The Physical Activity Level and Its Related Factors among the Community-Dwelling Elderly in the Second Regional Health
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Published:
Jun 30, 2021
Keywords:
physical activity older adult the second regional health factors related physical activity
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Abstract
Background: Sufficient physical activity (PA) can reduce risk of non-communicating diseases. However, several factors involved in individual PA. Nowadays, evidence of PA in Thai older adults is less, and previous research did not include all of factors. Objective: to assess PA levels, to investigate correlation between PA and factors related to PA, and to find PA predicted factors among the community-dwelling elderly in the second regional health. Method: Four hundred and one elderly which aged 60 years and over in Phitsanulok, Sukhothai, and Uttaradit provinces were recruited to take part in this study. Participants were evaluated PA level by using Thai version of Global Physical Activity Questionnaire version 2, and interviewed 5 factors related PA, including sociodemographic, physical health, cognitive and mental health, environmental, and social factors. Correlation analysis was performed by using Chi-squared or Spearman's correlation. Then binary logistic regression was used to find PA predicted factors. Result: 78.8% of participants met recommend PA, and sedentary behavior was 180 minutes/day. Factors that showed a significant association with PA level were age, marital status, work, income, alcohol drinking, exercise, hand grip strength, fear of falling, depression, cognition, number of house storeys, exercise place in living area, family role, social role, and social participation. Moreover, age, work, exercise, number of house storeys and family role could predict the PA level. Conclusion: Most elderly had enough PA, and all groups of factors related PA level.
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นิพนธ์ต้นฉบับ (Original Article)
References
1. United Nations, Department of economic and social affairs, population division. World Population Ageing 2017 – highlights. New York: United Nations; 2017. Report No. ST/ESA/SER.A/397.
2. Prasartkul P, editor. Situation of the Thai elderly 2018. Bangkok: Printery; 2019.
3. Aekplakorn W, editor. [The 5th Thai population health survey by physical examination] Bangkok: Aksorn grphic and design; 2016. Thai
4. WHO. Mental health of older adults [Internet]. 2017 [cited 2018 Jun 8]. Available from: http://www.who.int/news-room/fact-sheets/detail/mental-health-of-older-adults
5. Prasartkul P, editor. Situation of the Thai elderly 2016. Bangkok: Printery; 2017.
6. WHO. Physical activity [Internet]. 2018 [cited 2018 Apr 4]. Available from: http://www.who.int/mediacentre/factsheets/fs385/en/
7. Morris ME, Schoo AMM. Optimizing exercise and physical activity in older people. 3rd ed: Butterworth-Heinemann; 2004.
8. Piercy KL, Troiano RP, Ballard RM, et al. The physical activity guidelines for Americans. JAMA. 2018; 320(19): 2020-28
9. WHO. Global Physical Activity Questionnaire (GPAQ) analysis guide [Internet]. [cited 2018 Jun 8]. Available from: https://www.who.int/ncds/surveillance/steps/resources/GPAQ_Analysis_Guide.pdf
10. McKee G, Kearney PM, Kenny RA. The factors associated with self-reported physical activity in older adults living in the community. Age Ageing. 2015; 44(4):586-92.
11. Harada K, Park H, Lee S, Shimada H, Yoshida D, Anan Y, et al. Joint association of neighborhood environment and fear of falling on physical activity among frail older adults. J Aging Phys Act. 2017; 25(1):140-8.
12. Park S, Cho MJ, Cho SJ, Bae JN, Lee JY, Park JI, et al. Relationship between physical activity and mental health in a nationwide sample of Korean adults. Psychosomatics. 2011; 52(1):65-73.
13. Marquez DX, Aguinaga S, Campa J, Pinsker EC, Bustamante EE, Hernandez R. A qualitative exploration of factors associated with walking and physical activity in community-dwelling older latino adults. J Appl Gerontol. 2016; 35(6):664-77.
14. Sun F, Norman IJ, While AE. Physical activity in older people: a systematic review. BMC Public Health. 2013; 13:449.
15. Lindsay SG, Banting L, Eime R, O’Sullivan G, van Uffelen JGZ. The association between social support and physical activity in older adults: a systematic review. Int. J. Behav. Nutr. Phys. Act. 2017; 14(1):56.
