scholarly journals effect of physical activity on independent living ability among community-dwelling elderly in urban areas of Liaoning Province in China: a population-based study

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e023543 ◽  
Author(s):  
Bowen Wang ◽  
Yijiao Wu ◽  
Tianjiao Zhang ◽  
Jinsong Han ◽  
Lianzheng Yu ◽  
...  

ObjectiveIndependent living ability is crucial for the elderly; however, its assessment performed in China employs various scales and lacks risk factors, especially behavioural and social-psychological factors, which could be improved through health education. This study aimed to assess the independent living ability of community-dwelling elderly in urban areas of China and to identify the association with behavioral and social-psychological factors.DesignA population-based study using random cluster sampling method was performed in two core cities in Liaoning Province during March–November 2012.Study population3686 individuals who were >=65 years old, had no dementia and cognitive impairment, had lived in the sampled communities for >=5 years and could take part in the study were enrolled.Main outcome measuresInterviews were conducted to collect information of independent living ability, indicated by the instrumental activity of daily living (IADL), behavioural factors, social-psychological factors and confounders (demographic characteristics and health status). The Mini-Mental State Examination was used to screen for cognitive impairment.ResultsThe independence rate was 46.3% in men and 41.1% in women. Structural equation modelling analysis showed that physical activity, drawn from taking a walk and doing exercise, had the strongest association with the IADL in both men (−0.34, SE 0.10) and women (−0.33, SE 0.11). Falling in the last year and worrying about falling were also significantly associated with IADL. The effects of regular drinking, feeling lonely and participating in entertainment were significant in men.ConclusionThe independent living ability of the elderly in urban areas in Liaoning Province in China was at a low level. Physical activity was one of the important roles in both men and women; whereas the role of social-psychological factors only existed in men. Gender-specific healthcare and education to avoid sedentary life should be advocated for the elderly to maintain/improve their independent living ability.

2019 ◽  
Vol 25 (3) ◽  
pp. 216-219
Author(s):  
Alisson Padilha de Lima ◽  
Ezequiel Vitório Lini ◽  
Marilene Rodrigues Portella ◽  
Marlene Doring ◽  
Fabrício Bruno Cardoso

ABSTRACT Introduction The increase in chronic diseases and physical inactivity are major public health problems among elderly populations worldwide. Objective This article aimed to determine the prevalence and factors associated with the practice of physical activity (PA) among elderly people living in urban environment. Methods A cross-population-based study was conducted in 2014, with 196 elderly people aged ≥ 60 years of age living in urban environment in the city of Passo Fundo, in the State of Rio Grande do Sul. Gross and multivariable analyses were conducted using Poisson regression, estimating the ratios of gross and adjusted prevalence and calculating their respective 95% confidence intervals. Results The mean age was 71.3 (± 8.4). The gross prevalence for the practice of PA was 56.1%. After adjusted analysis, only the variable independent in activities of daily living (ADLs) remained significant (95% CI 1.05 to 4.83) (p = 0.037). Conclusions This research showed an association between the practice of PA and independence in ADLs. Level of Evidence II, Economic and decision analysis - Development of economic model or decision.


2015 ◽  
Vol 60 (2) ◽  
pp. 311-316 ◽  
Author(s):  
Wei Sun ◽  
Surita Aodeng ◽  
Yoshimi Tanimoto ◽  
Misuzu Watanabe ◽  
Jinsong Han ◽  
...  

2018 ◽  
Vol 23 (3) ◽  
pp. 963-971 ◽  
Author(s):  
Adriano Roberto Tarifa Vicente ◽  
Érico Castro-Costa ◽  
Josélia de Oliveira Araújo Firmo ◽  
Maria Fernanda Lima-Costa ◽  
Antônio Ignácio de Loyola Filho

Abstract The purpose of the study was to investigate whether religiousness and social support were associated with the use of antidepressants among community-dwelling elders. The research involved 1,606 older adults who make up the cohort of Bambuí Project, a study on ageing and health. The dependent variable was the use of antidepressants in the last 90 days, and the exposures of interest were social support and religiousness. Logistic regression was used to test the associations and to estimate crude and adjusted Odds Ratio and their 95% confidence intervals. The chances of use of antidepressants were significantly lower among older people with higher level of religiosity (OR = 0.45; 95% CI: 0.29 to 0.70), but none of the descriptors social support was associated with the event. In this population, it is possible that religion occupies a prominent role in the arsenal of health problems coping strategies, especially mental. Health professionals attending this particular segment of the population (elderly people with depressive disorders) should consider religiousness of patients when the proposed guidelines and treatment in coping with their mental suffering.


2016 ◽  
Vol 13 (6) ◽  
pp. 617-624 ◽  
Author(s):  
Marui Weber Corseuil Giehl ◽  
Pedro Curi Hallal ◽  
Claudia Weber Corseuil ◽  
Ione J. Ceola Schneider ◽  
Eleonora d’Orsi

Background:Understanding the built environment influence on specific domains of walking is important for public health interventions to increase physical activity levels among older adults.Purpose:The purpose was to investigate the association between built environment characteristics and walking among older adults.Methods:A population-based study was performed in 80 census tracts in Florianópolis, Brazil, including 1,705 older adults (60+ years old). Walking was measured using the International Physical Activity Questionnaire. Built environment characteristics were assessed through a geographic information system. All analyses were conducted through a multilevel logistic regression.Results:Individuals living in neighborhoods with a higher population density (odds ratio [OR]: 2.19; 95% confidence interval [CI], 1.40–3.42), with a higher street connectivity (OR: 1.85; 95% CI, 1.16–2.94), a higher sidewalk proportion (OR: 1.77; 95% CI, 1.11–2.83), and paved streets (medium tertile: OR: 1.61, 95% CI, 1.04–2.49; highest tertile: OR: 2.11; 95% CI, 1.36–3.27) were more likely to walk for transportation. Regarding walking for leisure, only 2 predictors were associated, area income (OR: 1.48; 95% CI, 1.04–2.12) and street density (OR: 1.47; 95% CI, 1.02–2.10).Conclusions:Improving the neighborhood built environment is an important step for achieving higher levels of walking in the elderly population in a middle-income country.


2016 ◽  
Vol 13 (6) ◽  
pp. 599-605 ◽  
Author(s):  
Andrea Wendt Böhm ◽  
Grégore Iven Mielke ◽  
Maurício Feijó da Cruz ◽  
Virgílio Viana Ramires ◽  
Fernando C. Wehrmeister

Background:Physical inactivity in elderly is a public health problem. The purpose of this study is to describe and test the association between social support and leisure-time physical activity among the elderly.Methods:A cross-sectional, population-based study with 1,285 subjects (60+ years old) living in a city in southern Brazil was carried out in 2014. Physical activity practice was measured using the International Physical Activity Questionnaire [leisure domain: at least 150 minutes per week of walking + moderate physical activity + 2(vigorous physical activity)], while social support was measured using the Physical Activity Social Support Scale.Results:The prevalence of elderly who reached the recommendations of leisure-time physical activity was 18.4%. The elderly persons who had the company of family or friends to walk had a 2.45 times higher prevalence of reaching the recommendations of physical activity in leisure than those who did not. Those who had company of friends to practice moderate-to-vigorous physical activity (MVPA) were 3.23 times more likely to reach physical activity recommendations than their counterparts. The least common social support was the joint practice for walking and for MVPA.Conclusions:Strategies that incentivize family members and friends to provide social support to the elderly for physical activity focusing on joint practice must be encouraged.


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