Older Adults' Perceptions of Sedentary Behavior: A Systematic Review and Thematic Synthesis of Qualitative Studies

2019 ◽  
Vol 60 (8) ◽  
pp. e572-e582 ◽  
Author(s):  
Sofie Compernolle ◽  
Katrien De Cocker ◽  
Greet Cardon ◽  
Ilse De Bourdeaudhuij ◽  
Delfien Van Dyck
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Sedentary Behavior ◽  
Health Care Professionals ◽  
Positive Reinforcement ◽  
Healthy Aging ◽  
Behavior Interventions ◽  
Thematic Synthesis ◽  
Critical Appraisal Skills ◽  
Design And Methods

Abstract Background and Objectives Reducing sedentary behavior contributes to healthy aging. In order to develop sedentary behavior interventions, insight is needed into older adults' perceptions of (reducing) sedentary behavior. Therefore, this systematic review aims to synthesize qualitative evidence of older adults' perceptions towards (a) the concept of sedentary behavior, (b) barriers and facilitators of sedentary behavior, and (c) solutions and strategies to reduce sedentary behavior. Research Design and Methods A systematic search was conducted in four electronic databases. Inclusion criteria comprised qualitative and mixed-methods studies investigating the perceptions of older adults (mean age: ≥60 years) towards (reducing) sedentary behavior. Quality of the included studies was rated using the Critical Appraisal Skills Programme (CASP) Qualitative Checklist. Relevant data on older adults' perceptions were extracted and imported into NVivo. Two independent reviewers analyzed the data by means of thematic synthesis (line-by-line coding, constructing descriptive (sub)themes, developing analytical themes). Results Fifteen studies were included. Four analytical themes were developed to be considered when aiming to reduce sedentary behavior in older adults: the lack of knowledge on/awareness of sedentary behavior, the habitual nature of sedentary behavior, the importance of enjoyment and convenience, and the key role of aging. Discussion and Implications The reduction of older adults' sedentary behavior will likely be challenging as sedentary behavior seems to be firmly incorporated into older adults' daily routines, and strongly linked with positive reinforcement. Both aspects deserve thoughtful attention by intervention developers and health care professionals who aim to promote healthy aging by reducing sedentary behavior.

scholarly journals Interventions targeting sedentary behavior in non-working older adults: a systematic review

Maturitas ◽  
2018 ◽  
Vol 116 ◽  
pp. 89-99 ◽  
Author(s):  
Justin Avery Aunger ◽  
Paul Doody ◽  
Carolyn Anne Greig
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Sedentary Behavior

scholarly journals A-03 The Brain–Body Connection in Aging Neurological Populations: Examining the Impact of Exercise and Sedentary Behavior on Brain Structure and Cognitive Functioning in Older Adults with Multiple Sclerosis

2020 ◽  
Vol 35 (6) ◽  
pp. 776-776
Author(s):  
C Roman ◽  
P Arnett
Keyword(s):  
Multiple Sclerosis ◽  
Older Adults ◽  
Graph Theory ◽  
Sedentary Behavior ◽  
Healthy Aging ◽  
Moderate Activity ◽  
Subcortical Structures ◽  
Negative Effects ◽  
Age Related ◽  
The Impact

Abstract Objective Advancements in treatments for multiple sclerosis (MS) have led to an increase in the number of older adults living with the disease. Exercise has been shown to be remarkably beneficial for “healthy aging,” while sedentary behavior has proved to have more deleterious effects. Despite evidence for the impact of these factors, their influence on older adults with MS is largely unknown. The current study utilizes volumetric measures and graph theory to investigate the relationship between physical activity/sedentary behavior, structural brain indices, and cognition in older adults with MS. Method Twenty-seven older adults (55+) with MS were scanned during a structural MRI protocol and cognitively evaluated using the Multiple Sclerosis Functional Composite and Symbol Digit Modalities Test. Graph theory metrics were calculated to examine white matter network properties. FreeSurfer was used to calculate volumes for subcortical structures. Exercise was quantified as the ‘days per week engaged in moderate activity,’ while sedentary behavior was measured as ‘hours per day sitting.’ Results Multiple regression interaction analyses were conducted. Results showed an exercise by age interaction, such that exercise protected against the negative effects of age on thalamic volume and assortivity. Hours sitting per day was shown to add to the negative effects of aging on structural networks even after controlling for exercise. Lastly, exercise was observed to be protective against age-related cognitive decline in this sample. Conclusions This is one of the first studies to examine exercise/sedentariness and brain indices in older adults with MS, pointing to possible brain altering and protective interventions for this group.

