, in older adults, dog ownership (versus ownership of another CA type) is significantly associated with lower anxiety, explaining 2% of the variation in anxiety (R²=.02) but not loneliness or depression. Conversely, in younger adults dog ownership is significantly associated with lower loneliness and depression, explaining 1–2% of the variation in mental health outcomes, but not significantly associated with anxiety. In older adults, non-CA-related physical activity was significantly associated with lower depression and anxiety, each accounting for 4% of the variation in mental health outcomes, but not significantly associated with loneliness. In younger adults, non-CA-related physical activity was significantly associated with lower loneliness and depression accounting for 1–2% of the variation in mental health outcomes, but not significantly associated with anxiety. CA-related-physical activity was not significantly associated with mental health outcomes in either older adults or younger adult CA owners. Additional Declarations No competing interests reported. Cite Share Download PDF Status: Published Journal Publication published 01 Nov, 2024 Read the published version in BMC Psychology → Version 1 posted Editorial decision: Revision requested 15 May, 2024 Editor assigned by journal 14 May, 2024 Submission checks completed at journal 14 May, 2024 First submitted to journal 02 May, 2024 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-4356950","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":302735217,"identity":"a3ed935d-d90e-4253-b55c-1135ebe33c36","order_by":0,"name":"Kirrily Zablan","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA8ElEQVRIiWNgGAWjYBACCQYGNoYHDAxyDAcYmBkSQEIHiNECVGlMupbEBpAWBmK0SPYffvYgoeZOet/x5scGD3cwyPHdSGD8zINHizTDMXODhGPPcmeeOWackHiGwVjyRgKzND4tcowNZhIJbIdzN9xIMD6Q2MaQCGQw4NfCzP5NIuHf4XSD+88/g7TUA7Uw/8brMDYeM4nEtsMJBjd4gA5rYwAyEtjw2iLZw1NukNh32HDmmZxig8Q2CSDjYZvlHDxaJM4f3/bgw7fD8nzHj2+W/NlmA2QkH77xBo8WDCOAmLGBBA2jYBSMglEwCrABAA5ZUqrHkzW/AAAAAElFTkSuQmCC","orcid":"","institution":"Deakin University","correspondingAuthor":true,"prefix":"","firstName":"Kirrily","middleName":"","lastName":"Zablan","suffix":""},{"id":302735218,"identity":"3ed75132-79eb-4b82-884e-514b64d48e01","order_by":1,"name":"Glenn Melvin","email":"","orcid":"","institution":"Deakin University","correspondingAuthor":false,"prefix":"","firstName":"Glenn","middleName":"","lastName":"Melvin","suffix":""},{"id":302735219,"identity":"02815f63-3b0f-4ffb-9cad-70eef27b840a","order_by":2,"name":"Alexa Hayley","email":"","orcid":"","institution":"Deakin University","correspondingAuthor":false,"prefix":"","firstName":"Alexa","middleName":"","lastName":"Hayley","suffix":""}],"badges":[],"createdAt":"2024-05-02 05:26:37","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-4356950/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-4356950/v1","draftVersion":[],"editorialEvents":[{"content":"https://doi.org/10.1186/s40359-024-02104-x","type":"published","date":"2024-11-01T16:20:25+00:00"}],"editorialNote":"","failedWorkflow":false,"files":[{"id":57509455,"identity":"cecef510-6088-428c-b46d-7524e232f9c2","added_by":"auto","created_at":"2024-05-31 16:15:43","extension":"jpeg","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":39811,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cem\u003eConceptual model of associations between dog ownership, non-CA-related physical activity, CA-related physical activity, loneliness, depression, and anxiety.\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eNote.\u003c/em\u003e+ = hypothesised positive association, - = hypothesised negative association. CA = Companion animal.\u003c/p\u003e","description":"","filename":"floatimage1.jpeg","url":"https://assets-eu.researchsquare.com/files/rs-4356950/v1/21edb2fcfcdf46c558a635cc.jpeg"},{"id":57509456,"identity":"8fb14678-9e31-40e6-b383-9e963dccc011","added_by":"auto","created_at":"2024-05-31 16:15:43","extension":"jpeg","order_by":2,"title":"Figure 2","display":"","copyAsset":false,"role":"figure","size":162397,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cem\u003eTesting the relationships between dog ownership, non-CA-related physical activity, CA-related physical activity, loneliness, depression, and anxiety, on a sample of older adult CA owners aged 65 years and over.\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eNote. ***p\u0026lt;.001, **p\u0026lt;.01, * p\u0026lt;.05. ----\u003c/em\u003e→\u003cem\u003e = \u003c/em\u003eNon-significant path. Coefficients are standardised regression weights. CA = Companion animal. RMSEA=.06; CFI=.97; IFI=.97; χ²=15.54, \u003cem\u003edf\u003c/em\u003e=9, \u003cem\u003ep\u003c/em\u003e=.08, χ²/\u003cem\u003edf\u003c/em\u003e=1.73\u003c/p\u003e","description":"","filename":"floatimage2.jpeg","url":"https://assets-eu.researchsquare.com/files/rs-4356950/v1/5abf859eaa5af3cab8e79f54.jpeg"},{"id":57509453,"identity":"4773b854-cba2-4423-8c0f-29063b20d6f3","added_by":"auto","created_at":"2024-05-31 16:15:43","extension":"jpeg","order_by":3,"title":"Figure 3","display":"","copyAsset":false,"role":"figure","size":174361,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cem\u003eTesting the relationships between dog ownership, non-CA-related physical activity, CA-related physical activity, loneliness, depression, and anxiety, on a sample of CA owners aged under 65 years.\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eNote. *** p \u0026lt;.001, ** p\u0026lt;.01, * p\u0026lt;.05. ----\u003c/em\u003e→ \u003cem\u003e= \u003c/em\u003eNon-significant path. Coefficients are standardised regression weights. CA = Companion animal. RMSEA=.00; CFI=1.00; IFI=1.00; χ²=6.79, \u003cem\u003edf\u003c/em\u003e=8, \u003cem\u003ep\u003c/em\u003e=.56, χ²/\u003cem\u003edf\u003c/em\u003e=0.85\u003c/p\u003e","description":"","filename":"floatimage4.jpeg","url":"https://assets-eu.researchsquare.com/files/rs-4356950/v1/6b28b66fdabe91cca8690dd6.jpeg"},{"id":68207210,"identity":"1682508e-a3ee-4360-bfc0-2d6624c668c3","added_by":"auto","created_at":"2024-11-04 16:35:51","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":1625343,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-4356950/v1/88e23413-20fc-4397-b265-2a44f05a09f2.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Dog Ownership, Physical Activity, Loneliness and Mental Health: A Comparison of Older Adult and Younger Adult Companion Animal Owners","fulltext":[{"header":"Introduction","content":"\u003cp\u003eThe notion that companion animal ownership (CAO) can reduce loneliness and improve mental health outcomes is not a new one. Companion animal (CA) owners have long perceived their CAs make them happier and healthier (Animal Medicines Australia, \u003cspan class=\"CitationRef\"\u003e2019\u003c/span\u003e). This belief was reinforced during the COVID-19 pandemic as CA researchers and medical professionals released opinion pieces publicising the \u0026lsquo;benefits\u0026rsquo; of CAO for mental health (Geppert, \u003cspan class=\"CitationRef\"\u003e2020\u003c/span\u003e; Heotis, \u003cspan class=\"CitationRef\"\u003e2021\u003c/span\u003e), and people bought and adopted CAs at increased rates to cope with pandemic lockdowns (Morgan et al., \u003cspan class=\"CitationRef\"\u003e2020\u003c/span\u003e; Roy, \u003cspan class=\"CitationRef\"\u003e2020\u003c/span\u003e). Qualitative research conducted during the pandemic reflects this positive public sentiment (Roe et al., \u003cspan class=\"CitationRef\"\u003e2023\u003c/span\u003e; Shoesmith et al., \u003cspan class=\"CitationRef\"\u003e2021\u003c/span\u003e; Zablan et al., \u003cspan class=\"CitationRef\"\u003e2022\u003c/span\u003e), but quantitative findings have largely disputed the \u0026lsquo;feel-good\u0026rsquo; story of CAO and pandemic wellbeing.\u003c/p\u003e\n\u003cp\u003eQuantitative CA COVID-19 studies comparing the loneliness, mental health, and wellbeing of CA owners and non-CA owners reported a non-significant effect of CAO (Clements et al., \u003cspan class=\"CitationRef\"\u003e2021\u003c/span\u003e; Denis-Robichaud et al., \u003cspan class=\"CitationRef\"\u003e2022\u003c/span\u003e; Grajfoner et al., \u003cspan class=\"CitationRef\"\u003e2021\u003c/span\u003e), or negative effect of CAO (Amiot et al., \u003cspan class=\"CitationRef\"\u003e2022\u003c/span\u003e; Law et al., \u003cspan class=\"CitationRef\"\u003e2022\u003c/span\u003e; Mueller et al., \u003cspan class=\"CitationRef\"\u003e2021\u003c/span\u003e), on these outcomes. Although only a small number of studies reported CAO being associated with better loneliness, mental health, or wellbeing (Bohn et al., \u003cspan class=\"CitationRef\"\u003e2021\u003c/span\u003e; Giansanti et al., 2022; Ratschen et al., \u003cspan class=\"CitationRef\"\u003e2020\u003c/span\u003e; Tan et al., \u003cspan class=\"CitationRef\"\u003e2021\u003c/span\u003e), these positive findings were over-represented in media articles during the pandemic, providing a biased view of the CAO COVID-19 literature (Carver, \u003cspan class=\"CitationRef\"\u003e2020\u003c/span\u003e; National Geographic, \u003cspan class=\"CitationRef\"\u003e2021\u003c/span\u003e). Taken as a whole, the body of literature instead indicates CAO did not significantly reduce loneliness and improve mental health during the COVID-19 pandemic.\u003c/p\u003e\n\u003ch3\u003eDog Ownership, Physical Activity, Loneliness, and Mental Health\u003c/h3\u003e\n\u003cp\u003eHuman-animal interactions (HAI) researchers have proposed explanations for the \u0026lsquo;pet effect paradox\u0026rsquo; (Herzog, \u003cspan class=\"CitationRef\"\u003e2022\u003c/span\u003e), where qualitative evidence provides compelling support for CAO when sampling CA owners, but quantitative evidence indicates no significant relationship between CAO and mental health. One possible explanation is that merely comparing CA owners and non-owners does not account for CA-related variables possibly influencing the relationship between CAO and mental health, such as the type of CA owned, or whether a CA promotes increased physical activity (Hughes et al., \u003cspan class=\"CitationRef\"\u003e2020\u003c/span\u003e). The CAO COVID-19 evidence suggests CA type and physical activity may be meaningful explanatory variables when considering the relationship between CAO and mental health (Bohn et al., \u003cspan class=\"CitationRef\"\u003e2021\u003c/span\u003e; Tan et al., \u003cspan class=\"CitationRef\"\u003e2021\u003c/span\u003e). Two of the studies reporting a positive association between CAO and mental health outcomes included physical activity as a variable of interest (Bohn et al., \u003cspan class=\"CitationRef\"\u003e2021\u003c/span\u003e; Tan et al., \u003cspan class=\"CitationRef\"\u003e2021\u003c/span\u003e). Bohn and colleagues (\u003cspan class=\"CitationRef\"\u003e2021\u003c/span\u003e) found dog ownership and physical activity to be independently associated with lower depression during lockdown, while cat and bird ownership was not significantly associated with depression, demonstrating mixed results across CA types. Tan and colleagues (\u003cspan class=\"CitationRef\"\u003e2021\u003c/span\u003e) investigated CAO and physical activity during lockdown in Singapore, finding CA owners reported higher mild-intensity physical activity and emotional wellbeing than non-owners. These findings suggest that CA type and physical activity may be unexpectantly impacting CAO comparison studies.\u003c/p\u003e\n\u003cp\u003eReviewing the proposed theories of HAI also provides guidance as to which individual differences could explain why the effect of CAO on loneliness and mental health outcomes varies. These theories of HAI attempt to explain \u003cem\u003ehow\u003c/em\u003e CAO may improve human mental health, including the companionship (O\u0026rsquo;Haire, \u003cspan class=\"CitationRef\"\u003e2010\u003c/span\u003e), stress reduction (Friedmann et al., \u003cspan class=\"CitationRef\"\u003e1980\u003c/span\u003e), attachment and oxytocin (Beetz et al., \u003cspan class=\"CitationRef\"\u003e2012\u003c/span\u003e), social catalyst (Wood et al., \u003cspan class=\"CitationRef\"\u003e2015\u003c/span\u003e), exposure to green spaces (Zijlema et al., \u003cspan class=\"CitationRef\"\u003e2019\u003c/span\u003e), and physical activity theories (Dall et al., \u003cspan class=\"CitationRef\"\u003e2017\u003c/span\u003e).\u003c/p\u003e\n\u003cp\u003eDog ownership has been a focus of HAI research due to the unique care dogs require. The exercise requirements of dogs far exceed those of other common CA types typically kept in the home, including cats, fish, birds, small mammals, and reptiles (Corridan, \u003cspan class=\"CitationRef\"\u003e2009\u003c/span\u003e). Dogs usually require exercise outside the home, not only for their physical health, but also for mental stimulation (Corridan, \u003cspan class=\"CitationRef\"\u003e2009\u003c/span\u003e). A wealth of evidence suggests dog ownership results in increased recreational walking and increased overall physical activity for dog owners (Christian et al., \u003cspan class=\"CitationRef\"\u003e2013\u003c/span\u003e; Westgarth et al., \u003cspan class=\"CitationRef\"\u003e2019\u003c/span\u003e), and there is clear evidence indicating physical activity strongly predicts both physical and mental health (Anderson \u0026amp; Shivakumar, \u003cspan class=\"CitationRef\"\u003e2013\u003c/span\u003e).