scholarly journals The Green Prescription and older adults: what do general practitioners see as barriers?

2012 ◽  
Vol 4 (4) ◽  
pp. 320 ◽  
Author(s):  
Asmita Patel ◽  
Gregory Kolt ◽  
Justin Keogh ◽  
Grant Schofield

INTRODUCTION: Limited research exists that has examined the barriers that older adults (those aged 65 years and older) can encounter when given a Green Prescription (GRx). This study aimed to identify what general practitioners (GPs) perceived their older-aged patients’ barriers were with regard to carrying out a GRx. This study also identified the strategies that GPs used to assist their older-aged patients in overcoming barriers to physical activity engagement. METHODS: Fifteen GPs from the Auckland region of New Zealand were interviewed individually. An inductive thematic approach was used to analyse data. FINDINGS: GPs identified chronic health conditions, fear of injury, transportation constraints, set routines and lack of confidence as being barriers that some of their older-aged patients have encountered when considering whether to become more physically active and, also, when engaging in actual physical activity. CONCLUSION: Physical activity interventions, such as the GRx programme, can have an important role in helping confer health-related gain for low-active older adults. To ensure that such interventions are successful on a long-term basis, practitioners need to be aware of the barriers that their older-aged patients can encounter when given a prescription for physical activity. KEYWORDS: Green Prescription; older adults; physical activity, primary health care

2011 ◽  
Vol 30 (4) ◽  
pp. 442-452 ◽  
Author(s):  
Maartje M. van Stralen ◽  
Hein de Vries ◽  
Aart N. Mudde ◽  
Catherine Bolman ◽  
Lilian Lechner

2019 ◽  
pp. 1-6
Author(s):  
M.G. BORDA ◽  
M.U. PÉREZ-ZEPEDA ◽  
R. SAMPER-TERNENT ◽  
R.C. GÓMEZ ◽  
J.A. AVILA-FUNES ◽  
...  

Background: Frailty is a clinical state defined as an increase in an individual’s vulnerability to developing adverse health-related outcomes. Objectives: We propose that healthy behaviors could lower the incidence of frailty. The aim is to describe the association between healthy behaviors (physical activity, vaccination, tobacco use, and cancer screening) and the incidence of frailty. Design: This is a secondary longitudinal analysis of the Mexican Health and Aging Study (MHAS) cohort. Setting: MHAS is a population-based cohort, of community-dwelling Mexican older adults. With five assessments currently available, for purposes of this work, 2012 and 2015 waves were used. Participants: A total of 6,087 individuals 50-year or older were included. Measurements: Frailty was defined using a 39-item frailty index. Healthy behaviors were assessed with questions available in MHAS. Individuals without frailty in 2012 were followed-up three years in order to determine their frailty incidence, and its association with healthy behaviors. Multivariate logistic regression models were used to assess the odds of frailty occurring according to the four health-related behaviors mentioned above. Results: At baseline (2012), 55.2% of the subjects were male, the mean age was 62.2 (SD ± 8.5) years old. The overall incidence (2015) of frailty was 37.8%. Older adults physically active had a lower incidence of frailty (48.9% vs. 42.2%, p< 0.0001). Of the activities assessed in the adjusted multivariate models, physical activity was the only variable that was independently associated with a lower risk of frailty (odds ratio: 0.79, 95% confidence interval 0.71-0.88, p< 0.001). Conclusions: Physically active older adults had a lower 3-year incidence of frailty even after adjusting for confounding variables. Increasing physical activity could therefore represent a strategy for reducing the incidence of frailty. Other so-called healthy behaviors were not associated with incident frailty, however there is still uncertainty on the interpretation of those results.


2013 ◽  
Vol 27 (1) ◽  
pp. 53-80 ◽  
Author(s):  
Jo-Ana D. Chase

Physical activity (PA) is important in the management of chronic illness among older adults worldwide. Researchers have conducted several intervention studies to increase PA behavior in this population. This review of the past 12 years of relevant PA intervention research among adults aged 60 years and older systematically summarized research findings, identified characteristics of successful interventions, and proposed areas of future research. There were 20 studies reviewed for this article, most employing a combination of cognitive-behavioral intervention design. Cognitive-based only and combination interventions were more successful in changing PA behavior; however, behavioral-based interventions demonstrated more long-term changes in PA behavior. Among theory-based interventions, self-efficacy was the most commonly operationalized construct. Findings from this review may inform future primary research to promote PA behavior among older adults, as well as gerontological clinical practice.


2018 ◽  
Vol 1 (80) ◽  
Author(s):  
Renata Rutkauskaitė ◽  
Arūnas Emeljanovas ◽  
Vida Volbekienė ◽  
Rita Sadzevičienė ◽  
Edita Maciulevičienė ◽  
...  

