Population Health Sciences, University of Alaska Anchorage, Anchorage, AK, USA.
National Resource Center for Alaska Native Elders, University of Alaska Anchorage, Anchorage, AK, USA.
Int J Circumpolar Health. 2024 Dec;83(1):2359164. doi: 10.1080/22423982.2024.2359164. Epub 2024 May 29.
Older adults often face barriers to obtaining recommended diet, physical activity, and fitness levels. Understanding these patterns can inform effective interventions targeting health beliefs and behavior. This cross-sectional study included a multicultural sample of 58 older adults (aged 55+ years, M=71.98) living in independent senior housing in urban Southcentral Alaska. Participants completed a questionnaire and the Senior Fitness Test that assessed self-reported fruit and vegetable intake, physical activity, self-efficacy, and functional fitness. T-tests and bivariate correlation analyses were used to test six hypotheses. Results indicated that participants had low physical activity but had a mean fruit and vegetable intake that was statistically significantly higher than the hypothesized "low" score. Only 4.26% of participants met functional fitness standards for balance/agility, and 8.51% met standards for lower-body strength. However, 51.1% met standards for upper-body strength and 46.8% met standards for endurance The results also indicated that nutrition self-efficacy and exercise self-efficacy were positively related to fruit and vegetable intake and physical activity levels, respectively. Interestingly, income was not related to nutrition or activity patterns. These data complicate the picture on dietary and physical activity patterns for older adults in Alaska and offer recommendations for future health promotion activities.
老年人在获得推荐的饮食、身体活动和健康水平方面常常面临障碍。了解这些模式可以为针对健康信念和行为的有效干预提供信息。本横断面研究包括阿拉斯加中南部城市独立老年人住宅中 58 名(年龄在 55 岁以上,M=71.98)的多元文化样本。参与者完成了一份问卷和老年人体能测试,该测试评估了自我报告的水果和蔬菜摄入量、身体活动、自我效能和功能性体能。使用 t 检验和双变量相关分析来检验六个假设。结果表明,参与者的身体活动水平较低,但水果和蔬菜的平均摄入量明显高于假设的“低”分。只有 4.26%的参与者符合平衡/敏捷的功能性体能标准,8.51%符合下肢力量标准。然而,51.1%符合上肢力量标准,46.8%符合耐力标准。结果还表明,营养自我效能和运动自我效能分别与水果和蔬菜摄入量以及身体活动水平呈正相关。有趣的是,收入与营养或活动模式无关。这些数据使阿拉斯加老年人的饮食和身体活动模式变得复杂,并为未来的健康促进活动提供了建议。