16. Thai Health Promotion Foundation, Department of health, ministry of public health. [Physical activity promotion plan (2018-2030)] [Internet]. 2017 [cited 2018 Dec 20]. Available from: http://resource.thaihealth.or.th/library/hot/17077. Thai
17. Department of older persons [Thai elderly statistic data in 2017] [Internet]. 2017 [cited 2018 Aug 7]. Available from: http://www.dop.go.th/th/know/1/125. Thai
18. Yamane T. Statistics; an introductory analysis. 2nd ed. New York: Harper & Row; 1967.
19. Thiamwong L. Psychometric testing of the Falls Efficacy Scale-International (FES-I) in Thai older adults. JHSMR. 2011; 29(6):277-87.
20. Train the brain forum committee. Thai Geriatric Depression Scale-TGDS. SMJ. 1994; 46(1):1-9.
21. Nasreddine Z. Interpretation of the MoCA [Internet]. [cited 2020 Mar 7]. Available from: https://www.mocatest.org/faq
22. Visuthipanich V. Psychometric testing of GPAQ among the Thai population. Thai Pharm Health Sci J. 2016; 11(4):144-52
23. Fess E, Moran C. American Society of Hand Therapists clinical assessment recommendations; 1981.
24. Sousa-Santos AR, Amaral TF. Differences in handgrip strength protocols to identify sarcopenia and frailty - a systematic review. BMC Geriatr. 2017; 17(1):238.
25. Hoerger M. Participant dropout as a function of survey length in internet-mediated university studies: implications for study design and voluntary participation in psychological research. Cyberpsychol Behav Soc Netw. 2010; 13(6):697-700.
26. Ethisan P, Somrongthong R, Ahmed J, Kumar R, Chapman RS. Factors related to physical activity among the elderly population in rural Thailand. J Prim Care Community Health. 2017; 8(2): 71-6.
27. Zhang M, Chen X, Wang Z, Wang L, Jiang Y. Leisure-time physical exercise and sedentary behavior among Chinese elderly, in 2010. Zhonghua Liu Xing Bing Xue Za Zhi. 2014; 35(3):242-5.
28. Muntner P, Gu D, Wildman RP, Chen J, Qan W, Whelton PK, et al. Prevalence of physical activity among Chinese adults: results from the International Collaborative Study of Cardiovascular Disease in Asia. Am J Public Health. 2005; 95(9):1631-6.
29. da Silva VD, Tribess S, Meneguci J, Sasaki JE, Santos DAT, Carneiro JAO, et al. Time spent in sedentary behaviour as discriminant criterion for frailty in older adults. Int J Environ Res Public Health. 2018; 15(7):1336.
30. Cheah YK, Azahadi M, Phang SN, Hazilah N. Factors affecting participation decision and amount of physical activity among urban dwellers in Malaysia. Public Health. 2017; 146:84-91.
31. Gaskin CJ, Orellana L. Factors associated with physical activity and sedentary behavior in older adults from six low- and middle-income countries. Int. J. Environ. Res. Public Health. 2018; 15(5):908.
32. Ljubuncic P, Reznick AZ. The evolutionary theories of aging revisited - a mini-review. Gerontology. 2009; 55(2):205-16.
33. Caspersen CJ, Merritt RK, Stephens T. International physical activity patterns: a methodological perspective: Human Kinetics; 1994:73-110.
34. Takagi D, Nishida Y, Fujita D. Age-associated changes in the level of physical activity in elderly adults. J Phys Ther Sci. 2015; 27(12):3685-7.
35. Clarke CL, Sniehotta FF, Vadiveloo T, Argo IS, Donnan PT, McMurdo MET, et al. Factors associated with change in objectively measured physical activity in older people - data from the physical activity cohort Scotland study. BMC Geriatr. 2017; 17:1-9.
36. Bornstein DB, Eyler AA, Maddock JE, Moore JB. Physical activity and public health practice: Springer Publishing Company; 2019.
37. Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985; 100(2):126-31.
38. Institute of Medicine of the National Academies. Does the built environment influence physical activity?: examining the evidence: National Academies Press; 2005.
39. Elliott DB, Foster RJ, Whitaker D, Scally AJ, Buckley JG. Analysis of lower limb movement to determine the effect of manipulating the appearance of stairs to improve safety: a linked series of laboratory-based, repeated measures studies. J Public Health Res. 2015; 3(8):1-56.