\u003c/p\u003e\n\u003cp\u003eLoneliness is a major contributor to poor mental health and longitudinal research has demonstrated loneliness as predicting the later development of depression (Green et al., 1992). Although loneliness can be conceptualised as an indicator of unmet social needs and a motivator to implement steps to increase social connection (Perlman \u0026amp; Peplau, 1984), during the COVID-19 pandemic, the ability to put these steps into action were significantly restricted by public health directives (Australian Institute of Health and Welfare [AIHW], 2021), resulting in increased depression and anxiety for global citizens during the pandemic (Robinson et al., 2022). Dog walking may benefit mental health and reduce loneliness via a social catalyst effect, as walking a dog increases the frequency of chance social interactions with strangers (McNicholas \u0026amp; Collis, \u003cspan class=\"CitationRef\"\u003e2000\u003c/span\u003e; Wood et al., \u003cspan class=\"CitationRef\"\u003e2015\u003c/span\u003e). During COVID-19 such chance \u0026lsquo;COVID-safe\u0026rsquo; social encounters were at times the only social contact dog owners experienced (Zablan et al., \u003cspan class=\"CitationRef\"\u003e2022\u003c/span\u003e), and studies showed increased dog walking during COVID-19 resulted in reduced loneliness (Carr et al., \u003cspan class=\"CitationRef\"\u003e2021\u003c/span\u003e; Lee et al., \u003cspan class=\"CitationRef\"\u003e2022\u003c/span\u003e).\u003c/p\u003e\n\u003cp\u003eDog walking may also expose owners to natural outdoor environments, or green spaces. Exposure to green spaces has been cited as a positive contributor to mental health, in addition to the benefits of physical activity (Van den Berg et al., \u003cspan class=\"CitationRef\"\u003e2015\u003c/span\u003e). The physical activity, social catalyst, and exposure to green spaces theories all provide indications dog ownership may predict reduced loneliness and improved mental health via dog walking.\u003c/p\u003e\n\u003cp\u003eAlthough the theoretical basis for relationships between dog ownership, physical activity, and mental health is strong, the research evidence is not so clear. This is, in part, because few studies investigate the two relationships of interest; whether dog ownership predicts increased physical activity, and whether this increased physical activity predicts mental health outcomes. Those that do, have reported mixed findings. Dunn and colleagues (\u003cspan class=\"CitationRef\"\u003e2018\u003c/span\u003e) found dog ownership was associated with increased physical activity, but not depression or loneliness among cardiac patients. Conversely, studies conducted in Singapore suggested CA owners/caregivers engaged in more physical activity, and had higher scores on measures of emotional wellbeing, social functioning, and energy (Goh et al., \u003cspan class=\"CitationRef\"\u003e2020\u003c/span\u003e; Tan et al., \u003cspan class=\"CitationRef\"\u003e2021\u003c/span\u003e). Other studies investigated whether dog walking predicted mental health outcomes, but not whether dog ownership engaged in more physical activity or walking than non-dog ownership. Two of these studies found dog walking was associated with reduced loneliness (Carr et al., \u003cspan class=\"CitationRef\"\u003e2021\u003c/span\u003e; Lee et al., \u003cspan class=\"CitationRef\"\u003e2022\u003c/span\u003e), while one found no significant association between dog walking and loneliness (Qian Lau \u0026amp; Oliva, \u003cspan class=\"CitationRef\"\u003e2023\u003c/span\u003e). When considering depression outcomes, evidence was similarly mixed, with one study reporting no significant relationship between dog walking and depression (Cui et al., \u003cspan class=\"CitationRef\"\u003e2021\u003c/span\u003e), while one study found dog walking was associated with reduced depression (Lima et al., \u003cspan class=\"CitationRef\"\u003e2022\u003c/span\u003e). It is surprising, given the large research area of dog ownership and physical activity, that so few studies investigate dog ownership, physical activity, loneliness, and mental health outcomes together.\u003c/p\u003e\n\u003ch3\u003eOlder Adult Dog Ownership, Physical Activity, Loneliness and Mental Health\u003c/h3\u003e\n\u003cp\u003eOlder adult loneliness and mental health have been priorities of mental health research during COVID-19 (Legate et al., \u003cspan class=\"CitationRef\"\u003e2022\u003c/span\u003e; World Health Organisation, \u003cspan class=\"CitationRef\"\u003e2020\u003c/span\u003e). Research evidence suggests older adults did experience increased rates of loneliness (Su et al., \u003cspan class=\"CitationRef\"\u003e2022\u003c/span\u003e), depression (Briggs et al., \u003cspan class=\"CitationRef\"\u003e2021\u003c/span\u003e), and anxiety (Gosselin et al., \u003cspan class=\"CitationRef\"\u003e2022\u003c/span\u003e) during the pandemic, although people within other demographic groups, such as younger adults and women, appeared to experience similar or worse mental health outcomes (Bu et al., \u003cspan class=\"CitationRef\"\u003e2020\u003c/span\u003e; Li \u0026amp; Wang, \u003cspan class=\"CitationRef\"\u003e2020\u003c/span\u003e). Older adults have also been a particular focus of research investigating dog ownership and physical activity. Multiple studies have demonstrated older adult dog owners as engaging in significantly more walking than non-dog owners (Dall et al., \u003cspan class=\"CitationRef\"\u003e2017\u003c/span\u003e; Feng et al., \u003cspan class=\"CitationRef\"\u003e2014\u003c/span\u003e). It is possible the physical activity promoted by dog ownership is more beneficial for older adults, due to older adults engaging in less overall physical activity than younger adults (Chodzko-Zajko et al., \u003cspan class=\"CitationRef\"\u003e2009\u003c/span\u003e).\u003c/p\u003e\n\u003cp\u003eOur study will add to the literature by being the first to investigate dog ownership, CA-related physical activity such as dog walking, physical activity not conducted with a CA, and mental health outcomes together. This will provide insights into the types of physical activity associated with mental health outcomes, and whether physical activity conducted with or without a CA is more beneficial. Our study is also the first to investigate whether the relationships between dog ownership, physical activity, and mental ill health are stronger for older adults compared to younger adults.\u003c/p\u003e\n\u003cdiv id=\"Sec3\" class=\"Section2\"\u003e\n\u003ch2\u003eAims and Hypotheses\u003c/h2\u003e\n\u003cp\u003eThis study aimed to (1) investigate whether dog ownership, CA-related physical activity, and non-CA-related physical activity were meaningful explanatory variables for the relationships between CAO, depression, and anxiety via loneliness and (2) examine whether the relationships between these variables differed for older adult CA owners compared to younger adult CA owners.\u003c/p\u003e\n\u003cp\u003eThe hypothesised relationships are displayed in Fig.\u0026nbsp;\u003cspan class=\"InternalRef\"\u003e1\u003c/span\u003e. We hypothesised these relationships would be stronger for older adult CA owners compared to younger adult CA owners.\u003c/p\u003e\n\u003c/div\u003e"},{"header":"Method","content":"\u003cdiv id=\"Sec5\" class=\"Section2\"\u003e\n\u003ch3\u003eHuman Ethics and Consent to Participate\u003c/h3\u003e\n\u003cp\u003eThis study was approved by the Deakin University Human Research Ethics Committee (2020\u0026ndash;231) and conducted in accordance with the Australian Code for the Responsible Conduct of Research, 2018. Informed consent was obtained from all participants.\u003c/p\u003e\n\u003c/div\u003e\n\u003ch3\u003eParticipants\u003c/h3\u003e\n\u003cp\u003eEligibility criteria required participants be: (1) an Australian citizen or permanent resident; (2) aged 18 years or older; and (3) currently own at least one CA. Participants (\u003cem\u003eN\u003c/em\u003e\u0026thinsp;=\u0026thinsp;588, 76.3% female) were a convenience sample of CA owners from the Australian community, aged 18 to 84 years (\u003cem\u003eM\u003c/em\u003e\u0026thinsp;=\u0026thinsp;55.34, \u003cem\u003eSD\u003c/em\u003e\u0026thinsp;=\u0026thinsp;14.90). The overall sample consisted of two subsamples, older adult CA owners aged 65 years and over (\u003cem\u003eM\u003c/em\u003e\u0026thinsp;=\u0026thinsp;70.7 years, \u003cem\u003eSD\u003c/em\u003e\u0026thinsp;=\u0026thinsp;4.4 years, 88.4% female) and younger adult CA owners aged 64 and under (\u003cem\u003eM\u003c/em\u003e\u0026thinsp;=\u0026thinsp;48.4 years, \u003cem\u003eSD\u003c/em\u003e\u0026thinsp;=\u0026thinsp;12.7 years, 71.4% female). Participant demographics for both the older adult and younger adult subsamples, including COVID-19 lifestyle impacts, are presented in Table\u0026nbsp;\u003cspan class=\"InternalRef\"\u003e1\u003c/span\u003e.\u003c/p\u003e\n\u003cdiv class=\"gridtable\"\u003e\n\u003ctable id=\"Tab1\" border=\"1\"\u003e\u003ccaption\u003e\n\u003cdiv class=\"CaptionNumber\"\u003eTable 1\u003c/div\u003e\n\u003cdiv class=\"CaptionContent\"\u003e\u0026nbsp;\u003c/div\u003e\n\u003c/caption\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eParticipant Characteristics for Older Adult\u003c/em\u003e\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e65\u0026thinsp;+\u0026thinsp;Sample\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eU65 Sample\u003c/p\u003e\n\u003c/th\u003e\n\u003c/tr\u003e\n\u003c/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003en\u003c/em\u003e (%)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003en\u003c/em\u003e (%)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eAge\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eM\u003c/em\u003e (\u003cem\u003eSD\u003c/em\u003e)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e70.7 (4.4)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e48.4 (12.7)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eSex\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eFemale\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e160 (88.4)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e287 (71.4)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eMale\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e20 (11.0)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e113 (28.1)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eAnother sex\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1 (0.6)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e2 (0.5)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eEducation Level\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eSome University Education\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e87 (46.8)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e195 (48.5)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNo University Education\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e114 (61.3)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e205 (51.0)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eCA Type Owned\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDog\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e129 (71.3)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e279 (69.4)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eCat\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e77 (42.5)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e171 (42.5)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eSmall mammal\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1 (0.54)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e18 (4.5)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eFish\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e12 (6.6)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e42 (10.4)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eBird\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e28 (15.1)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e58 (14.4)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eHorse/Pony\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0 (0.0)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e12 (3.0)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eLivestock as CA\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e14 (7.5)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e13 (3.2)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eWildlife as CA\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e6 (3.2)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1 (0.2)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eRelationship Status\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNot currently in a relationship\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e88 (47.3)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e154 (38.3)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eIn a relationship\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e91 (48.9)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e243 (60.4)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eLiving Situation\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eLives alone\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e89 (49.2)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e95 (23.6)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eLives with others\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e92 (49.5)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e307 (76.4)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eEmployment