“Keeping Moving”: factors associated with sedentary behaviour among older people recruited to an exercise promotion trial in general practice

BMC Family Practice

Research Article

Ruth Heseltine¹  Deborah Haworth¹  Steve Iliffe¹  Mark Griffin¹  Denise Kendrick²  Tahir Masud³  Dawn A. Skelton⁴  Richard W. Morris⁵ 

[1] Department of Primary Care & Population Health, University College London, Royal Free Campus, Rowland Hill St., NW3 2PF, London, UK;Division of Primary Care, University of Nottingham, Floor 13, Tower Building, University Park, NG7 2RD, Nottingham, UK;Nottingham University Hospital NHS Trust, Derby Rd, NG7 2UH, Nottingham, UK;School of Health & Life Sciences, Glasgow Caledonian University, Cowcaddens Rd, G4 0BA, Glasgow, Lanarkshire, UK;School of Social and Community Medicine, University of Bristol, Canynge Hall, 39 Whatley Road, BS8 2PS, Bristol, UK;

关键词: Older people;    Physical activity;    Sedentary behaviour;    Exercise promotion;   

DOI  :  10.1186/s12875-015-0284-z

 received in 2015-03-12, accepted in 2015-05-20,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundSedentary behaviour is detrimental to health, even in those who achieve recommended levels of physical activity. Efforts to increase physical activity in older people so that they reach beneficial levels have been disappointing. Reducing sedentary behaviour may improve health and be less demanding of older people, but it is not clear how to achieve this. We explored the characteristics of sedentary older people enrolled into an exercise promotion trial to gain insights about those who were sedentary but wanted to increase activity.MethodParticipants in the ProAct65+ trial (2009–2013) were categorised as sedentary or not using a self-report questionnaire. Demographic data, health status, self-rated function and physical test performance were examined for each group. 1104 participants aged 65 & over were included in the secondary analysis of trial data from older people recruited via general practice. Results were analysed using logistic regression with stepwise backward elimination.ResultsThree hundred eighty seven (35 %) of the study sample were characterised as sedentary. The likelihood of being categorised as sedentary increased with an abnormal BMI (<18.5 or >25 kg/m2) (Odds Ratio 1.740, CI 1.248–2.425), ever smoking (OR 1.420, CI 1.042–1.934) and with every additional medication prescribed (OR 1.069, CI 1.016–1.124). Participants reporting better self-rated physical health (SF-12) were less likely to be sedentary; (OR 0.961, 0.936–0.987). Participants’ sedentary behaviour was not associated with gender, age, income, education, falls, functional fitness, quality of life or number of co-morbidities.ConclusionSome sedentary older adults will respond positively to an invitation to join an exercise study. Those who did so in this study had poor self-rated health, abnormal BMI, a history of smoking, and multiple medication use, and are therefore likely to benefit from an exercise intervention.Trial registrationISRCTN reference: ISRCTN43453770

【 授权许可】

Unknown   
© Heseltine et al.; licensee BioMed Central. 2015. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.