Trends in Meeting the Aerobic Physical Activity Guideline Among Adults With and Without Select Chronic Health Conditions, United States, 1998–2018

Background: Physical activity is central to the management and control of many chronic health conditions. The authors examined trends during the past 2 decades in the prevalence of US adults with and without select chronic health conditions who met the minimal aerobic physical activity guideline. Methods: The 1998–2018 National Health Interview Survey data were analyzed. Prevalence of meeting the minimal aerobic physical activity guideline among adults with and without 6 chronic health conditions was estimated across 3-year intervals. Linear and higher-order trends were assessed overall and by age group. Results: During the past 2 decades, prevalence of meeting the aerobic guideline increased among adults with diabetes, hypertension, coronary heart disease, stroke, cancer, and arthritis. However, the absolute increase in prevalence was lower among adults with hypertension, coronary heart disease, and arthritis compared to counterparts without each condition, respectively. Prevalence was persistently lower among those with most chronic health conditions, except cancer, and among older adults compared to their counterparts. Conclusions: Although rising trends in physical activity levels among adults with chronic health conditions are encouraging for improving chronic disease management, current prevalence remains low, particularly among older adults. Increasing physical activity should remain a priority for chronic disease management and control.

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Barriers Are Not the Limiting Factor to Participation in Physical Activity in Canadian Seniors

Journal of Aging Research ◽

10.1155/2012/890679 ◽

2012 ◽

Vol 2012 ◽

pp. 1-8 ◽

Cited By ~ 15

Author(s):

Kristy L. Smith ◽

Kelly Carr ◽

Alexandra Wiseman ◽

Kelly Calhoun ◽

Nancy H. McNevin ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Health Status ◽

Health Condition ◽

Chronic Health Conditions ◽

Health Conditions ◽

Limiting Factor ◽

Chronic Health ◽

Reported Health ◽

Self Reported Health Status

The identification of barriers to physical activity and exercise has been used for many decades to explain exercise behavior in older adults. Typically health concerns are the number one barrier to participation. Data from CCHS-HA dataset(N=20,875)were used to generate a sample of Canadians, 60+ years, who did not identify a health condition limitation, illness, or injury as a barrier to participation in physical activity(n=4,900)making this dataset unique in terms of the study of barriers to participation. While the vast majority of older adults participated in physical activity, 9.4% did not. The relationships between nonparticipation, barriers, self-reported health status, and chronic health conditions were determined using binary logistic regression. The main findings suggest that traditional barriers and self-reported health status are not responsible for nonparticipation. Nonparticipation was best predicted by chronic health conditions suggesting a disconnect between self-reported health status and underlying health conditions. The data are clear in suggesting that barriers are not the limiting factor and physical activity programming must be focused on meeting the health needs of our aging population.

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Role of physical activity, physical fitness, and chronic health conditions on the physical independence of community-dwelling older adults over a 5-year period

Archives of Gerontology and Geriatrics ◽

10.1016/j.archger.2016.02.004 ◽

2016 ◽

Vol 65 ◽

pp. 45-53 ◽

Cited By ~ 8

Author(s):

Catarina Pereira ◽

Fátima Baptista ◽

Ana Cruz-Ferreira

Keyword(s):

Physical Activity ◽

Older Adults ◽

Physical Fitness ◽

Community Dwelling ◽

Chronic Health Conditions ◽

Health Conditions ◽

Chronic Health ◽

Physical Independence ◽

Community Dwelling Older Adults

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Saskatoon in motion: Class vs. home-based exercise intervention in older adults with chronic health conditions

PsycEXTRA Dataset ◽

10.1037/e508992013-048 ◽

2005 ◽

Author(s):

Bruce Reeder ◽

Karen Chad ◽

Liz Harrison ◽

Nigel Ashworth ◽

Suzanne Sheppard ◽

...