40. Rosenthal C, Marshall V. The head of the family: social meaning and structural variability. Can J Sociol. 1987; 11:183.
41. Park C-H, Elavsky S, Koo K-M. Factors influencing physical activity in older adults. J Exerc Rehabil. 2014; 10(1):45-52.
42. Giuli C, Papa R, Mocchegiani E, Marcellini F. Predictors of participation in physical activity for community-dwelling elderly Italians. Arch Gerontol Geriatr. 2012; 54(1):50-4.
43. Park S, Park YH. Predictors of physical activity in Korean older adults: distinction between urban and rural areas. J Korean Acad Nurs. 2010; 40(2):191-201.
44. Manz K, Mensink GBM, Jordan S, Schienkiewitz A, Krug S, Finger JD. Predictors of physical activity among older adults in Germany: a nationwide cohort study. BMJ Open. 2018; 8(5): e021940-e.
2. Prasartkul P, editor. Situation of the Thai elderly 2018. Bangkok: Printery; 2019.
3. Aekplakorn W, editor. [The 5th Thai population health survey by physical examination] Bangkok: Aksorn grphic and design; 2016. Thai
4. WHO. Mental health of older adults [Internet]. 2017 [cited 2018 Jun 8]. Available from: http://www.who.int/news-room/fact-sheets/detail/mental-health-of-older-adults
5. Prasartkul P, editor. Situation of the Thai elderly 2016. Bangkok: Printery; 2017.
6. WHO. Physical activity [Internet]. 2018 [cited 2018 Apr 4]. Available from: http://www.who.int/mediacentre/factsheets/fs385/en/
7. Morris ME, Schoo AMM. Optimizing exercise and physical activity in older people. 3rd ed: Butterworth-Heinemann; 2004.
8. Piercy KL, Troiano RP, Ballard RM, et al. The physical activity guidelines for Americans. JAMA. 2018; 320(19): 2020-28
9. WHO. Global Physical Activity Questionnaire (GPAQ) analysis guide [Internet]. [cited 2018 Jun 8]. Available from: https://www.who.int/ncds/surveillance/steps/resources/GPAQ_Analysis_Guide.pdf
10. McKee G, Kearney PM, Kenny RA. The factors associated with self-reported physical activity in older adults living in the community. Age Ageing. 2015; 44(4):586-92.
11. Harada K, Park H, Lee S, Shimada H, Yoshida D, Anan Y, et al. Joint association of neighborhood environment and fear of falling on physical activity among frail older adults. J Aging Phys Act. 2017; 25(1):140-8.
12. Park S, Cho MJ, Cho SJ, Bae JN, Lee JY, Park JI, et al. Relationship between physical activity and mental health in a nationwide sample of Korean adults. Psychosomatics. 2011; 52(1):65-73.
13. Marquez DX, Aguinaga S, Campa J, Pinsker EC, Bustamante EE, Hernandez R. A qualitative exploration of factors associated with walking and physical activity in community-dwelling older latino adults. J Appl Gerontol. 2016; 35(6):664-77.
14. Sun F, Norman IJ, While AE. Physical activity in older people: a systematic review. BMC Public Health. 2013; 13:449.
15. Lindsay SG, Banting L, Eime R, O’Sullivan G, van Uffelen JGZ. The association between social support and physical activity in older adults: a systematic review. Int. J. Behav. Nutr. Phys. Act. 2017; 14(1):56.
16. Thai Health Promotion Foundation, Department of health, ministry of public health. [Physical activity promotion plan (2018-2030)] [Internet]. 2017 [cited 2018 Dec 20]. Available from: http://resource.thaihealth.or.th/library/hot/17077. Thai
17. Department of older persons [Thai elderly statistic data in 2017] [Internet]. 2017 [cited 2018 Aug 7]. Available from: http://www.dop.go.th/th/know/1/125. Thai
18. Yamane T. Statistics; an introductory analysis. 2nd ed. New York: Harper & Row; 1967.
19. Thiamwong L. Psychometric testing of the Falls Efficacy Scale-International (FES-I) in Thai older adults. JHSMR. 2011; 29(6):277-87.