Status\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eEmployed\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e26 (14.0)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e283 (70.4)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNot employed\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e13 (7.0)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e101 (25.1)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eRetired\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e153 (84.5)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e54 (13.4)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eCOVID-19 Impacts\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eMade redundant/contract not renewed\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e4 (2.2)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e21 (5.2)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eReduced work hours\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e4 (2.2)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e45 (11.2)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eSome or all work conducted from home\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e12 (6.5)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e122 (30.3)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eQuarantined within previous 4 months\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e24 (13.3)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e70 (17.4)\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n\u003c/div\u003e\n\u003cp\u003e\u003cem\u003eNote\u003c/em\u003e. CA\u0026thinsp;=\u0026thinsp;Companion animal, \u003cem\u003eM\u003c/em\u003e\u0026thinsp;=\u0026thinsp;mean, \u003cem\u003eSD\u003c/em\u003e\u0026thinsp;=\u0026thinsp;standard deviation\u003c/p\u003e\n\u003ch3\u003eDesign\u003c/h3\u003e\n\u003cp\u003eA cross-sectional online survey methodology was used. Data was collected over a 3-month period during the COVID-19 pandemic from November 1 2020 to January 31 2021. The data was timepoint 1 of a larger 12-month longitudinal survey dataset.\u003c/p\u003e\n\u003ch3\u003eMeasures\u003c/h3\u003e\n\u003cp\u003e\u003cstrong\u003eDemographics.\u003c/strong\u003e Participant age, sex (i.e. male, female, non-binary/another sex), state/territory, highest level of education, employment status, relationship status, living situation, CA type/s owned, and COVID-19 lifestyle impacts including redundancy, reduced work hours, work from home, and quarantine.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eDog Ownership.\u003c/strong\u003e Dog ownership was a dichotomous measure where those who did not own a dog but owned another CA type were coded as 0, while those who owned a dog were coded as 1. Those owning a dog and another CA type were coded as 1 (dog owners).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eDepression, Anxiety, and Stress Scale \u0026ndash; 21\u003c/strong\u003e (DASS-21; Lovibond \u0026amp; Lovibond, \u003cspan class=\"CitationRef\"\u003e1995\u003c/span\u003e). The DASS-21 consists of three self-report subscales measuring symptoms of depression, anxiety, and stress during the past four weeks. Participants responded to each item using a 4-point Likert-type scale (0 = \u0026lsquo;never\u0026rsquo;, 1 = \u0026lsquo;sometimes\u0026rsquo;, 2 = \u0026lsquo;often\u0026rsquo;, 3 = \u0026lsquo;almost always\u0026rsquo;), with a possible range of scores per subscale being 0 to 21. Only the depression and anxiety subscales were used in the current study. Internal consistency of the depression subscale was \u0026alpha;\u0026thinsp;=\u0026thinsp;.93 (younger adult subsample), \u0026alpha;\u0026thinsp;=\u0026thinsp;.94 (older adult subsample) and the anxiety subscale was \u0026alpha;\u0026thinsp;=\u0026thinsp;.66 (younger adult subsample), \u0026alpha;\u0026thinsp;=\u0026thinsp;.86 (older adult subsample).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eUCLA Loneliness Scale \u0026ndash; Version 3\u003c/strong\u003e (UCLA; Russell, \u003cspan class=\"CitationRef\"\u003e1996\u003c/span\u003e). The UCLA is a 20-item scale designed to measure one\u0026rsquo;s subjective feelings of loneliness and social isolation. Participants responded to each item on a 4-point Likert scale (1 = \u0026lsquo;never\u0026rsquo;, 2 = \u0026lsquo;rarely\u0026rsquo;, 3 = \u0026lsquo;sometimes\u0026rsquo;, 4 = \u0026lsquo;often\u0026rsquo;) with a minimum score of 20 and a maximum score of 80. Internal consistency was observed as \u0026alpha;\u0026thinsp;=\u0026thinsp;.95 in the current study.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003ePhysical Activity.\u003c/strong\u003e CA-related physical activity and non-CA-related physical activity were measured using the following original items: \u0026lsquo;\u003cem\u003eApproximately how many hours of pet-related physical activity do you participate in per week? (e.g., walking a dog, cleaning up after your pet etc.)\u0026rsquo;\u003c/em\u003e and \u003cem\u003e\u0026lsquo;Approximately how many hours of physical activity do you participate in per week? (e.g., walking, gardening, running, strength exercises, sports etc.)\u0026rsquo;.\u003c/em\u003e Participants responded to each item on a 4-point Likert scale (1 = \u0026lsquo;less than one hour\u0026rsquo;, 2 = \u0026lsquo;1 to 3 hours\u0026rsquo;, 3 = \u0026lsquo;3 to 6 hours\u0026rsquo;, 4 = \u0026lsquo;more than 6 hours\u0026rsquo;).\u003c/p\u003e\n\u003ch3\u003eProcedure\u003c/h3\u003e\n\u003cp\u003eParticipants were recruited for a mixed-methods longitudinal survey using two recruitment strategies to allow older adults with varied digital literacy to participate; (1) paid and unpaid social media advertisements (Facebook, Instagram), with the advertisement\u0026rsquo;s URL directed to the online survey hosted on survey platform Qualtrics; and (2) 450 paper flyers distributed at 12 physical sites visited by older adults (i.e. retirement villages, Returned Service League, and Rotary Club) inviting eligible participants to complete the online or phone survey. On completion of the survey (approximately 30 mins), respondents were invited to enter a prize draw to win one of two $50 e-gift vouchers. Data analysis was completed using IBM SPSS Statistics 28 and IBM SPSS AMOS 26 software.\u003c/p\u003e\n\u003cdiv id=\"Sec10\" class=\"Section2\"\u003e\n\u003ch3\u003eData Analysis Plan\u003c/h3\u003e\n\u003cp\u003ePreliminary analyses included descriptive statistics for age, sex, education level, employment status, state/territory, relationship status, living situation, and type of CA owned, as well as for COVID-19 lifestyle impacts including lockdown, redundancy, reduced work hours, working from home, and quarantine. Bivariate correlation analyses were conducted to identify linear associations among the variables prior to path analysis. Independent sample \u003cem\u003et\u003c/em\u003e-tests were performed to determine age-based differences for loneliness, depression, and anxiety. Path analysis, employing maximum likelihood estimation, was used to identify the relationships between variables of interest. One conceptual path analysis was used to assess the relationships between dog ownership, CA-related physical activity, non-CA-related physical activity, loneliness, depression, and anxiety. This analysis was conducted twice, one on a subsample of older adult CA owners and one on a subsample of younger adult CA owners. Path analysis global fit was calculated using the criteria: \u0026chi;\u0026sup2;(\u003cem\u003edf\u003c/em\u003e), \u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026gt;\u0026thinsp;.05; \u0026chi;\u0026sup2;/\u003cem\u003edf\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;3; root mean square error of approximation (RMSEA\u0026thinsp;\u0026lt;\u0026thinsp;.08, \u0026lt;.11 for samples\u0026thinsp;\u0026lt;\u0026thinsp;200); comparative fit index (CFI\u0026thinsp;\u0026gt;\u0026thinsp;.95) and incremental fit index (IFI\u0026thinsp;\u0026gt;\u0026thinsp;.95; Kline, \u003cspan class=\"CitationRef\"\u003e1998\u003c/span\u003e). A \u003cem\u003ep\u003c/em\u003e-value\u0026thinsp;\u0026lt;\u0026thinsp;.05 was considered significant for path analysis local fit. AMOS was used to assess relationships between variables using a path model drawn from theory (see Fig.\u0026nbsp;\u003cspan class=\"InternalRef\"\u003e1\u003c/span\u003e). The model conducted on each subsample was optimised by removing non-significant paths (\u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026gt;\u0026thinsp;.05) and addition of paths indicated by modification indices (MI\u0026thinsp;\u0026gt;\u0026thinsp;3.84; Kline, \u003cspan class=\"CitationRef\"\u003e1998\u003c/span\u003e). Multigroup analysis was conducted to compare the standardised coefficients for each path of the conceptual model between each subsample to determine whether significant differences existed between the older adult CA owner and younger adult CA owner path analyses. The minimum necessary sample size for statistical significance at the \u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;.05 level, using the 10:1 rule for path analysis is 120 per path analysis (Kline, \u003cspan class=\"CitationRef\"\u003e1998\u003c/span\u003e). Sample sizes for each subsample met these criteria.\u003c/p\u003e\n\u003c/div\u003e"},{"header":"Results","content":"\u003cdiv id=\"Sec12\" class=\"Section2\"\u003e\n\u003ch2\u003ePreliminary Analyses\u003c/h2\u003e\n\u003cp\u003eOf the initial 959 survey responses from CA owners, \u003cem\u003en\u003c/em\u003e\u0026thinsp;=\u0026thinsp;371 cases were removed due to incomplete responses, leaving \u003cem\u003eN\u003c/em\u003e\u0026thinsp;=\u0026thinsp;588 participants. Descriptive statistics for outcome measures depression and anxiety are summarised in Table\u0026nbsp;\u003cspan class=\"InternalRef\"\u003e2\u003c/span\u003e. Descriptive statistics and \u003cem\u003et\u003c/em\u003e-tests results are also presented in Table\u0026nbsp;\u003cspan class=\"InternalRef\"\u003e2\u003c/span\u003e. As shown, older adults scored significantly lower on depression and anxiety than younger adults (\u003cem\u003ep\u003c/em\u003e\u0026rsquo;s\u0026thinsp;\u0026lt;\u0026thinsp;.001). There was no significant difference between older adults and younger adults on loneliness (\u003cem\u003ep\u003c/em\u003e\u0026thinsp;=\u0026thinsp;.50). Table\u0026nbsp;\u003cspan class=\"InternalRef\"\u003e3\u003c/span\u003e shows the results of bivariate correlation analyses between the study variables for both older adult CA owners and younger adult CA owners. Bivariate correlations indicated several significant, small to medium, associations between variables of interest from \u003cem\u003er\u003c/em\u003e\u0026thinsp;=\u0026thinsp;\u0026minus;\u0026thinsp;.12 to \u003cem\u003er\u003c/em\u003e\u0026thinsp;=\u0026thinsp;.37 (Cohen, 1992). Absence of multicollinearity was confirmed with all associations among outcome variables \u003cem\u003er\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;.80. Bivariate correlations indicated for older adult CA owners, dog ownership (versus ownership of another CA type) was significantly negatively associated with anxiety (\u003cem\u003er\u003c/em\u003e\u0026thinsp;=\u0026thinsp;\u0026minus;\u0026thinsp;.16), but not associated with loneliness and depression. For younger adult CA owners, dog ownership (versus ownership of another CA type) was significantly negatively associated with loneliness (\u003cem\u003er\u003c/em\u003e\u0026thinsp;=\u0026thinsp;\u0026minus;\u0026thinsp;.13), and depression (\u003cem\u003er\u003c/em\u003e\u0026thinsp;=\u0026thinsp;\u0026minus;\u0026thinsp;.12), but not associated with anxiety. For both older adults and younger adults, dog ownership (versus ownership of another CA type) was positively associated with CA-related physical activity and non-CA-related physical activity, with small to medium effect sizes (\u003cem\u003er\u003c/em\u003e\u0026thinsp;=\u0026thinsp;.19 to \u003cem\u003er\u003c/em\u003e\u0026thinsp;=\u0026thinsp;.37; Cohen, 1992). CA-related physical activity was significantly negatively associated with depression (\u003cem\u003er\u003c/em\u003e\u0026thinsp;=\u0026thinsp;\u0026minus;\u0026thinsp;.19) and anxiety (\u003cem\u003er\u003c/em\u003e\u0026thinsp;=\u0026thinsp;\u0026minus;\u0026thinsp;.20) in older adult CA owners, but not in younger adult CA owners. In older adult CA owners, non-CA-related physical activity was significantly negatively associated with depression (\u003cem\u003er\u003c/em\u003e\u0026thinsp;=\u0026thinsp;\u0026minus;\u0026thinsp;.19) and anxiety (\u003cem\u003er\u003c/em\u003e\u0026thinsp;=\u0026thinsp;\u0026minus;\u0026thinsp;.20), while in younger adult CA owners, non-CA-related physical activity was significantly negatively associated with loneliness (\u003cem\u003er\u003c/em\u003e\u0026thinsp;=\u0026thinsp;\u0026minus;\u0026thinsp;.12) and depression (\u003cem\u003er\u003c/em\u003e\u0026thinsp;=\u0026thinsp;\u0026minus;\u0026thinsp;.12).\u003c/p\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec13\" class=\"Section2\"\u003e\n\u003ch2\u003eHypothesis Testing\u003c/h2\u003e\n\u003cp\u003e\u003cstrong\u003eLoneliness, Depression, and Anxiety in Older Adult CA Owners.\u003c/strong\u003e Figure\u0026nbsp;\u003cspan class=\"InternalRef\"\u003e1\u003c/span\u003e shows the conceptual model while Fig.