Physical activity in older people: a systematic review

BMC Public Health

Alison E While¹  Ian J Norman¹  Fei Sun² 

[1] King’s College London, Florence Nightingale School of Nursing & Midwifery, 57 Waterloo Road, London, SE1 8WA, UK;Second Military Medical University, School of Nursing, 800 Xiangyin Road, Shanghai, 200433, PR China

关键词: Older adults;    Older people;    Exercise;    Physical activity;   

Others  :  1162232
DOI  :  10.1186/1471-2458-13-449

 received in 2012-03-28, accepted in 2013-04-26,  发布年份 2013

【 摘 要 】

Background

Physical activity (PA) in older people is critically important in the prevention of disease, maintenance of independence and improvement of quality of life. Little is known about the physical activity of the older adults or their compliance with current physical activity guidelines.

Methods

A systematic literature search of the published literature was conducted. Included were published reports of original research that independently reported: the PA level of non-institutional older adults (aged 60 years and over); and the proportion of older adults in the different samples who met PA recommendations or guidelines. The review was restricted to studies published since 2000 to provide a current picture of older adults’ PA levels.

Results

Fifty three papers were included in the review. The percentage of older adults meeting recommended physical activity ranged from 2.4 – 83.0% across the studies. Definitions of “recommended” physical activity in older adults varied across the studies as did approaches to measurement which posed methodological challenges to data analysis. Older age groups were less likely than the reference group to be regularly active, and women were less likely than men to achieve regular physical activity, especially leisure time physical activity, when measured by both subjective and objective criteria.

Conclusion

The review highlights the need for studies which recruit representative random samples of community based older people and employ validated measurement methods consistently to enable comparison of PA levels over time and between countries.

