Characterising patterns and changes in physical activity in older people and their determinants and consequences

描述老年人身体活动的模式和变化及其决定因素和后果

• 批准号: MR/K025147/1
• 负责人: Simon Griffin
• 金额: $ 99.27万
• 依托单位: University of Cambridge
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2013
• 资助国家: 英国
• 起止时间: 2013 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FK025147%2F1
• 关键词: Characterising; patterns; changes; physical; activity

Non-communicable diseases such as diabetes, heart disease, cancer and mental health problems account for 60% of deaths globally. Poor diet and lack of physical activity play an important role in increasing the chance of developing these diseases. Physical inactivity is estimated to account for around 1 in 10 deaths worldwide, comparable to the impact of smoking. In the face of these statistics it would seem intuitive that everyone should strive to make individual choices to adopt an active lifestyle. However, we do not make such choices in isolation and our activity levels are believed to be driven as much by the broader social, cultural, economic and physical environment in which we live by as our personal knowledge, attitudes and beliefs.One of the main challenges that will face health services, and society, in the foreseeable future is the care of older people with limitations to their independent living. The promotion of physical activity among the middle-aged and elderly may make this challenge more manageable. Unfortunately, the majority of research on levels and patterns of physical activity, why some people are more active than others, and the links between physical activity and health outcomes has been undertaken among individuals less than 60 years of age, and has relied on imprecise questionnaire measures.Our existing collaboration of scientists includes expertise in a range of disciplines from Public Health and Epidemiology, Health Geography and Health Economics to Social and Behavioural Science. We have worked effectively together for several years as part of a national Public Health Centre of Excellence called CEDAR (Centre of Excellence in Diet and Activity Research). CEDAR is a collaboration between Medical Research Council (MRC) Units in Cambridge, the University of Cambridge, the University of East Anglia (UEA) and non-academic partners including the East of England Public Health Observatory (ERPHO). CEDAR researches the determinants of diet and activity at the population level and develops and evaluates potential preventive interventions (see http://www.cedar.iph.cam.ac.uk/).We have expertise in the causes of chronic disease, in physical activity and its measurement and in the development and evaluation of interventions to promote physical activity among individuals with or at high risk of disease. We also have access to a large population-based sample of older people participating in the EPIC-Norfolk study. In this project we will describe the levels and patterns of physical activity and also of sedentary behaviour (such as television viewing). We will study how these behaviours change over time using self-report and objective measures among volunteers in the EPIC-Norfolk study. We will also improve knowledge about the sorts of activities that might reduce risk of disease and be feasible for older people, the personal and environmental factors that influence physical activity in older people, and to what extent changes in physical activity might reduce disease risk and health service costs. These are important steps in developing interventions and policy to help populations adopt sustainable healthy behaviours.In order to achieve our aims we will use a range of quantitative and qualitative research methods within the context of a large ongoing study. The evidence we gather will help politicians, health professionals and society at large make better decisions about how to improve health for the whole population, whether it is through direct public health interventions, or wider ways that influence how we live. It will also help scientists and research funders to focus efforts into areas in which reducing uncertainty through further research would provide the greatest benefit.