\u0026nbsp;\u003cspan class=\"InternalRef\"\u003e2\u003c/span\u003e shows the final model with good model fit (RMSEA\u0026thinsp;=\u0026thinsp;.06; CFI\u0026thinsp;=\u0026thinsp;.97; IFI\u0026thinsp;=\u0026thinsp;.97; \u0026chi;\u0026sup2; = 15.54, \u003cem\u003edf\u003c/em\u003e\u0026thinsp;=\u0026thinsp;9, \u003cem\u003ep\u003c/em\u003e\u0026thinsp;=\u0026thinsp;.08, \u0026chi;\u0026sup2;/\u003cem\u003edf\u003c/em\u003e\u0026thinsp;=\u0026thinsp;1.73). Table\u0026nbsp;\u003cspan class=\"InternalRef\"\u003e4\u003c/span\u003e shows the fit statistics for alternative models. The final model (Fig.\u0026nbsp;\u003cspan class=\"InternalRef\"\u003e2\u003c/span\u003e) demonstrates dog ownership was significantly positively associated with non-CA-related physical activity (\u0026beta;\u0026thinsp;=\u0026thinsp;0.22, \u003cem\u003ep\u003c/em\u003e\u0026thinsp;=\u0026thinsp;.003) and CA-related physical activity (\u0026beta;\u0026thinsp;=\u0026thinsp;0.37, \u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;.001), while these were not significantly associated with loneliness resulting in no complete pathways in the path analysis. Dog ownership explained 5% of the variance in non-CA-related physical activity (R\u0026sup2; = .05), and 14% of the variance in CA-related physical activity (R\u0026sup2; = .14). The error terms for non-CA-related physical activity and CA-related physical activity were significantly positively associated (\u0026beta;\u0026thinsp;=\u0026thinsp;0.39, \u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;.001), indicating possible overlap in these constructs. Loneliness was significantly positively associated with depression (\u0026beta;\u0026thinsp;=\u0026thinsp;0.63, \u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;.001), and anxiety (\u0026beta;\u0026thinsp;=\u0026thinsp;0.38, \u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;.001), with loneliness explaining 40% of the variance in depression (R\u0026sup2; = .40), and 14% of the variance in anxiety (R\u0026sup2; = .14).\u003c/p\u003e\n\u003cdiv class=\"gridtable\"\u003e\n\u003ctable id=\"Tab2\" border=\"1\"\u003e\u003ccaption\u003e\n\u003cdiv class=\"CaptionNumber\"\u003eTable 2\u003c/div\u003e\n\u003cdiv class=\"CaptionContent\"\u003e\n\u003cp\u003e\u003cem\u003eDescriptive Statistics, Symptom Severity on the DASS-21 Depression and Anxiety Subscales for Older Adult (65+) Companion Animal Owners (n\u0026thinsp;=\u0026thinsp;186) and Younger Adult (U65) Companion Animal Owners (n\u0026thinsp;=\u0026thinsp;402), and Results of T-Tests Examining Age Differences on Loneliness, Depression, and Anxiety Levels for Companion Animal Owners\u003c/em\u003e\u003c/p\u003e\n\u003c/div\u003e\n\u003c/caption\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003eOutcome Measures\u003c/p\u003e\n\u003c/th\u003e\n\u003cth colspan=\"4\" align=\"left\"\u003e\n\u003cp\u003e65+\u003c/p\u003e\n\u003c/th\u003e\n\u003cth rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003eOutcome Measures\u003c/p\u003e\n\u003c/th\u003e\n\u003cth colspan=\"4\" align=\"left\"\u003e\n\u003cp\u003eU65\u003c/p\u003e\n\u003c/th\u003e\n\u003cth rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003et\u003c/em\u003e\u003c/p\u003e\n\u003c/th\u003e\n\u003cth rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003edf\u003c/em\u003e\u003c/p\u003e\n\u003c/th\u003e\n\u003cth rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003ep\u003c/em\u003e\u003c/p\u003e\n\u003c/th\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eM (SD)\u003c/em\u003e\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e\u0026alpha;\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eSymptom Severity\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003en\u003c/em\u003e (%)\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eM (SD)\u003c/em\u003e\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e\u0026alpha;\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eSymptom Severity\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003en\u003c/em\u003e (%)\u003c/p\u003e\n\u003c/th\u003e\n\u003c/tr\u003e\n\u003c/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDepression\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e4.06 (4.52)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e0.93\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNormal\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e112 (61.9)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDepression\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e6.37 (5.84)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e0.94\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNormal\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e199 (49.5)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e4.79\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e601\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026lt;\u0026thinsp;.001\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eMild\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e28 (15.5)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eMild\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e38 (9.5)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eModerate\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e22 (12.2)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eModerate\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e71 (17.7)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eSevere\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e10 (5.5)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eSevere\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e33 (8.2)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eExtremely Severe\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e9 (5.0)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eExtremely Severe\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e61 (15.2)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eAnxiety\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e1.63 (2.09)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e0.66\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNormal\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e154 (85.1)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eAnxiety\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e3.32 (3.89)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e0.86\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNormal\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e264 (65.7)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e5.57\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e601\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026lt;\u0026thinsp;.001\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eMild\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e12 (6.6)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eMild\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e47 (11.7)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eModerate\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e11 (6.1)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eModerate\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e33 (8.2)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eSevere\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e4 (2.2)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eSevere\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e28 (7.0)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eExtremely Severe\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e0 (0.0)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eExtremely Severe\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e30 (7.5)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eLoneliness\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e2.10 (0.65)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e0.95\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eLoneliness\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e2.40 (0.67)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e0.95\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e5.1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e601\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.5\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eCA Related Physical Activity\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e2.94 (1.10)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eCA Related Physical Activity\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e2.70 (1.09)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNon-CA Related Physical Activity\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e3.00 (1.02)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNon-CA Related Physical Activity\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e2.75 (1.06)\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003ctfoot\u003e\n\u003ctr\u003e\n\u003ctd colspan=\"13\"\u003e\u003cem\u003eNote\u003c/em\u003e. \u003cem\u003eM\u003c/em\u003e\u0026thinsp;=\u0026thinsp;mean, \u003cem\u003eSD\u003c/em\u003e\u0026thinsp;=\u0026thinsp;standard deviation, \u0026alpha;\u0026thinsp;=\u0026thinsp;Cronbach\u0026rsquo;s alpha, CA\u0026thinsp;=\u0026thinsp;Companion animal. \u003cem\u003e***p\u0026thinsp;\u0026lt;\u0026thinsp;001, **p\u0026thinsp;\u0026lt;\u0026thinsp;.01, *p\u0026thinsp;\u0026lt;\u0026thinsp;.05.\u003c/em\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tfoot\u003e\n\u003c/table\u003e\n\u003c/div\u003e\n\u003cdiv class=\"gridtable\"\u003e\n\u003cdiv class=\"colspec\" align=\"left\"\u003e\u0026nbsp;\u003c/div\u003e\n\u003ctable id=\"Tab3\" border=\"1\"\u003e\u003ccaption\u003e\n\u003cdiv class=\"CaptionNumber\"\u003eTable 3\u003c/div\u003e\n\u003cdiv class=\"CaptionContent\"\u003e\n\u003cp\u003e\u003cem\u003eBivariate Correlations for Older Adult (65+) Companion Animal Owners and Younger Adult (U65) Companion Animal Owners\u003c/em\u003e\u003c/p\u003e\n\u003c/div\u003e\n\u003c/caption\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth align=\"left\"\u003e\u0026nbsp;\u003c/th\u003e\n\u003cth rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003eVariable\u003c/p\u003e\n\u003c/th\u003e\n\u003cth colspan=\"5\" align=\"left\"\u003e\n\u003cp\u003eOlder Adult CA Owners\u003c/p\u003e\n\u003c/th\u003e\n\u003cth colspan=\"5\" align=\"left\"\u003e\n\u003cp\u003eYounger Adult CA Owners\u003c/p\u003e\n\u003c/th\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003cth align=\"left\"\u003e\u0026nbsp;\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e2\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e3\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e4\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e5\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e2\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e3\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e4\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e5\u003c/p\u003e\n\u003c/th\u003e\n\u003c/tr\u003e\n\u003c/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1.\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDog Ownership\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e-\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e-\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e2.\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eCA-Related Physical Activity\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.37**\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e-\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.33**\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e-\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e3.\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNon-CA Related Physical Activity\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.22**\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.44**\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e-\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.19**\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.57**\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e-\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e4.\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eLoneliness\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.01\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.02\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026minus;\u0026thinsp;.10\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e-\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026minus;\u0026thinsp;.13*\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026minus;\u0026thinsp;.09\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026minus;\u0026thinsp;.12*\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e-\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e5.\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDepression\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026minus;\u0026thinsp;.04\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026minus;\u0026thinsp;.19*\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026minus;\u0026thinsp;.19*\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.63**\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e-\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026minus;\u0026thinsp;.12*\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026minus;\u0026thinsp;.06\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026minus;\u0026thinsp;.12*\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.73**\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e-\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e6.