20. Train the brain forum committee. Thai Geriatric Depression Scale-TGDS. SMJ. 1994; 46(1):1-9.
21. Nasreddine Z. Interpretation of the MoCA [Internet]. [cited 2020 Mar 7]. Available from: https://www.mocatest.org/faq
22. Visuthipanich V. Psychometric testing of GPAQ among the Thai population. Thai Pharm Health Sci J. 2016; 11(4):144-52
23. Fess E, Moran C. American Society of Hand Therapists clinical assessment recommendations; 1981.
24. Sousa-Santos AR, Amaral TF. Differences in handgrip strength protocols to identify sarcopenia and frailty - a systematic review. BMC Geriatr. 2017; 17(1):238.
25. Hoerger M. Participant dropout as a function of survey length in internet-mediated university studies: implications for study design and voluntary participation in psychological research. Cyberpsychol Behav Soc Netw. 2010; 13(6):697-700.
26. Ethisan P, Somrongthong R, Ahmed J, Kumar R, Chapman RS. Factors related to physical activity among the elderly population in rural Thailand. J Prim Care Community Health. 2017; 8(2): 71-6.
27. Zhang M, Chen X, Wang Z, Wang L, Jiang Y. Leisure-time physical exercise and sedentary behavior among Chinese elderly, in 2010. Zhonghua Liu Xing Bing Xue Za Zhi. 2014; 35(3):242-5.
28. Muntner P, Gu D, Wildman RP, Chen J, Qan W, Whelton PK, et al. Prevalence of physical activity among Chinese adults: results from the International Collaborative Study of Cardiovascular Disease in Asia. Am J Public Health. 2005; 95(9):1631-6.
29. da Silva VD, Tribess S, Meneguci J, Sasaki JE, Santos DAT, Carneiro JAO, et al. Time spent in sedentary behaviour as discriminant criterion for frailty in older adults. Int J Environ Res Public Health. 2018; 15(7):1336.
30. Cheah YK, Azahadi M, Phang SN, Hazilah N. Factors affecting participation decision and amount of physical activity among urban dwellers in Malaysia. Public Health. 2017; 146:84-91.
31. Gaskin CJ, Orellana L. Factors associated with physical activity and sedentary behavior in older adults from six low- and middle-income countries. Int. J. Environ. Res. Public Health. 2018; 15(5):908.
32. Ljubuncic P, Reznick AZ. The evolutionary theories of aging revisited - a mini-review. Gerontology. 2009; 55(2):205-16.
33. Caspersen CJ, Merritt RK, Stephens T. International physical activity patterns: a methodological perspective: Human Kinetics; 1994:73-110.
34. Takagi D, Nishida Y, Fujita D. Age-associated changes in the level of physical activity in elderly adults. J Phys Ther Sci. 2015; 27(12):3685-7.
35. Clarke CL, Sniehotta FF, Vadiveloo T, Argo IS, Donnan PT, McMurdo MET, et al. Factors associated with change in objectively measured physical activity in older people - data from the physical activity cohort Scotland study. BMC Geriatr. 2017; 17:1-9.
36. Bornstein DB, Eyler AA, Maddock JE, Moore JB. Physical activity and public health practice: Springer Publishing Company; 2019.
37. Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985; 100(2):126-31.
38. Institute of Medicine of the National Academies. Does the built environment influence physical activity?: examining the evidence: National Academies Press; 2005.
39. Elliott DB, Foster RJ, Whitaker D, Scally AJ, Buckley JG. Analysis of lower limb movement to determine the effect of manipulating the appearance of stairs to improve safety: a linked series of laboratory-based, repeated measures studies. J Public Health Res. 2015; 3(8):1-56.
40. Rosenthal C, Marshall V. The head of the family: social meaning and structural variability. Can J Sociol. 1987; 11:183.
41. Park C-H, Elavsky S, Koo K-M. Factors influencing physical activity in older adults. J Exerc Rehabil. 2014; 10(1):45-52.
42. Giuli C, Papa R, Mocchegiani E, Marcellini F. Predictors of participation in physical activity for community-dwelling elderly Italians. Arch Gerontol Geriatr. 2012; 54(1):50-4.
43. Park S, Park YH. Predictors of physical activity in Korean older adults: distinction between urban and rural areas. J Korean Acad Nurs. 2010; 40(2):191-201.
44. Manz K, Mensink GBM, Jordan S, Schienkiewitz A, Krug S, Finger JD. Predictors of physical activity among older adults in Germany: a nationwide cohort study. BMJ Open. 2018; 8(5): e021940-e.