An In-depth Pilot Study on Patterns, Destinations, and Purposes of Walking in Hong Kong Older Adults

2015 ◽  
Vol 23 (1) ◽  
pp. 144-152 ◽  
Author(s):  
Anthony Barnett ◽  
Ester Cerin ◽  
Man-chin Cheung ◽  
Wai-man Chan

Walking is a suitable activity for older adults and has physical and mental health benefits. To devise interventions that impact levels of walking it is necessary to first understand the purposes for which people walk and the destinations to which they walk. Using a 7-day diary and accelerometry, this study investigated destinations and purposes of walking in older adult residents of an ultra-dense Asian city. Participants reported an average of 17.1 walking trips per week and total weekly accelerometer/diary determined trip walking time averaged 735 min per week; much higher than reported for older adults in non-Asian settings. The most common destinations were within the neighborhood: parks and streets for recreation walking and shops and eating places for transport-related walking. Errands and eating were the most common purposes for transportation trips. The study results can help inform urban design to encourage walking.

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 412-412
Author(s):  
Chao-Yi Wu ◽  
Lyndsey Miller ◽  
Rachel Wall ◽  
Zachary Beattie ◽  
Jeffrey Kaye ◽  
...  

Abstract Many older adults remain inactive despite the known positive health implications of physical activity (e.g. improved mood, reduced mortality risk). Physical inactivity is a known interdependent phenomenon in couples, but the majority of research identifies determinants of physical inactivity at the individual level. We estimated the average amount of physical inactivity for older adult couples and, using dyadic analysis, identified physical and mental health determinants thereof. Forty-eight heterosexual older adult couples (mean age=70.6, SD=6.63) from the Veterans Integrated Service Network 20 cohort of the Collaborative Aging Research using Technology (CART) initiative were included in this study. Both dyad members wore actigraph devices for a month. The average number per day of inactive periods (defined as no movement or sleep activity for ≥ 30 minutes) was estimated. Multilevel modeling revealed that, within couples, there was no difference between partners in the average number of inactive periods, but on average across couples, males had more inactive periods per day (13.4, SD=4.43) than females (12.3, SD=4.87). For males, older age was the only variable associated with more inactive periods (β=0.13, p=.013). For females, more depressive symptoms in men were associated with fewer inactive periods (β=-0.37, p=.002), and more dependence in completing their own IADLs predicted more inactive periods (β=2.80, p<.001). All models were adjusted for covariates. Viewing couples’ activity as a unit, rather than as separate individuals, provides a novel approach to identifying pathways to reduce inactivity in older adults, especially when focusing on mental health issues and decreased independence within the couple.


2009 ◽  
Vol 19 (1) ◽  
pp. 91-96 ◽  
Author(s):  
Donna Wang

The older adult population may greatly benefit from the practice of Yoga. This article reviews the scientific evidence supporting the use of Yoga with older adults. Nine studies were identified that examined either physical or mental health outcomes in older adults following a Yoga intervention. There is growing evidence that Yoga can improve physical well-being, including balance, range of motion, blood pressure, pain, fatigue, and general health. There is less evidence available that examines the cognitive and mental health benefits of Yoga for older adults. However, there is preliminary evidence that Yoga can improve sleep quality and depression. Only three of the reviewed studies were randomized controlled trials, and more studies of high methodological quality are needed. Implications for further research and practice are offered.


2016 ◽  
Vol 30 (1) ◽  
pp. 3-10 ◽  
Author(s):  
Mark van der Maas ◽  
Robert E. Mann ◽  
John McCready ◽  
Flora I. Matheson ◽  
Nigel E. Turner ◽  
...  

As older adults continue to make up a greater proportion of the Canadian population, it becomes more important to understand the implications that their leisure activities have for their physical and mental health. Gambling, in particular, is a form of leisure that is becoming more widely available and has important implications for the mental health and financial well-being of older adults. This study examines a large sample (2103) of casino-going Ontarian adults over the age of 55 and identifies those features of their gambling participation that are associated with problem gambling. Logistic regression analysis is used to analyze the data. Focusing on types of gambling participated in and motivations for visiting the casino, this study finds that several forms of gambling and motivations to gamble are associated with greater risk of problem gambling. It also finds that some motivations are associated with lower risk of problem gambling. The findings of this study have implications related to gambling availability within an aging population.


2020 ◽  
Author(s):  
Chao-Yi Wu ◽  
Lyndsey M Miller ◽  
Rachel N Wall ◽  
Zachary T Beattie ◽  
Lisa C Silbert ◽  
...  