\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eAnxiety\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026minus;\u0026thinsp;.16*\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026minus;\u0026thinsp;.20**\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026minus;\u0026thinsp;.20**\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.38**\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.49**\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026minus;\u0026thinsp;.08\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026minus;\u0026thinsp;.03\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026minus;\u0026thinsp;.06\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.51**\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.66**\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003ctfoot\u003e\n\u003ctr\u003e\n\u003ctd colspan=\"12\"\u003e\u003cem\u003eNote\u003c/em\u003e. **\u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;.01, *\u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;.05. CA\u0026thinsp;=\u0026thinsp;Companion animal.\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tfoot\u003e\n\u003c/table\u003e\n\u003c/div\u003e\n\u003cdiv class=\"gridtable\"\u003e\u0026nbsp;\u003c/div\u003e\n\u003cdiv class=\"gridtable\"\u003e\n\u003ctable id=\"Taba\" border=\"1\"\u003e\u003ccaption\u003e\n\u003cp\u003eTable 4\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eFit Statistics for Alternative Models\u003c/em\u003e\u003c/p\u003e\n\u003c/caption\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eModel\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e\u0026chi;\u0026sup2;\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003edf\u003c/em\u003e\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003ep\u003c/em\u003e\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e\u0026chi;\u0026sup2;/\u003cem\u003edf\u003c/em\u003e\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eRMSEA\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eCFI\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eIFI\u003c/p\u003e\n\u003c/th\u003e\n\u003c/tr\u003e\n\u003c/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e67.16\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e9\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.000\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e7.46\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.19\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.72\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.73\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e2\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e68.10\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e10\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.000\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e6.81\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.18\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.72\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.73\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e3\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e69.99\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e11\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.000\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e6.36\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.17\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.72\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.72\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e4\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e39.66\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e10\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.000\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e3.97\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.13\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.86\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.86\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e5\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e15.54\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e9\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.08\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e1.73\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.06\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.97\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.97\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003ctfoot\u003e\n\u003ctr\u003e\n\u003ctd colspan=\"8\"\u003e\u003cem\u003eNote.\u003c/em\u003e RMSEA\u0026thinsp;=\u0026thinsp;root mean square error of estimation; CFI\u0026thinsp;=\u0026thinsp;comparative fit index; IFI\u0026thinsp;=\u0026thinsp;incremental fit index.\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tfoot\u003e\n\u003c/table\u003e\n\u003c/div\u003e\n\u003cp\u003e\u003cstrong\u003eLoneliness, Depression, and Anxiety in Younger Adult CA Owners.\u003c/strong\u003e Figure\u0026nbsp;\u003cspan class=\"InternalRef\"\u003e1\u003c/span\u003e shows the conceptual model, while Fig.\u0026nbsp;\u003cspan class=\"InternalRef\"\u003e3\u003c/span\u003e shows the final model with good model fit (RMSEA\u0026thinsp;=\u0026thinsp;.00; CFI\u0026thinsp;=\u0026thinsp;1.00; IFI\u0026thinsp;=\u0026thinsp;1.00; \u0026chi;\u0026sup2; = 6.79, \u003cem\u003edf\u003c/em\u003e\u0026thinsp;=\u0026thinsp;8, \u003cem\u003ep\u003c/em\u003e\u0026thinsp;=\u0026thinsp;.56, \u0026chi;\u0026sup2;/\u003cem\u003edf\u003c/em\u003e\u0026thinsp;=\u0026thinsp;0.85). Table\u0026nbsp;\u003cspan class=\"InternalRef\"\u003e5\u003c/span\u003e shows the fit statistics for alternative models. The final model (Fig.\u0026nbsp;\u003cspan class=\"InternalRef\"\u003e3\u003c/span\u003e) demonstrates dog ownership was significantly positively associated with non-CA-related physical activity (\u0026beta;\u0026thinsp;=\u0026thinsp;0.19, \u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;.001), and CA-related physical activity (\u0026beta;\u0026thinsp;=\u0026thinsp;0.33, \u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;.001), while only non-CA-related physical activity was associated with loneliness (\u0026beta; = -0.12, \u003cem\u003ep\u003c/em\u003e\u0026thinsp;=\u0026thinsp;.01). Loneliness was significantly positively associated with depression (\u0026beta;\u0026thinsp;=\u0026thinsp;0.73, \u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;.001), and anxiety (\u0026beta;\u0026thinsp;=\u0026thinsp;0.51, \u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;.001), with loneliness explaining 53% of the variance in depression (R\u0026sup2; = .53), and 26% of the variance in anxiety (R\u0026sup2; = .26). Dog ownership explained 4% of the variance in non-CA-related physical activity (R\u0026sup2; = .04), and 11% of the variance in CA-related physical activity (R\u0026sup2; = .11). The error terms for non-CA-related physical activity and CA-related physical activity were significantly positively associated (\u0026beta;\u0026thinsp;=\u0026thinsp;0.55, \u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;.001) indicating some possible overlap in these constructs.\u003c/p\u003e\n\u003cdiv class=\"gridtable\"\u003e\n\u003ctable id=\"Tabb\" border=\"1\"\u003e\u003ccaption\u003e\n\u003cp\u003eTable 5\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eFit Statistics for Alternative Models\u003c/em\u003e\u003c/p\u003e\n\u003c/caption\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eModel\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e\u0026chi;\u0026sup2;\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003edf\u003c/em\u003e\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003ep\u003c/em\u003e\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e\u0026chi;\u0026sup2;/\u003cem\u003edf\u003c/em\u003e\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eRMSEA\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eCFI\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003eIFI\u003c/p\u003e\n\u003c/th\u003e\n\u003c/tr\u003e\n\u003c/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e263.73\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e9\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e29.30\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.27\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.66\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.66\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e2\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e263.90\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e10\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e26.39\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.25\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.66\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.66\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e3\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e119.88\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e9\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e13.32\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.18\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.85\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.85\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e4\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e6.79\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e8\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.56\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e0.85\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1.00\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003ctfoot\u003e\n\u003ctr\u003e\n\u003ctd colspan=\"8\"\u003e\u003cem\u003eNote.\u003c/em\u003e RMSEA\u0026thinsp;=\u0026thinsp;root mean square error of estimation; CFI\u0026thinsp;=\u0026thinsp;comparative fit index; IFI\u0026thinsp;=\u0026thinsp;incremental fit index.\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tfoot\u003e\n\u003c/table\u003e\n\u003c/div\u003e\n\u003cp\u003e\u003cstrong\u003eMultigroup moderation analyses.\u003c/strong\u003e The results of the multigroup moderation analyses, comparing each regression path for older adults versus younger adults, are presented in Table\u0026nbsp;\u003cspan class=\"InternalRef\"\u003e6\u003c/span\u003e. The path analyses displayed two significantly different paths, the loneliness to depression path, and the loneliness to anxiety path. The positive relationship of loneliness with depression and anxiety, was stronger for younger adults than for older adults. There was no significant difference between older adults and younger adults on the relationship between non-CA-related physical activity and loneliness, despite path analyses indicating a significant relationship for younger adults, and a non-significant relationship for older adults. This indicates a possible type II error for this path in the older adult path analysis due to a smaller sample size (\u003cem\u003en\u003c/em\u003e\u0026thinsp;=\u0026thinsp;186).\u003c/p\u003e\n\u003cdiv class=\"gridtable\"\u003e\n\u003ctable id=\"Tab6\" border=\"1\"\u003e\u003ccaption\u003e\n\u003cdiv class=\"CaptionNumber\"\u003eTable 6\u003c/div\u003e\n\u003cdiv class=\"CaptionContent\"\u003e\n\u003cp\u003e\u003cem\u003eMultigroup Analysis (Chi-Square Difference) for Loneliness, Depression, and Anxiety Models\u003c/em\u003e\u003c/p\u003e\n\u003c/div\u003e\n\u003c/caption\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003ePath\u003c/p\u003e\n\u003c/th\u003e\n\u003cth colspan=\"2\" align=\"left\"\u003e\n\u003cp\u003e65+\u003c/p\u003e\n\u003c/th\u003e\n\u003cth colspan=\"2\" align=\"left\"\u003e\n\u003cp\u003eU65\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\u0026nbsp;\u003c/th\u003e\n\u003cth align=\"left\"\u003e\u0026nbsp;\u003c/th\u003e\n\u003c/tr\u003e\n\u003c/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eEstimate\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003ep\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eEstimate\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003ep\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003ez\u003c/em\u003e-score\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eResult\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDog Ownership \u0026rarr;\u003c/p\u003e\n\u003cp\u003eNon-CA-Related Physical Activity\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.49\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.43\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e-0.28\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNot Different\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDog Ownership \u0026rarr;\u003c/p\u003e\n\u003cp\u003eCA-Related Physical Activity\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.91\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.77\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e-0.74\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNot Different\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNon-CA-Related Physical Activity \u0026rarr;\u003c/p\u003e\n\u003cp\u003eLoneliness\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e-0.07\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.17\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e-0.08\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.01\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e-0.24\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNot Different\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eLoneliness \u0026rarr; Depression\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1.13\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e1.65\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e3.99***\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDifferent\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eLoneliness \u0026rarr; Anxiety\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.39\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e0.98\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e5.46***\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDifferent\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003ctfoot\u003e\n\u003ctr\u003e\n\u003ctd colspan=\"7\"\u003e\u003cem\u003eNote.