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65至100岁成年人中感知到的障碍及客观测量的身体活动的作用。

The role of perceived barriers and objectively measured physical activity in adults aged 65-100.

作者信息

Gellert Paul, Witham Miles D, Crombie Iain K, Donnan Peter T, McMurdo Marion E T, Sniehotta Falko F

机构信息

Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.

Section of Ageing and Health, Ninewells Hospital, University of Dundee, Dundee DD1 9SY, UK.

出版信息

Age Ageing. 2015 May;44(3):384-90. doi: 10.1093/ageing/afv001. Epub 2015 Feb 17.

Abstract

OBJECTIVE

to test the predictive utility of perceived barriers to objectively measured physical activity levels in a stratified sample of older adults when accounting for social-cognitive determinants proposed by the Theory of Planned Behaviour (TPB), and economic and demographic factors.

METHODS

data were analysed from the Physical Activity Cohort Scotland survey, a representative and stratified (65-80 and 80+ years; deprived and affluent) sample of 584 community-dwelling older people, resident in Tayside, Scotland. Physical activity was measured objectively by accelerometry.

RESULTS

perceived barriers clustered around the areas of poor health, lack of interest, lack of safety and lack of access. Perceived poor health and lack of interest, but not lack of access or concerns about personal safety, predicted physical activity after controlling for demographic, economic and TPB variables.

DISCUSSION

perceived person-related barriers (poor health and lack of interest) seem to be more strongly associated with physical activity levels than perceived environmental barriers (safety and access) in a large sample of older adults. Perceived barriers are modifiable and may be a target for future interventions.

摘要

目的

在考虑计划行为理论(TPB)提出的社会认知决定因素以及经济和人口因素的情况下,测试在分层抽样的老年人中,感知到的障碍对客观测量的身体活动水平的预测效用。

方法

对苏格兰身体活动队列调查的数据进行分析,该调查是对居住在苏格兰泰赛德的584名社区居住老年人进行的具有代表性的分层抽样(65 - 80岁和80岁以上;贫困和富裕)。通过加速度计客观测量身体活动。

结果

感知到的障碍集中在健康状况差、缺乏兴趣、缺乏安全性和缺乏便利性等方面。在控制了人口统计学、经济和TPB变量后,感知到的健康状况差和缺乏兴趣,但不是缺乏便利性或对个人安全的担忧,预测了身体活动。

讨论

在大量老年人样本中,与身体活动水平相关的感知到的与个人相关的障碍(健康状况差和缺乏兴趣)似乎比感知到的环境障碍(安全性和便利性)更强。感知到的障碍是可改变的,可能是未来干预的目标。

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