Kalata Carolyn, Reyes Ramon, Kuhail Kamal, Larson Janet L, Chen Weiyun
School of Kinesiology, University of Michigan, Ann Arbor, MI 48109, USA.
School of Nursing, University of Michigan, Ann Arbor, MI 48109, USA.
Healthcare (Basel). 2025 May 16;13(10):1159. doi: 10.3390/healthcare13101159.
While a majority of older adults fail to engage in recommended levels of physical activity (PA), lower-income older adults face unique challenges. They are at greater risk for low levels of PA, but little is known about the barriers they face.
This study aimed to investigate self-reported PA and barriers to PA for older adult residents of subsidized low-income senior housing, comparing barriers for those with lower and higher levels of PA.
Ninety-two older adults (mean age 76.57 (SD = 7.50)) were recruited from low-income senior housing facilities. They completed a demographic questionnaire, the International Physical Activity Questionnaire (IPAQ), which measures MET-minutes/week of engaging in vigorous, moderate, and light PA levels, and the 27-item Inventory of Physical Activity Barriers (IPAB), which measures multifaceted barriers to PA.
The most common barrier for all residents was the PA priority. Independent -tests revealed that the low-active group faced greater barriers than the high-active group in physical health barriers ( = 2.329, = 0.022), PA priority of ( = 2.836, = 0.006), environmental barriers ( = 2.072, = 0.042), and total PA barriers ( = 2.281, = 0.025). No significant differences were found between the low-active and high-active groups for emotional health barriers, skill barriers, external factor barriers, and social barriers.
The low-active older adults were less likely to overcome barriers, such as physical health issues, PA priority, and environmental factors. Further research is necessary to gain a deeper understanding of the characteristics and underlying mechanisms of these barriers and to develop effective strategies for addressing them. However, findings should be interpreted cautiously due to the small and convenient sample and potential bias from self-reported PA measures.
虽然大多数老年人未能达到推荐的身体活动水平,但低收入老年人面临着独特的挑战。他们身体活动水平低的风险更大,但对他们所面临的障碍知之甚少。
本研究旨在调查补贴型低收入老年住房中老年居民自我报告的身体活动情况及身体活动障碍,比较身体活动水平较低和较高者所面临的障碍。
从低收入老年住房设施中招募了92名老年人(平均年龄76.57岁(标准差 = 7.50))。他们完成了一份人口统计学问卷、国际身体活动问卷(IPAQ),该问卷测量每周进行剧烈、中等和轻度身体活动水平的代谢当量分钟数,以及27项身体活动障碍量表(IPAB),该量表测量身体活动的多方面障碍。
所有居民最常见的障碍是身体活动优先级。独立样本t检验显示,低活动组在身体健康障碍(t = 2.329,p = 0.022)、身体活动优先级(t = 2.836,p = 0.006)、环境障碍(t = 2.072,p = 0.042)和总体身体活动障碍(t = 2.281,p = 0.025)方面比高活动组面临更大的障碍。低活动组和高活动组在情绪健康障碍、技能障碍、外部因素障碍和社会障碍方面未发现显著差异。
身体活动水平低的老年人克服诸如身体健康问题、身体活动优先级和环境因素等障碍的可能性较小。有必要进行进一步研究,以更深入地了解这些障碍的特征和潜在机制,并制定有效的应对策略。然而,由于样本量小且方便抽样以及自我报告的身体活动测量可能存在偏差,研究结果应谨慎解释。