| International Journal of Behavioral Nutrition and Physical Activity | |
| Physical activity and nutrition behavioural outcomes of a home-based intervention program for seniors: a randomized controlled trial | |
| Annie S Anderson1  Andrew P Hills3  Peter A Howat2  Deborah A Kerr5  Liming Xiang4  Jonine Jancey5  Andy H Lee5  Linda Burke5  | |
| [1] Centre for Public Health Nutrition Research, Division of Clinical Population Sciences and Education, University of Dundee, Scotland, UK;Centre for Behavioural Research in Cancer Control, Curtin University, Perth, WA, Australia;Mater Mother’s Hospital/Mater Medical Research Institute (MMRI), Griffith University/Griffith Health Institute (GHI), Griffith, QLD, Australia;School of Physical and Mathematical Sciences, Nanyang Technological University, Nanyang, Singapore;School of Public Health, Curtin University, Perth, WA, Australia | |
| 关键词: Walking; Vegetable intake; Strength exercise; Sitting; Goal setting; Fruit intake; Fibre intake; Fat avoidance; | |
| Others : 810894 DOI : 10.1186/1479-5868-10-14 |
|
| received in 2012-03-05, accepted in 2013-01-24, 发布年份 2013 | |
PDF
|
|
【 摘 要 】
Background
This intervention aimed to ascertain whether a low-cost, accessible, physical activity and nutrition program could improve physical activity and nutrition behaviours of insufficiently active 60–70 year olds residing in Perth, Australia.
Methods
A 6-month home-based randomised controlled trial was conducted on 478 older adults (intervention, n = 248; control, n = 230) of low to medium socioeconomic status. Both intervention and control groups completed postal questionnaires at baseline and post-program, but only the intervention participants received project materials. A modified fat and fibre questionnaire measured nutritional behaviours, whereas physical activity was measured using the International Physical Activity Questionnaire. Generalised estimating equation models were used to assess the repeated outcomes over both time points.
Results
The final sample consisted of 176 intervention participants and 199 controls (response rate 78.5%) with complete data. After controlling for demographic and other confounding factors, the intervention group demonstrated increased participation in strength exercise (p < 0.001), walking (p = 0.029) and vigorous activity (p = 0.015), together with significant reduction in mean sitting time (p < 0.001) relative to controls. Improvements in nutritional behaviours for the intervention group were also evident in terms of fat avoidance (p < 0.001), fat intake (p = 0.021) and prevalence of frequent fruit intake (p = 0.008).
Conclusions
A minimal contact, low-cost and home-based physical activity program can positively influence seniors’ physical activity and nutrition behaviours.
Trial registration
anzctr.org.au Identifier: ACTRN12609000735257
【 授权许可】
2013 Burke et al.; licensee BioMed Central Ltd.
【 预 览 】
| Files | Size | Format | View |
|---|---|---|---|
| 20140709053815414.pdf | 236KB | ||
| Figure 1. | 85KB | Image |
【 图 表 】
Figure 1.
【 参考文献 】
- [1]Thogersen-Ntoumani C, Loughren E, Duda J, Fox K, Kinnafick F-E: "Step by Step": A feasibility study of a lunchtime walking intervention designed to increase walking, improve mental well-being and work performance in sedentary employees: Rationale and study design. BMC Public Health 2010, 10(1):578. BioMed Central Full Text
- [2]Australian Bureau of Statistics: National Health Survey. Canberra: Summary of Results; 2009.
- [3]U.S: Department of Health and Human Services. Washingtion, DC: Physical Activity Guidelines for Americans; 2008.
- [4]Centers for Disease Control and Prevention: U.S. Physical Activity Statistics. USA Government: State Demographic Data Comparison Atlanta, USA. Department of Health and Human Services; 2007.
- [5]Hamilton M, Healy G, Dunstan D, Zderic T, Owen N: Too little exercise and too much sitting: Inactivity physiology and the need for new recommendations on sedentary behavior. Current Cardiovascular Risk Reports 2008, 2(4):292-298.
- [6]Hamilton MT, Hamilton DG, Zderic TW: Role of Low Energy Expenditure and Sitting in Obesity, Metabolic Syndrome, Type 2 Diabetes, and Cardiovascular Disease. Diabetes 2007, 56(11):2655-2667.
- [7]Hu FB: Television watching and other sedentary behaviors in relation to risk of obesity and type 2 diabetes mellitus in women. JAMA (Chicago, Ill) 2003, 289(14):1785.
- [8]Katzmarzyk PT: Sitting time and mortality from all causes, cardiovascular disease, and cancer. Medicine and science in sports and exercise 2009, 41(5):998.
- [9]Patel AV: Leisure time spent sitting in relation to total mortality in a prospective cohort of US adults. American journal of epidemiology 2010, 172(4):419.
- [10]Balboa-Castillo T, León-Muñoz LM, Graciani A, Rodríguez-Artalejo F, Guallar-Castillón P: Longitudinal association of physical activity and sedentary behavior during leisure time with health-related quality of life in community-dwelling older adults. 27 June 2011 edition 2011.