【 授权许可】

   
2013 Sun et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

【 参考文献 】

• [1]Division of Ageing and Seniors: Physical activity and older adults from Canada. 2011. Available at: [http://www.phac-aspc.gc.ca/seniors-aines/index-eng.php webcite] Accessed Aug 1, 2011
• [2]Wen CP, Wai JP, Tsai MK, Yang YC, Cheng TY, Lee MC, Chan HT, Tsao CK, Tsai SP, Wu X: Minimum amount of physical activity for reduced mortality and extended life expectancy: a prospective cohort study. Lancet 2011, 378:1244-1253.
• [3]Davis MG, Fox KR: Physical activity patterns assessed by accelerometry in older people. Eur J Appl Physiol 2007, 100:581-589.
• [4]Chodzko-zajko WJ, Proctor DN, Fiatarone Singh MA, Minson CT, Nigg CR, Salem GJ, Sinner JS: American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exer 2009, 41:1510-1530.
• [5]U.S. Department of Health and Human Services: Physical Activity Guidelines for Americans. 2008. Available at: [http://www.health.gov/paguidelines/ webcite] Accessed Sep 11, 2011
• [6]Merom D, Phongsavan P, Chey T, Bauman A: Australian Bureau of Statistics.Long-term changes in leisure time walking, moderate and vigorous exercise: Were they influenced by the national physical activity guidelines. J Sci Med Sport 2006, 9:199-208.
• [7]Jerome GJ, Glass TA, Mielke M, Xue QL, Andersen RE, Fried LP: Physical activity participation by presence and type of functional deficits inolder women: the Women's Health and Ageing Studies. J Gerontol A Biol Sci Med Sci 2006, 61A:1171-6.
• [8]Brownson RC, Jones DA, Pratt M, Blanton C, Heath GW: Measuring physical activity with the behavioral risk factor surveillance system. Med Sci Sports Exerc 2000, 32(11):1913-8.
• [9]Brach JS, Simonsick EM, Kritchevsky S, Yaffe K, Newman AB: Health gency and Body Composition Study Research Group. The association between physical function and lifestyle activity and exercise in the health, ageing and body composition study. J Am Geriatr Soc 2004, 52:502-509.
• [10]Phongsavan P, Merom D, Marshall A, Bauman A: Estimating physical activity level: the role of domestic activities. J Epidemiol Community Health 2004, 58:466-467.
• [11]Chau J, Smith BJ, Bauman A, Merom D, Eyeson-Annan M, Chey T, Farrell L: Recent trends in physical activity in New South Wales. Is the tide of inactivity turning. Aust New Zealand Health 2008, 32:82-85.
• [12]Hammdorf P, Starr G, Williams MA: A survey of physical-activity levels and functional capacity in older adults in South Australia. J Aging Phys Act 2002, 10:281-289.
• [13]Merom D, Chey T, Chau J, Smith BJ, Barr M, Bauman AE: Are messages about lifestyle walking being heard? Trends in walking for all purposes in New South Wales (NSW), Australia. Prev Med 2009, 48:341-344.
• [14]Heesch KC, Brown WJ: Do walking and leisure-time physical activity protect against arthritis in older women. J Epidemiol Community Health 2008, 62:1086-1091.
• [15]Lim K, Taylor L: Factors associated with physical activity among older people - a population-based study. Prev Med 2005, 40:33-40.
• [16]Lawlor DA, Taylor M, Bedford C, Ebrahim S: Is housework good for health? Levels of physical activity and factors associated with activity in elderly women. Results from the British Women's Heart and Health Study. J Epidemiol Community Health 2002, 56:473-78.
• [17]Hillsdon M, Lawlor DA, Ebrahim S, Morris JN: Physical activity in older women: Associations with area deprivation and with socioeconomic position over the life course: Observations in the British Women's Heart and Health Study. J Epidemiol Community Health 2008, 62:344-350.
• [18]Brown DW, Balluz LS, Heath GW, Moriarty DG, Ford ES, Giles WH, Mokdad AH: Associations between recommended levels of physical activity and health-related quality of life. Findings from the 2001 Behavioral Risk Factor Surveillance System (BRFSS) survey. Prev Med 2003, 37:520-528.
• [19]Brown DR, Yore MM, Ham SA, Macera CA: Physical activity among adults ≥50 yr with and without disabilities, BRFSS 2001. Med Sci Sports Exerc 2005, 37:620-629.
• [20]Ashe MC, Miller WC, Eng JJ, Noreau L: Older adults, chronic disease and leisure-time physical activity. Gerontology 2009, 55:64-72.
• [21]CDC: Prevalence of regular physical activity among adults - United States, 2001 and 2005. Morb Mortal Wkly Rep 2007, 56:1209-1212.
• [22]Muntner P, Gu D, Wildman RP, Chen J, Qan W, Whelton PK, He J: Prevalence of physical activity among Chinese adults: results from the International Collaborative Study of Cardiovascular Disease in Asia. Am J Public Health 2005, 95:1631-1636.
• [23]Benedetti T, Borges L, Petroski E, Gonçalves LH: Physical activity and mental health status among elderly people. Rev Saude Publica 2008, 42:302-307.
• [24]Ding CC, Chen XR, Zhang Z, Li KJ: Exercise and walking intensity and level of Beijing adult residents. Chi J Sports Med 2009, 28:362-364.