Keyword(s):

Older Adults ◽

Exercise Intervention ◽

Chronic Health Conditions ◽

Health Conditions ◽

Chronic Health ◽

Home Based

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Chronic Health Conditions, Physical Activity and Dietary Behaviors of Bhutanese Refugees: A Houston-Based Needs Assessment

Journal of Immigrant and Minority Health ◽

10.1007/s10903-015-0282-1 ◽

2015 ◽

Vol 18 (6) ◽

pp. 1423-1431 ◽

Cited By ~ 4

Author(s):

Sanghamitra M. Misra ◽

Vishnu P. Nepal ◽

Deborah Banerjee ◽

Angelo P. Giardino

Keyword(s):

Physical Activity ◽

Needs Assessment ◽

Chronic Health Conditions ◽

Dietary Behaviors ◽

Health Conditions ◽

Chronic Health ◽

Bhutanese Refugees

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An integrated motivational interviewing and cognitive-behavioural intervention promoting physical activity maintenance for adults with chronic health conditions: A feasibility study

Chronic Illness ◽

10.1177/1742395318769370 ◽

2018 ◽

Vol 15 (4) ◽

pp. 276-292

Author(s):

Sarah E Scott ◽

Jeff D Breckon ◽

Robert J Copeland

Keyword(s):

Physical Activity ◽

Motivational Interviewing ◽

Chronic Health Conditions ◽

Health Conditions ◽

Behavioural Intervention ◽

Chronic Health ◽

Cognitive Behavioural ◽

Cognitive Behavioural Intervention ◽

Physical Activity Maintenance

Objectives Physical activity is recommended for managing chronic health conditions but is rarely maintained. This feasibility study aimed to evaluate the preliminary efficacy of a motivational interviewing and cognitive-behavioural intervention for long-term physical activity for adults with chronic health conditions. Methods Participants ( N = 37) with stable conditions (e.g. diabetes) were randomized into a three-month motivational interviewing and cognitive-behavioural group ( N = 20) or usual care ( N = 17) after completing a physical activity referral scheme. Participants completed physical activity (e.g. average steps per day and kilocalorie expenditure), psychological (e.g. self-efficacy) and epidemiological (e.g. body mass index) standardized measures at baseline, three- and six-month follow-up. Treatment fidelity and feasibility were assessed. Results Thirty-five participants completed the study (96% retention). The motivational interviewing and cognitive-behavioural group maintained kilocalorie expenditure at three ( p = 0.009) and six months ( p = 0.009). Exercise barrier self-efficacy ( p = 0.03), physical ( p = 0.02) and psychological ( p = 0.01) physical activity experiences were increased at three months only. No difference was found for average steps/day, social support, coping skills and epidemiological factors. Discussion This is the first study to demonstrate the feasibility and preliminary efficacy of motivational interviewing and cognitive-behavioural interventions for promoting physical activity maintenance in a clinical population. A large-scale trial with a longer follow-up (≥6 months) is warranted with treatment fidelity assessment.

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Vulnerable, But Why? Post-Traumatic Stress Symptoms in Older Adults Exposed to Hurricane Sandy

Disaster Medicine and Public Health Preparedness ◽

10.1017/dmp.2016.15 ◽

2016 ◽

Vol 10 (3) ◽

pp. 362-370 ◽

Cited By ~ 15

Author(s):

Allison R. Heid ◽

Zachary Christman ◽

Rachel Pruchno ◽

Francine P. Cartwright ◽

Maureen Wilson-Genderson

Keyword(s):

Older Adults ◽

Traumatic Stress ◽

Hurricane Sandy ◽

Chronic Health Conditions ◽

Health Conditions ◽

Ptsd Symptoms ◽

Post Traumatic Stress ◽

Group Status ◽

Chronic Health ◽

Post Traumatic

AbstractObjectiveDrawing on pre-disaster, peri-disaster, and post-disaster data, this study examined factors associated with the development of post-traumatic stress disorder (PTSD) symptoms in older adults exposed to Hurricane Sandy.MethodsWe used a sample of older participants matched by gender, exposure, and geographic region (N=88, mean age=59.83 years) in which one group reported clinically significant levels of PTSD symptoms and the other did not. We conducted t-tests, chi-square tests, and exact logistic regressions to examine differences in pre-disaster characteristics and peri-disaster experiences.ResultsOlder adults who experienced PTSD symptoms reported lower levels of income, positive affect, subjective health, and social support and were less likely to be working 4 to 6 years before Hurricane Sandy than were people not experiencing PTSD symptoms. Those developing PTSD symptoms reported more depressive symptoms, negative affect, functional disability, chronic health conditions, and pain before Sandy and greater distress and feelings of danger during Hurricane Sandy. Exact logistic regression revealed independent effects of preexisting chronic health conditions and feelings of distress during Hurricane Sandy in predicting PTSD group status.ConclusionsOur findings indicated that because vulnerable adults can be identified before disaster strikes, the opportunity to mitigate disaster-related PTSD exists through identification and resource programs that target population subgroups. (Disaster Med Public Health Preparedness. 2016;10:362–370)

