Lesser Iris A, Thomson Cynthia J
School of Kinesiology, University of the Fraser Valley, Chilliwack, BC, Canada.
J Aging Phys Act. 2024 Aug 16;33(1):17-26. doi: 10.1123/japa.2023-0347. Print 2025 Feb 1.
Physical activity (PA) is essential for healthy aging, yet PA levels are low in older adults. Group-based nature programming may be an ideal opportunity for engaging older adults in PA and improving health-related quality of life.
Twenty-seven older adults, 55-75 years of age (n = 14 active and n = 13 previously inactive), enrolled in a biweekly 8-week hiking program. At baseline, participants completed online questionnaires on health-related quality of life, behavioral and psychological outcomes, and a one-mile walk test to assess cardiorespiratory fitness.
Average attendance was 81% in the previously inactive groups and 74% in the active group. There was a significant increase in the physical component of quality of life over time in the previously inactive group (p = .03, d = 0.71). Participants significantly improved their cardiorespiratory fitness (p = .003, d = 0.77) and competency (p = .005, d = 0.41) as assessed by the Basic Psychological Needs for Exercise Scale. The previously inactive group additionally increased their self-efficacy for exercise (p = .001, d = 1.43). Both active and previously inactive groups exercised at a similar relative intensity during the hikes based on heart rate; however, perceived exertion at the end of the hike on average was lower among active participants (p = .014).
Group-based hiking for previously inactive older adults significantly improved physical health-related quality of life over an 8-week biweekly intervention. Hiking at an individualized pace may allow for hiking to be an appropriate PA program in previously inactive older adults.
身体活动对健康老龄化至关重要,但老年人的身体活动水平较低。基于群体的自然活动项目可能是促使老年人参与身体活动并改善健康相关生活质量的理想契机。
27名年龄在55至75岁之间的老年人(14名既往活跃,13名既往不活跃)参加了为期8周的双周徒步项目。基线时,参与者完成了关于健康相关生活质量、行为和心理结果的在线问卷,以及一项一英里步行测试以评估心肺适能。
既往不活跃组的平均出勤率为81%,活跃组为74%。既往不活跃组的生活质量身体维度随时间有显著提高(p = 0.03,d = 0.71)。通过运动基本心理需求量表评估,参与者的心肺适能(p = 0.003,d = 0.77)和能力(p = 0.005,d = 0.41)显著改善。既往不活跃组的运动自我效能感也有所提高(p = 0.001,d = 1.43)。基于心率,活跃组和既往不活跃组在徒步过程中的相对运动强度相似;然而,活跃参与者徒步结束时的主观用力程度平均较低(p = 0.014)。
对于既往不活跃的老年人,基于群体的徒步活动在为期8周的双周干预中显著改善了与身体健康相关方面的生活质量。以个性化的节奏徒步可能使徒步成为既往不活跃老年人适宜的身体活动项目。