• [25]Hallal PC, Victora CG, Wells JC, Lima RC: Physical Inactivity: prevalence and associated variables in Brazilian adults. Med Sci Sports Exerc 2003, 35:1894-1900.
• [26]Knuth AG, Bacchieri G, Victora CG, Hallal PC: Changes in physical activity among Brazilian adults over a 5-year period. J Epidemiol Community Health 2010, 64:591-595.
• [27]Meyer K, Rezny L, Breuer C, Lamprecht M, Stamm HP: Physical activity of adults aged 50 years and older in Switzerland. Soz Praventivmed 2005, 50:218-229.
• [28]Frank L, Kerr J, Rosenberg D, King A: Healthy ageing and where you live: Community design relationships with physical activity and body weight in older Americans. J Phys Act Health 2010, 7(1):S82-S90.
• [29]Guinn B, Vincent V: Select physical activity determinants in independent-living elderly. Activ. Adapt. Aging 2002, 26:17-26.
• [30]Taylor-Piliae RE, Norton LC, Haskell WL, Mahbouda MH, Fair JM, Iribarren C, Hlatky MA, Go AS, Fortmann SP: Validation of a new brief physical activity survey among men and women aged 60–69 years. Am J Epidemiol 2006, 164(6):598-606.
• [31]Allender S, Foster C, Boxer A: Occupational and non-occupational physical activity and the social determinants of physical activity: results from the Health Survey for England. J Phys Act Health 2008, 5:104-16.
• [32]Florindo AA, Guimães VV, Cesar CL, Barros MB, Alves MC, Goldblaum M: Epidemiology of leisure, transportation, occupational, and household physical activity: prevalence and associated factors. J Phys Act Health 2009, 6:625-632.
• [33]Joubert J, Norman R, Lambert EV, Groenewald P, Schneider M, Bwi F, Bradshaw D, South African Comparative Risk Assessment Collaborating Group: Estimating the burden of disease attributable to physical inactivity in South Africa in 2000. SA Med J 2007, 97(8):725-731.
• [34]Meisner BA, Dogra S, Logan AJ, Baker J, Weir PL: Do or decline? Comparing the effects of physical inactivity on biopsychosocial components of successful ageing. J Health Psychol 2010, 15:688-696.
• [35]Mummery WK, Kolt G, Schofield G, McLean F: Associations between physical activity and other lifestyle behaviors in older New Zealanders. J Phys Act Health 2007, 4:411-422.
• [36]McGuire LC, Ahluwalia IB, Strine TW: Report from the CDC. Chronic disease-related behaviors in U.S. older women: Behavioral Risk Factor Surveillance System, 2003. J Womens Health (Larchmt) 2006, 15:3-7.
• [37]Pronk NP, Anderson LH, Crain AL, Martinson BC, O'Connor PJ, Sherwood NE, Whitebird RR: Meeting recommendations for multiple healthy lifestyle factors: Prevalence, clustering, and predictors among adolescent, adult, and senior health plan members. Am J Prev Med 2004, 27(2):25-33.
• [38]Stamatakis E, Ekelund U, Wareham N: Temporal trends in physical activity in England: The Health Survey for England 1991 to 2004. Prev Med 2007, 45:416-423.
• [39]DiSipio T, Rogers C, Newman B, Whiteman D, Eakin E, Fritschi L, Aitken J: The Queensland Cancer Risk Study: behavioural risk factor results. Aust N Z J Public Health 2006, 30:375-382.
• [40]Ready AE, Butcher JE, Dear JB, Fieldhouse P, Harlos S, Katz A, Moffatt M, Rodriguez M, Schmalenberg J, Gardiner PF: Canada's physical activity guide recommendations are a low benchmark for Manitoba adults. Appl Physiol Nutr Metab 2009, 34:172-181.
• [41]Panagiotakos DB, Polystipioti A, Polychronopoulos E: Prevalence of type 2 diabetes and physical activity status in elderly men and women from Cyprus (the MEDIS Study). Asia Pac J Public Health 2007, 19:22-28.
• [42]Sims J, Hill K, Davidson S, Gunn J, Huang N: A snapshot of the prevalence of physical activity amongst older, community dwelling people in Victoria, Australia: patterns across the ‘young-old’ and ‘old-old’. BMC Geriatr 2007, 7:4. BioMed Central Full Text
• [43]Tucker JM, Welk GJ, Beyler NK: Adults: compliance with the physical activity guidelines for Americans. Am J Prev Med 2011, 40:454-461.
• [44]Tyrovolas S, Zeimbekis A, Bountziouka V, Voutsa K, Pounis G, Papoutson S, Matallinos G, Ladsukaki E, Polychronopoulos E, Lionis C, Panagiotakos DB: Factors associated with the prevalence of diabetes mellitus among elderly men and women living in Mediterranean Islands: The MEDIS study. Rev Diabet Stud 2009, 6:54-63.
• [45]Gómez LF, Parra DC, Buchner D, Sarmiento OL, Pinzón JD, Ardila M, Moreno J, Serrato M, Lobelo F: Built environment attributes and walking patterns among the elderly population in Bogotá. Am J Prev Med 2010, 38:592-599.
• [46]McGuire L, Bouldin EL, Andresen EM, Anderson LA: Examining modifiable health behaviours, body weight, and use of preventive health services among caregivers and non-caregivers age 65 years and older in Hawaii, Kansas and Washington using 2007 BRFSS. J Health Aging 2010, 14(5):373-379.