Abstract Background and Objectives Many older adults remain inactive despite the known positive health implications of physical activity (improved mood, reduced mortality risk). Physical inactivity is an interdependent phenomenon in couples, but most research examines physical inactivity at the individual level. We estimated the average amount of prolonged physical inactivity for older adult couples and, using dyadic analysis, identified physical and mental health determinants thereof. Research Design and Methods Forty-six heterosexual older adult couples (age=70.61±6.56) from the Veterans Integrated Service Network 20 cohort of the Collaborative Aging Research using Technology (CART) initiative were included. The average number per day of prolonged inactive periods (no step counts or sleep activity for ≥ 30 minutes) was estimated using actigraphy data collected over a month. Results Multilevel modeling revealed that, within couples, there was no significant difference between partners in the average amount of inactive periods (p=.28). On average across couples, males and females had an average of 6.90±2.02 and 6.56±1.93 inactive periods per day, respectively. For males, older age was the only variable associated with more inactive periods (β=0.15, p=.002). For females, having more depressive symptoms in both dyad members was associated with fewer inactive periods (female: β=-0.30,p=.03; male: β=-0.41,p<.001), and more dependence in completing their own instrumental activities of daily living predicted more inactive periods (β=2.58, p<.001). Discussion and Implications Viewing couples’ activity as an interdependent phenomenon, rather than individual, provides a novel approach to identifying pathways to reduce inactivity in older adults, especially when focusing on the mental health and level of independence within the couple.


2019 ◽  
Vol 27 (4) ◽  
pp. 446-451 ◽  
Author(s):  
Pamela K. Samra ◽  
Amanda L. Rebar ◽  
Lynne Parkinson ◽  
Jannique G.Z. van Uffelen ◽  
Stephanie Schoeppe ◽  
...  

An understanding of physical activity attitudes, preferences, and experiences in older adults is important for informing interventions. Focus groups were conducted with 46 regionally-based Australian adults aged 65 years and older, who were not currently meeting activity recommendations. Content analysis revealed that participants mainly engaged in incidental activities such as gardening and household chores rather than planned exercise; however, leisure-time walking was also mentioned frequently. Although participants valued the physical and mental health benefits of physical activity, they reported being restricted by poor physical health, extreme weather, and fear of injury. Participants were interested in exercise groups and physical activity programs tailored to their existing physical health. The majority of participants reported preferring to be active with others. The findings from this study are useful in for informing future interventions specifically tailored to the needs of older adults in Australia.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 93-93
Author(s):  
Tobi Abramson ◽  
Jacquelin Berman ◽  
Madison Gates

Abstract The mental health needs of older adults are largely unmet, a finding even more prevalent within culturally diverse older adult populations. Added to this is the high rate of social isolation. Research has indicated increased connection to mental health services when services are embedded within physical health care settings. For those attending community centers, 85% indicate that they are socially isolated, 68% indicate they are lonely, and 53% have a mental health need (compared to 20% nationally). The need for innovative programming is evident. When examining the needs of diverse older adults, it is increasingly important that new and innovative approaches address social isolation, loneliness, and mental health problems experienced by this cohort. Utilizing this knowledge an innovative model of embedding and integrating mental health services, provided by bilingual and bicultural clinicians, into congregate sites (older adult centers) was implemented. Those that participated were mainly female (72.1%), 68.5% English-speaking, 14.5% Spanish-speaking, 13.6% Chinese-speaking and 3.4% other. Spanish-speakers had more depression than English-speakers and both had more depression than Chinese-speakers. English and Spanish-speakers reported more social isolation and Chinese-speakers compared were more likely to participate in engagement. Chinese-speakers were less likely to be in clinical services with a positive screen compared to English-speakers. Overall, 75% engaged in treatment; 37.3% and 41% showed a 3-month improvement of depression and anxiety, respectively. This presentation focuses on the innovative components of this model, how to engage diverse older adults to utilize treatment, steps needed for replication, and policy implications around integrated mental health treatment.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 810-811
Author(s):  
Jayant Pinto

Abstract Decline of the sense of smell with age causes a marked impact on older adults, markedly reducing quality of life. Olfactory dysfunction impairs nutrition, decreases the ability to experience pleasure, and results in depression, among other burdens. Large-scale population studies have identified impaired olfaction as a key heath indicator that predicts the development of decreased physical and mental health, reduced physical activity, weight loss, mild cognitive impairment and dementia, and mortality itself. These data have been generated via analyses of data from several aging cohorts, including the National Social Life, Health, and Aging Project (NSHAP); the Beaver Dam cohort; the Atherosclerosis Risk in Communities project; the Rush Memory and Aging Project; the Health, Aging, and Body Composition project; the Washington Heights/Inwood Columbia Aging Project; among others. In this presentation, we will review the close connection between olfaction, health, aging, including discussion of insights from these studies. We will also discuss emerging data from NSHAP on the effects of sensory function on cognition, mental health, and social interaction, which demonstrate that sensory function plays a vital role in the lives of older adults. Part of a symposium sponsored by Sensory Health Interest Group.


2020 ◽  
Vol 16 (6) ◽  
pp. 276-277
Author(s):  
Jay Kara

There are huge physical and mental health benefits of exercise, even more so during these unprecedented times. Here, fitness coach Jay Kara offers his guide to the perfect home workout


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