Physical activity programmes in the elderly: a successful strategy for healthy ageing
Abstract
Background: Because the elderly are the most inactive and sedentary segment of the population, public institutions have created new programmes of regular and organised physical activity (PA). However, whether these programmes suffice to comply with the WHO recommendations on physical activity is unknown. In this study, we aim: a) to describe the levels of PA and sedentary behaviour in a group of elderly members of a PA programme organised by the City of Huesca (Spain); b) to evaluate their compliance with the recommended daily practice of PA; and c) to determine the sedentary activities that they spend the most time on, identifying factors that may influence both PA levels and sedentary behaviours. Methodology: A descriptive, cross-sectional study was performed, consisting in a questionnaire of sedentary behaviours. PA was measured by accelerometery. Results: International recommendations for PA are met by 84.4% of the subjects, evidencing higher levels of PA on the days when they attend fitness classes. The most common sedentary activity was watching television. Conclusions: The elderly participating in PA programmes organised by public institutions seem to benefit from higher levels of moderate to vigorous PA, evidenced by a high percentage of compliance with the international PA practice recommendations. We recommend continuing to foster the availability of PA programmes organised by municipal institutions.Downloads
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Abellán García A., Vilches Fuentes J., Pujol Rodríguez R. (2014). “Un perfil de las personas mayores en España.” Informes Envejecimiento en red.
Arnardottir N.Y., Koster A., Van Domelen D.R., Brychta R.J., Caserotti P., Eiriksdottir G., et al. (2013). Objective measurements of daily physical activity patterns and sedentary behaviour in the elderly: Age, Gene/Environment Susceptibility-Reykjavik Study. Age Ageing, 42(2), 222–229.
Ashe M., Miller W., Eng J., Noreau L.(2009). The elderly, chronic disease, and leisure-time physical activity. Gerontology. 55(1), 64–72.
Bauman A., Merom D., Bull F.C., Buchner D.M., Fiatarone Singh M.A. (2016). Updating the Evidence for Physical Activity: Summative Reviews of the Epidemiological Evidence, Prevalence, and Interventions to Promote “Active Aging”. Gerontologist, 56(Suppl 2), S268-280.
Berkemeyer K., Wijndaele K., White T., Cooper A.J.M., Luben R., Westgate K., et al. (2016). The descriptive epidemiology of accelerometer-measured physical activity in the elderly. International Journal of Behavioral Nutrition and Physical Activity, 13(1), 2-11.
Beyer A.K., Wolff J.K., Warner L.M., Schüz B., Wurm S. (2015). The role of physical activity in the relationship between self-perceptions of ageing and self-rated health in the elderly. Psychology Health, 30(6), 671–685.
Chastin S.F., Buck C., Freiberger E., Murphy M., Brug J., Cardon G., et al. (2015). Systematic literature review of determinants of sedentary behaviour in the elderly: a DEDIPAC study. International Journal of Behavioral Nutrition and Physical Activity, 12, 127- 138.
Cimarras-Otal C., Calderón-Larrañaga A., Poblador-Plou B., González-Rubio F., Gimeno-Feliu L.A., Arjol-Serrano J.L., et al. (2014). Association between physical activity, multimorbidity, self-rated health and functional limitation in the Spanish population. BMC Public Health, 14, 1170-1179.
Franco M.R., Tong A., Howard K., Sherrington C., Ferreira P.H., Pinto R.Z., et al. (2015). Older people’s perspectives on participation in physical activity: a systematic review and thematic synthesis of qualitative literature. British Journal of Sports Medicine, 49, 1268-1276
Freedson P., Melanson E., Sirard J. (1998). Calibration of the Computer Science and Applications, Inc. accelerometer. Medicine Sciences and Sport Exercise, 30, 777-781.
Gennuso K.P., Thraen-Borowski K.M., Gangnon R.E., Colbert L.H. (2015). Patterns of sedentary behavior and physical function in the elderly. Aging Clinical and Experimental Research, 28(5), 943-950
Godfrey A., Lord S., Mathers J., Burn D., Rochester L. (2014). The association between retirement and age on physical activity in the elderly. Age Ageing, 43, 386-393.
González M.J., San Miguel del Hoyo B. (2001). El envejecimiento de la población española y sus consecuencias sociales. Alternativas. Cuadernos de Trabajo Social ,9, 19-45.
Gorman E., Hanson H.M., Yang P.H., Khan K.M., Liu-Ambrose T., Ashe M.C. (2014). Accelerometry analysis of physical activity and sedentary behavior in the elderly: a systematic review and data analysis. European Review of Aging and Physical Activity. ,11(1), 35-49.
Hallal P.C., Andersen L.B., Bull F.C., Guthold R., Haskell W., Ekelund U., et al. (2012). Global physical activity levels: Surveillance progress, pitfalls, and prospects. Lancet, 380 (9838), 247-257.
Hansen B.H., Kolle E., Dyrstad S.M., Holme I., Anderssen S.A. (2012) Accelerometer-determined physical activity in adults and older people. Medicine Sciece and Sports Exercise, 44(2), 266–272.
Hardy L.L., Booth M.L., Okely A.D. (2007). The reliability of the Adolescent Sedentary Activity Questionnaire (ASAQ). Preventive Medicine, 45, 71–74.