• [47]Xu YJ, Mao WJ, Xu XJ, Cai QM, Song XL, Nie SP, Xu HF, Xia L: Patterns and influencing factors of physical activity among residents in guangdong province. South China. J Prev Med 2009, 35:5.
• [48]CDC USA: Prevalence of self-reported physically active adults--United States, 2007. MMWR Morb Mortal Wkly Rep 2008, 57:1297-300.
• [49]Bird S, Kurowski W, Feldman S, Browning C, Lau R, Radermacher H, Thomas S, Sims J: The influence of the built environment and other factors on the physical activity of older women from different ethnic communities. J Women Ageing 2009, 21:33-47.
• [50]Carlson SA, Fulton JE, Schoenborn CA, Loustalot F: Trend and prevalence estimates based on the 2008 Physical Activity Guidelines for Americans. Am J Prev Med 2010, 39:305-313.
• [51]Hurtig-Wennlof A, Hagstromer M, Olsson LA: The International Physical Activity Questionnaire modified for the elderly: aspects of validity and feasibility. Public Health Nutr 2010, 13:1847-1854.
• [52]Shores KA, West ST, Theriault DS, Davison EA: Extra-individual correlates of physical activity attainment in rural older adults. J Rural Health 2009, 25:8.
• [53]Xue MY: Effects of daily physical activities on physical health and quality of life in elderly community residents in Jiangsu Province. J Clin Rehabilitative Tissue Eng Res 2010, 14:6.
• [54]Fleming LE, Lee DJ, Martinez AJC, Leblanc WG, McCollister KE, Bridges KC, Christ SL, Arheart KL, Pitman T: The health behaviors of the older US worker. Am J Ind Med 2007, 50:427-437.
• [55]Troiano RP, Berrigan D, Dodd KW, Masse LC, Tilert T, McDowell M: Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc 2007, 40:181-188.
• [56]Harris TJ, Owen CG, Victor CR, Adams R, Crook DG: What factors are associated with physical activity in older people, assessed objectively by accelerometry? Br J Sports Med 2009, 43:442-450.
• [57]Colley R, Garriguet D, Janssen I, Craig CL, Clarke J, Tremblay MS: Physical activity of Canadian children and youth: accelerometer results from the 2007 to 2009 Canadian Health Measures Survey. Health Rep 2011, 22:1-9.
• [58]Stamatakis E, Hillsdon M, Primatesta M: Domestic physical activity in relationship to multiple CVD risk factors. Am J Prev Med 2007, 32:320-327.
• [59]Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U: Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet 2012, 380:247-257.
• [60]Craig CL, Russel CJ, Cameron C, Bauman A: Twenty-year trends in physical activity among Canadian adults. C J Public Health 2004, 95(1):59-63.
• [61]Caspersen CJ, Pereira MA, Curran KM: Changes in physical activity patterns in the United States, by sex and cross-sectional age. Med Sci Sports Exerc 2000, 32:1601-1609.
• [62]Curtis J, White P, McPherson B: Age and physical activity among Canadian women and men: findings from longitudinal national survey data. J Ageing Phys Act 2000, 8:1-19.
• [63]Weller I, Corey P: The impact of excluding non-leisure energy expenditure on the relation between physical activity and mortality in women. Epidemiology 1998, 9:632-635.
• [64]Helkapori S, Uutela A, Prattala R: Health Behaviour and Health among FinnishPopulation, Spring 2000. Helsinki, Finland: National Public Health Institute; 2000.
• [65]Sport and Recreation New Zealand: Results from the New Zealand Sport and PhysicalActivity Surveys (1997–2001). 2001. Available at: [http://www.activenzsurvey.org.nz/Results/SPARC-Trends-in-Participation-in-Sport-and-Active-Leisure-1997-2001/Trends-Participation/ webcite] Accessed Sep 11, 2011
• [66]Knuth AG, Hallal PC: Temporal trends in physical activity: a systematic review. J Phys Act Health 2009, 6:548-559.
• [67]Prince SA, Adamo KB, Hamel ME, Hardt J, Gorber SC, Tremblay M: A comparison of direct versus self-report measures for assessing physical activity in adults: a systematic review. Int J Behav Nutr Phys Act 2008, 6:5-56.
• [68]Bowling A: The psychometric properties of the older people’s quality of life questionnaire, compared with the CASP-19 and the WHOQOL-OLD. Curr Gerontol Geriatr Res 2009.
• [69]World Health Organisation: Global Recommendations on Physical Activity for Health. Geneva: World Health Organisation; 2010.
• [70]Lee I-M, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzk PT: Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet 2012, 380:219-229.
• [71]Sisson SB, Katzmarzyk PT: International prevalence of physical activity in youth and adults. Obes Rev 2008, 9:606-614.
• [72]Vandelanotte C, Duncan MJ, Caperchione C, Hanley C, Mummery WK: Physical activity trends in Queensland (2002 to 2008): are women becoming more active than men? Aust N Z J Public Health 2010, 34:248-254.
• [73]Macera CA, Pratt M: Public health surveillance of physical activity. Res Q Exerc Sport 2000, 71(2):S97-103.