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A New Measure for Assessing the Physical Activity Behaviors of Persons with Disabilities and Chronic Health Conditions: The Physical Activity and Disability Survey

American Journal of Health Promotion ◽

10.4278/0890-1171-16.1.34 ◽

2001 ◽

Vol 16 (1) ◽

pp. 34-45 ◽

Cited By ~ 53

Author(s):

James H. Rimmer ◽

Barth B. Riley ◽

Stephen S. Rubin

Keyword(s):

Physical Activity ◽

Leisure Time ◽

Leisure Time Physical Activity ◽

Total Activity ◽

Chronic Health Conditions ◽

Health Conditions ◽

Time To Exhaustion ◽

Household Activity ◽

Persons With Disabilities ◽

Chronic Health

Purpose. Assess the psychometric properties of the Physical Activity and Disability Survey (PADS), a new physical activity measure for persons with disabilities and chronic health conditions. Design. Cross-sectional and pre-post designs were employed. Setting. A Midwestern university fitness center. Subjects. Participants were 103 individuals with disabilities and/or chronic health conditions. Measures. The Physical Activity and Disability Survey (PADS), peak oxygen uptake (peak VO2), maximum workload (MW), and time to exhaustion (TE) during exercise. Results. Factor analysis revealed a four-factor model that generally corresponded to PADS subscales. Cronbach alpha coefficients ranged from .67 (Exercise) to .77 (Time Indoors). Test-retest reliability (1-week interval) ranged from .78 (Time Indoors) to .95 (Leisure Time Physical Activity). Interrater reliability ranged from .92 (Household Activities) to .99 (Exercise, Leisure Time Physical Activity, Total Activity). Significant (p < .05) correlations were found between PADS subscales and absolute peak VO2 (Leisure Time Physical Activity, Household Activity, Total Activity), relative peak VO2 (Exercise, Time Indoors), MW (Time Indoors, Household Activity), and TE (Household Activity, Total Activity). Analyses of variance revealed that, unlike controls, health promotion program participants evidenced significant pre-post gains as measured by the Exercise subscale and Total Activity score. Conclusions. The findings lend support for the reliability and validity of the PADS as a measure of physical activity of groups who are sedentary and disabled.

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Chronic health conditions and work-related stress in older adults participating in the Dutch workforce

European Journal of Ageing ◽

10.1007/s10433-020-00554-x ◽

2020 ◽

Vol 17 (4) ◽

pp. 499-508

Author(s):

Miriam Mutambudzi ◽

Kene Henkens

Keyword(s):

Older Adults ◽

Sleep Disorders ◽

Work Stress ◽

Older Workers ◽

Pension Reform ◽

Panel Study ◽

Chronic Health Conditions ◽

Health Conditions ◽

Physical Demands ◽

Chronic Health

AbstractThe proportion of workers with chronic health conditions (CHCs) will increase over the years as pension reform is increasing the age of retirement in many European countries. This will increase the percentage of older adults with CHCs performing highly demanding work. This study sought to examine the association between common CHCs [cardiovascular disease (CVD), diabetes, arthritis, respiratory and sleep disorders] and three domains of work stress in older Dutch workers. This study used data from the first wave of the NIDI Pension Panel Study for working adults aged 60–65 years (n = 6793). Logistic regression models examined the strength of association between CHCs and (1) general work stress, (2) emotional, and (3) physical demands. All five CHC were independently associated with one or more domains of stress. After including all CHCs in the model, CVD, sleep disorders, and arthritis were significantly associated with general stress. Respiratory disorders, sleep disorders, and arthritis were significantly associated with physical demands. Diabetes (1.25, 95% CI 1.01–1.53), sleep disorders (1.99, 95% CI 1.72–2.31), and arthritis (1.18, 95% CI 1.06–1.31) were significantly associated with emotional demands. Our findings demonstrate that work stress is associated with prevalent CHCs, and these conditions are differentially associated with several domains of work stress in adults approaching retirement. More research is needed to understand the causal relationship between CHCs and work stress. Such research may provide insights for effective workplace and public health interventions to ensure that older workers remain physically and mentally healthy, and productive through their working years.

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