INDEX OF RELATIVE RURALITY AS A PREDICTOR OF PHYSICAL ACTIVITY CORRELATES FOR OLDER ADULTS

Abstract According to the ecological model, physical activity (PA) results from interactions between personal (e.g., intentions), social (e.g., autonomy support), and environmental factors (e.g., walkability, rurality). However, past research has commonly used dichotomous measures of rurality (i.e., rural versus urban), which has limited our understanding of the relationship between rurality and other PA correlates. Therefore, the purpose of this study was to investigate the associations between rurality and known correlates of PA among older adults. Ninety-one older adults aged ≥ 60 years, without severe cognitive impairment, completed a questionnaire assessing PA intentions (α = 0.89), autonomy support for PA (α = 0.91), and walkability (α = 0.76). The Index of Relative Rurality, a continuous, multidimensional measure of rurality, was used to evaluate the degree of rurality based on residential zip-code. Regression analyses revealed that the rurality-autonomy support association followed an inverted-U shape function (p = 0.01), whereas rurality was negatively associated with walkability (p = 0.02). Rurality was not associated with PA intentions; however, autonomy support was positively associated with PA intentions (p = 0.01). The use of non-dichotomous measures of rurality appears essential in our understanding of its association with other PA correlates. Failure to use such measures may result in incomplete portrayals of relationships.

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Developing Physical Activity Promotion Plans for Older Adults Who Live Alone with Low-income Based on Socio-ecological Model: A Mixed Method Study

Korean Journal of Sport Studies ◽

10.23949/kjpe.2019.03.58.2.15 ◽

2019 ◽

Vol 58 (02) ◽

pp. 15-34 ◽

Cited By ~ 1

Author(s):

Kyung-O Kim

Keyword(s):

Physical Activity ◽

Older Adults ◽

Low Income ◽

Mixed Method ◽

Ecological Model ◽

Physical Activity Promotion ◽

Mixed Method Study ◽

Activity Promotion

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The Impact of Weather and Seasons on Falls and Physical Activity among Older Adults with Glaucoma: A Longitudinal Prospective Cohort Study

Sensors ◽

10.3390/s21103415 ◽

2021 ◽

Vol 21 (10) ◽

pp. 3415

Author(s):

Hursuong Vongsachang ◽

Aleksandra Mihailovic ◽

Jian-Yu E ◽

David S. Friedman ◽

Sheila K. West ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Fall Prevention ◽

Regression Models ◽

Activity Promotion ◽

Injurious Fall ◽

Multivariable Regression ◽

Multivariable Regression Models ◽

The Impact ◽

The Relationship

Understanding periods of the year associated with higher risk for falling and less physical activity may guide fall prevention and activity promotion for older adults. We examined the relationship between weather and seasons on falls and physical activity in a three-year cohort of older adults with glaucoma. Participants recorded falls information via monthly calendars and participated in four one-week accelerometer trials (baseline and per study year). Across 240 participants, there were 406 falls recorded over 7569 person-months, of which 163 were injurious (40%). In separate multivariable regression models incorporating generalized estimating equations, temperature, precipitation, and seasons were not significantly associated with the odds of falling, average daily steps, or average daily active minutes. However, every 10 °C increase in average daily temperature was associated with 24% higher odds of a fall being injurious, as opposed to non-injurious (p = 0.04). The odds of an injurious fall occurring outdoors, as opposed to indoors, were greater with higher average temperatures (OR per 10 °C = 1.46, p = 0.03) and with the summer season (OR = 2.69 vs. winter, p = 0.03). Falls and physical activity should be understood as year-round issues for older adults, although the likelihood of injury and the location of fall-related injuries may change with warmer season and temperatures.

