Leisure-Time Physical Activity and Health-Care Utilization in Older Adults

2006 ◽  
Vol 14 (4) ◽  
pp. 392-410 ◽  
Author(s):  
Michelle Y. Martin ◽  
M. Paige Powell ◽  
Claire Peel ◽  
Sha Zhu ◽  
Richard Allman
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Health Care ◽  
Health Care Utilization ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Community Dwelling ◽  
Care Utilization ◽  
Physically Active ◽  
Physician Visits

This study examined whether leisure-time physical activity (LTPA) was associated with health-care utilization in a racially diverse sample of rural and urban older adults. Community-dwelling adults (N= 1,000, 75.32 ± 6.72 years old) self-reported participating in LTPA and their use of the health-care system (physician visits, number and length of hospitalizations, and emergency-room visits). After controlling for variables associated with health and health-care utilization, older adults who reported lower levels of LTPA also reported a greater number of nights in the hospital in the preceding year. There was no support, however, for a relationship between LTPA and the other indicators of health-care utilization. Our findings suggest that being physically active might translate to a quicker recovery for older adults who are hospitalized. Being physically active might not only have health benefits for older persons but also lead to lower health-care costs.

scholarly journals Visual Acuity’s Association With Levels of Leisure-Time Physical Activity in Community-Dwelling Older Adults

2012 ◽  
Vol 20 (1) ◽  
pp. 1-14 ◽  
Author(s):  
Mark W. Swanson ◽  
Eric Bodner ◽  
Patricia Sawyer ◽  
Richard M. Allman
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Visual Acuity ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
University Of Alabama ◽  
Cross Sectional ◽  
The University

Little is known about the effect of reduced vision on physical activity in older adults. This study evaluates the association of visual acuity level, self-reported vision, and ocular disease conditions with leisure-time physical activity and calculated caloric expenditure. A cross-sectional study of 911 subjects 65 yr and older from the University of Alabama at Birmingham Study of Aging (SOA) cohort was conducted evaluating the association of vision-related variables to weekly kilocalorie expenditure calculated from the 17-item Leisure Time Physical Activity Questionnaire. Ordinal logistic regression was used to evaluate possible associations while controlling for potential confounders. In multivariate analyses, each lower step in visual acuity below 20/50 was significantly associated with reduced odds of having a higher level of physical activity, OR 0.81, 95% CI 0.67, 0.97. Reduced visual acuity appears to be independently associated with lower levels of physical activity among community-dwelling adults.

Associations between participation in, intensity of, and time spent on leisure time physical activity and risk of inflammatory bowel disease among older adults (PA-IBD): A prospective cohort study

2020 ◽  
Author(s):  
Nathalie Fogh Rasmussen ◽  
Bodil Hammer Bech ◽  
Katrine Hass Rubin ◽  
Vibeke Andersen
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Cohort Study ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Physically Active ◽  
The Third ◽  
Inflammatory Bowel ◽  
Do It Yourself ◽  
Dose Response Effect

Abstract Background Inflammatory bowel diseases (IBDs) are diseases of the immune system that share some genetic and lifestyle-related predisposing factors. Increasing incidences have been reported in all age groups. Based on experimental studies suggesting a role of physical activity on intestinal inflammation, this study aimed to investigate the association between leisure time physical activity and the risk of IBD in older adults. Methods The study is a prospective cohort study using Danish registry data and questionnaire data from the Danish “Diet, Cancer and Health” cohort. The outcome IBD was defined as having at least two diagnoses of Crohn’s disease or ulcerative colitis registered in the National Patient Registry during follow-up between December 1993 and May 1997 until December 2018. Cox proportional hazard models were used to estimate hazard ratios for IBD onset associated with being physically active and with levels of the metabolic equivalent of task (MET) hours/week of physical activity and hours/week spent on six types of physical activity. Results In total, 54 645 men and women aged 50-64 years were included, and thereof 529 cases. When comparing physically active with inactive participants measured by MET hours/week there was no statistically significant difference in risk of IBD (0.89 [0.13; 6.27]), neither when measured as participation in six types of activities. Results did not indicate any dose-response effect when comparing quartile groups of MET hours/week or of five of the six types of activities. For do-it-yourself-work, the third quartile of hours/week was associated with a higher risk of IBD compared to the second quartile (HR=1.44 [1.10 ; 1.90]. No effect modification was found. Conclusions There was no association between physical activity and risk of IBD when comparing physically active with inactive participants. Neither did the results indicate any dose-response effect when comparing quartile groups of MET hours/week. Do-it-yourself work, however, seemed to be associated with a higher risk of IBD when comparing the third quartile with the second quartile. The study has clinical relevance by its contribution to the explanatory field of the causes of IBD. However, further research is needed to clarify associations between physical activity and risk of IBD.