糖尿病、心脏病、癌症和精神健康问题等非传染性疾病占全球死亡人数的60%。不良饮食和缺乏体力活动在增加患这些疾病的机会方面发挥着重要作用。据估计，全球每10例死亡中就有1例是由于缺乏身体活动造成的，与吸烟的影响相当。面对这些统计数据，似乎每个人都应该努力做出个人选择，采取积极的生活方式。然而，我们并不是孤立地作出这种选择，我们的活动水平据信受到我们赖以生存的更广泛的社会、文化、经济和物质环境以及我们个人的知识、态度和信仰的驱动，在可预见的将来，保健服务和社会将面临的主要挑战之一是照顾独立生活受到限制的老年人。在中老年人中促进体育活动可能会使这一挑战更容易管理。不幸的是，大多数关于身体活动水平和模式的研究，为什么有些人比其他人更活跃，以及身体活动和健康结果之间的联系都是在60岁以下的人中进行的，并且依赖于不精确的问卷调查。我们现有的科学家合作包括公共卫生和流行病学，卫生地理学和卫生经济学到社会和行为科学。多年来，我们作为国家公共卫生卓越中心CEDAR（饮食和活动研究卓越中心）的一部分有效合作。CEDAR是剑桥医学研究理事会（MRC）单位、剑桥大学、东安格利亚大学（UEA）和包括英格兰东部公共卫生观察站（ERPHO）在内的非学术合作伙伴之间的合作。CEDAR研究人口一级饮食和活动的决定因素，并制定和评估潜在的预防干预措施（见http：//www.cedar.iph.cam.ac.uk/）。我们在慢性疾病的原因、体力活动及其测量以及制定和评估干预措施以促进患病或高危人群的体力活动方面拥有专业知识。我们还获得了参与EPIC-Norfolk研究的老年人的大量人口样本。在这个项目中，我们将描述身体活动和久坐行为（如看电视）的水平和模式。我们将研究这些行为如何随着时间的推移使用自我报告和客观的措施在EPIC-Norfolk研究志愿者之间的变化。我们还将提高对可能降低疾病风险和对老年人可行的活动种类的认识，影响老年人身体活动的个人和环境因素，以及身体活动的变化在多大程度上可能降低疾病风险和健康服务成本。这些都是制定干预措施和政策的重要步骤，以帮助人们采取可持续的健康行为。为了实现我们的目标，我们将在一项正在进行的大型研究的背景下使用一系列定量和定性研究方法。我们收集的证据将帮助政治家，卫生专业人员和整个社会就如何改善整个人口的健康做出更好的决定，无论是通过直接的公共卫生干预措施，还是影响我们生活方式的更广泛的方式。它还将帮助科学家和研究资助者将工作重点放在通过进一步研究减少不确定性将带来最大效益的领域。

项目成果

Bidirectional association between physical activity and muscular strength in older adults: Results from the UK Biobank study.

• DOI: 10.1093/ije/dyw054
• 发表时间: 2017-02-01
• 期刊: International journal of epidemiology
• 影响因子: 7.7
• 作者: Cooper A;Lamb M;Sharp SJ;Simmons RK;Griffin SJ
• 通讯作者: Griffin SJ

Sociodemographic, lifestyle and behavioural factors associated with consumption of sweetened beverages among adults in Cambridgeshire, UK: the Fenland Study.

英国剑桥郡成年人中的甜味饮料的消费相关的社会人口统计学，生活方式和行为因素：芬兰研究。

• DOI: 10.1017/s136898001700177x
• 发表时间: 2017-10
• 期刊: Public health nutrition
• 影响因子: 3.2
• 作者: Barrett P;Imamura F;Brage S;Griffin SJ;Wareham NJ;Forouhi NG
• 通讯作者: Forouhi NG

Physical activity, sedentary time and physical capability in early old age: British birth cohort study.

早年的体育锻炼，久坐的时间和身体能力：英国出生队列研究。

• DOI: 10.1371/journal.pone.0126465
• 发表时间: 2015
• 期刊: PloS one
• 影响因子: 3.7
• 作者: Cooper AJ;Simmons RK;Kuh D;Brage S;Cooper R;NSHD scientific and data collection team
• 通讯作者: NSHD scientific and data collection team

Residential neighbourhood greenspace is associated with reduced risk of incident diabetes in older people: a prospective cohort study.

住宅区绿地与老年人患糖尿病的风险降低相关：一项前瞻性队列研究。

• DOI: 10.17863/cam.6330
• 发表时间: 2016
• 作者: Dalton A

Additional file 1: of Residential neighbourhood greenspace is associated with reduced risk of incident diabetes in older people: a prospective cohort study

附加文件 1：住宅区绿地面积与老年人患糖尿病的风险降低相关：一项前瞻性队列研究

• DOI: 10.6084/m9.figshare.c.3630458_d1
• 发表时间: 2016
• 作者: Dalton A