- [11]Touvier M, Bertrais S, Charreire H, Vergnaud AC, Hercberg S, Oppert JM: Changes in leisure-time physical activity and sedentary behaviour at retirement: a prospective study in middle-aged French subjects. 2010.
- [12]National Health and Medical Research Council Canberra, ACT: Australian Dietary Guidelines - draft; 2011.
- [13]World Health Organization Geneva, Switzerland: World Health Statistics; 2012.
- [14]Kearney J: Food consumption trends and drivers. Phylosophical Transactions of the Royal Society Biological Sciences 2010, 365:2793-2807.
- [15]Morey MC, Snyder DC, Sloane R, Cohen HJ, Peterson B, Hartman TJ, Miller P, Mitchell DC, Demark-Wahnefried W: Effects of home-based diet and exercise on functional outcomes among older, overweight long-term cancer survivors. The Journal of the American Medical Association 2009, 301(18):1883-1891.
- [16]Tudor-Locke C, Bell RC, Myers AM, Harris SB, Ecclestone NA, Lauzon N, Rodger NW: Controlled outcome evaluation of the First Step Program: a daily physical activity intervention for individuals with type II diabetes. Int J Obes Relat Metab Disord 2003, 28(1):113-119.
- [17]Clark PG, Rossi JS, Greaney ML, Riebe DA, Greene GW, Saunders SD, Lees FD, Nigg CR: Intervening on Exercise and Nutrition in Older Adults: The Rhode Island SENIOR Project. Journal of Aging and Health 2005, 17(6):753-778.
- [18]Bernstein MA, Nelson ME, Tucker KL, Layne J, Johnson E, Nuernberger A, Castaneda C, Judge JO, Buchner D, Singh MF: A home-based nutrition intervention to increase consumption of fruits, vegetables, and calcium-rich foods in community dwelling elders. Journal of the American Dietetic Association 2002, 102(10):1421-1422.
- [19]Villareal DT, Chode S, Parimi N, Sinacore DR, Hilton T, Armamento-Villareal R, Napoli N, Qualls C, Shah K: Weight Loss, Exercise, or Both and Physical Function in Obese Older Adults. New England Journal of Medicine 2011, 364(13):1218-1229.
- [20]McClure J, Catz S, Ludman E, Richards J, Riggs K, Grothaus L: Feasibility and acceptability of a multiple risk factor intervention: The Step Up randomized pilot trial. BMC Public Health 2011, 11(1):167. BioMed Central Full Text
- [21]Prochaska JJ, Nigg CR, Spring B, Velicer WF, Prochaska JO: The benefits and challenges of multiple health behavior change in research and in practice. Preventive medicine 2008, 50(1–2):26-29.
- [22]Cavill JL, Jancey J, Howat P: Review and recommendations for online physical activity and healthy weight programs targeted at over 40s. Global Health Promotion, in press
- [23]Bourke L, Thompson G, Gibson DJ, Daley A, Crank H, Adam I, Shorthouse A, Saxton J: Pragmatic Lifestyle Intervention in Patients Recovering From Colon Cancer: A Randomized Controlled Pilot Study. Archives of Physical Medicine and Rehabilitation 2011, 92(5):749-755.
- [24]Cox KL, Burke V, Beilin LJ, Derbyshire AJ, Grove JR, Blanksby BA, Puddey IB: Short and long-term adherence to swimming and walking programs in older women-the Sedentary Women Exercise Adherence Trial (SWEAT 2). Preventive Medicine 2008, 46(6):511-517.
- [25]Matthews F, Marshall P, Stone D: Achieving Health and Human Development. Macmillan Education Australia: Units 1 and 2; 2009.
- [26]Burke L, Jancey J, Howat P, Lee A, Kerr D, Shilton T, Hills A, Anderson A: Physical activity and nutrition program for seniors (PANS): protocol of a randomized controlled trial. BMC Public Health 2010, 10(1):751. BioMed Central Full Text
- [27]Australian Bureau of Statistics: Socio-Economic Indexes for Areas (SEIFA), Data only, 2006. Canberra: Australian Bureau of Statistics; 2008.
- [28]Brown WJ, Moorhead GE, Marshall AL: Choose health:Be Active:A physical activity guide for older Australians. 3rd edition. Canberra: Commonwealth of Australia and repatriation Commission; 2008.
- [29]Artinian NT, Fletcher GF, Mozaffarian D, Kris-Etherton P, Van Horn L, Lichtenstein AH, Kumanyika S, Kraus WE, Fleg JL, Redeker NS, et al.: Interventions to Promote Physical Activity and Dietary Lifestyle Changes for Cardiovascular Risk Factor Reduction in Adults. A scientific statement from the American Heart Association. Circulation 2010, 122(4):406-441.
- [30]Bandura A: Social foundations of thought and action. 3rd edition. Englewood Cliffs, NJ: Prentice Hall; 1986.
- [31]Green LW, Kreuter MW: Health program planning: an educational and ecological approach. 4th edition. New York: McGraw Hill; 2005.
