scholarly journals Neighborhood Environment and Objectively Measured Sedentary Behavior Among Older Adults: A Cross-Sectional Study

2021 ◽  
Vol 8 ◽  
Author(s):  
Shao-Hsi Chang ◽  
Ru Rutherford ◽  
Ming-Chun Hsueh ◽  
Yi-Chien Yu ◽  
Jong-Hwan Park ◽  
...  
Keyword(s):  
Older Adults ◽  
Sedentary Behavior ◽  
Public Transportation ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Neighborhood Environment ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
Street Intersection ◽  
Sedentary Bouts

Background: We examined the relationships between objectively assessed neighborhood environment and the patterns of sedentary behavior among older adults.Methods: A total of 126 community-dwelling older adults (aged 65 years or above) were recruited. Data on neighborhood environmental attributes (resident density, street intersection density, sidewalk availability, accessible destinations, and accessible public transportation), accelerometer-assessed total time and patterns of sedentary behavior (number and duration of bouts), and sociodemographic characteristics were collected. Multiple linear regression models were developed.Results: After adjustment for potential confounders, greater sidewalk availability was negatively related to the number of sedentary bouts (β = −0.185; 95% CI: −0.362, 0.015; p = 0.034) and sedentary bout duration (β = −0.180; 95% CI: −0.354, −0.011; p = 0.037).Conclusions: This study revealed that a favorable neighborhood environment characterized by sidewalk availability is negatively associated with sedentary behavior patterns in Taiwanese older adults. These findings are critical to inform environmental policy initiatives to prevent sedentary lifestyle in older adults.

scholarly journals Association Between Public Transportation Use and Loneliness Among Urban Elderly People Who Stop Driving

2019 ◽  
Vol 5 ◽  
pp. 233372141985129 ◽  
Author(s):  
Naoka Matsuda ◽  
Shunsuke Murata ◽  
Kohtaroh Torizawa ◽  
Tsunenori Isa ◽  
Aoi Ebina ◽  
...  
Keyword(s):  
Older Adults ◽  
Public Transportation ◽  
Multiple Linear Regression Model ◽  
Japanese Version ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Urban Elderly ◽  
Cross Sectional ◽  
Group A ◽  
Community Dwelling Older Adults

Aim: To examine the association between public transportation use and loneliness in urban elderly who stop driving. Methods: In this cross-sectional study, we assessed 31 community-dwelling older adults who had stopped driving. Public transportation use was assessed by using frequency and divided into two groups. The users group was participants who used public transportation more than once a week and the nonusers group was participants who used public transportation less than once a week. Loneliness was measured using the Japanese version of the UCLA Loneliness Scale version 3 (UCLA.LS.ver3), with a higher score indicating greater loneliness. The independent t test was used to compare the UCLA.LS.ver3 scores between users and nonusers group. A multiple linear regression model was used with the UCLA.LS.ver3 score as the objective variable and public transportation use as the explanatory variable. Results: The UCLA.LS.ver3 score was significantly higher in the nonusers group than in the users group (nonusers group: 12.7 ± 1.9; users group: 10.1 ± 2.9, p = .017). After adjustments, public transportation use was significantly associated with lower loneliness (β = −2.55, p = .029). Conclusion: Public transportation use might have important role to prevent loneliness in older adults who stop driving.

scholarly journals Perceived Neighborhood Environmental Factors Related to Sarcopenia in Urban-Dwelling Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 439-439
Author(s):  
Yuri Seo ◽  
Miji Kim ◽  
Hayoung Shim ◽  
Heeeun Jung ◽  
Seoyoon Jane Lee ◽  
...  
Keyword(s):  
Older Adults ◽  
Environmental Factors ◽  
Public Transportation ◽  
Urban Areas ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Older Individuals ◽  
Cross Sectional ◽  
Adverse Health Outcomes ◽  
Increased Risk

Abstract Sarcopenia is common among older individuals and has adverse health outcomes. However, little is known about its association with neighborhood environmental factors. We explored the relationship between sarcopenia and neighborhood environmental factors among community-dwelling older adults aged 70–84 years in urban areas in the Korean Frailty and Aging Cohort Study. There were 1,776 participants in this cross-sectional study (mean age 75.9±3.8 years, 54.1% women). Sarcopenia was defined using the Asian Working Group for Sarcopenia guidelines. The neighborhood environmental factors were assessed using the 17-item Environmental Module of the International Physical Activity Questionnaire (IPAQ-E). The prevalence of sarcopenia was 22.5%. In the multivariate analysis adjusted for potential confounders, compared to the 5th quintile of the IPAQ-E score, the odds ratio (OR and 95% confidence interval [CI]) for sarcopenia in the 1st, 2nd, 3rd and 4th quintile were 2.14 (1.41-3.26), 1.70 (1.11-2.61), 1.76 (1.16-2.68) and 1.62 (1.07-2.47), respectively. Sarcopenia was associated with environmental factors including access to destinations (β = -0.015) and neighborhood safety (β = -0.008) (all p<0.05). Furthermore, no access to public transportation (OR 2.05, 95% CI 1.20-3.50), poor access to recreational facilities (OR 1.40, 95% CI 1.02-1.92), no presence of destination (OR 1.53, 95% CI 1.07-2.21), hill hazard (OR 1.34, 95% CI 1.02-1.77), and lack of safety from traffic (OR 1.35, 95% CI 1.02-1.79) was associated with an increased risk of sarcopenia. Our study suggests that neighborhood environmental characteristics are associated with sarcopenia and better neighborhood environmental strategies can help prevent sarcopenia among older adults.

