The Finnish Centre for Interdisciplinary Gerontology, Department of Health Sciences, University of Jyväskylä, P.O. Box 35 (Viveca), Jyväskylä 40014, Finland.
Prev Med. 2009 Dec;49(6):506-10. doi: 10.1016/j.ypmed.2009.10.001. Epub 2009 Oct 13.
To examine what older obese people consider as constraints on their physical exercise and to determine whether these constraints can explain the differences in physical activity.
Six hundred nineteen community-living people aged 75-81 years living in Jyväskylä, Central Finland, in 2003 were included in these cross-sectional analyses. Weight and height were measured at the research center, and physical activity and perceived constraints on physical exercise were assessed using validated questionnaires. Participants were categorized as non-obese (n=436), moderately obese (n=127) or severely obese (n=56).
The risk of physical inactivity was two times higher in the moderately obese group (OR 1.99, 95% CI 1.27-3.12) and over four times higher in the severely obese group (OR 4.58, 95% CI 2.55-8.24) compared to the non-obese group. Higher prevalence of comorbidities, pain, tiredness, fear of falling and injury, discomfort and feelings of insecurity when exercising explained almost half of the increased risk of physical inactivity of older severely obese people.
Results suggest that physical activity promotion among older obese people may be well received as long as it focuses on factors that enable participation in physical activity and takes into account their constraints on physical activity.
探讨老年肥胖者认为哪些因素限制了他们的体育锻炼，并确定这些限制因素是否可以解释他们体育活动量的差异。
2003 年，在芬兰中南部于韦斯屈莱市，对 619 名居住在社区的 75-81 岁的老年人进行了横断面分析。在研究中心测量体重和身高，使用经过验证的问卷评估身体活动和感知到的体育锻炼限制。参与者分为非肥胖组（n=436）、中度肥胖组（n=127）和重度肥胖组（n=56）。
与非肥胖组相比，中度肥胖组（OR 1.99，95% CI 1.27-3.12）和重度肥胖组（OR 4.58，95% CI 2.55-8.24）体力活动不足的风险高 2 倍和高 4 倍以上。较高的合并症、疼痛、疲劳、跌倒和受伤恐惧、不适和锻炼时的不安全感患病率，解释了老年重度肥胖者体力活动不足风险增加的近一半。
结果表明，只要关注促进身体活动的因素，并考虑到他们对身体活动的限制，老年肥胖者的身体活动促进可能会得到很好的接受。
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