scholarly journals CHILDREN CAREGIVERS’ EXPERIENCES OF OLDER ADULTS WITH DEMENTIA IN CARE TRANSITION: A QUALITATIVE SYSTEMATIC REVIEW

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S841-S841
Author(s):  
Rungnapha Khiewchaum
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Adult Children ◽  
Care Transitions ◽  
Adult Child ◽  
Well Being ◽  
Community Services ◽  
Care Transition ◽  
Thematic Synthesis ◽  
People With Dementia

Abstract Background/Purpose: Young and adult children have experienced caring for people who have been diagnosed with dementia. Caregiving needs affect family members who become the primary caregivers in care transition from hospital to home. This study aims to synthesize primary qualitative research on the experiences of children caregivers of older adults with dementia. Method: This is a systematic review describing young and adult child caregivers’ experiences in caring for patient with dementia in home-based care. Data sources were published literature written in English from CINAHL, Scopus, PubMed, and PsychoINFO (published from January 1976 to October 2018). The thematic synthesis approach was also applied to generate theory generating meta-synthesis research (TGMS). and to describe the process of caring for demented patients by caregivers. Result: Eight primary studies reporting 388 potential studies were included. Four themes emerged: 1) well-being which included encouraging and destructive well-being; 2) role transition which included positive or negative role transformations; 3) caregiver needs which included medical and nursing information or knowledges and health care services/community services; and 4) the challenge of dementia which included symptoms of dementia which were impairing. Conclusion The findings of this meta-synthesis study support evidence of well-being among adult children in caring for people with dementia in transition phases. We present thematic synthesis that could be useful to professionals working with caregivers and patients with dementia. We suggest that research importance should shift towards the development and evaluation of care transitions intervention, especially professionals preparing support after diagnosis.

scholarly journals Are Area-Level Crimes Associated with Older Adults’ Physical Activity and Sedentary Behavior?

2019 ◽  
Vol 11 (9) ◽  
pp. 2454
Author(s):  
Chien-Yu Lin ◽  
Jong-Hwan Park ◽  
Ming-Chun Hsueh ◽  
Ting-Fu Lai ◽  
Yung Liao
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Sedentary Behavior ◽  
Sedentary Time ◽  
Binary Logistic Regression ◽  
Sociodemographic Factors ◽  
Behavior Interventions ◽  
Drug Crime ◽  
Residential Neighborhood ◽  
Crime Incidence

There is limited evidence for the associations of area-level crime with older adults’ physical activity and sedentary behavior, especially in Asia. This study explored the association of area-level crime with older adults’ active and sedentary behavior. A telephone-based survey of Taiwanese seniors was conducted in September–November of 2017. Data related to sociodemographic factors, residential neighborhood (objectively recorded area-level crime incidence), and time spent in physical activity and sedentary behavior, were obtained from 1068 older adults. Adjusted binary logistic regression was analyzed. Fully adjusted analyses showed older adults living in neighborhoods with a higher incidence of drug crime (odds ratio, OR = 0.71, 95% confidence interval, CI = 0.52–0.96), car theft (OR = 0.70, 95% CI 0.51–0.95), and locomotive theft (OR = 0.69, 95% CI 0.51–0.94) were found to be less likely to achieve the recommendation on physical activity. In addition, those living in neighborhoods with a higher incidence of theft (OR = 1.93, 95% CI 1.05–3.55), drug crime (OR = 1.93, 95% CI 1.05–3.55), breaking and entering (OR = 2.04, 95% CI 1.11–3.76), and rape (OR = 2.20, 95% CI 1.20–4.06) were more likely to have more sedentary time. There were sex differences in the association of area-level crime incidence with physical activity and sedentary behavior. These findings suggest that crime prevention should be considered when designing physical activity and sedentary behavior interventions for older adults.