Hart T.L., Swartz A.M., Cashin S.E., Strath S.J. (2011). How many days of monitoring predict physical activity and sedentary behaviour in the elderly? International Journal of Behavioral Nutrition and Physical Activity, 8(1), 62-68.
Harvey J., Chastin S., Skelton D. (2013) Prevalence of sedentary behavior in the elderly: a systematic review. International Journal of Environmental Research and Public Health, 10(12), 6645-6661
Harvey J. (2015). How Sedentary are Older People? A Systematic Review of the Amount of Sedentary Behavior. Journal of Aging and Physical Activity, 23 (3), 471-487.
Heil D.P., Brage S., Rothney M.P. (2012). Modeling Physical Activity Outcomes from Wearable Monitors. Medicine Sciences and Sport Exercise, 44, S50–60.
Instituto Nacional de Estadística (2013). Encuesta nacional de salud 2011-2012: Instituto Nacional de Estadística.
Kalache A., Aboderin I., Hoskins I. (2002). Compression of morbidity and active ageing: key priorities for public health policy in the 21st century. Bulletin of the World Health Organization, 80 (3), 243-244.
Kikuchi H., Inoue S., Sugiyama T., Owen N., Oka K., Nakaya T., et al. (2014). Distinct associations of different sedentary behaviors with health-related attributes among the elderly. Preventive Medicine, 67, 335–339.
Koeneman M. A., Verheijden M.W., Chinapaw M.J.M., Hopman-Rock M. (2011). Determinants of physical activity and exercise in healthy the elderly: A systematic review. International Journal of Behavioral Nutrition and Physical Activity. 8, 142-156.
Leask C.F., Harvey J.A., Skelton D.A., Chastin S.F. (2015). Exploring the context of sedentary behaviour in the elderly (what, where, why, when and with whom). European Review of Aging and Physical Activity, 12(1), 1-8.
Lee I.-M., Shiroma E.J., Lobelo F., Puska P., Blair S.N., Katzmarzyk P.T. (2012). Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet, 380(9838), 219–29.
Lesthaeghe R. (2014). The second demographic transition: a concise overview of its development. Proceedings of the National Academy os Sciences of the United States, 111(51), 18112–5.
López López M., Moreno del Castillo R., Zagalaz Sánchez M.L., Párraga
Montilla J.A. (2002). Bases de actuación en un programa de acondicionamiento físico como mejora de la salud y la calidad de vida de nuestros mayores. Revista de Educación física: Renovar la teoría y la práctica, 88, 13–8.
Matthews C.E., Hagstromer M., Pober D.M., Bowles H.R. (2012). Best Practices for Using Physical Activity Monitors in Population-Based Research. Medicine Sciences and Sport Exercise, 44, S68–76.
Ogwumike O.O., Adeniyi A.F., Orogbemi O.O. (2015). Physical activity level of postmenopausal women in Nigeria: Association with self-rated health status, overall obesity, and abdominal obesity. Women Health, 19, 1–15.
Schrack J.A., Cooper R., Koster A., Shiroma E.J., Murabito J.M., Rejeski W.J, et al. (2016). Assessing Daily Physical Activity in The elderly: Unraveling the Complexity of Monitors, Measures, and Methods. The Journals of Gerontology. Series A: Biological Sciences and Medical Sciences. 00, 1-10.
Shiroma E.J., Freedson P.S., Trost S.G., Lee I. (2013). PAtterns of accelerometer-assessed sedentary behavior in older women. Jama, 310(23), 10.1001/jama.2013.278896
Södergren M., McNaughton S.A., Salmon J., Ball K., Crawford D.A. (2012). Associations between fruit and vegetable intake, leisure-time physical activity, sitting time and self-rated health among the elderly: cross-sectional data from the WELL study. BMC Public Health, 12(1), 551-559.
Sprod J., Ferrar K., Olds T., Maher C. (2015). Changes in sedentary behaviours across the retirement transition: A systematic review. Age Ageing, 44(6), 918–25.
Sun F., Norman I.J., While A.E. (2013). Physical activity in older people: a systematic review. BMC Public Health, 13(1), 449-465.
Takagi D., Nishida Y., Fujita D. (2015). Age-associated changes in the level of physical activity in elderly adults. Journal of Physical Therapy Science, 27(12), 3685–3687.
Van Cauwenberg J., De Donder L., Clarys P., De Bourdeaudhuij I., Owen N., Dury S., et al., (2014). Relationships of individual, social, and physical environmental factors with the elderly’ television viewing time. Journal of Aging and Physical Activity, 22(4), 508-517.
Van Cauwenberg J., Van Holle V., De Bourdeaudhuij I., Owen N., Deforche B. (2014). The elderly’ reporting of specific sedentary behaviors: validity and reliability. BMC Public Health, 14(1), 734-743.
Vogel T., Brechat P.-H., Leprêtre P.-M., Kaltenbach G., Berthel M., Lonsdorfer J. (2009). Health benefits of physical activity in older patients: a review. International Journal of Clinical Practice, 63(2), 303-320.
WHO. (2010). Global recommendations on physical activity for health. Geneva: World Health Organization.