\u003c/em\u003e *** \u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;.01; ** \u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;.05.\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tfoot\u003e\n\u003c/table\u003e\n\u003c/div\u003e\n\u003cdiv class=\"gridtable\"\u003e\n\u003cdiv class=\"colspec\" align=\"left\"\u003e\u0026nbsp;\u003c/div\u003e\n\u003ctable id=\"Tab7\" border=\"1\"\u003e\u003ccaption\u003e\n\u003cdiv class=\"CaptionNumber\"\u003eTable 7\u003c/div\u003e\n\u003cdiv class=\"CaptionContent\"\u003e\n\u003cp\u003e\u003cem\u003eBivariate Linear Regressions Between Dog Ownership, CA-Related Physical Activity, Non-CA-Related Physical Activity, Loneliness, Depression, and Anxiety\u003c/em\u003e\u003c/p\u003e\n\u003c/div\u003e\n\u003c/caption\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003eOutcome Measure\u003c/p\u003e\n\u003c/th\u003e\n\u003cth rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003ePredictor\u003c/p\u003e\n\u003c/th\u003e\n\u003cth colspan=\"5\" align=\"left\"\u003e\n\u003cp\u003eOlder Adults (\u003cem\u003en\u003c/em\u003e\u0026thinsp;=\u0026thinsp;181)\u003c/p\u003e\n\u003c/th\u003e\n\u003cth rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003eOutcome Measure\u003c/p\u003e\n\u003c/th\u003e\n\u003cth rowspan=\"2\" align=\"left\"\u003e\n\u003cp\u003ePredictor\u003c/p\u003e\n\u003c/th\u003e\n\u003cth colspan=\"5\" align=\"left\"\u003e\n\u003cp\u003eYounger Adults (\u003cem\u003en\u003c/em\u003e\u0026thinsp;=\u0026thinsp;402)\u003c/p\u003e\n\u003c/th\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eb\u003c/em\u003e\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eSE\u003c/em\u003e\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eR\u0026sup2;\u003c/em\u003e\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eF\u003c/em\u003e(1,180)\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003ep\u003c/em\u003e\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eb\u003c/em\u003e\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eSE\u003c/em\u003e\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eR\u0026sup2;\u003c/em\u003e\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eF\u003c/em\u003e(1,401)\u003c/p\u003e\n\u003c/th\u003e\n\u003cth align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003ep\u003c/em\u003e\u003c/p\u003e\n\u003c/th\u003e\n\u003c/tr\u003e\n\u003c/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eLoneliness\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eConstant\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e2.09\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.09\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eLoneliness\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eConstant\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e2.54\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.06\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDog Ownership\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e0.02\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.11\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e0.03\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.87\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDog Ownership\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e-0.18\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.07\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.02\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e6.39\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.01\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDepression\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eConstant\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e1.83\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.16\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDepression\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eConstant\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e2.57\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.14\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDog Ownership\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e\u0026minus;\u0026thinsp;.09\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.19\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e0.22\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.64\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDog Ownership\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e-0.39\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.16\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.01\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e5.65\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.02\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eAnxiety\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eConstant\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e1.42\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.09\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eAnxiety\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eConstant\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e2.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.12\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDog Ownership\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e-0.24\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.11\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.02\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e4.77\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.03\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDog Ownership\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e-0.23\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.14\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.01\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e2.86\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.09\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eCA-Related Physical Activity\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eConstant\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e2.29\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.14\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eCA-Related Physical Activity\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eConstant\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e2.17\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.09\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDog Ownership\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e0.91\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.17\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.14\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e29.20\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDog Ownership\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e0.77\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.11\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.11\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e47.30\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026lt;\u0026thinsp;.001\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNon-CA-Related Physical Activity\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eConstant\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e2.65\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.14\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNon-CA-Related Physical Activity\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eConstant\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e2.46\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.09\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDog Ownership\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e0.49\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.16\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.05\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e8.73\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDog Ownership\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e0.43\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.11\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.04\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e14.52\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u0026lt;\u0026thinsp;.001\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eLoneliness\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eConstant\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e2.06\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.14\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eLoneliness\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eConstant\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e2.56\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.09\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eCA-Related Physical Activity\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e0.01\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.04\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e0.07\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.79\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eCA-Related Physical Activity\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e-0.05\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.03\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.01\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e3.12\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.08\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDepression\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eConstant\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e2.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.25\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDepression\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eConstant\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e2.51\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.20\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eCA-Related Physical Activity\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e-0.08\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.08\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.01\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e1.04\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.31\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eCA-Related Physical Activity\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e-0.08\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.07\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e1.20\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.28\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eAnxiety\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eConstant\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e1.36\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.14\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eAnxiety\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eConstant\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e1.87\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.17\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eCA-Related Physical Activity\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e-0.04\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.05\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e0.68\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.41\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eCA-Related Physical Activity\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e-0.03\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.06\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.27\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.61\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eLoneliness\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eConstant\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e2.29\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.15\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eLoneliness\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eConstant\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e2.63\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.09\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNon-CA-Related Physical Activity\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e-0.07\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.05\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.01\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e1.90\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.17\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNon-CA-Related Physical Activity\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e-0.08\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.03\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.02\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e6.29\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.01\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDepression\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eConstant\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e2.40\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.27\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eDepression\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eConstant\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e2.75\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.21\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNon-CA-Related Physical Activity\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e-0.21\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.08\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.04\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e6.45\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.01\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNon-CA-Related Physical Activity\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e-0.17\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.07\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.01\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e5.42\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.02\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eAnxiety\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eConstant\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e1.64\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.15\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eAnxiety\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e\u003cem\u003eConstant\u003c/em\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e2.