Booth M L, Owen N, Bauman A, Clavisi O, Leslie E
Department of Public Health and Community Medicine, A27, University of Sydney, New South Wales, 2006, Australia.
Prev Med. 2000 Jul;31(1):15-22. doi: 10.1006/pmed.2000.0661.
Regular physical activity in older adults can facilitate healthy aging, improve functional capacity, and prevent disease. However, factors associated with physical inactivity in older populations are poorly understood. This study attempts to identify social-cognitive and perceived environmental influences associated with physical activity participation in older populations.
In a randomly selected sample of 449 Australian adults age 60 and older, we assessed self-reported physical activity and a range of social-cognitive and perceived environmental factors. Respondents were classified as sufficiently active and inactive based on energy expenditure estimates (kcal/week) derived from self-reported physical activity. Two logistic regression models, with and without self-efficacy included, were conducted to identify modifiable independent predictors of physical activity.
Significantly more males than females were physically active. Physical activity participation was related to age with a greater proportion of those age 65-69 being active than those age 60-64 or 70 or older. High self-efficacy, regular participation of friends and family, finding footpaths safe for walking, and access to local facilities were significantly associated with being active.
Identifying predictors of physical activity in older populations, particularly social support, facility access, and neighbourhood safety, can inform the development of policy and intervention strategies to promote the health of older people.
老年人定期进行体育活动有助于健康老龄化、提高功能能力并预防疾病。然而,老年人群中与身体活动不足相关的因素却鲜为人知。本研究旨在确定与老年人群体育活动参与相关的社会认知和感知环境影响因素。
在随机抽取的449名60岁及以上的澳大利亚成年人样本中,我们评估了自我报告的体育活动以及一系列社会认知和感知环境因素。根据自我报告的体育活动得出的能量消耗估计值(千卡/周),将受访者分为身体活动充足和不充足两类。进行了两个逻辑回归模型,一个包含自我效能感,另一个不包含,以确定体育活动的可改变独立预测因素。
身体活动的男性明显多于女性。体育活动参与与年龄有关,65 - 69岁年龄段中身体活动的比例高于60 - 64岁或70岁及以上年龄段。高自我效能感、朋友和家人的定期参与、认为人行道适合行走以及可使用当地设施与身体活动显著相关。
确定老年人群体育活动的预测因素,特别是社会支持、设施使用和社区安全,可以为制定促进老年人健康的政策和干预策略提供参考。