scholarly journals Association between frailty syndrome and sedentary behavior among community-dwelling older adults in the Amazon region: a cross-sectional study

2021 ◽  
Author(s):  
Izabelle Santos dos Santos ◽  
Caroline de Fátima Ribeiro Silva ◽  
Daniela Gonçalves Ohara ◽  
Areolino Pena Matos ◽  
Ana Carolina Pereira Nunes Pinto ◽  
...  
Keyword(s):  
Older Adults ◽  
Sedentary Behavior ◽  
Cross Sectional Study ◽  
Amazon Region ◽  
Community Dwelling ◽  
Frailty Syndrome ◽  
Sectional Study ◽  
Cross Sectional ◽  
Community Dwelling Older Adults

scholarly journals Neighborhood Environments and Utilitarian Walking Among Older vs. Younger Rural Adults

2021 ◽  
Vol 9 ◽  
Author(s):  
Chanam Lee ◽  
Chunkeun Lee ◽  
Orion T. Stewart ◽  
Heather A. Carlos ◽  
Anna Adachi-Mejia ◽  
...  
Keyword(s):  
Older Adults ◽  
Rural Communities ◽  
Public Transportation ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Neighborhood Environment ◽  
Cross Sectional ◽  
Younger Adults ◽  
Logistic Regression Models ◽  
Telephone Interviews

Introduction: Walking has the potential to promote health across the life span, but age-specific features of the neighborhood environment (NE), especially in rural communities, linked with walking have not been adequately characterized. This study examines the relationships between NE and utilitarian walking among older vs. younger adults living in US rural towns.Methods: Data for this cross-sectional study came from telephone interviews in 2011–2012 with 2,140 randomly sampled younger (18–64 years, n = 1,398) and older (65+ years, n = 742) adults, collecting personal and NE perception variables. NE around each participant's home was also measured objectively using geographic information system techniques. Separate mixed-effects logistic regression models were estimated for the two age groups, predicting the odds of utilitarian walking at least once a week.Results: Perceived presence of crosswalks and pedestrian signals was significantly related to utilitarian walking in both age groups. Among older adults, unattended dogs, lighting at night, and religious institutions were positively while steep slope was negatively associated with their walking. For younger adults, traffic speed (negative, –), public transportation (positive, +), malls (–), cultural/recreational destinations (+), schools (+), and resource production land uses such as farms and mines (–) were significant correlates of utilitarian walking.Conclusion: Different characteristics of NE are associated with utilitarian walking among younger vs. older adults in US rural towns. Optimal modifications of NE to promote walking may need to reflect these age differences.

scholarly journals Associations Between Perceived Neighborhood Walkability and Device-Based Physical Activity and Sedentary Behavior Patterns in Older Adults

2021 ◽  
pp. 1-9
Author(s):  
Mikael Anne Greenwood-Hickman ◽  
Rod Walker ◽  
John Bellettiere ◽  
Andrea Z. LaCroix ◽  
Boeun Kim ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Sedentary Behavior ◽  
Community Dwelling ◽  
Neighborhood Environment ◽  
Linear Regression Models ◽  
Neighborhood Walkability ◽  
Sit To Stand ◽  
Environment Scale ◽  
Gender And Age

Neighborhood walkability has been associated with self-reported sedentary behavior (SB) and self-reported and objective physical activity. However, self-reported measures of SB are inaccurate and can lead to biased estimates, and few studies have examined how associations differ by gender and age. The authors examined the relationships between perceived neighborhood walkability measured with the Physical Activity Neighborhood Environment Scale (scored 1.0–4.0) and device-based SB and physical activity in a cohort of community-dwelling older adults (N = 1,077). The authors fit linear regression models adjusting for device wear time, demographics, self-rated health, and accounting for probability of participation. The Higher Physical Activity Neighborhood Environment Scale was associated with higher steps (+676 steps/point on the Physical Activity Neighborhood Environment Scale, p = .001) and sit-to-stand transitions (+2.4 transitions/point, p = .018). Though not statistically significant, stratified analyses suggest an attenuation of effect for those aged 85 years and older and for women. Consistent with previous literature, neighborhood walkability was associated with more steps, though not with physical activity time. The neighborhood environment may also influence SB.

