Faculty of Education, Hirosaki University, 1 Bunkyo-cho, Aomori 036-8560, Japan.
Faculty of Regional Collaboration, Kochi University, 2-5-1 Akebono-cho, Kochi 780-8520, Japan.
Int J Environ Res Public Health. 2021 Nov 13;18(22):11944. doi: 10.3390/ijerph182211944.
This study aimed to examine the factors related to participation in volunteer-managed preventive care exercises by focusing on the distance to exercise facilities and interpersonal social networks. A postal mail survey was conducted in 2013 in Kasama City in a rural region of Japan. Older adults (aged ≥ 65 years) who were living independently ( = 16,870) were targeted. Potential participants who were aware of silver-rehabili taisou exercise (SRTE) and/or square-stepping exercise (SSE) were included in the analysis ( = 4005). A multiple logistic regression analysis revealed that social and environmental factors were associated with participation in SRTE and SSE. After adjusting for confounding variables, exercise participation was negatively associated with an extensive distance from an exercise facility in both sexes for SRTE and SSE. Among women, participation in SRTE was negatively associated with weak interpersonal social networks (odds ratio (OR) = 0.57), and participation in SRTE and SSE was negatively associated with being a car passenger (SRTE, OR = 0.76; SSE, OR = 0.60). However, there were no significant interactions between sex and social and environmental factors. Our findings suggest the importance of considering location and transportation to promote participation in preventive care exercise.
本研究旨在探讨与参与志愿者管理的预防保健运动相关的因素，重点关注运动设施的距离和人际社交网络。2013 年，在日本农村地区的笠间市进行了一次邮政邮件调查。目标人群为独立生活的老年人（年龄≥65 岁）（=16870 人）。纳入分析的是知晓银龄康复体能锻炼（SRTE）和/或方步锻炼（SSE）的潜在参与者（=4005 人）。多因素逻辑回归分析显示，社会和环境因素与 SRTE 和 SSE 的参与有关。调整混杂变量后，对于男女而言，参与 SRTE 和 SSE 与远离运动设施的距离呈负相关。对于女性而言，参与 SRTE 与人际社交网络薄弱呈负相关（比值比（OR）=0.57），参与 SRTE 和 SSE 与作为乘客乘坐汽车呈负相关（SRTE，OR=0.76；SSE，OR=0.60）。然而，性别与社会和环境因素之间没有显著的交互作用。我们的研究结果表明，考虑到位置和交通因素对于促进预防保健运动的参与至关重要。