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Relationship Between Mental Health, Resilience, and Physical Activity in Older Adults: A 2-Year Longitudinal Study

Journal of Aging and Physical Activity ◽

10.1123/japa.2020-0264 ◽

2021 ◽

pp. 1-9

Author(s):

Maria Priscila Wermelinger Ávila ◽

Jimilly Caputo Corrêa ◽

Alessandra Lamas Granero Lucchetti ◽

Giancarlo Lucchetti

Keyword(s):

Mental Health ◽

Physical Activity ◽

Older Adults ◽

Regression Models ◽

Linear Regression Models ◽

Physically Active ◽

Effective Interventions ◽

Self Sufficiency ◽

The Relationship

The aim of this study was to longitudinally investigate the association between resilience and mental health in older adults and to determine the influence of physical activity on this relationship. A total of 291 older adults were included in a 2-year follow-up study. Adjusted linear regression models evaluated the association between resilience at baseline and mental health after 2 years in sufficiently and insufficiently physically active older adults. A negative correlation was found between resilience at baseline and depression, anxiety, and stress after 2 years for the overall sample. This association changed after stratifying the group. Sufficiently physically active individuals made greater use of the resilience components “Self-Sufficiency” and “Perseverance,” whereas insufficiently physically active individuals made greater use of “Meaning of Life” and “Existential Singularity.” Physical activity can influence the relationship between resilience and mental health. These results can help guide the devising of more effective interventions for this age group.

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The Relationship between Chronotype, Physical Activity and the Estimated Risk of Dementia in Community-Dwelling Older Adults

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17103701 ◽

2020 ◽

Vol 17 (10) ◽

pp. 3701

Author(s):

Ngeemasara Thapa ◽

Boram Kim ◽

Ja-Gyeong Yang ◽

Hye-Jin Park ◽

Minwoo Jang ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Mental State ◽

Mini Mental State Examination ◽

Community Dwelling ◽

Daily Physical Activity ◽

Estimated Risk ◽

Community Dwelling Older Adults ◽

The Relationship ◽

State Examination

Our study examined the association between chronotype, daily physical activity, and the estimated risk of dementia in 170 community-dwelling older adults. Chronotype was assessed with the Horne–Östberg Morningness–Eveningness Questionnaire (MEQ). Daily physical activity (of over 3 METs) was measured with a tri-axial accelerometer. The Korean version of the Mini-Mental State Examination (K-MMSE) was used to measure the estimated risk of dementia. The evening chronotype, low daily physical activity, and dementia were positively associated with each other. The participants with low physical activity alongside evening preference had 3.05 to 3.67 times higher estimated risk of developing dementia, and participants with low physical activity and morning preference had 1.95 to 2.26 times higher estimated risk than those with high physical activity and morning preference. Our study design does not infer causation. Nevertheless, our findings suggest that chronotype and daily physical activity are predictors of the risk of having dementia in older adults aged 70 years and above.

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The influence of common method bias on the relationship of the socio-ecological model in predicting physical activity behavior

Health Promotion Perspectives ◽

10.15171/hpp.2018.05 ◽

2017 ◽

Vol 8 (1) ◽

pp. 41-45 ◽

Cited By ~ 7

Author(s):

Savanna Wingate ◽

Eveleen Sng ◽

Paul D. Loprinzi

Keyword(s):

Physical Activity ◽

Ecological Model ◽

Physical Activity Behavior ◽

Common Method ◽

Common Method Bias ◽

Activity Behavior ◽

Relationship Of ◽

Method Bias ◽

The Relationship

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Relevance of urban green space for physical activity and health-related quality of life in older adults

Quality in Ageing and Older Adults ◽

10.1108/qaoa-01-2018-0002 ◽

2018 ◽

Vol 19 (3) ◽

pp. 158-166 ◽

Cited By ~ 2

Author(s):