scholarly journals Sedentary behavior and its pattern are associated with postural balance and fear of falling in asymptomatic adults: a cross-sectional study

2019 ◽  
Author(s):  
Thatiane Ostolin ◽  
Mayara Boeira Reina ◽  
Barbara de Barros Gonze ◽  
Evandro Fornias Sperandio ◽  
Victor Zuniga Dourado
Keyword(s):  
Older Adults ◽  
Sedentary Behavior ◽  
Postural Balance ◽  
Fear Of Falling ◽  
Vigorous Physical Activity ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Middle Aged ◽  
Cross Sectional ◽  
Sedentary Bouts

Abstract Objective: Sedentary behavior (SB) is an independent predictor of all-cause mortality when compared to moderate-to-vigorous physical activity (MVPA). However, the influence of SB on the fear of falling (FOF) has not been investigated. We aimed to evaluate the association of SB and FOF in middle-aged and older adults. We conducted a cross-sectional study. FOF was achieved through the International Fall Efficiency Scale. SB and MVPA were obtained using triaxial accelerometers. Multiple linear regressions were performed to verify the association between SB, MVPA and FOF. Results: 75 middle-aged and older adults participated to the study. Sedentary breaks presented a more important role than the sedentary bouts and the MVPA in FOF. The SB and its pattern present a determinant association with postural balance and FOF in middle-aged and older adults. Hence, our findings reinforce the importance of middle-aged and older adults to perform the recommended amount of MVPA to maintain postural balance and reduce FOF.

How Much Time in Sedentary Behavior Should Be Reduced to Decrease Fear of Falling and Falls in Community-Dwelling Older Adults?

2021 ◽  
pp. 1-7
Author(s):  
Jaquelini Betta Canever ◽  
Ana Lúcia Danielewicz ◽  
Amanda Aparecida Oliveira Leopoldino ◽  
Maruí Weber Corseuil ◽  
Núbia Carelli Pereira de Avelar
Keyword(s):  
Older Adults ◽  
Sedentary Behavior ◽  
Area Under Curve ◽  
Fear Of Falling ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Cross Sectional ◽  
History Of ◽  
Community Dwelling Older Adults ◽  
Activity Questionnaire

Fear of falling and history of falls are frequent situations in older adults, which can be aggravated by sedentary behavior (SB). The objective was to establish SB cutoff values which discriminate falls and fear of falling in older adults and verify the association between these conditions. This was a cross-sectional study including 308 community-dwelling older adults. The SB was assessed by International Physical Activity Questionnaire. The outcomes were history of falling in the last 12 months and fear of falling (higher or equal than 23 points in Falls Efficacy Scale International—Brazil). The cutoff points found were >4.14 (area under curve = 0.60, 95% confidence intervals [CIs] [0.54, 0.65]) and >3.90 hr per day (area under curve = 0.59, 95% CI [0.53, 0.64]) for fear of falling and history of falls, respectively. Older adults with SB had 1.71 (95% CI [1.03, 2.84]) and 1.75 (95% CI [1.06, 2.89]) greater odds of having greater fear of falling and suffering falls, respectively.

scholarly journals Visual Acuity’s Association With Levels of Leisure-Time Physical Activity in Community-Dwelling Older Adults

2012 ◽  
Vol 20 (1) ◽  
pp. 1-14 ◽  
Author(s):  
Mark W. Swanson ◽  
Eric Bodner ◽  
Patricia Sawyer ◽  
Richard M. Allman
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Visual Acuity ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
University Of Alabama ◽  
Cross Sectional ◽  
The University

Little is known about the effect of reduced vision on physical activity in older adults. This study evaluates the association of visual acuity level, self-reported vision, and ocular disease conditions with leisure-time physical activity and calculated caloric expenditure. A cross-sectional study of 911 subjects 65 yr and older from the University of Alabama at Birmingham Study of Aging (SOA) cohort was conducted evaluating the association of vision-related variables to weekly kilocalorie expenditure calculated from the 17-item Leisure Time Physical Activity Questionnaire. Ordinal logistic regression was used to evaluate possible associations while controlling for potential confounders. In multivariate analyses, each lower step in visual acuity below 20/50 was significantly associated with reduced odds of having a higher level of physical activity, OR 0.81, 95% CI 0.67, 0.97. Reduced visual acuity appears to be independently associated with lower levels of physical activity among community-dwelling adults.

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