Predictors of cessation of regular leisure-time physical activity in community-dwelling elderly people
Predictors of cessation of regular leisure-time physical activity in community-dwelling elderly people
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DOI：
10.1159/000103214
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发表时间：
2007-01-01
期刊：
影响因子：
3.5
通讯作者：
Suzuki, Takao
中科院分区：
文献类型：
--
作者：
Shimada, Hiroyuki;Lord, Stephen R.;Suzuki, Takao
背景资料：保持有规律的身体活动对身心健康很重要，可以提供包括预防慢性疾病在内的益处。然而，对老年人停止习惯性体力活动的原因知之甚少。目的：确定社区老年人停止定期体力活动的预测因素。研究方法：研究人员对居住在日本东京的582名70岁及以上的社区居民进行了为期2年的身体活动水平调查，他们表示他们每周至少参加5天的身体活动。基线人口统计学，健康，身体功能和心理状态的措施被用来作为预测运动停止。结果：在2年的随访中，192名受试者（33%）停止了定期的体力活动。在单变量分析中，女性，吸烟者，那些报告害怕跌倒的人和那些在基线时步行速度较慢的人更有可能停止定期的体力活动。多元Logistic回归分析确定了其中3个变量为活动停止的显著和独立预测因素：女性（校正OR = 1.67，95%CI = 1.13-2.47）、吸烟（OR = 2.34，95%CI = 1.33-4.13）和缓慢步行速度（OR = 1.79，95%CI = 1.07-2.98）。结论：这项研究确定了简单的筛查措施，以确定老年人停止定期体力活动的风险。目前活跃的老年人与这些因素可能会受益于咨询和干预，使他们能够继续参加定期的体育活动。版权所有（c）2007 S. Karger AG，巴塞尔。
Background: Maintaining regular physical activity is important for physical and mental health, providing benefits including protection against chronic disease. However, little is known about the causes of cessation of habitual physical activity in older people. Objectives: To identify predictors of cessation of regular physical activity in community-dwelling elderly people. Methods: 582 community-dwelling people aged 70 years and over who were living in Tokyo, Japan, were surveyed regarding physical activity levels 2 years after completing an initial survey where they indicated they took part in physical activity at least 5 days a week. Baseline demographic, health, physical functioning and psychological status measures were used as predictors of exercise cessation. Results: At the 2-year follow up, 192 subjects (33%) had ceased taking part in regular physical activity. In univariate analyses, women, smokers, those who reported a fear of falling and those with a slower walking speed at baseline were significantly more likely to cease regular physical activity. Multiple logistic regression analysis identified 3 of these variables as significant and independent predictors of activity cessation: female gender (adjusted OR = 1.67, 95% CI = 1.13-2.47); smoking (OR = 2.34, 95% CI = 1.33-4.13), and slow walking speed (OR = 1.79, 95% CI = 1.07-2.98). Conclusions: The study identified simple screening measures for identifying elderly people at risk of ceasing regular physical activity. Currently active older people with these factors may benefit from counseling and interventions to enable them to continue participating in regular physical activity. Copyright (c) 2007 S. Karger AG, Basel.