scholarly journals Sedentary behavior and health outcomes among older adults: a systematic review

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Leandro Fornias Machado de Rezende ◽  
Juan Pablo Rey-López ◽  
Victor Keihan Rodrigues Matsudo ◽  
Olinda do Carmo Luiz
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Health Outcomes ◽  
Sedentary Behavior

scholarly journals Prevalence of Sedentary Behavior in Older Adults: A Systematic Review

2013 ◽  
Vol 10 (12) ◽  
pp. 6645-6661 ◽  
Author(s):  
Juliet Harvey ◽  
Sebastien Chastin ◽  
Dawn Skelton
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Sedentary Behavior

scholarly journals Sedentary behavior and health outcomes in older adults: A systematic review

2020 ◽  
Vol 7 (1) ◽  
pp. 10-39
Author(s):  
Wendell C. Taylor ◽  
◽  
Kevin Rix ◽  
Ashley Gibson ◽  
Raheem J. Paxton ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Health Outcomes ◽  
Sedentary Behavior

Older Adults’ Experiences and Perceptions of Immersive Virtual Reality: A Systematic Review and Thematic Synthesis (Preprint)

2021 ◽  
Author(s):  
David Healy ◽  
Aisling Flynn ◽  
Owen Conlan ◽  
Jenny McSharry ◽  
Jane Walsh
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Virtual Reality ◽  
Data Extraction ◽  
Qualitative Studies ◽  
Immersive Virtual Reality ◽  
Thematic Synthesis ◽  
Head Mounted Display ◽  
Barriers To Use ◽  
Key Steps

BACKGROUND Immersive virtual reality (IVR) can be defined as fully computer-generated environments that are displayed through a head-mounted display. Existing research suggests that key features of IVR can assist older adults in their everyday lives–providing opportunities in health promotion and tackling social isolation and loneliness. There has been a surge in the number of qualitative studies exploring older adults’ experiences and perceptions of IVR. However, there has been no systematic synthesis of these studies to inform the design of new, more accessible IVR technologies. OBJECTIVE The objective of this study was to systematically review and synthesize qualitative studies exploring older adults’ experiences and perceptions of IVR. METHODS A systematic review and thematic synthesis was conducted following the ENTREQ guidelines. Two reviewers completed title and abstract screening, full-text screening, data extraction and quality appraisal. Thematic synthesis is derived from the qualitative method, thematic analysis. It involves three key steps: initial coding and grouping of these codes, the formation of descriptive themes from these codes and finally, going beyond the data to form novel insights and theories known as analytical themes. Confidence in the evidence was assessed using the GRADE-CERQual approach. RESULTS Thirteen studies were included in the final synthesis, consisting of 224 participants ranging across nine countries and five continents. Confidence in the evidence ranged from high to moderate. Four descriptive themes were generated: (1) facilitating IVR interactions, (2) experiencing unique features of IVR, (3) perceptions of IVR and (4) accounts of agency in IVR. The findings from the descriptive themes suggested that there are several improvements that need to be made to existing IVR devices to greater facilitate older adults’ use of this technology. However, despite this, older adults’ responses to IVR were generally positive. Three analytical themes were then generated: (1) tolerating the bad to experience the good, (2) buying in to IVR: don’t judge a book by its cover and (3) “it proves to me I can do it”. The analytical themes illustrated that older adults were willing to tolerate discomforts that accompany existing IVR technologies to experience features such as immersive social networking experiences, there was a discrepancy between older adults’ perceptions of IVR prior to use–which were generally negative–and after use–which were generally positive–and, IVR provided a platform for older adults to access certain activities and environments more easily than in the real world due to limitations caused by ageing. CONCLUSIONS This review highlights the need to overcome initial negative views of IVR and perceived barriers to use by emphasizing the unique ability of IVR to increase older adults’ agency through features such as presence, immersion, and embodiment, which in turn offer new opportunities to take part in meaningful activities tailored to their needs and preferences. INTERNATIONAL REGISTERED REPORT RR2-10.1177%2F16094069211009682

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