Are rural older Icelanders less physically active than those living in urban areas? A population-based study

Are rural older Icelanders less physically active than those living in urban areas? A population-based study
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DOI:
10.1177/1403494809102776
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发表时间:
2009-06-01
影响因子:
3.4
通讯作者:
Lundin-Olsson, Lillemor
Lundin-Olsson, Lillemor
中科院分区:
医学3区
文献类型:
--
作者:
Arnadottir, Solveig A.;Gunnarsdottir, Elin D.;Lundin-Olsson, Lillemor

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背景:根据休闲时间身体活动研究,农村地区的老年人被标记为身体不活跃。然而,需要更多的研究来了解老年人的总体身体活动模式,考虑身体活动的所有领域,包括休闲、工作和家庭生活。目标:我们假设: (a) 城市和农村地区老年人的总体力活动量相同; (b) 城市和农村居住情况以及性别和年龄与特定领域体育活动的差异有关。方法:收集了 2004 年 6 月至 9 月冰岛农村和城市社区的横断面数据。参与者是随机选择的,居住在社区,年龄为 65-88 岁,包括 68 名农村成年人(40% 女性)和 118 名城市成年人(53% 女性)。老年人体力活动量表(PASE)用于获得休闲、家庭生活和工作中体力活动总分和分项分数。结果:PASE 总分与农村和城市居住地无关,但总体而言,男性比女性更活跃,65-74 岁的人比 75-88 岁的人更活跃。在休闲领域,农村人的体力活动得分低于城市人。然而,农村男性最有可能在工作领域进行体力活动。无论是城市还是农村,大多数体力活动行为都与家务有关,其中农村女性得分最高。结论:农村地区的老年冰岛人不应该被贴上比城市地区的老年人运动量少的标签。然而,城市与农村生活可能会影响老年人的身体活动模式,即使是在冰岛这样社会经济和文化相当同质的国家也是如此。这强调了在研究和制定促进身体活动的策略时更加关注生活环境的必要性。
Background: Older people in rural areas have been labelled as physically inactive on the basis of leisure-time physical activity research. However, more research is needed to understand the total physical activity pattern in older adults, considering all domains of physical activity, including leisure, work, and domestic life. Aims: We hypothesised that: (a) total physical activity would be the same for older people in urban and rural areas; and (b) urban and rural residency, along with gender and age, would be associated with differences in domain-specific physical activities. Methods: Cross-sectional data were collected in Icelandic rural and urban communities from June through to September 2004. Participants were randomly selected, community-dwelling, 65-88 years old, and comprised 68 rural (40% females) and 118 urban (53% females) adults. The Physical Activity Scale for the Elderly (PASE) was used to obtain a total physical activity score and subscores in leisure, during domestic life, and at work. Results: The total PASE score was not associated with rural vs. urban residency, but males were, in total, more physically active than females, and the 65-74-year-olds were more active than the 75-88-year-olds. In the leisure domain, rural people had lower physical activity scores than urban people. Rural males were, however, most likely of all to be physically active in the work domain. In both urban and rural areas, the majority of the physical activity behaviour occurred in relation to housework, with the rural females receiving the highest scores. Conclusions: Older Icelanders in rural areas should not be labelled as less physically active than those who live in urban areas. Urban vs. rural living may, however, influence the physical activity patterns among older people, even within a fairly socioeconomically and culturally homogeneous country such as Iceland. This reinforces the need to pay closer attention to the living environment when studying and developing strategies to promote physical activity.