Physical Activity, Ability to Walk, Weight Status, and Multimorbidity Levels in Older Spanish People: The National Health Survey (2009–2017)

Background. Many studies have shown a relationship between physical functioning and health status in older people. Aim. The purpose of this study was to analyze the temporal trends of physical activity (PA), ability to walk, weight status, self-perceived health, and disease or chronic health problems in people over 65 years from 2009 to 2017, using the European Health Survey in Spain and the National Health Survey in Spain. Methods. This study included 13,049 older people: 6026 (2330 men and 3696 women; age (mean, SD (Standard Deviation)) = 75.61 ± 7.11 years old) in 2009 and 7023 (2850 men and 4173 women; age (mean, SD) = 76.01 ± 7.57 years old) in 2017. Results. In 2017, older people exhibited lower values of moderate PA (p < 0.001), a lower number of hours of walking per week (p < 0.001), and worse self-perceived health status (p < 0.001) compared to 2009. These differences are maintained when comparing the sexes. Compliance with PA recommendations was 27.9% and 6.1% (chi-squared = 352.991, p < 0.001) in 2009 and 2017, respectively. There were no significant differences in weight status between older people in 2009 and 2017. In 2017, older people had significantly high percentages of disease or chronic health problems (p < 0.05), number of diseases (p < 0.001), severe difficulty walking 500 m without assistance (p < 0.05), and severe difficulty going up or down 12 stairs. Conclusions. From 2009 to 2017, Spanish older people worsened their PA levels and perception of their health status, and they increased their disease levels, which could be associated with the worsening of ability to walk in 2017.

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Leisure-time physical activity among older adults in Brazil: results from the Brazilian National Health Survey – 2013

ABCS Health Sciences ◽

10.7322/abcshs.2020076.1530 ◽

2021 ◽

Author(s):

Vítor Häfele ◽

César Augusto Häfele ◽

Jeferson Santos Jerônimo ◽

Rodrigo Wiltgen Ferreira ◽

Steve Anthony Maravillo ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

National Health ◽

Health Survey ◽

Leisure Time ◽

Healthy Aging ◽

Leisure Time Physical Activity ◽

National Health Survey ◽

Physical Activity Recommendations ◽

Activity Recommendations

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.

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Association of physical performance impairments and limitations with insufficient physical activity among older adults in Brazil: results from the national health survey

Journal of Public Health ◽

10.1007/s10389-020-01351-7 ◽

2020 ◽

Author(s):

Luiza Ferreira Moreira ◽

Antônio Macedo Costa Filho ◽

Juleimar Soares Coelho de Amorim

Keyword(s):

Physical Activity ◽

Older Adults ◽

Physical Performance ◽

National Health ◽

Health Survey ◽

National Health Survey ◽

Insufficient Physical Activity

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Adolescents' physical activity habits - results from a national health survey

Child Care Health and Development ◽

10.1111/j.1365-2214.2012.01392.x ◽

2012 ◽

Vol 39 (1) ◽

pp. 103-108 ◽

Cited By ~ 7

Author(s):

S. Zach ◽

A. Zeev ◽

A. Dunsky ◽

U. Goldbourt ◽

T. Shimony ◽

...

Keyword(s):

Physical Activity ◽

National Health ◽

Health Survey ◽

National Health Survey

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Self-reported weight and height are valid measures to determine weight status: results from the Brazilian National Health Survey (PNS 2013)

Cadernos de Saúde Pública ◽

10.1590/0102-311x00063917 ◽

2018 ◽

Vol 34 (5) ◽

Cited By ~ 13

Author(s):

Naiara Ferraz Moreira ◽

Verônica Gronau Luz ◽

Caroline Camila Moreira ◽

Rosângela Alves Pereira ◽

Rosely Sichieri ◽

...

Keyword(s):

National Health ◽

Health Survey ◽

Weight Status ◽

Weighted Kappa ◽

National Health Survey ◽

Kappa Coefficient ◽

Bland Altman Method ◽

Epidemiological Surveys ◽

Exact Agreement ◽

Weighted Kappa Coefficient

Self-reported measures have been used to obtain weight and height information in some epidemiological surveys. The validation of such information is necessary to guarantee data quality. This study assessed the validity of self-reported weight and height to determine weight status. Data were obtained in the Brazilian National Health Survey, a Brazilian household-based nationwide survey carried out in 2013. In this survey, 40,366 individuals (aged ≥ 18 years) provided self-reported and measured information about weight and height. Student’s paired t-test was used to verify the differences between self-reported and measured data. The agreement between measurements was obtained using the intraclass correlation coefficient (ICC) and Bland-Altman method. To evaluate variations in weight status categorizations, the weighted kappa coefficient and exact agreement were used. Sensitivity and specificity were estimated for the self-reported information to classify overweight and obese individuals. There was high agreement between self-reported and measured weight, height, and body mass index (ICC > 0.88). The mean agreements estimated by the Bland-Altman method were 99.6% for weight and 100.6% for height. The weighted kappa coefficient showed substantial agreement among the weight status categories (> 0.66); the exact agreement was 77%. Sensibility and specificity for overweight (83% and 87.5%, respectively) and obesity (73.4% and 96.7%, respectively) were considered high for the sociodemographic characteristics evaluated. According to our results, self-reported measurements of weight and height can be used cautiously as valid alternatives to determine weight status.

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