Predictors of physical activity in community-dwelling elderly white women

Predictors of physical activity in community-dwelling elderly white women
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社区老年白人女性身体活动的预测因素

DOI:
10.1111/j.1525-1497.2001.00506.x
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发表时间:
2001
影响因子:
5.7
通讯作者:
W. Browner
W. Browner
中科院分区:
医学2区
文献类型:
--
作者:
J. Walsh;A. Pressman;J. Cauley;W. Browner

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摘要目的:描述老年白色女性的体力活动模式,并确定与定期锻炼(尤其是步行)相关的因素。 产品设计:对9,442名65岁及以上独立生活的老年白色女性进行的骨质疏松性骨折研究的横断面研究。 测量和主要结果:我们研究了过去12个月内生活习惯、社会因素、健康状况和自我报告的身体活动(通过改良的Paffenbarger量表评估)之间的关系。步行是最常见的运动形式:4,837名(51%)女性报告每天平均步行12次(SD=10),每周3.9次(SD=2.9)。其他常见的活动是园艺(35%),游泳(16%)和骑自行车(13%)。不到三分之一的女性报告在过去一年中从事中等或高强度的运动。在多变量年龄调整分析中,与步行锻炼相关的独立因素(P<.01)包括高中以上教育(52% vs 48%),30岁(51% vs 46%)和50岁(51% vs 45%)时的体育活动史,以及更强的社会网络(51% vs 47%)。目前吸烟、肥胖或抑郁的女性不太可能散步锻炼。婚姻状况、自我报告的关节炎、目前使用雌激素和过去一年中的福尔斯史与散步锻炼无关。 结论:在这个健康队列中,步行锻炼与其他积极的健康行为有关。鉴于越来越多的证据表明步行对健康有益,而且由于这些社区居住的妇女中有许多人可以步行锻炼,但很少从事其他常见的规定体力活动,临床医生可能最好把精力集中在鼓励步行上。
AbstractOBJECTIVE: To describe patterns of physical activity and to determine factors associated with engaging in regular exercise, especially walking, in elderly white women. DESIGN: Cross-sectional study of 9,442 independently living elderly white women aged 65 years and over participating in the Study of Osteoporotic Fractures. MEASUREMENTS AND MAIN RESULTS: We studied the association between lifestyle habits, social factors, health status and self-reported physical activity (assessed by modified Paffenbarger scale) during the past twelve months. Walking was the most common form of exercise: 4,837 (51%) women reported doing so a mean of 12 (SD=10) blocks per day, 3.9 (SD=2.9) times per week. Other common activities were gardening (35%), swimming (16%), and bicycling (13%). Less than a third of women reported engaging in medium- or high-intensity exercise in the past year. In a multivariate age-adjusted analysis, factors independently (P<.01) associated with walking for exercise included greater than high school education (52% vs 48%), history of physical activity for exercise at ages 30 years (51% vs 46%) and 50 years (51% vs 45%), and stronger social network (51% vs 47%). Women who were current smokers, obese, or depressed were less likely to take walks for exercise. Marital status, self-reported arthritis, current estrogen use, and a history of falls in the past year were not independently associated with taking walks for exercise. CONCLUSIONS: In this healthy cohort, walking for exercise is associated with other positive health behaviors. Given the mounting evidence about the health benefits of walking, and since many of these community dwelling women can and do walk for exercise, but rarely engage in other common prescribed physical activities, clinicians might best focus their efforts on encouraging walking.
DOI: 10.1016/0091-7435(92)90022-a
发表时间: 1992-03-01
影响因子: 5.1
作者:
SALLIS, JF;HOVELL, MF;HOFSTETTER, CR
通讯作者: HOFSTETTER, CR
DOI: 10.1056/nejm199908263410904
发表时间: 1999-08-26
影响因子: 158.5
作者:
Manson, JE;Hu, FB;Hennekens, CH
通讯作者: Hennekens, CH
DOI: 10.1001/jama.281.4.327
发表时间: 1999-01-27
影响因子: 120.7
作者:
Dunn, AL;Marcus, BH;Blair, SN
通讯作者: Blair, SN
健康老年人功能衰退的风险。
DOI: 10.1016/0895-4356(89)90103-0
发表时间: 1989
影响因子: 7.2
作者:
Mor,V;Murphy,J;Masterson-Allen,S;Willey,C;Razmpour,A;Jackson,ME;Greer,D;Katz,S
通讯作者: Katz,S
DOI: 10.1056/nejm199503233321202
发表时间: 1995-03-23
影响因子: 158.5
作者:
CUMMINGS, SR;NEVITT, MC;VOGT, TM
通讯作者: VOGT, TM