scholarly journals Prevalence of and factors associated with leisure-time physical activity in older adults from seven Brazilian cities: data from the FIBRA study

2015 ◽  
Vol 20 (2) ◽  
pp. 174 ◽  
Author(s):  
Taiguara Costa ◽  
Luciana Ribeiro ◽  
Anita Neri
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Leisure Time ◽  
Family Income ◽  
Leisure Time Physical Activity ◽  
Categorical Variables ◽  
Chi Square ◽  
Physically Active ◽  
Exact Test ◽  
Factors Associated

<p>Leisure-time physical activity (LTPA) is an important factor in promoting and maintaining adequate health status and quality of life in old age. Here we aimed to identify the prevalence and factors associated with different modalities of LTPA among 3,478 older adults (mean age: 72.96 ± 6.01 years; 67.7% female) from seven cities of different regions of Germany. We compared categorical variables (gender, age and family income) between groups using the Chi-square test or Fisher’s exact test. Walking was the most commonly reported activity undertaken by participants (43.4%). Men reported performing a larger number of LTPA modalities than women. Outdoor gymnastics and water gymnastics were the most commonly cited LTPA by women. Younger age and higher income correlated with higher levels of physical activity. Our findings indicate that a physically active behavior is closely related to the living conditions, social roles and physical health of this population. Thus, public policies encouraging LTPA among older adults should take their gender, age and social status, as well as the type of activities to be offered, into consideration.</p>

scholarly journals Associations between participation in, intensity of, and time spent on leisure time physical activity and risk of inflammatory bowel disease among older adults (PA-IBD): a prospective cohort study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nathalie Fogh Rasmussen ◽  
Bodil Hammer Bech ◽  
Katrine Hass Rubin ◽  
Vibeke Andersen
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Effect Modification ◽  
Physically Active ◽  
The Third ◽  
Inflammatory Bowel ◽  
Do It Yourself ◽  
Dose Response Effect

Abstract Background Inflammatory bowel diseases (IBDs) are diseases of the immune system that share some genetic and lifestyle-related predisposing factors. Increasing incidences have been reported in all age groups. Based on experimental studies suggesting a role of physical activity on intestinal inflammation, this study aimed to investigate the association between leisure time physical activity and the risk of IBD in older adults. Methods The study is a prospective cohort study using Danish registry data and questionnaire data from the Danish “Diet, Cancer and Health” cohort. The outcome IBD was defined as having at least two main diagnoses of Crohn’s disease or ulcerative colitis registered in the National Patient Registry from the period between December 1993 and May 1997 with an average follow-up of 25 years. Cox proportional hazard models were used to estimate hazard-ratios for IBD onset associated with being physically active and with levels of the metabolic equivalent of task (MET) hours/week of physical activity and hours/week spent on six types of physical activity. All analyses were adjusted for potential confounders. Furthermore, the analyses were stratified according to age-group, occupational physical activity, smoking, BMI and work status to test for effect modification. Results In total, 54,645 men and women aged between 50 and 64 years were included, and of which there were 529 cases. When comparing physically active with inactive participants measured by MET hours/week there was no statistically significant difference in risk of IBD (0.89 [0.13; 6.27]), regardless of how participation was measured. Results did not indicate any dose-response effect when comparing quartile groups of MET hours/week (HR = 0.97 [0.76; 1.22], HR = 0.82 [0.64; 1.05] and HR = 0.83 [0.65; 1.07] or whether five of the six types of activities were compared with the lowest quartile as reference. For do-it-yourself-work, the third quartile of hours/week was associated with a higher risk of IBD compared to the second quartile of hours/week (HR = 1.44 [1.10; 1.90]. No effect modification was found. Conclusions There was no association between physical activity and risk of IBD when comparing physically active with inactive participants. Neither did the results indicate any dose-response effect when comparing quartile groups of MET hours/week with the lowest quartile as reference. Do-it-yourself work, however, appeared to be associated with a higher risk of IBD when comparing the third quartile with the second quartile of hours/week. The study has clinical relevance by its contribution to the explanatory field of the causes of IBD. However, the study has some limitations, and further research is needed to clarify associations between physical activity and risk of IBD.

scholarly journals Evaluation of Peer-to-Peer Support and Health Care Utilization Among Community-Dwelling Older Adults

