Benzinger P, Iwarsson S, Kroog A, Beische D, Lindemann U, Klenk J, Becker C
Department for Geriatric Rehabilitation, Robert-Bosch Krankenhaus, Auerbachstr. 110, 70376, Stuttgart, Germany,
Aging Clin Exp Res. 2014 Aug;26(4):377-85. doi: 10.1007/s40520-014-0196-0. Epub 2014 Jan 28.
Physical activity (PA) decreases with increasing age despite the fact that PA exerts beneficial effects on many age-related diseases and conditions. Consequently, there is an interest in modifiable factors that may influence PA among older persons. The purpose of this study was to examine the association between PA and the home environment in well-functioning older community-dwelling persons.
This study used a person-environment (P-E) fit perspective to the home environment, operationalized by means of assessment of functional limitations in 81 community-dwelling persons (median age 79 years) as well as environmental barriers in their home environments and the nearby exterior surroundings. The interaction between functional limitations and environmental barriers generated a score expressing the magnitude of P-E fit problems in their home environment. PA was rated with a questionnaire covering household-related and recreational activities.
We found a significant association between PA and the magnitude of P-E fit problems that explained 3.9 % of the variance of PA. The number of environmental barriers per se was not significantly associated with PA, while functional limitations explained 6.8 % of the variance of PA.
In well-functioning older persons living in the community environmental aspects of housing demonstrated a weak association with PA.
尽管身体活动(PA)对许多与年龄相关的疾病和状况具有有益影响,但随着年龄增长,身体活动会减少。因此,人们对可能影响老年人身体活动的可改变因素产生了兴趣。本研究的目的是探讨功能良好的社区居住老年人的身体活动与家庭环境之间的关联。
本研究从人-环境(P-E)适配的角度研究家庭环境,通过评估81名社区居住者(中位年龄79岁)的功能受限情况以及其家庭环境和附近外部环境中的环境障碍来实现。功能受限与环境障碍之间的相互作用产生了一个分数,用以表示其家庭环境中P-E适配问题的严重程度。通过一份涵盖家庭相关活动和娱乐活动的问卷对身体活动进行评分。
我们发现身体活动与P-E适配问题的严重程度之间存在显著关联,该关联解释了身体活动方差的3.9%。环境障碍的数量本身与身体活动无显著关联,而功能受限解释了身体活动方差的6.8%。
在功能良好的社区居住老年人中,住房的环境因素与身体活动之间存在较弱的关联。