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.18\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNon-CA-Related Physical Activity\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e-0.13\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.05\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.04\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e7.10\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.01\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003eNon-CA-Related Physical Activity\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e-0.08\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.06\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.00\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"char\" char=\".\"\u003e\n\u003cp\u003e1.65\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd align=\"left\"\u003e\n\u003cp\u003e.20\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003ctfoot\u003e\n\u003ctr\u003e\n\u003ctd colspan=\"14\"\u003e\u003cem\u003eNote. b\u003c/em\u003e\u0026thinsp;=\u0026thinsp;unstandardised coefficient; \u003cem\u003eSE\u003c/em\u003e\u0026thinsp;=\u0026thinsp;standard error; CA\u0026thinsp;=\u0026thinsp;companion animal.\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tfoot\u003e\n\u003c/table\u003e\n\u003c/div\u003e\n\u003c/div\u003e"},{"header":"Discussion","content":"\u003cp\u003eThis study examined the relationships between dog ownership, CA related physical activity, and non-CA related physical activity with depression and anxiety via loneliness, within the context of the COVID-19 pandemic. These variables of interest were examined in both older adult CA owners (those aged 65 years and over) and younger adult CA owners (those aged under 65 years). Our study found both older adult and younger adult CA owners experienced similar moderate levels of loneliness, but the positive relationship between loneliness and mental ill health was stronger for younger adults compared to older adults. When considering dog ownership and physical activity, dog owners engaged in higher levels of both CA-related physical activity and non-CA related physical activity, but only non-CA-related physical activity was significantly associated with better mental health outcomes. Bivariate correlations indicated in older adults, non-CA-related physical activity was negatively associated with depression and anxiety, but not associated with loneliness, while in younger adults, non-CA-related physical activity was negatively associated with loneliness and depression, but not associated with anxiety. Overall, in older adults, dog ownership was significantly associated with lower anxiety, but not associated with lower loneliness or depression. In younger adults, dog ownership (compared to ownership of other CA types) was significantly associated with lower loneliness and depression, but not with anxiety.\u003c/p\u003e \u003cp\u003eOur study found older and younger adult dog owners engaged in higher levels of CA-related physical activity than non-dog CA owners This supports research evidence suggesting the care requirements of dogs leads to increased dog-related physical activity such as dog-walking and playing fetch, activities generally not undertaken with other common CA types (Westgarth et al., \u003cspan citationid=\"CR56\" class=\"CitationRef\"\u003e2019\u003c/span\u003e). Interestingly, dog ownership was associated with higher levels of physical activity independent of their dog, such as running, strength training, and sports. This indicates people who already have a more active lifestyle may choose to acquire a dog as a CA, as this may be perceived as more able to fit in with their already active lifestyle than other common CA types. This inference is supported by research evidence investigating personality differences between dog and cat owners, with dog owners scoring higher on a measure of \u0026lsquo;liveliness\u0026rsquo; (Guastello et al., \u003cspan citationid=\"CR22\" class=\"CitationRef\"\u003e2017\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eOur findings indicated non-dog related physical activity (such as running, strength training, and sports) may be more beneficial for mental health than dog-related physical activity, as CA-related physical activity was not associated with mental health outcomes for older adult or younger adult CA owners. It is possible the intensity of walking a dog or playing fetch is not sufficient to confer mental health benefits. Dog walking is largely considered light to moderate intensity exercise (Richards et al., \u003cspan citationid=\"CR45\" class=\"CitationRef\"\u003e2014\u003c/span\u003e; Tan et al., \u003cspan citationid=\"CR54\" class=\"CitationRef\"\u003e2021\u003c/span\u003e), with research indicating high-intensity exercise provides superior results for mental health compared to lower intensity exercise (Stathopoulou et al., \u003cspan citationid=\"CR52\" class=\"CitationRef\"\u003e2006\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eIn older adult CA owners, non-CA-related physical activity was associated with lower depression and anxiety, but not loneliness, while in younger adult CA owners non-CA-related physical activity was associated with lower loneliness and anxiety, but not depression. This may reflect differences in the nature of the exercise younger adults and older adults engaged in during the pandemic. Some research evidence suggests during COVID-19 older adults preferred to exercise closer to home with the purpose of engaging in physical activity only, rather than incorporating physical activity and social contact due to fears of contracting the virus (Portegijs et al., \u003cspan citationid=\"CR42\" class=\"CitationRef\"\u003e2021\u003c/span\u003e). While exercise of this nature may have resulted in reduced depression and anxiety via physiological pathways (Anderson \u0026amp; Shivakumar, \u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e2013\u003c/span\u003e) the lack of social contact meant this activity was unlikely to provide a reduction in loneliness.\u003c/p\u003e \u003cp\u003eWhile we found some evidence for the \u0026lsquo;pet effect\u0026rsquo; within dog owners compared to non-dog CA owners, this evidence was mixed and differed based on the age of the subsample, with varied symptoms reduced. These mixed results are consistent with existing mixed CA research conducted during COVID-19 (Herzog, \u003cspan citationid=\"CR28\" class=\"CitationRef\"\u003e2022\u003c/span\u003e). While we theorised differences in mental health outcomes for dog owners may be due to CA-related physical activity such as dog walking, chance social encounters while walking a dog, and exposure to green spaces while walking a dog, our results indicated it was not this CA-related physical activity associated with mental health outcomes. As our results did not support this hypothesis, other explanations as to why dog ownership may confer better mental health outcomes should be considered. One possible explanation for further investigation is that those with more active lifestyles tend to acquire dogs over other animals as CAs.\u003c/p\u003e \u003cdiv id=\"Sec15\" class=\"Section2\"\u003e \u003ch2\u003eImplications\u003c/h2\u003e \u003cp\u003eThis study raised interesting findings regarding the relative benefits of dog CA ownership and associated physical exercise compared to other types of CA ownership for loneliness and mental health outcomes, suggesting dog ownership may be more beneficial to reduce symptoms of loneliness, anxiety, depression- with caveats. These caveats relate to the age range of owners, and acknowledgement that there are likely individual differences such as personality traits of dog owners generally that predispose them to both seek out dog CAs over other types, and to engage in exercise regardless of dog ownership. Given the mixed results of this and other studies in HAI, we suggest members of the public should not be universally encouraged by health and other professionals to acquire CAs for their perceived benefits to the mental health of owners via increased physical activity associated with animal care, especially for dogs who have higher care requirements than many other CA types. Encouraging people to acquire a dog to benefit their mental health, who do not express a specific desire to acquire a dog, is unlikely to result in mental health benefits for owners. Furthermore, encouraging dog ownership on this basis poses significant potential welfare risks to individual dogs which may suffer neglect and relinquishment, as well as dog populations which may be bred to meet demand in times of social need, only to be relinquished to shelters or euthanised by veterinarians when no longer desired by ambivalent owners (Cornish, \u003cspan citationid=\"CR14\" class=\"CitationRef\"\u003e2021\u003c/span\u003e). While the media hype that suggested CAs were beneficial for mental health prompted a boom of CA adoptions during the pandemic (Morgan et al., \u003cspan citationid=\"CR38\" class=\"CitationRef\"\u003e2020\u003c/span\u003e; Roy, \u003cspan citationid=\"CR48\" class=\"CitationRef\"\u003e2020\u003c/span\u003e), in Australia, shelter operators also reported a 30% increase in CA relinquishments after COVID-19 restrictions were lifted in 2021 (Cornish, \u003cspan citationid=\"CR14\" class=\"CitationRef\"\u003e2021\u003c/span\u003e). This trend is concerning for animal welfare organisations and highlights the ethical dangers in overstating the effects of CAO for loneliness and mental health in humans.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec16\" class=\"Section2\"\u003e \u003ch2\u003eStrengths, Limitations, and Future Research\u003c/h2\u003e \u003cp\u003eThis study was the first to investigate both CA-related and non-CA related physical activity and their relationships with mental health among CA owners with dogs, and the first to compare these relationships between older adult and younger adult CA owners with dogs. A large sample of CA owners representing all Australian states and territories was obtained. The varied recruitment methods of this study, via both social media and paper flyer advertisements, supported participation of older adults with varied digital literacy. Participants were able to complete the online and phone survey in the privacy of their own homes, reducing the risk of socially desirable responding.\u003c/p\u003e \u003cp\u003eThis study also had some limitations. The sample collected did not include older adults aged 85 years and over, partly due to strict COVID-19 lockdowns for aged care residents preventing recruitment of this group (Cousins, \u003cspan citationid=\"CR15\" class=\"CitationRef\"\u003e2020\u003c/span\u003e). Novel, unvalidated items developed by the research team were used to measure CA-related physical activity and non-CA related physical activity. Further, our sample was skewed towards female participants (76.3%), consistent with the systemic gender skew in HAI research (Rodriguez et al., \u003cspan citationid=\"CR46\" class=\"CitationRef\"\u003e2021\u003c/span\u003e). Caution should be taken when generalising the results of this study to male CA owners. Finally, as this study used a cross-sectional data set, the path analysis was not able to indicate causal effects of the variables of interest on loneliness, depression, and anxiety beyond the theorised temporal order modelled.