School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.
Epidemiology and Public Health, University College Cork, Cork, Ireland.
Age Ageing. 2015 Jul;44(4):586-92. doi: 10.1093/ageing/afv042. Epub 2015 Apr 11.
despite the vast literature in the area, few studies examined the large range of factors associated with physical activity (PA) in the older adult collectively, information that could help develop a supportive culture for healthy ageing.
to identify the socio-demographic, social connectedness, physical environment and physical and mental health-related factors associated with PA.
adults aged 65 and over living in the community (n = 3499).
this study used a cross-sectional design. Self-report, interview and physical assessment were the data collection methods used. The International Physical Activity Questionnaire (short form) measured PA in metabolic equivalents.
31.8% of older people did not meet the recommended guidelines. The regression model was significant, explaining 31.3% of the variance in PA (F = 34.32, P < 0.001). In order of strength of relationship, the β coefficients, the variables time spent sitting, gender, quality of life, grip test, disability, age, depression, BMI, anxiety, employment, member of a non-church club, type of house and cognitive ability were significant factors associated with PA.
from a range of 40 original variables, this study identified the variables most strongly related to PA were not physical health or physical environment. They included modifiable variables, such as time spent sitting and mental health, which can be actively targeted in policy and practice. They also included non-modifiable variables such as gender and age that can be addressed through increased awareness and targeted health promotion.
尽管该领域已有大量文献,但很少有研究综合考察与老年人身体活动相关的各种因素,而这些信息有助于为健康老龄化营造支持性环境。
确定与身体活动相关的社会人口学、社会联系、物理环境以及身心健康因素。
居住在社区中的 65 岁及以上成年人(n=3499)。
本研究采用横断面设计。使用自我报告、访谈和身体评估收集数据。国际体力活动问卷(短式)以代谢当量衡量身体活动。
31.8%的老年人不符合推荐的指南。回归模型具有统计学意义,解释了身体活动 31.3%的方差(F=34.32,P<0.001)。按关系强度顺序排列,β系数、久坐时间、性别、生活质量、握力测试、残疾、年龄、抑郁、BMI、焦虑、就业、非教会俱乐部成员、住房类型和认知能力是与身体活动相关的重要因素。
在 40 个原始变量中,本研究确定与身体活动最密切相关的变量不是身体健康或物理环境。其中包括可改变的变量,如久坐时间和心理健康,这可以在政策和实践中积极针对这些变量进行干预。还包括不可改变的变量,如性别和年龄,可通过提高认识和有针对性的健康促进来解决这些问题。