Barriers and Facilitators for Physical Activity in Older Chinese Adults Living in New Zealand

Objective. Middle-aged and older Chinese adults (35 to 75) failed to meet the recommendations of physical activity guidelines for health promotion, because of a lack of understanding of their perspective on physical activity. This study considers the physical activity levels and motivation among middle-aged and older Chinese adults partitioned into three different participation groups (sports, exercise, and recreational and cultural activities). Methods. A cross-sectional analysis was performed on 633 participants, based on two different levels of physical activity levels. The International Physical Activity Questionnaire (IPAQ) and the Exercise Motivation Inventory (EMI-2) with 14 subscales were used to measure the participant’s physical activity levels and physical activity motivation for the three different group activities. Results. Results indicate those participants’ physical activity levels and motivation varied significantly among the different groups. The participants who engage in recreational and cultural activities have a higher motivation for physical activity, as compared with those whose primary form of physical activity is sports and exercise, and a higher probability to fulfill the global recommendations concerning physical activity. Participants who used recreational and cultural activities as their major type of physical activities were more motivated by “intrinsic” aspects. In contrast, those who participate in sports and exercise as their main type of physical activity are more motivated by “extrinsic” aspects. Conclusion. Close friends and family members of one’s home and community have potential influence in physical activity and recreational and cultural activity participants are highly motivated and luckier than others to fulfill the goal of physical activity levels.

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Physical activity among older Chinese adults living in urban and rural areas: A review

Journal of Sport and Health Science ◽

10.1016/j.jshs.2016.07.004 ◽

2016 ◽

Vol 5 (3) ◽

pp. 281-286 ◽

Cited By ~ 20

Author(s):

Wenfei Zhu ◽

Aiping Chi ◽

Yuliang Sun

Keyword(s):

Physical Activity ◽

Rural Areas ◽

Chinese Adults ◽

Older Chinese ◽

Urban And Rural Areas ◽

Older Chinese Adults

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Ethnic Differences in Barriers and Enablers to Physical Activity Among Older Adults

Frontiers in Public Health ◽

10.3389/fpubh.2021.691851 ◽

2021 ◽

Vol 9 ◽

Author(s):

Emily You ◽

Nicola T. Lautenschlager ◽

Ching Shan Wan ◽

Anita M. Y. Goh ◽

Eleanor Curran ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Health Issues ◽

Chinese Adults ◽

Language And Culture ◽

Barriers And Enablers ◽

Older Chinese ◽

Group Interviews ◽

Bad Weather ◽

Older Chinese Adults

Despite its well-known health benefits, most older adults do not commit to undertaking sufficient physical activity (PA). In this study we aimed to examine the perceived benefits of and barriers and enablers to PA from the perspectives of older Caucasian and Chinese adults living in Australia. Individual and group interviews with 17 Caucasian (mean age: 72.8 years) and 47 Chinese adults (mean age: 74.0 years) were conducted and analysed using thematic analysis. Overall, participants knew about the benefits of PA on physical health but had inconsistent views on its benefits on mental and cognitive health. Older Caucasian and Chinese adults reported similar barriers (e.g., health issues, costs, bad weather and lack of time) and enablers (e.g., improving health; environmental enablers such as adequate and walkable spaces and good natural environment; peer support; and self-motivation) to PA. In comparison, older Chinese adults reported barriers more often, and reported some unique barriers relating to language and culture issues. The findings contribute to developing targeted PA programs for older Caucasian and Chinese adults.

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The Relationships Between Depressive Symptoms, Functional Health Status, Physical Activity, and the Availability of Recreational Facilities: a Rural-Urban Comparison in Middle-Aged and Older Chinese Adults

International Journal of Behavioral Medicine ◽

10.1007/s12529-018-9714-3 ◽

2018 ◽

Vol 25 (3) ◽

pp. 322-330 ◽

Cited By ~ 4

Author(s):

Yazhuo Deng ◽

David R. Paul

Keyword(s):

Physical Activity ◽

Depressive Symptoms ◽

Health Status ◽

Functional Health ◽

Functional Health Status ◽

Middle Aged ◽

Chinese Adults ◽

Recreational Facilities ◽

Older Chinese ◽

Older Chinese Adults

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P1-599: ETHNIC DIFFERENCES IN BARRIERS AND ENABLERS TO PHYSICAL ACTIVITY PARTICIPATION BETWEEN OLDER ANGLO-AUSTRALIANS AND OLDER CHINESE ADULTS IN THE CONTEXT OF COGNITIVE HEALTH PROMOTION

Alzheimer s & Dementia ◽

10.1016/j.jalz.2019.06.1204 ◽

2019 ◽

Vol 15 ◽

pp. P506-P506

Author(s):

