Factors associated with physical activity among older people--a population-based study.

BACKGROUND Regular physical activity improves survival and functional ability, and can improve quality of life. Few studies have examined factors associated with physical activity in older adults at a population level. This study examines factors associated with physical activity in the New South Wales (NSW) older population. METHODS Data from a random survey of 8881 community-dwelling people aged 65+ years were examined. We used Cox's regression to analyze the influence of demographic, health, and social factors on physical activity. 'Adequate' physical activity was defined as at least 30 min of walking, moderate or vigorous activity on at least 5 days in the last week. Reported barriers to physical activity were also examined. RESULTS Adequate physical activity was independently associated with sex (male), younger age, ability to travel independently, better physical functioning, lower psychological distress, rural residence, not having diabetes, adequate fruit and vegetable intake, and speaking a language other than English at home. No independent associations were found for good long distance eyesight, being a caregiver, living alone, age left school, employment status, fear of falling, or perception of neighborhood safety. Health problems were frequently reported barriers to physical activity. CONCLUSIONS About half of older adults report adequate physical activity. These results will inform strategies to promote physical activity among older people.

[1]  R. Cumming,et al.  Interventions for preventing falls in elderly people. , 2003, The Cochrane database of systematic reviews.

[2]  R. Kessler,et al.  Short screening scales to monitor population prevalences and trends in non-specific psychological distress , 2002, Psychological Medicine.

[3]  Mark A Pereira,et al.  Physical Activity, Falls, and Fractures Among Older Adults: A Review of the Epidemiologic Evidence , 2000, Journal of the American Geriatrics Society.

[4]  Stanley Lemeshow,et al.  Sampling of Populations: Methods and Applications , 1991 .

[5]  A. Drewnowski,et al.  Nutrition, physical activity, and quality of life in older adults: summary. , 2001, The journals of gerontology. Series A, Biological sciences and medical sciences.

[6]  S Greenland,et al.  Interpretation and choice of effect measures in epidemiologic analyses. , 1987, American journal of epidemiology.

[7]  H. Davies,et al.  When can odds ratios mislead? , 1998, BMJ.

[8]  L. Berkman,et al.  Population based study of social and productive activities as predictors of survival among elderly Americans , 1999, BMJ.

[9]  J. Ware SF-36 health survey: Manual and interpretation guide , 2003 .

[10]  Edward L. Korn,et al.  Analysis of Large Health Surveys: Accounting for the Sampling Design , 1995 .

[11]  M. Hirvensalo,et al.  The continuity of physical activity – a retrospective and prospective study among older people , 2000, Scandinavian journal of medicine & science in sports.

[12]  J Nicholl,et al.  Physical activity for the over-65s: could it be a cost-effective exercise for the NHS? , 1997, Journal of public health medicine.

[13]  C. Kooperberg,et al.  Recreational physical activity and the risk of breast cancer in postmenopausal women: the Women's Health Initiative Cohort Study. , 2003, JAMA.

[14]  A. Bauman,et al.  Leisure Time Physical Activity in Australian Women: Relationship with Well Being and Symptoms , 2000, Research quarterly for exercise and sport.

[15]  S B Roberts,et al.  Exercise training and nutritional supplementation for physical frailty in very elderly people. , 1994, The New England journal of medicine.

[16]  A. King Interventions to promote physical activity by older adults. , 2001, The journals of gerontology. Series A, Biological sciences and medical sciences.

[17]  Adrian Bauman,et al.  THE COSTS OF ILLNESS ATTRIBUTABLE TO PHYSICAL INACTIVITY IN AUSTRALIA , 2000 .

[18]  A. Bauman,et al.  Social-cognitive and perceived environment influences associated with physical activity in older Australians. , 2000, Preventive medicine.

[19]  Majid Ezzati,et al.  The burden of disease and injury in Australia , 2000 .

[20]  Hal Kendig,et al.  Older Australia at a glance , 1997 .

[21]  J. Newsom,et al.  Demographic and psychosocial correlates of physical activity in late life. , 2001, American journal of preventive medicine.

[22]  S. Wolf,et al.  Reducing Frailty and Falls in Older Persons: An Investigation of Tai Chi and Computerized Balance Training , 1996, Journal of the American Geriatrics Society.

[23]  K. Patrick,et al.  Physical Activity and Public Health: A Recommendation From the Centers for Disease Control and Prevention and the American College of Sports Medicine , 1995 .

[24]  W. Rejeski,et al.  Physical activity and quality of life in older adults. , 2001, The journals of gerontology. Series A, Biological sciences and medical sciences.

[25]  A. Manley Physical Activity And Health: A Report Of The Surgeon General , 2004 .

[26]  Michael Fitzharris,et al.  Randomised factorial trial of falls prevention among older people living in their own homes , 2002, BMJ : British Medical Journal.

[27]  P. Bath,et al.  Customary physical activity and physical health outcomes in later life. , 1998, Age and ageing.

[28]  E. Simonsick,et al.  Risk due to inactivity in physically capable older adults. , 1993, American journal of public health.

[29]  S. Blair,et al.  Sedentary Habits, Health, and Function in Older Women and Men , 2000, American journal of health promotion : AJHP.