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社区居住老年人身体活动水平的预测因素:基于社会生态框架的多变量方法。

Predictors of Physical Activity Levels in Community-Dwelling Older Adults: A Multivariate Approach Based on a Socio-Ecological Framework.

作者信息

Fisher Koren L, Harrison Elizabeth L, Bruner Brenda G, Lawson Joshua A, Reeder Bruce A, Ashworth Nigel L, Sheppard M Suzanne, Chad Karen E

出版信息

J Aging Phys Act. 2018 Jan 1;26(1):114-120. doi: 10.1123/japa.2016-0286. Epub 2017 Nov 30.

Abstract

The purpose of this study was to explore cross-sectional relationships between self-reported physical activity (PA) and personal, social, and environmental factors in community-dwelling adults aged 50 years and older. Accounting for clustering by neighborhood, generalized estimating equations were used to examine associations between selected correlates and the Physical Activity Scale for the Elderly (PASE) score while adjusting for confounders. Data for 601 participants were analyzed: 79% female, 37% married, mean age 76.8 (± 8.7) years, mean PASE score 112.6 (± 64.8). Age, living in seniors' housing, using nursing/home care services, receiving encouragement to be active, and having benches available in the neighborhood were inversely associated with PASE. Self-efficacy, SF-12 score, PA barriers, social support, and the presence of trails showed positive associations. Several personal, social, and environmental factors associated with PA were identified. The inverse association between PA and living in seniors' housing units should be considered when developing PA programs for older adults.

摘要

本研究的目的是探讨50岁及以上社区居住成年人自我报告的身体活动(PA)与个人、社会和环境因素之间的横断面关系。考虑到邻里间的聚类情况,在调整混杂因素的同时,使用广义估计方程来检验选定相关因素与老年人身体活动量表(PASE)得分之间的关联。对601名参与者的数据进行了分析:79%为女性,37%已婚,平均年龄76.8(±8.7)岁,平均PASE得分为112.6(±64.8)。年龄、居住在老年公寓、使用护理/家庭护理服务、受到积极活动的鼓励以及邻里有长椅与PASE呈负相关。自我效能感、SF-12得分、PA障碍、社会支持以及有步道则呈正相关。确定了几个与PA相关的个人、社会和环境因素。在为老年人制定PA计划时,应考虑PA与居住在老年公寓之间的负相关关系。

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