Souza Adelle M R, Fillenbaum Gerda G, Blay Sergio L
Department of Psychiatry, Federal University of São Paulo, (Escola Paulista de Medicina-UNIFESP), São Paulo, São Paulo, Brazil.
Center for the Study of Aging and Human Development, Duke University Medical Center, Durham, NC, United States of America.
PLoS One. 2015 Feb 20;10(2):e0117060. doi: 10.1371/journal.pone.0117060. eCollection 2015.
Current information on the epidemiology of physical inactivity among older adults is lacking, making it difficult to target the inactive and to plan for interventions to ameliorate adverse effects.
To present statewide representative findings on the prevalence of physical inactivity among older community residents, its correlates and associated health service use.
A representative non-institutionalized random sample of 6963 individuals in Rio Grande do Sul, Brazil, aged ≥60 years, was interviewed face-to-face. Information was obtained on demographic characteristics, social resources, health conditions and behaviors, health service use, and physical inactivity. Controlled logistic regression was used to determine the association of physical inactivity with these characteristics.
Overall, 62% reported no regular physical activity. Physical inactivity was significantly more prevalent among women, older persons, those with lower education and income, Afro-Brazilians (73%; White: 61%; "other": 64%), those no longer married, and was associated with multiple individual health conditions and impaired activities of daily living (ADL). In adjusted analyses, associations remained for sociodemographic characteristics, social participation, impaired self-rated health, ADL, vision, and depression (odds ratios (OR) 1.2-1.7). Physically inactive respondents were less likely to report outpatient visits (OR 0.81), but more likely to be hospitalized (OR 1.41).
Physical inactivity is highly prevalent, particularly among Afro -Brazilians. It is associated with adverse sociodemographic characteristics; lack of social interaction; and poor self-rated health, ADL, vision, and depression; although not with other health conditions. Self-care may be neglected, resulting in hospitalization.
目前缺乏关于老年人身体活动不足流行病学的信息，这使得难以针对缺乏身体活动的人群并规划改善不良影响的干预措施。
呈现关于老年社区居民身体活动不足患病率、其相关因素及相关医疗服务利用情况的全州代表性研究结果。
对巴西南里奥格兰德州6963名年龄≥60岁的非机构化随机抽样代表性个体进行面对面访谈。获取了有关人口统计学特征、社会资源、健康状况与行为、医疗服务利用情况以及身体活动不足方面的信息。采用对照逻辑回归来确定身体活动不足与这些特征之间的关联。
总体而言，62%的人报告没有规律的体育活动。身体活动不足在女性、老年人、教育程度和收入较低者、非裔巴西人（73%；白人：61%；“其他”：64%）、不再结婚者中更为普遍，并且与多种个体健康状况以及日常生活活动（ADL）受损相关。在调整分析中，社会人口统计学特征、社会参与、自评健康受损、ADL、视力和抑郁方面的关联仍然存在（比值比（OR）为1.2 - 1.7）。身体活动不足的受访者报告门诊就诊的可能性较小（OR 0.81），但住院的可能性较大（OR 1.41）。
身体活动不足非常普遍，尤其是在非裔巴西人中。它与不良的社会人口统计学特征、缺乏社交互动以及自评健康状况差、ADL、视力和抑郁相关；尽管与其他健康状况无关。自我护理可能被忽视，从而导致住院治疗。
