Mun Seo Young, Choi Byung-Chan, Lee Jung Soo, Kim Yeo Hyung
Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea.
J Clin Med. 2024 Oct 2;13(19):5900. doi: 10.3390/jcm13195900.
Despite the importance of resistance exercise in older adults, factors associated with participation remain unclear, especially regarding sex differences. This study investigated sociodemographic, behavioral, and comorbidity factors associated with insufficient resistance exercise participation among community-dwelling older adults in Korea, with analyses stratified by sex. Nationally representative cross-sectional data from 8671 participants aged ≥65 years (3758 men and 4913 women; mean age 72.8) were analyzed using the 6th-8th Korea National Health and Nutrition Examination Surveys (2014-2019). Complex-sample multivariable logistic regression identified factors associated with insufficient resistance exercise overall and by sex. Women had a higher prevalence of insufficient resistance exercise than men (91.27% vs. 71.04%, < 0.001). Older age groups, particularly those aged ≥80 years (OR: 2.39; 95% CI: 1.86-3.07), and those with lower education (OR: 1.56; 95% CI: 1.33-1.82), rural residence (OR: 1.89; 95% CI: 1.49-2.38), low household income, (OR: 1.45; 95% CI: 1.13-1.88), insufficient aerobic exercise (OR: 1.68; 95% CI: 1.46-1.94), current smoking (OR: 1.70; 95% CI: 1.26-2.29), and diabetes (OR: 1.28; 95% CI: 1.09-1.51) were independently associated with a higher likelihood of insufficient resistance exercise. The association of household income, current smoking, hypertension, and diabetes with resistance exercise adherence showed differences in sex-stratified analyses. Multiple sociodemographic, behavioral, and comorbid factors are linked to resistance exercise adherence among older Koreans. Tailored, sex-specific interventions are needed to promote resistance exercise in this population, informing public health strategies and further research on effective approaches for diverse older adults.
尽管抗阻运动对老年人很重要，但与参与抗阻运动相关的因素仍不明确，尤其是性别差异方面。本研究调查了韩国社区居住的老年人中与抗阻运动参与不足相关的社会人口统计学、行为和合并症因素，并按性别进行了分层分析。使用第六至八次韩国国家健康与营养检查调查（2014 - 2019年）对8671名年龄≥65岁的参与者（3758名男性和4913名女性；平均年龄72.8岁）的全国代表性横断面数据进行了分析。复杂样本多变量逻辑回归确定了总体上以及按性别与抗阻运动不足相关的因素。女性抗阻运动不足的患病率高于男性（91.27%对71.04%，<0.001）。年龄较大的群体，特别是80岁及以上的人群（比值比：2.39；95%置信区间：1.86 - 3.07）、受教育程度较低的人群（比值比：1.56；95%置信区间：1.33 - 1.82）、农村居民（比值比：1.89；95%置信区间：1.49 - 2.38）、家庭收入低（比值比：1.45；95%置信区间：1.13 - 1.88）、有氧运动不足（比值比：1.68；95%置信区间：1.46 - 1.94）、当前吸烟（比值比：1.70；95%置信区间：1.26 - 2.29）和糖尿病（比值比：1.28；95%置信区间：1.09 - 1.51）与抗阻运动不足的可能性较高独立相关。家庭收入、当前吸烟、高血压和糖尿病与抗阻运动依从性的关联在按性别分层分析中存在差异。多种社会人口统计学、行为和合并症因素与韩国老年人的抗阻运动依从性有关。需要针对性别制定特定的干预措施来促进该人群的抗阻运动，为公共卫生策略以及针对不同老年人的有效方法的进一步研究提供信息。
