Impact of Walking Cadence Prescription to Reach the Global Physical Activity Recommendations in Older Adults

2017 ◽  
Vol 25 (4) ◽  
pp. 604-611 ◽  
Author(s):  
Jana Slaght ◽  
Martin Sénéchal ◽  
Danielle R. Bouchard

Walking cadence is a new monitoring strategy used to increase bouts of time at moderate intensity. Inactive older adults were instructed to walk 150 min per week at no specified intensity during phase one. In phase two, the intervention group (N = 23) received instructions on how to reach moderate intensity, using a pedometer and an individualized walking cadence, while the control group (N = 22) did not. The main outcomes were time at moderate intensity and moderate intensity in 10-min bouts. During phase two only the intervention group increased time at moderate intensity and moderate intensity in 10-min bouts compared with phase one and compared with the control group (p ≤ .01). Older adults can increase time walked at moderate intensity in 10-min bouts weekly by using individually prescribed walking cadence, a pedometer to track intensity, and practicing walking at this cadence.

2011 ◽  
Vol 111 (4) ◽  
pp. 1211-1217 ◽  
Author(s):  
Mahesh J. Patel ◽  
Cris A. Slentz ◽  
William E. Kraus

Randomized clinical trials of exercise training regimens in sedentary individuals have provided a mechanistic understanding of the long-term health benefits and consequences of physical activity and inactivity. The sedentary control periods from these trials have provided evidence of the progressive metabolic deterioration that results from as little as 4–6 mo of continuing a physically inactive lifestyle. These clinical trials have also demonstrated that only a modest amount of physical activity is required to prevent this metabolic deterioration, and this amount of physical activity is consistent with current physical activity recommendations (150 min/wk of moderate intensity physical activity). These recommendations have been issued to the general population for a vast array of health benefits. While greater adherence to these recommendations should result in substantial improvements in the health of the population, these recommendations still remain inadequate for many individuals. An individual's physical activity requirements are influenced by such factors as an individual's diet, nonexercise physical activity patterns, genetic profile, and medications. Improving the understanding of how these factors influence an individual's physical activity requirements will help advance the field and help move the field toward the development of more personalized physical activity recommendations.


Author(s):  
Vítor Häfele ◽  
César Augusto Häfele ◽  
Jeferson Santos Jerônimo ◽  
Rodrigo Wiltgen Ferreira ◽  
Steve Anthony Maravillo ◽  
...  

Introduction: Health behaviors are fundamental for healthy aging. In this sense, the practice of physical activity is one of the most beneficial factors for the health of individuals. Objective: To describe the prevalence of leisure-time physical activity among the older adults and analyze in terms of sociodemographic characteristics, national regions, Federative Units of Brazil, and types of physical activity practiced. Methods: Study utilizing data from the Brazilian National Health Survey - 2013. Leisure-time physical activity was analyzed with two distinct cutoff points: 1) Some physical activity - 10 or more minutes/week; 2) Meeting recommended 150 minutes/week of physical activity. Results: Nearly 21% of the older adults completed some physical activity, and 13.2% reached the physical activity recommendations. There was no difference in the prevalence of physical activity between men and women. Individuals aged 60-69 years and those with higher income were more active than their peers. As for the national regions, the North had the lowest prevalence of physically active older adults. Among all regions, walking was the most frequent form of physical activity practiced. Conclusion: The prevalence of older adults who practiced some physical activity and reached the physical activity recommendations was low, with walking being the most common form of physical activity. Older adults with higher age, low socioeconomic status and from the Northern Brazilian regions were the least active.