Research background and hypothesis. It is well established that regular physical activity (PA) has many short- and long-term benefi ts for children’s health. Physically active children are more physically fi t than their physically inactive counterparts. Insuffi cient physical fi tness of adolescents is one of the risk factors for chronic diseases and has a tendency to be carried over into adulthood. Research aim was to examine health-related physical fi tness in low, moderate and vigorous physical activity categories among 16-year-old schoolboys.Research methods. The participants were 155 healthy schoolboys of the 10 th  grade from secondary schools of Kaunas (Lithuania). Their physical activity was measured by a modifi ed short form of the International PA Questionnaire (IPAQ) (Craig et al., 2003). The respondents were divided in three PA categories: high (vigorous) (VPA) (n = 43), moderate (MPA) (n = 63), and low (LPA) (n = 49). Physical fi tness tests were performed to measure participants’ fl exibility (by sit-and-reach test) (Eurofi t, 1993), power (by vertical jump test), and muscular strength and endurance (by modifi ed push-up test) (Suni et al., 1994). Research results. There were no signifi cant differences between the boys in different PA groups in respect of anthropometrical and body composition parameters (p > 0.05). The results of health-related physical fi tness tests were signifi cantly better of the VPA group boys (p < 0.05). The total volume of PA correlated with all health-related physical fi tness components that were measured (r = 0.23–0.38, p < 0.01). Discusion and conclussions. We may conclude that health-related physical fi tness is positively related to the total amount of physical activity in 16-year-old schoolboys.Keywords: frequency, duration, intensity, volume, physical activity, physical fitness.


2001 ◽  
Vol 9 (s1) ◽  
pp. S71-S91 ◽  
Author(s):  
Anita L. Stewart

The term “community-based” can refer to many types of physical activity interventions. The bulk of physical activity research in older adults focuses on changing individual behavior, sometimes in community settings. Addressing the nation’s goal of increasing the proportion of physically active older adults requires more programs to improve contextual factors that support individual behavior and calls for introducing into community settings successful individual-level programs based on solid research. The social ecology model provides an ideal multilevel framework for community-wide efforts. In conjunction with programs to increase the types and levels of physical activity of older adults, changes can be directed at social, cultural, environmental, institutional, and policy contexts for individual behavior change. Guidelines and evaluation methods, including cost analysis of developing, implementing, and sustaining programs, are needed. Recommendations are made to advance community-based strategies for promoting physical activity among adults age 50 and older.


2018 ◽  
Vol 12 (4) ◽  
pp. 1102-1117 ◽  
Author(s):  
Derek M. Griffith ◽  
Erin M. Bergner ◽  
Emily K. Cornish ◽  
Chelsea M. McQueen

Relatively little is known about what helps increase physical activity in African American men, and even less is known about promoting physical activity among Latino men. This systematic review aimed to address the key questions: (a) what is the state of the evidence on health-related behavior change interventions targeting physical activity among African American or Latino men? and (b) What factors facilitate physical activity for these men? For this review, nine electronic databases were searched to identify peer-reviewed articles published between 2011–2017 that reported interventions to promote physical activity among African American or Latino men. Following PRISMA guidelines, nine articles representing seven studies that met our criteria were identified: six published studies that provided data for African American men, and one published study provided data for Latino men. Consistent with previous reviews, more research is needed to better understand how gender can be incorporated in physical activity interventions for African American and Latino men. Future interventions should explore how being an adult male and a man of color shapes motivations, attitudes, and preferences to be physically active. Studies should consider how race and ethnicity intersect with notions of masculinity, manhood and Machismo to enhance the effectiveness of physical activity interventions for these populations. Despite the health benefits of physical activity, rates of these behaviors remain low among African American and Latino men. It is essential to determine how best to increase the motivation and salience for these men to overcome the obesogenic environments and contexts in which they often live.


2020 ◽  
pp. 135910532090987 ◽  
Author(s):  
Laura J McGowan ◽  
Rachael Powell ◽  
David P French

Older adults are the most sedentary age group, with sedentary behaviour having negative health-related consequences. There is currently limited understanding of how older adults view sedentary behaviour. This study investigated older adults’ understanding of the concept of sedentary behaviour. Semi-structured interviews were conducted with 22 community-dwelling older adults in urban North-West England, selected to be diverse in socio-economic background and activity levels. Interviews were recorded and transcribed verbatim. An inductive thematic analysis was conducted. Participants often construed sedentary behaviour as synonymous with a lack of physical activity, and many perceived reducing sedentary behaviour and increasing moderate-to-vigorous physical activity to be the same thing. Participants perceived the term ‘sedentary’ to have negative connotations and were often judgemental of people who engaged in high levels of sedentary behaviour. Most participants considered reducing sedentary behaviour to be of value, though more active individuals were unconvinced that reducing sedentary behaviour has value beyond the benefits of being physically active. Interventions may wish to provide education to address the misconception that increasing moderate-to-vigorous physical activity is necessary in order to reduce sedentary behaviour. Educating older adults on the independent health consequences of sedentary behaviour may also prove beneficial.


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