Emily You ◽

Nicola T. Lautenschlager ◽

Kathryn A. Ellis

Keyword(s):

Physical Activity ◽

Health Promotion ◽

Ethnic Differences ◽

Physical Activity Participation ◽

Activity Participation ◽

Chinese Adults ◽

Cognitive Health ◽

Barriers And Enablers ◽

Older Chinese ◽

Older Chinese Adults

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Domain dimensionality and temporality of outcome expectancy for physical activity among middle-aged and older Chinese adults: A latent profile analysis

Psychology of Sport and Exercise ◽

10.1016/j.psychsport.2013.05.007 ◽

2013 ◽

Vol 14 (5) ◽

pp. 682-691 ◽

Cited By ~ 9

Author(s):

Kin-Kit Li

Keyword(s):

Physical Activity ◽

Latent Profile Analysis ◽

Profile Analysis ◽

Outcome Expectancy ◽

Middle Aged ◽

Chinese Adults ◽

Older Chinese ◽

Older Chinese Adults ◽

Latent Profile

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Depressive Symptoms Among Rural “Left-Behind” Older Adults: A Test of the High Outmigration Penalty Hypothesis

The Journals of Gerontology Series B ◽

10.1093/geronb/gbab040 ◽

2021 ◽

Author(s):

Qian Song ◽

Haowei Wang ◽

Jeffery A Burr

Keyword(s):

Older Adults ◽

Depressive Symptoms ◽

Rural Communities ◽

Older Adult ◽

Psychological Health ◽

Economic Conditions ◽

Adult Density ◽

Chinese Adults ◽

Older Chinese ◽

Older Chinese Adults

Abstract Objectives We investigated whether there was a “high outmigration penalty” for psychological health among older adults in rural China by assessing 2 potential community stressors associated with major sociodemographic changes in the community—increased outmigration and older adult density. We also investigated whether disparities in community economic conditions moderated the association between community stressors and depressive symptoms. Methods We employed 3 waves of data from the China Health and Retirement Longitudinal Study (2011–2015), using multilevel negative binomial models to address our research questions. Results Our results supported the “high outmigration penalty” hypothesis. Older adults living in low-income rural communities may experience an aggravated mental health penalty compared to those living in high-income rural communities. Higher older adult density was also associated with more depressive symptoms but only in less wealthy communities. Community differences in economic conditions were key factors buffering the high outmigration disadvantage associated with the psychological health of older Chinese adults. Discussion Rural outmigration may have deepened existing intercommunity health disparities among older adults. Policies should be developed to address community-level factors negatively associated with the well-being of older Chinese adults living in high outmigration and less wealthy rural communities.

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Systemic Inflammation (C-Reactive Protein) in Older Chinese Adults Is Associated with Long-Term Exposure to Ambient Air Pollution

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18063258 ◽

2021 ◽

Vol 18 (6) ◽

pp. 3258

Author(s):

Mona Elbarbary ◽

Artem Oganesyan ◽

Trenton Honda ◽

Geoffrey Morgan ◽

Yuming Guo ◽

...

Keyword(s):

Air Pollution ◽

Systemic Inflammation ◽

Ambient Air ◽

Ambient Air Pollution ◽

Chinese Adults ◽

Reactive Protein ◽

Hs Crp ◽

Older Chinese ◽

Older Chinese Adults

There is an established association between air pollution and cardiovascular disease (CVD), which is likely to be mediated by systemic inflammation. The present study evaluated links between long-term exposure to ambient air pollution and high-sensitivity C reactive protein (hs-CRP) in an older Chinese adult cohort (n = 7915) enrolled in the World Health Organization (WHO) study on global aging and adult health (SAGE) China Wave 1 in 2008–2010. Multilevel linear and logistic regression models were used to assess the associations of particulate matter (PM) and nitrogen dioxide (NO2) on log-transformed hs-CRP levels and odds ratios of CVD risk derived from CRP levels adjusted for confounders. A satellite-based spatial statistical model was applied to estimate the average community exposure to outdoor air pollutants (PM with an aerodynamic diameter of 10 μm or less (PM10), 2.5 μm or less (PM2.5), and 1 μm or less (PM1) and NO2) for each participant of the study. hs-CRP levels were drawn from dried blood spots of each participant. Each 10 μg/m3 increment in PM10, PM2.5, PM1, and NO2 was associated with 12.8% (95% confidence interval; (CI): 9.1, 16.6), 15.7% (95% CI: 10.9, 20.8), 10.2% (95% CI: 7.3, 13.2), and 11.8% (95% CI: 7.9, 15.8) higher serum levels of hs-CRP, respectively. Our findings suggest that air pollution may be an important factor in increasing systemic inflammation in older Chinese adults.

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