What do community-dwelling Caucasian and South Asian 60-70 year olds think about exercise for fall prevention?

What do community-dwelling Caucasian and South Asian 60-70 year olds think about exercise for fall prevention?
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DOI:
10.1093/ageing/afn237
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发表时间:
2009-01
期刊:
影响因子:
6.7
通讯作者:
Todd, Chris
Todd, Chris
中科院分区:
医学1区
文献类型:
--
作者:
Horne, Maria;Speed, Shaun;Skelton, Dawn;Todd, Chris

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背景:预防福尔斯跌倒的策略通常建议定期锻炼。然而,在英国,40%的50岁以上的人报告说,他们的身体活动比建议的要少。据报告,南亚老年人久坐不动的比例甚至更高。目的:确定影响英国社区居住的60-70奥尔兹的高加索和南亚人对预防跌倒运动的吸收和坚持的突出信念。研究方法:我们进行了一项民族志研究,使用参与者观察,15个焦点小组(n = 87;平均年龄= 65.7岁)和40个单独的半结构化访谈(平均年龄= 64.8岁)。数据分析采用框架分析法。结果:年轻的老年人不承认他们的跌倒风险,一般不积极运动,以防止福尔斯。那些曾经跌倒的人更有可能承认未来福尔斯的风险。虽然白人和南亚人对福尔斯和运动的许多信念非常相似,但南亚人更倾向于表达宿命论的信念。结论:预防跌倒不应该是增加运动吸收和坚持的策略的重点。运动的更广泛的好处,导致积极健康的生活方式应该得到鼓励。
Background: strategies to prevent falls often recommend regular exercise. However, 40% of over 50s in the UK report less physical activity than is recommended. Even higher rates of sedentary behaviour have been reported among South Asian older adults. Objective: to identify salient beliefs that influence uptake and adherence to exercise for fall prevention among community-dwelling Caucasian and South Asian 60–70 year olds in the UK. Methods: we undertook an ethnographic study using participant observation, 15 focus groups (n = 87; mean age = 65.7 years) and 40 individual semi-structured interviews (mean age = 64.8 years). Data analysis used framework analysis. Results: young older adults do not acknowledge their fall risk and are generally not motivated to exercise to prevent falls. Those who had fallen are more likely to acknowledge risk of future falls. Whilst many of the beliefs about falls and exercise expressed were very similar between Caucasians and South Asians, there was a tendency for South Asians to express fatalistic beliefs more often. Conclusion: fall prevention should not be the focus of strategies to increase uptake and adherence to exercise. The wider benefits of exercise, leading to an active healthy lifestyle should be encouraged.
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