A Systematic Review of Interventions to Increase Physical Activity Among American Indian and Alaska Native Older Adults

2021 ◽  
Author(s):  
Maja Pedersen ◽  
Kari Jo Harris ◽  
Blakely Brown ◽  
Keith Anderson ◽  
Jordan P Lewis
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Older Adults ◽  
American Indians ◽  
Urban Areas ◽  
Protective Factor ◽  
Assessment Tool ◽  
Indigenous Communities ◽  
Self Report ◽  
Culture Centered

Abstract Background and Objectives Physical activity (PA) is a powerful protective factor known to reduce risk for chronic conditions across the lifespan. PA levels are lower among American Indians and Alaska Natives (AIANs) when compared with other racial/ethnic groups and decrease with age. This evidence justifies a synthesis of current intervention research to increase PA levels among AIANs. This systematic review examines completed interventions to increase PA among AIAN older adults and considers recommended practices for research with Indigenous communities. Research Design and Methods The systematic review was designed in accordance with the PRISMA statement for systematic review protocols and reporting guidelines. Electronic databases PubMed, Web of Science, and PsycINFO were searched for academic literature. Trials investigating interventions to increase PA among AIAN adults ages 50+ were eligible. The Quality Assessment Tool for Quantitative Studies was used to evaluate the quality of evidence. Results Three published trials were identified, including one group-level, clinic-based and two individual-level, home-based interventions. All were 6-weeks in duration, took place in urban areas, and used self-report PA measures. Findings indicated an overall increase in PA levels, improved PA-related outcomes, and improved psychosocial health among participants. None described a community-engaged or culture-centered research strategies. Discussion and Implications The narrow yet promising evidence represents a need for expanded research and a call to action for using culture-centered strategies. An advanced understanding of cultural and contextual aspects of PA may produce more impactful interventions, supporting health and mobility across the lifespan.

Physical activity is good for older adults—but is programme implementation being overlooked? A systematic review of intervention studies that reported frameworks or measures of implementation

2020 ◽  
Vol 55 (2) ◽  
pp. 84-91
Author(s):  
Samantha M Gray ◽  
Heather A McKay ◽  
Lindsay Nettlefold ◽  
Douglas Race ◽  
Heather M Macdonald ◽  
...  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Older Adults ◽  
Older Adult ◽  
Intervention Studies ◽  
Research Question ◽  
Scale Up ◽  
Community Dwelling ◽  
Self Report ◽  
Individual Level

ObjectiveTo examine older adult physical activity (PA) intervention studies that evaluated implementation and/or scale-up. Research question 1: What implementation and/or scale-up indicators (specific, observable and measurable characteristics that show the progress of implementation) were reported? Research question 2: What implementation and/or scale-up frameworks were reported? Research question 3: Did studies evaluate the relationship between implementation or scale-up of the intervention and individual level health/behaviour outcomes? If yes, how?DesignSystematic review.Data sourcesPublications from electronic databases and hand searches (2000 to December 2019).Eligibility criteria for selecting studiesAny PA intervention studies with community-dwelling older adult participants (mean age ≥60 years). Required indicators: (a) Must report amount of PA as an outcome, with validated self-report or objective measures, and (b) Must have reported at least one implementation or scale-up framework and/or one implementation or scale-up indicator.Results137 studies were included for research question 1, 11 for question 2 and 22 for question 3. 137 studies reported an implementation indicator: 14 unique indicators. None were specified as indicators for scale-up evaluation. 11 studies were guided by an implementation or scale-up framework. 22 studies described a relationship between an implementation indicator and an individual-level health outcome.ConclusionThere is need for implementation research that extends beyond analysis at the individual level, includes clearly defined indicators and provides a guiding framework to support PA initiatives in older adults. Such implementation studies should evaluate factors in the broader context (eg,political, environmental) that influence scale-up.PROSPERO registrationCRD42018091839

scholarly journals Walking Cadence to Exercise at Moderate Intensity for Adults: A Systematic Review

2017 ◽  
Vol 2017 ◽  
pp. 1-12 ◽  
Author(s):  
J. Slaght ◽  
M. Sénéchal ◽  
T. J. Hrubeniuk ◽  
A. Mayo ◽  
D. R. Bouchard
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Older Adults ◽  
Leisure Activity ◽  
Moderate Intensity ◽  
Activity Levels ◽  
Physical Activity Guidelines ◽  
Aerobic Activity ◽  
Physical Activity Levels

Background. Most adults choose walking as a leisure activity. However, many do not reach the international physical activity guidelines for adults, which recommend moderate intensity aerobic activity for at least 150 minutes/week in bouts of 10 minutes. Purpose. This systematic review provides an update on the walking cadence required to reach moderate intensity in adults and older adults, identifies variables associated with reaching moderate intensity, and evaluates how walking cadence intensity should be measured, but the main purpose is to report the interventions that have been attempted to prescribe walking cadence to increase time spent at moderate intensity or other outcomes for adults and older adults. Methods. SportDISCUS, Scopus, and PubMed databases were searched. We identified 3,917 articles and 31 were retained for this systematic review. Only articles written in English were included. Results. In general, 100 steps/minute is prescribed for adults to achieve moderate intensity, but older adults may require a higher cadence. Currently, few studies have explored using walking cadence prescription as an intervention to increase physical activity levels. Conclusion. Prescribing walking cadence as a way to increase physical activity levels has potential as a practical and useful strategy, but more evidence is required to assess its ability to increase physical activity levels at moderate intensity.