2011 ◽  
Vol 19 (1) ◽  
pp. 30-47 ◽  
Author(s):  
Yael Netz ◽  
Rebecca Goldsmith ◽  
Tal Shimony ◽  
Yosefa Ben-Moshe ◽  
Aviva Zeev

The trend of extended life expectancy along with a sedentary lifestyle is typical in Western cultures.Objective:To explore adherence to physical activity recommendations in older adults in Israel.Methods:A random sample of 1,536 Jews and 316 Arabs age 65+ were interviewed and divided into sufficiently active, insufficiently active, and inactive groups based on official guidelines.Results:Only 36.4% of the Jewish sector and 19.6% of the Arab sector are sufficiently active. Men are more active than women, the secular are more active than the religious among both Jews and Arabs, and more years of education, a higher income, and fewer diseases and medications are related to higher levels of physical activity.Discussion:To slow down biological age decline with physical activity, intervention programs specifically tailored for culturally diverse groups are suggested—for example, recruiting prominent religious leaders to promote physical activity in religious populations.


2018 ◽  
pp. 1-6
Author(s):  
F. Xu ◽  
S.A. Cohen ◽  
I.E. Lofgren ◽  
G.W. Greene ◽  
M.J. Delmonico ◽  
...  

Background: Physical activity reduces the likelihood of developing metabolic syndrome (MetS). However, the association between different physical activity levels and MetS remains unclear in older adults with obesity. Methods: This cross-sectional study used four waves of data (2007-2008, 2009-2010, 2011-2012, 2013-2014) from two datasets: The National Health and Nutrition Examination Survey and United Sates Department of Agriculture’s Food Patterns Equivalents Database. The sample included adults 60+ years of age (n= 613) with obesity who had physical activity and MetS data. Physical activity was assessed using the Global Physical Activity Questionnaire and categorized into three physical activity levels (low, medium, and high); and medium or high physical activity levels are aligned with or exceed current physical activity recommendations. Participants were classified as having MetS using a commonly agreed upon definition. Multiple logistic regression models examined the association between the three physical activity levels and MetS risk factors and MetS. All analyses adjusted for potential confounding variables and accounted for complex sampling. Results: Of 613 respondents, 72.1% (n=431) were classified as having MetS, and 44.3% (n = 263) had not met physical activity recommendations. Participants with high levels of physical activity had a lower risk of MetS (OR = 0.31, 95%CI: 0.13, 0.72) and more healthful levels of high-density lipoprotein cholesterol (OR = 0.39, 95%CI: 0.18, 0.84), blood pressure (OR = 0.39, 95%CI: 0.20, 0.77), fasting glucose (OR = 0.34, 95%CI: 0.15, 0.78) than participants categorized as having low physical activity. Conclusions: Physical activity is associated with lower risk of MetS only for participants with the highest level of physical activity, which suggests that physical activity dosage is important to reduce MetS risk in older adults with obesity.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S169-S169
Author(s):  
Junxin Li ◽  
Sarah Szanton ◽  
Minhui Liu ◽  
Nada Lukkahatai ◽  
Junxin Li ◽  
...  

Abstract Evidence suggests physical activity (PA) improves sleep in older adults. This study examined the preliminary effect of a personalized mHealth behavioral intervention on PA and sleep in older adults. We conducted a randomized controlled pilot trial in 21 community-dwelling older adults with sleep complaints. The 24-week mHealth behavioral intervention included a 2-hour in person training session, personalized exercise prescription, real time PA self-monitoring, interactive prompts, phone consultation, and weekly financial incentives. PA and sleep were measured objectively using Actiwatch 2.0 and subjectively using questionnaires. Peripheral blood was drawn for measuring Plasma inflammatory biomarkers [interleukin 1β, 6, 8, Tumor Necrosis Factor- alpha (TNF-α), and c-reactive protein (CRP)]. Data were collected at baseline, 8-week, 16-week, and post intervention. Repeated measures ANOVA (time*group) was used to examine differences of PA and sleep across times between the two groups. Majority of participants are women (71.4%) with mean age of 73.7 (SD = 6.9). Repeated measure ANOVA showed significant (p <0.05) improvement of objective and subjective PA, objective nocturnal sleep duration, self-report sleep quality (measured by Pittsburg Sleep Quality Index and Insomnia Severity Index) and decreasing of sedentary time over times in the intervention group (n=11), compared to the control group. The intervention group showed significant reduction of plasma TNF-α and CRP levels at 16-week and post intervention. Interventions combining personalized PA and mHealth strategies may positively affect physical activity and sleep in older adults. A larger study is needed to test the efficacy of this intervention and the mechanisms associated with it.