\u003c/p\u003e \u003cp\u003eFuture research in this area should focus on examining additional CA-related variables that may influence the mental health of CA owners, such as personality factors, CA attachment, and burden of CA care. These studies should aim to recruit older adults aged 85 years and over due to high rates of depression and suicidality in this under-researched group (Sinyor et al., \u003cspan citationid=\"CR51\" class=\"CitationRef\"\u003e2016\u003c/span\u003e).\u003c/p\u003e \u003c/div\u003e"},{"header":"Conclusion","content":"\u003cp\u003eDog owners engaged in higher levels of both CA-related physical activity and non-CA-related physical activity, however only non-CA-related physical activity was significantly associated with better mental health outcomes. Older adult CA owners and younger adult CA owners experienced varying effects of dog ownership and non-CA-related physical activity on loneliness, depression, and anxiety. Our findings indicate people who choose to own dogs engage in more active lifestyles, but it is the physical activity they perform independently of their dog that is associated with lower loneliness and better mental health. Members of the public should not be universally encouraged to own a dog in order to support their mental health via increased physical activity.\u003c/p\u003e "},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003eDisclosure Statement\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe authors report no actual or potential conflict of interest.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eFunding Declaration\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThis research received no specific grant from any funding agency.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eNote\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThis research was supported by an Australian Government Research Training Program (RTP) Scholarship.\u003c/p\u003e\u003ch2\u003eAuthor Contribution\u003c/h2\u003e\u003cp\u003eK.Z, G.M. and A.H. conceptualised the study design. K.Z. sought ethical approval to undertake the study. K.Z. and A.H. collected data for the study. K.Z. completed data analysis and G.M. and A.H. reviewed the data analysis. K.Z. wrote the full draft of the manuscript and G.M. and A.H provided edits to the manuscript.\u003c/p\u003e\u003ch2\u003eData Availability\u003c/h2\u003e\u003cp\u003eData used for this study is available upon request of the corresponding author and following approval by the Deakin University Human Research Ethics Committee.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\n\u003cli\u003eAnderson, E., \u0026amp; Shivakumar, G. (2013). Effects of exercise and physical activity on anxiety. \u003cem\u003eFrontiers in Psychiatry\u003c/em\u003e, \u003cem\u003e4\u003c/em\u003e, 27. https://doi.org/10.3389/fpsyt.2013.00027\u003c/li\u003e\n\u003cli\u003eAnimal Medicines Australia. (2019). \u003cem\u003ePets in Australia: A national survey of pets and people. \u003c/em\u003ehttps://animalmedicinesaustralia.org.au/wp-content/uploads/2019/10/ANIM001-Pet-Survey-Report19_v1.7_WEB_high-res.pdf\u003c/li\u003e\n\u003cli\u003eAmiot, C. E., Gagn\u0026eacute;, C., \u0026amp; Bastian, B. (2022). Pet ownership and psychological well-being during the COVID-19 pandemic. \u003cem\u003eScientific Reports\u003c/em\u003e, \u003cem\u003e12\u003c/em\u003e(1), Article 1. https://doi.org/10.1038/s41598-022-10019-z\u003c/li\u003e\n\u003cli\u003eBeetz, A., Uvn\u0026auml;s-Moberg, K., Julius, H., \u0026amp; Kotrschal, K. (2012). Psychosocial and psychophysiological effects of human-animal interactions: The possible role of oxytocin. \u003cem\u003eFrontiers in Psychology\u003c/em\u003e, \u003cem\u003e3\u003c/em\u003e. https://doi.org/10.3389/fpsyg.2012.00234\u003c/li\u003e\n\u003cli\u003eBohn, L., Gomes, S., Neto, E. S. de Q., Lage, A. C. S. de S., de Freitas, M. das D. B., Magalh\u0026atilde;es, F. de P., Mota, J., \u0026amp; Soares Miranda, L. (2021). Predictors of lower depression levels in older adults during COVID-19 lockdown. \u003cem\u003eJournal of Applied Gerontology\u003c/em\u003e, \u003cem\u003e40\u003c/em\u003e(11), 1407\u0026ndash;1416. https://doi.org/10.1177/07334648211025116\u003c/li\u003e\n\u003cli\u003eBriggs, R., McDowell, C. P., Looze, C. D., Kenny, R. A., \u0026amp; Ward, M. (2021). Depressive symptoms among older adults pre\u0026ndash; and post\u0026ndash;COVID-19 pandemic. \u003cem\u003eJournal of the American Medical Directors Association\u003c/em\u003e, \u003cem\u003e22\u003c/em\u003e(11), 2251\u0026ndash;2257. https://doi.org/10.1016/j.jamda.2021.09.003\u003c/li\u003e\n\u003cli\u003eBu, F., Steptoe, A., \u0026amp; Fancourt, D. (2020). Who is lonely in lockdown? Cross-cohort analyses of predictors of loneliness before and during the COVID-19 pandemic. \u003cem\u003ePublic Health\u003c/em\u003e, \u003cem\u003e186\u003c/em\u003e, 31\u0026ndash;34. https://doi.org/10.1016/j.puhe.2020.06.036\u003c/li\u003e\n\u003cli\u003eCarr, D., Friedmann, E., Gee, N. R., Gilchrist, C., Sachs-Ericsson, N., \u0026amp; Koodaly, L. (2021). Dog walking and the social impact of the COVID-19 pandemic on loneliness in older adults. \u003cem\u003eAnimals\u003c/em\u003e, \u003cem\u003e11\u003c/em\u003e(7), 1852. https://doi.org/10.3390/ani11071852\u003c/li\u003e\n\u003cli\u003eCarver, L. F. (2020). \u003cem\u003eHow the coronavirus pet adoption boom is reducing stress\u003c/em\u003e. The Conversation. http://theconversation.com/how-the-coronavirus-pet-adoption-boom-is-reducing-stress-138074\u003c/li\u003e\n\u003cli\u003eChristian, H. E., Westgarth, C., Bauman, A., Richards, E. A., Rhodes, R. E., Evenson, K. R., Mayer, J. A., \u0026amp; Thorpe, R. J. (2013). Dog ownership and physical activity: A review of the evidence. \u003cem\u003eJournal of Physical Activity and Health\u003c/em\u003e, \u003cem\u003e10\u003c/em\u003e(5), 750\u0026ndash;759. https://doi.org/10.1123/jpah.10.5.750\u003c/li\u003e\n\u003cli\u003eChodzko-Zajko, W. J., Proctor, D. N., Singh, M. A. F., Minson, C. T., Nigg, C. R., Salem, G. J., \u0026amp; Skinner, J. S. (2009). Exercise and physical activity for older adults. \u003cem\u003eMedicine \u0026amp; Science in Sports \u0026amp; Exercise\u003c/em\u003e, \u003cem\u003e41\u003c/em\u003e(7), 1510-1530. https://doi.org/10.1249/MSS.0b013e3181a0c95c \u003c/li\u003e\n\u003cli\u003eClements, H., Valentin, S., Jenkins, N., Rankin, J., Gee, N. R., Snellgrove, D., \u0026amp; Sloman, K. A. (2021). 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The longitudinal association between natural outdoor environments and mortality in 9218 older men from Perth, Western Australia. \u003cem\u003eEnvironment International\u003c/em\u003e, \u003cem\u003e125\u003c/em\u003e, 430\u0026ndash;436. https://doi.org/10.1016/j.envint.2019.01.075\u003c/li\u003e\n\u003c/ol\u003e"},{"header":"Appendix","content":"\u003cp\u003e\u003cstrong\u003eAppendix A\u003c/strong\u003e\u003c/p\u003e\u003cp\u003e \u003cb\u003eSupplementary Information\u003c/b\u003e \u003c/p\u003e \u003cp\u003e \u003cb\u003ePost-Hoc Analyses\u003c/b\u003e \u003c/p\u003e \u003cp\u003eGiven the significant unique associations between dog ownership, CA-related physical activity, and non-CA-related physical activity on outcome measures shown in bivariate correlations, but the broken pathways between dog ownership, CA-related physical activity, and non-CA-related physical activity and outcome measures in path analyses, a series of bivariate linear regressions were conducted to clarify the relationships between dog ownership, non-CA-related physical activity, CA-related physical activity, loneliness, depression, and anxiety in older adult and younger adult CA owners. For a linear bivariate regression (two-tailed) with one group for \u003cem\u003ea\u003c/em\u003e\u0026thinsp;=\u0026thinsp;.05 and 1-β\u0026thinsp;=\u0026thinsp;.80, an \u003cem\u003ea priori\u003c/em\u003e statistical power analysis indicated \u003cem\u003eN\u003c/em\u003e\u0026thinsp;=\u0026thinsp;171 would detect a slope of .21. Table\u0026nbsp;7 displays the results of the bivariate linear regressions. As shown, in older adults, dog ownership (versus ownership of another CA type) is significantly associated with lower anxiety, explaining 2% of the variation in anxiety (R\u0026sup2;=.02) but not loneliness or depression. Conversely, in younger adults dog ownership is significantly associated with lower loneliness and depression, explaining 1\u0026ndash;2% of the variation in mental health outcomes, but not significantly associated with anxiety. In older adults, non-CA-related physical activity was significantly associated with lower depression and anxiety, each accounting for 4% of the variation in mental health outcomes, but not significantly associated with loneliness. In younger adults, non-CA-related physical activity was significantly associated with lower loneliness and depression accounting for 1\u0026ndash;2% of the variation in mental health outcomes, but not significantly associated with anxiety. CA-related-physical activity was not significantly associated with mental health outcomes in either older adults or younger adult CA owners.\u003c/p\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"bmc-psychology","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"psyo","sideBox":"Learn more about [BMC Psychology](http://bmcpsychology.biomedcentral.com/)","snPcode":"","submissionUrl":"","title":"BMC Psychology","twitterHandle":"BMC_series","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"stoa","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"Companion Animals, Pet Ownership, Physical Activity, Dog Walking, Mental Health, Loneliness, Older Adults","lastPublishedDoi":"10.21203/rs.3.rs-4356950/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-4356950/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eBackground and Aim: \u003c/strong\u003eDog ownership has been suggested as an intervention to increase physical activity and improve mental health, but few studies have investigated the relationships between dog ownership, physical activity, and mental health outcomes together.\u003cstrong\u003e \u003c/strong\u003eThis study aimed to\u003cstrong\u003e \u003c/strong\u003e(1) investigate whether dog ownership, CA-related physical activity, and non-CA-related physical activity were explanatory variables for the relationships between CA ownership, depression, and anxiety via loneliness and (2) examine whether the relationships between these variables differed for older adult CA owners compared to younger adult CA owners.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethod:\u003c/strong\u003e Participants were Australian CA owners from the community (\u003cem\u003eN\u003c/em\u003e=588, 76.3% female) aged 18-84 years (\u003cem\u003eM\u003c/em\u003e=55.34, \u003cem\u003eSD\u003c/em\u003e=14.90). A cross-sectional design and online/phone survey methodology were used.\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults: \u003c/strong\u003ePath analysis showed that dog owners (compared to owners of other CA types) engaged in higher levels of both CA-related and non-CA-related physical activity, but only non-CA-related physical activity was associated with mental health outcomes.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusion:\u003c/strong\u003e Our findings indicate people who choose to own dogs over other CA types engage in more active lifestyles, but it is the physical activity they perform independently of their dog that is associated with less loneliness and greater mental health. Members of the public should not be universally encouraged by health or other professionals to own a dog to support their mental health based on a belief that dog ownership leads to beneficial physical activity.\u003c/p\u003e","manuscriptTitle":"Dog Ownership, Physical Activity, Loneliness and Mental Health: A Comparison of Older Adult and Younger Adult Companion Animal Owners","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2024-05-31 16:15:35","doi":"10.21203/rs.3.rs-4356950/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Revision requested","date":"2024-05-15T09:52:46+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2024-05-14T07:30:34+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2024-05-14T07:30:33+00:00","index":"","fulltext":""},{"type":"submitted","content":"BMC Psychology","date":"2024-05-02T05:25:25+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"bmc-psychology","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"psyo","sideBox":"Learn more about [BMC Psychology](http://bmcpsychology.biomedcentral.com/)","snPcode":"","submissionUrl":"","title":"BMC Psychology","twitterHandle":"BMC_series","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"stoa","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"8698368a-93d4-4f4e-8361-cb2dfe9a3329","owner":[],"postedDate":"May 31st, 2024","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[],"tags":[],"updatedAt":"2024-11-04T16:27:42+00:00","versionOfRecord":{"articleIdentity":"rs-4356950","link":"https://doi.org/10.1186/s40359-024-02104-x","journal":{"identity":"bmc-psychology","isVorOnly":false,"title":"BMC Psychology"},"publishedOn":"2024-11-01 16:20:25","publishedOnDateReadable":"November 1st, 2024"},"versionCreatedAt":"2024-05-31 16:15:35","video":"","vorDoi":"10.1186/s40359-024-02104-x","vorDoiUrl":"https://doi.org/10.1186/s40359-024-02104-x","workflowStages":[]},"version":"v1","identity":"rs-4356950","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-4356950","identity":"rs-4356950","version":["v1"]},"buildId":"8U1c8b4HqxoKbykW_rLl7","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}