Barriers and Enablers to Older Indigenous People Engaging in Physical Activity—A Qualitative Systematic Review

2021 ◽  
pp. 1-13
Author(s):  
Margaret J.R. Gidgup ◽  
Marion Kickett ◽  
Tammy Weselman ◽  
Keith Hill ◽  
Julieann Coombes ◽  
...  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Indigenous Peoples ◽  
Indigenous Communities ◽  
Cultural Safety ◽  
Barriers And Enablers ◽  
Qualitative Systematic Review ◽  
Physical Activity Programs ◽  
Key Barrier ◽  
Appraisal Tool

The objective of this qualitative systematic review was to synthesize all evidence to understand the barriers and enablers to older Indigenous peoples (aged 40 years and older) engaging in physical activity. Four databases were searched. Study quality was assessed from an Indigenous perspective, using an Aboriginal and Torres Strait Islander quality appraisal tool. Data were analyzed using thematic synthesis. There were 4,246 articles screened with 23 articles and one report included from over 30 Indigenous communities across four countries. Cultural Safety and Security was a key enabler, including developing physical activity programs which are led by Indigenous communities and preference Indigenous values. Colonization was a key barrier that created mistrust and uncertainty. Social Determinants of Health, including cost, were supported by successful programs, but if not addressed, were demotivators of engagement. Older Indigenous peoples identified barriers and enablers that can direct the development of sustainable, culturally appropriate physical activity programs.

Effectiveness of eHealth interventions for the promotion of physical activity in older adults: A systematic review

2018 ◽  
Vol 108 ◽  
pp. 93-110 ◽  
Author(s):  
Saskia Muellmann ◽  
Sarah Forberger ◽  
Tobias Möllers ◽  
Eileen Bröring ◽  
Hajo Zeeb ◽  
...  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Older Adults ◽  
Promotion Of Physical Activity

scholarly journals Effects of Reallocating Time Spent in Different Physical Activity Intensities on Sarcopenia Risk in Older Adults: An Isotemporal Substitution Analysis

Biology ◽  
2022 ◽  
Vol 11 (1) ◽  
pp. 111
Author(s):  
Jort Veen ◽  
Diego Montiel-Rojas ◽  
Fawzi Kadi ◽  
Andreas Nilsson
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Protein Intake ◽  
Handgrip Strength ◽  
Community Dwelling ◽  
Self Report ◽  
Linear Regression Models ◽  
Age Related ◽  
Muscle Health ◽  
The Impact

The role of daily time spent sedentary and in different intensities of physical activity (PA) for the maintenance of muscle health currently remains unclear. Therefore, we investigated the impact of reallocating time spent in different PA intensities on sarcopenia risk in older adults, while considering PA type (muscle strengthening activities, MSA) and protein intake. In a sample of 235 community-dwelling older adults (65–70 years), a sarcopenia risk score (SRS) was created based on muscle mass assessed by bioimpedance, together with handgrip strength and performance on the five times sit-to-stand (5-STS) test assessed by standardized procedures. Time spent in light-intensity PA (LPA), moderate-to-vigorous PA (MVPA), and being sedentary was assessed by accelerometry, and PA type (MSA) by self-report. Linear regression models based on isotemporal substitution were employed. Reallocating sedentary time to at least LPA was significantly (p < 0.05) related to a lower SRS, which remained evident after adjustment by PA type (MSA) and protein intake. Similarly, reallocating time in LPA by MVPA was related to a significantly (p < 0.05) lower SRS. Our results emphasize the importance of displacing sedentary behaviours for more active pursuits, where PA of even light intensities may alleviate age-related deteriorations of muscle health in older adults.

scholarly journals Effects of Physical Activity Governmental Programs on Health Status in Independent Older Adults: A Systematic Review

2019 ◽  
Vol 27 (2) ◽  
pp. 265-275 ◽  
Author(s):  
Pablo Antonio Valdés-Badilla ◽  
Carlos Gutiérrez-García ◽  
Mikel Pérez-Gutiérrez ◽  
Rodrigo Vargas-Vitoria ◽  
Antonio López-Fuenzalida
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Older Adults ◽  
Health Status

scholarly journals Lutein Intake and Blood Lutein Concentration Are Positively Associated with Physical Activity in Adults: A Systematic Review

Nutrients ◽  
2018 ◽  
Vol 10 (9) ◽  
pp. 1186 ◽  
Author(s):  
Madeline Cooke ◽  
Alison Coates ◽  
Elizabeth Buckley ◽  
Jonathan Buckley
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Blood Concentration ◽  
Web Of Science ◽  
Physical Activity Behavior ◽  
Self Report ◽  
Inclusion Criteria ◽  
Activity Behavior ◽  
Measure Of Association ◽  
The Relationship

Lutein is a carotenoid that reduces the risk of some chronic diseases, possibly by altering physical activity behavior. The objective of this study was to conduct a systematic review of studies examining the relationship between lutein status (dietary intake/blood concentration) and physical activity. Peer-reviewed studies published in Medline, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus, and Embase were included if they reported a measure of association between lutein status and physical activity. Seventeen studies met the inclusion criteria. Eleven reported positive associations, three reported mixed results, and three reported no association. Two studies used objective measures of lutein status (blood concentration) and physical activity (accelerometry) and reported positive associations, with correlations of ≥0.36 and differences of ≥57% in physical activity between upper and lower tertiles. Studies using self-report measures reported weaker correlations (r = 0.06 to 0.25), but still more physical activity (18% to ≥600% higher) in those with the highest compared with the lowest lutein status. Higher lutein status may be associated with higher levels of physical activity, which may contribute to a reduced risk of chronic disease.

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