Macniven Rona, Pye Victoria, Merom Dafna, Milat Andrew, Monger Claire, Bauman Adrian, van der Ploeg Hidde
School of Public Health, University of Sydney, Camperdown, NSW, Australia.
J Phys Act Health. 2014 Sep;11(7):1420-9. doi: 10.1123/jpah.2012-0096. Epub 2013 Dec 20.
Physical activity interventions targeting older adults are optimized if barriers and enablers are better understood. This study identified barriers and enablers of physical activity and examined whether these were associated with meeting physical activity recommendations.
2225 adults aged 65 years and above who perceived themselves to be insufficiently active but would like to be more physically active self-reported their barriers and enablers to physical activity in the 2009 New South Wales Falls Prevention Survey. Binary logistic regression analyses examined associations between barriers and enablers and meeting the physical activity recommendation.
After adjusting for gender, age, BMI, and education, people who listed ill health (52%; OR = 0.56, 95% CI 0.45 to 0.70) as a barrier or who listed people to exercise with (4%; OR = 0.49, 95% CI 0.27 to 0.88) as an enabler had significantly lower odds of meeting recommendations. Those citing too expensive (3%) as a barrier (OR = 2.07, 95% CI 1.11 to 3.87) or who listed nothing will help (29%; OR = 1.40, 95% CI 1.10 to 1.77) and making time to be active (9%; OR = 1.78, 95% CI 1.23 to 2.58) as enablers had significantly higher odds of meeting physical activity recommendations.
These findings give insights into older adults' perceptions of factors that influence their physical activity, which could assist physical activity program planning in this population.
如果能更好地了解障碍因素和促进因素,针对老年人的体育活动干预措施将得到优化。本研究确定了体育活动的障碍因素和促进因素,并研究了这些因素是否与达到体育活动建议标准相关。
在2009年新南威尔士州预防跌倒调查中,2225名65岁及以上的成年人自我报告了他们进行体育活动的障碍因素和促进因素,这些人认为自己的活动量不足,但希望增加体育活动量。二元逻辑回归分析研究了障碍因素、促进因素与达到体育活动建议标准之间的关联。
在对性别、年龄、体重指数和教育程度进行调整后,将健康状况不佳(52%;比值比=0.56,95%置信区间0.45至0.70)列为障碍因素或把有一起锻炼的人(4%;比值比=0.49,95%置信区间0.27至0.88)列为促进因素的人达到建议标准的几率显著较低。将费用过高(3%)列为障碍因素的人(比值比=2.07,95%置信区间1.11至3.87),或把没有什么能起作用(29%;比值比=1.40,95%置信区间1.10至1.77)以及抽出时间进行锻炼(9%;比值比=1.78,95%置信区间1.23至2.58)列为促进因素的人达到体育活动建议标准的几率显著较高。
这些研究结果深入了解了老年人对影响其体育活动的因素的看法,这有助于针对该人群制定体育活动计划。