2020 ◽  
Vol 3 (12) ◽  
pp. e2030090 ◽  
Author(s):  
Elizabeth A. Jacobs ◽  
Rebecca Schwei ◽  
Scott Hetzel ◽  
Jane Mahoney ◽  
Katherine Sebastian ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Care Utilization ◽  
Peer Support ◽  
Peer To Peer ◽  
Community Dwelling ◽  
Care Utilization ◽  
Community Dwelling Older Adults

scholarly journals Life-Space Predicts Health Care Utilization in Community-Dwelling Older Adults

2017 ◽  
Vol 31 (2) ◽  
pp. 280-292 ◽  
Author(s):  
Richard E. Kennedy ◽  
Courtney P. Williams ◽  
Patricia Sawyer ◽  
Alexander X. Lo ◽  
Kay Connelly ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Care Utilization ◽  
Public Health Practice ◽  
Community Dwelling ◽  
Care Utilization ◽  
Life Space ◽  
Future Health ◽  
Future Health Care ◽  
Community Dwelling Older Adults

Objective: To determine whether decline in life-space mobility predicts increased health care utilization among community-dwelling older adults. Method: Health care utilization (number of emergency department [ED] visits and hospitalizations) was self-reported during monthly interviews among 419 community-dwelling African American and non-Hispanic White adults aged 75 years and older in The University of Alabama at Birmingham (UAB) Study of Aging II. Life-space was measured using the UAB Life-Space Assessment. Generalized estimating equations were used to examine associations of life-space at the beginning of each interval with health care utilization over the 1-month interval. Results: Overall, 400 participants were followed for 36 months. A 10-point decrease in life-space was associated with 14% increased odds of an ED visit and/or hospitalization over the next month, adjusting for demographics, transportation difficulty, comorbidity, and having a doctor visit in the last month. Discussion: Life-space is a practical alternative in predicting future health care utilization to performance-based measures, which can be difficult to incorporate into clinical or public health practice.

scholarly journals Associations between participation in, intensity of, and time spent on leisure time physical activity and risk of inflammatory bowel disease among older adults (PA-IBD): A prospective cohort study

2020 ◽  
Author(s):  
Nathalie Fogh Rasmussen ◽  
Bodil Hammer Bech ◽  
Katrine Hass Rubin ◽  
Vibeke Andersen
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Effect Modification ◽  
Physically Active ◽  
The Third ◽  
Inflammatory Bowel ◽  
Do It Yourself ◽  
Dose Response Effect

Abstract Background: Inflammatory bowel diseases (IBDs) are diseases of the immune system that share some genetic and lifestyle-related predisposing factors. Increasing incidences have been reported in all age groups. Based on experimental studies suggesting a role of physical activity on intestinal inflammation, this study aimed to investigate the association between leisure time physical activity and the risk of IBD in older adults. Methods: The study is a prospective cohort study using Danish registry data and questionnaire data from the Danish “Diet, Cancer and Health” cohort. The outcome IBD was defined as having at least two main diagnoses of Crohn’s disease or ulcerative colitis registered in the National Patient Registry from the period between December 1993 and May 1997 with an average follow-up of 25 years. Cox proportional hazard models were used to estimate hazard-ratios for IBD onset associated with being physically active and with levels of the metabolic equivalent of task (MET) hours/week of physical activity and hours/week spent on six types of physical activity. All analyses were adjusted for potential confounders. Furthermore, the analyses were stratified according to age-group, occupational physical activity, smoking, BMI and work status to test for effect modification. Results: In total, 54 645 men and women aged between 50-64 years were included, and of which there were 529 cases. When comparing physically active with inactive participants measured by MET hours/week there was no statistically significant difference in risk of IBD (0.89 [0.13; 6.27]), regardless of how participation was measured. Results did not indicate any dose-response effect when comparing quartile groups of MET hours/week (HR=0.97 [0.76 ; 1.22], HR=0.82 [0.64 ; 1.05] and HR=0.83 [0.65 ; 1.07] or whether five of the six types of activities were compared with the lowest quartile as reference. For do-it-yourself-work, the third quartile of hours/week was associated with a higher risk of IBD compared to the second quartile of hours/week (HR=1.44 [1.10 ; 1.90]. No effect modification was found. Conclusions: There was no association between physical activity and risk of IBD when comparing physically active with inactive participants. Neither did the results indicate any dose-response effect when comparing quartile groups of MET hours/week with the lowest quartile as reference. Do-it-yourself work, however, appeared to be associated with a higher risk of IBD when comparing the third quartile with the second quartile of hours/week. The study has clinical relevance by its contribution to the explanatory field of the causes of IBD. However, the study has some limitations, and further research is needed to clarify associations between physical activity and risk of IBD.

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