Predictors of Physical Activity Levels in Community-Dwelling Older Adults: A Multivariate Approach Based on a Socio-Ecological Framework
Predictors of Physical Activity Levels in Community-Dwelling Older Adults: A Multivariate Approach Based on a Socio-Ecological Framework
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DOI：
10.1123/japa.2016-0286
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发表时间：
2018-01-01
影响因子：
1.5
通讯作者：
Chad, Karen E.
中科院分区：
文献类型：
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作者：
Fisher, Koren L.;Harrison, Elizabeth L.;Chad, Karen E.
本研究的目的是探讨50岁及以上社区居民自我报告的身体活动（PA）与个人，社会和环境因素之间的横截面关系。考虑到邻居的聚类，使用广义估计方程来检查选定的相关因素和老年人体力活动量表（PASE）评分之间的关联，同时调整混杂因素。分析了601名参与者的数据：79%为女性，37%已婚，平均年龄76.8（+/- 8.7）岁，平均PASE评分112.6（+/- 64.8）。年龄，住在老年人的住房，使用护理/家庭护理服务，接受鼓励是积极的，并在附近有长椅与PASE呈负相关。自我效能感、SF-12评分、PA障碍、社会支持和试验的存在显示出正相关。与PA相关的一些个人，社会和环境因素被确定。在为老年人制定PA计划时，应考虑PA与居住在老年人住房单元之间的反向关联。
The purpose of this study was to explore cross-sectional relationships between self-reported physical activity (PA) and personal, social, and environmental factors in community-dwelling adults aged 50 years and older. Accounting for clustering by neighborhood, generalized estimating equations were used to examine associations between selected correlates and the Physical Activity Scale for the Elderly (PASE) score while adjusting for confounders. Data for 601 participants were analyzed: 79% female, 37% married, mean age 76.8 (+/- 8.7) years, mean PASE score 112.6 (+/- 64.8). Age, living in seniors' housing, using nursing/home care services, receiving encouragement to be active, and having benches available in the neighborhood were inversely associated with PASE. Self-efficacy, SF-12 score, PA barriers, social support, and the presence of trails showed positive associations. Several personal, social, and environmental factors associated with PA were identified. The inverse association between PA and living in seniors' housing units should be considered when developing PA programs for older adults.