Schonberg Mara A, Marcantonio Edward R, Wee Christina C
Division of General Medicine and Primary Care, Department of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts 02215, USA.
J Am Geriatr Soc. 2006 Apr;54(4):619-26. doi: 10.1111/j.1532-5415.2006.00679.x.
To compare the national prevalence of reported receipt of clinician exercise counseling across four age groups of women (50-64, 65-74, 75-84, and > or =85) and to determine whether age or health are barriers to reported receipt of exercise counseling.
2000 National Health Interview Survey (NHIS).
United States.
Six thousand three hundred eighty-five women aged 50 and older who responded to the 2000 NHIS, representing an estimated 34.5 million noninstitutionalized women nationally.
Exercise counseling, disease burden, functional dependency, and physical inactivity were assessed by questionnaire.
Of the 6,385 women, 52.2% were aged 50 to 64, 24.8% were aged 65 to 74, 18.0% were age 75 to 84, and 5.1% were aged 85 and older. Overall, 28.3% reported that a clinician had recommended that they begin or continue to perform any type of exercise or physical activity during the previous year: 31.4% of women aged 50 to 64, 29.2% of women aged 65 to 74, 21.6% of women aged 75 to 84, and 14.4% of women aged 85 and older. Women aged 75 to 84 (adjusted odds ratio (AOR)=0.8, 95% confidence interval (CI)=0.6-1.0) and women aged 85 and older (AOR=0.6, 95% CI=0.4-0.9) were substantially less likely to report clinician counseling about exercise, before and after adjustment. Further adjustment for illness burden and functional dependency did not attenuate the effect of receipt of exercise counseling.
Reported receipt of exercise counseling by older women is low nationally. Despite known benefits of late-life exercise, women aged 75 and older are less likely to report receiving exercise counseling from their clinicians than women aged 50 to 64. Interventions should be aimed at increasing clinician counseling about exercise, especially to older women.
比较四个年龄组（50 - 64岁、65 - 74岁、75 - 84岁以及≥85岁）女性报告接受临床医生运动咨询的全国患病率，并确定年龄或健康状况是否是报告接受运动咨询的障碍。
2000年全国健康访谈调查（NHIS）。
美国。
对2000年NHIS做出回应的6385名50岁及以上女性，代表全国约3450万非机构化女性。
通过问卷评估运动咨询、疾病负担、功能依赖和身体活动不足情况。
在6385名女性中，52.2%年龄在50至64岁之间，24.8%年龄在65至74岁之间，18.0%年龄在75至84岁之间，5.1%年龄在85岁及以上。总体而言，28.3%报告称临床医生在前一年建议她们开始或继续进行任何类型的运动或体育活动：50至64岁女性中有31.4%，65至74岁女性中有29.2%，75至84岁女性中有21.6%，85岁及以上女性中有14.4%。在调整前后，75至84岁女性（调整后的优势比（AOR）=0.8，95%置信区间（CI）=0.6 - 1.0）和85岁及以上女性（AOR = 0.6，95% CI = 0.4 - 0.9）报告接受临床医生运动咨询的可能性显著更低。对疾病负担和功能依赖进行进一步调整并没有减弱接受运动咨询的效果。
全国范围内老年女性报告接受运动咨询的比例较低。尽管已知晚年运动有益，但75岁及以上女性比50至64岁女性报告从临床医生那里接受运动咨询的可能性更低。干预措施应旨在增加临床医生对运动的咨询，尤其是针对老年女性。