2014 ◽  
Vol 11 (8) ◽  
pp. 1531-1539 ◽  
Author(s):  
Alex Antonio Florindo ◽  
Evelyn Fabiana Costa ◽  
Thiago Herick Sa ◽  
Taynã Ishii dos Santos ◽  
Marília Velardi ◽  
...  

Background:The aim of this study was to describe a methodology for training to provide counseling on physical activity among community health workers working within primary healthcare in Brazil.Methods:This was an intervention study conducted with 65 community health workers in the Ermelino Matarazzo district in the São Paulo, Brazil (30 in intervention group). The intervention group received a course of 12 hours (with 4 meetings of 3 hours each in 1 month) that aimed to improve their knowledge and be autonomous with regard to promoting physical activity. For data analysis, focus groups and questionnaires on knowledge and perceptions regarding physical activity were used.Results:The average attendance for the 4 meetings was 29 workers (93% of total). There was an improvement in knowledge on physical activity recommendations in comparison with the control (P = .03), and qualitative results revealed that the professionals appreciated the learned content, valued its application based on knowledge construction and felt secure about promoting physical activity. This was seen through high adherence levels and construction collective of proposal for home visits for physical activity promotion.Conclusion:The training was effective in improving knowledge and attitudes toward counseling on physical activity among community health workers.


Retos ◽  
2015 ◽  
pp. 30-33
Author(s):  
Manuel Navarro Valdivielso ◽  
Roberto Ojeda García ◽  
Miriam Navarro Hernández ◽  
Eduardo López López ◽  
Estrella Brito Ojeda ◽  
...  

En el presente estudio de la población adolescente de la Comunidad Autónoma de Canarias se evidencia que son minoría los adolescentes que cumplen las pautas o recomendaciones de actividad física, mostrando bajos niveles de práctica de actividad física de intensidad moderada y vigorosa, niveles que se muestran alejados de las recomendaciones establecidas para este grupo de edad e insuficientes para alcanzar los efectos positivos que se derivan de la práctica de actividad física, siendo estos bajos niveles más acentuados en las chicas que en los chicos. Estas evidencias justifican la necesidad de cambiar esta tendencia y promover cambios sustanciales en los hábitos de práctica de actividad física de nuestros niños y adolescentes. Para procurar este cambio, se muestran como muy adecuado, la puesta en práctica de programas de intervención extracurriculares, junto con el necesario incremento del horario lectivo que en la actualidad se destina a la materia de educación física en el vigente currículo escolar de la Enseñanza Básica. Palabra clave: actividad física, niveles de actividad física, adolescentes, recomendaciones de práctica de actividad física, análisis del patrón de actividad física, sedentarismo.Abstract: The present study about adolescent from the Canary Islands, evidence that a minority of adolescents follow the guidelines or recommendations for physical activity, showing low level of physical activity of moderate intensity and vigorous, levels which are shown away from the established recommendations for this group of age, and insufficient to attain the positive effects arising from the practice of physical activity, and these low levels are more accentuated in girls than in boys. These evidences, justify, the need to change this trend and promote substantial changes in practice habits of physical activity of children and adolescents. To ensure this change, are shown as very adequate, the implementation of physical education programs out of the school schedule, along with the necessary increase in teaching hours which now is assigned to physical education in the current curriculum of Basic Education.Key words: physical activity, physical activity level, adolescents, physical activity recommendations, physical activity pattern analysis, sedentary lifestyle.


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