- [32]Rosenstock IM, Strecher VJ, Becker MH: Social Learning Theory and the Health Belief Model. Health Education & Behavior 1988, 15(2):175-183.
- [33]Burke L, Howat P, Lee A, Jancey J, Kerr D, Shilton T: Development of a nutrition and physical activity booklet to engage seniors. BMC Research Notes 2008, 1(77):1-7.
- [34]Lee A, Jancey J, Howat P, Burke L, Kerr D, Shilton T: Effectiveness of a home-based physical activity and nutrition pilot program for seniors. Journal of Obesity 2011, 2011:8.
- [35]Craig C, Marshall M, Sjostrom A, Bauman A, Booth B, Ainsworth M, Pratt U, Ekelund A, Yngve J, Sallis J, Oja P: International physical activity questionnaire: 12 country reliability and validity. Medical Science Sports Exercise 2003, 35(8):1381-1395.
- [36]Wright JL, Scott JA: The Fat and Fibre Barometer, a short food behaviour questionnaire: reliability, relative validity and utility. Australian Journal of Nutrition and Dietetics 2000, 57(1):33-39.
- [37]Jancey J, Lee A, Howat P, Clarke A, Wang K, Shilton T: Reducing attrition in physical activity programs for older adults. Journal of Aging and Health 2007, 15(2):152-165.
- [38]Jancey J, Clarke A, Howat P, Lee A, Shilton T, Fisher J: A physical activity program to mobilize older people: A practical and sustainable approach. The Gerontologist 2008, 48(2):251-257.
- [39]Haskell W, Lee I, Pate R, Powell K, Blair S, Franklin B, Macera C, Heath G, Thompson P, Bauman A: Physical activity and public health: updated recommendations for adults from the American College of Sports Medicine and American Heart Association. Circulation 2007, 116:1-13.
- [40]Goodpaster BH, DeLany JP, Otto AD, Kuller L, Vockley J, South-Paul JE, Thomas SB, Brown J, McTigue K, Hames KC, Lang W, Jakicic JM: Effects of Diet and Physical Activity Interventions on Weight Loss and Cardiometabolic Risk Factors in Severely Obese Adults. JAMA: The Journal of the American Medical Association 2010, 304(16):1795-1802.
- [41]Greaney ML, Riebe D, Ewing Garber C, Rossi JS, Lees FD, Burbank PA, Nigg CR, Ferrone CL, Clark PG: Long-term effects of a stage-based intervention for changing exercise intentions and behavior in older adults. The Gerontologist 2008, 48(3):358.
- [42]Wilcox S, Dowda M, Leviton LC, Bartlett-Prescott J, Bazzarre T, Campbell-Voytal K, Carpenter RA, Castro CM, Dowdy D, Dunn AL, Griffin SF, Guerra M, King AC, Ory MG, Rheaume C, Tobnick J, Wegley S: Active for Life: Final Results from the Translation of Two Physical Activity Programs. American Journal of Preventive Medicine 2008, 35(4):340-351.
- [43]Greene GW, Fey-Yensan N, Padula C, Rossi SR, Rossi JS, Clark PG: Change in fruit and vegetable intake over 24 months in older adults: results of the SENIOR project intervention. The Gerontologist 2008, 48(3):378.
- [44]de Vreede PL, van Meeteren NL, Samson MM, Wittink HM, Duursma SA, Verhaar HJ: The Effect of Functional Tasks Exercise and Resistance Exercise on Health-Related Quality of Life and Physical Activity. Gerontology 2007, 53(1):9.
- [45]Bassuk SS, Manson JE: Epidemiological evidence for the role of physical activity in reducing risk of type 2 diabetes and cardiovascular disease. Journal of Applied Physiology 2005, 99(3):1193-1204.
- [46]Warburton D, Charlesworth S, Ivey A, Nettlefold L, Bredin S: A systematic review of the evidence for Canada's Physical Activity Guidelines for Adults. International Journal of Behavioral Nutrition and Physical Activity 2010, 7(1):39. BioMed Central Full Text
- [47]World Health Organisation: Global Recommendations on Physical Activity for Health. Switzerland; 2012.
- [48]Burton NW, Brown W, Dobson A: Accuracy of body mass index estimated from self-reported height and weight in mid-aged Australian women. Australian and New Zealand Journal of Public Health 2010, 34(6):4.
- [49]Dhaliwal S, Howat P, Bejoy T, Welborn T: Self-reported weight and height for evaluating community obesity studies. American Journal of Health Behavior 2010, 34(4):489-499.
- [50]Eakin E, Reeves M, Lawler S, Graves N, Oldenburg B, Del Mar C, Wilke K, Winkler E, Barnett A: Telephone Counseling for Physical Activity and Diet in Primary Care Patients. American Journal of Preventive Medicine 2009, 36(2):142-149.
- [51]Jancey JM, Clarke A, Howat PA, Maycock B, Lee AH: Perceptions of physical activity by older adults: A qualitative study. Health Education Journal 2009, 68(3):196-206.
PDF