Evi Petersen ◽

Gerhard Schoen ◽

Gunnar Liedtke ◽

Astrid Zech

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Older Adults ◽

Linear Regression ◽

Community Dwelling ◽

Content Type ◽

Related Quality ◽

Community Dwelling Older Adults ◽

The Relationship

Purpose Urban green space (UGS) shows to be a sustainable resource stimulating physical activity, health and quality of life in the general population. With regard to an aging European population, the purpose of this paper is to investigate the relationship between UGS, physical activity and health-related quality of life (HRQoL) in community-dwelling older adults. Design/methodology/approach Cross-sectional survey data were provided by a sample from Hamburg (Germany), consisting of 272 adults aged⩾65 years. Respondents answered questions regarding HRQoL (Short Form 12), physical activity (German-PAQ-50+) and exposure to UGS. The authors applied a linear regression to analyse the relationship between weekly duration of exposure to UGS and physical activity. While controlling for confounding factors, the authors used a multivariate linear regression model to detect effects on HRQoL. Findings A significant effect (adjusted R2: 4.3 per cent; p-value⩽0.001) was found for weekly duration of exposure to UGS and weekly physical activity. Multiple linear regression showed significant positive effects of weekly duration of exposure to UGS (p=0.010) and weekly time of physical activity (p=0.017) on HRQoL. Age, sex and feeling of satisfaction were identified as relevant confounding factors. Research limitations/implications Future research should continue to explore the indicators that mediate an increase of physical activity and HRQoL in the heterogeneous age band of older adults. Practical implications Findings suggest that community-dwelling older adults are likely to benefit from higher amounts of time in UGS since it is positively associated with both physical activity and HRQoL. Therefore, urban planners should explicitly consider the demands of community-dwelling older adults towards UGS. Originality/value This study is one of the first to examine the relationship between UGS, physical activity and HRQoL in older adults.

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The relationship between physical activity, appetite and energy intake in older adults: A systematic review

Appetite ◽

10.1016/j.appet.2018.05.139 ◽

2018 ◽

Vol 128 ◽

pp. 145-151 ◽

Cited By ~ 4

Author(s):

M.E. Clegg ◽

A. Godfrey

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Older Adults ◽

Energy Intake ◽

The Relationship

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Planning for Change

State and Local Government Review ◽

10.1177/0160323x18785695 ◽

2018 ◽

Vol 50 (2) ◽

pp. 110-118

Author(s):

David Mitchell ◽

Sarah E. Larson ◽

Claudia Colantonio ◽

Christina Nguyen

Keyword(s):

Best Practices ◽

Success Rate ◽

Past Research ◽

Regression Analyses ◽

Implementation Success ◽

Government Effectiveness ◽

Strategic Initiative ◽

Strategic Initiatives ◽

Strategic Plans ◽

The Relationship

Many governments have adopted strategic plans to improve outcomes, but these efforts often fail because they do not take implementation into consideration as they plan. Past research indicates that the situational context of a strategic initiative influences implementation success. This study explores how context influences the relationship between implementation best practices and success by examining 155 strategic initiatives from 36 U.S. municipalities through a series of multiple regression analyses. The evidence indicates that context does alter the success rate of implementation best practices and should be taken into consideration during strategic planning in order to improve government effectiveness.

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Allostatic Load, Unhealthy Behaviors, and Depressive Symptoms by Birthplace Among Older Adults in the Sacramento Area Latino Study on Aging (SALSA)

Journal of Aging and Health ◽

10.1177/0898264319857995 ◽

2019 ◽

Vol 32 (7-8) ◽

pp. 851-860 ◽

Cited By ~ 2

Author(s):

Erik J. Rodriquez ◽

Melanie Sabado-Liwag ◽

Eliseo J. Pérez-Stable ◽

Anne Lee ◽

Mary N. Haan ◽

...

Keyword(s):

Older Adults ◽

Logistic Regression ◽

Depressive Symptoms ◽

Allostatic Load ◽

Risk Groups ◽

Regression Analyses ◽

Foreign Born ◽

Count Range ◽

The Relationship

Objective: To assess whether unhealthy behaviors moderated the relationship between allostatic load (AL) and future significant depressive symptoms (SDSs) among 1,789 older Latinos. Method: Longitudinal data included baseline AL, three unhealthy behaviors (UBs), and 2-year follow-up SDS. Multivariable logistic regression analyses, stratified by birthplace (U.S. vs. foreign born), modeled the effects of AL, UB count (range = 0-3), and their interaction on follow-up SDS. Results: Compared with U.S.-born, foreign-born participants engaged in fewer UBs (0.52 vs. 0.60 behaviors, p = .01) and had higher baseline SDS (31% vs. 20%, p < .001). Among foreign-born participants, the effect of AL on future SDS (adjusted odds ratios [aORs]; 95% confidence interval [CI]) significantly increased across UB counts of 0 to 3: 1.06 [0.83, 1.35], 1.46 [1.14, 1.87], 2.00 [1.18, 3.41], and 2.75 [1.18, 6.44], respectively. Discussion: Among foreign-born Latinos, these results were most pronounced for women and adults above age 80, which may represent higher risk groups requiring more intensive screening for depression.

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