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      Prevalence of commuting physical activity and associated factors in long-lived older adults Translated title: Prevalência de atividade física de deslocamento e fatores associados em idosos longevos

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          Abstract

          Abstract The aim of this study was to estimate the prevalence of commuting physical activity and associate sociodemographic, behavioral and health characteristics in long-lived older adults of Florianópolis/SC. This cross-sectional epidemiologic study included 343 individuals aged 80 and older; these individuals are members of community groups registered in the municipality of Florianópolis/SC. Sociodemographic information and health and behavior data were collected. To assess physical activity, the “commuting” domain of the International Physical Activity Questionnaire (IPAQ) was used, adapted for older adults. Data were analyzed using Stata 11.0 with Logistic regression expressed in odds ratios and 95% confidence interval. The prevalence of commuting physical activity was 19.5%. The oldest members of the group (p= 0.011; OR= 0.90; 95%CI= 0.83/0.98), with worse health perception (p< 0.001; OR= 0.33, 95%CI= 0.18/0.60) and with hypertension diagnosis (p= 0.009; OR=0.47; 95%CI= 0.27/0.83) had lower odds ratio of commuting physical activity. Knowledge about sociodemographic, behavioral and health characteristics associated with commuting physical activity can serve as a basis for the development of programs and actions to encourage commuting physical activity among long-lived older adults.

          Translated abstract

          Resumo O objetivo deste estudo foi estimar a prevalência da realização de atividades físicas de deslocamento e associar as características sociodemográficas, comportamentais e de saúde de idosos longevos de Florianópolis/SC. Trata-se de um estudo epidemiológico transversal, com 343 idosos, com 80 anos ou mais de idade, participantes dos grupos de convivência, cadastrados na Prefeitura Municipal de Florianópolis/SC. Foram obtidas informações sociodemográficas, de saúde e comportamentais. Para avaliar a realização de atividade física, utilizou-se o domínio “deslocamento” do Questionário Internacional de Atividade Física (IPAQ), adaptado para idosos. Os dados foram analisados no programa estatístico Stata 11.0, por meio de regressão logística expresso em Odds Ratio e intervalo de confiança de 95%. A prevalência da realização de atividade física no deslocamento foi de 19,5%. Os longevos com maior idade (p= 0,011; OR= 0,90; IC95%= 0,83/0,98), pior percepção de saúde (p< 0,001; OR= 0,33; IC95%= 0,18/0,60) e com diagnóstico de hipertensão arterial sistêmica (p= 0,009; OR= 0,47; IC95%= 0,27/0,83) apresentaram menores chances de realização de atividades físicas de deslocamento. O conhecimento sobre as características sociodemográficas, comportamentais e de saúde, associadas à realização de atividade física de deslocamento de idosos longevos, pode servir de base para a elaboração de ações que promovam a atividade física de deslocamento em idosos longevos.

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          Most cited references47

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          Global physical activity levels: surveillance progress, pitfalls, and prospects

          The Lancet, 380(9838), 247-257
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            The health risks and benefits of cycling in urban environments compared with car use: health impact assessment study

            Objective To estimate the risks and benefits to health of travel by bicycle, using a bicycle sharing scheme, compared with travel by car in an urban environment. Design Health impact assessment study. Setting Public bicycle sharing initiative, Bicing, in Barcelona, Spain. Participants 181 982 Bicing subscribers. Main outcomes measures The primary outcome measure was all cause mortality for the three domains of physical activity, air pollution (exposure to particulate matter <2.5 µm), and road traffic incidents. The secondary outcome was change in levels of carbon dioxide emissions. Results Compared with car users the estimated annual change in mortality of the Barcelona residents using Bicing (n=181 982) was 0.03 deaths from road traffic incidents and 0.13 deaths from air pollution. As a result of physical activity, 12.46 deaths were avoided (benefit:risk ratio 77). The annual number of deaths avoided was 12.28. As a result of journeys by Bicing, annual carbon dioxide emissions were reduced by an estimated 9 062 344 kg. Conclusions Public bicycle sharing initiatives such as Bicing in Barcelona have greater benefits than risks to health and reduce carbon dioxide emissions.
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              Barriers to physical activity in older adults in Germany: a cross-sectional study

              Background Data on barriers to physical activity in older adults in Germany are scarce. The aim of this study was to analyse barriers to physical activity in a cohort of older adults, allowing comparisons between men and women, and age groups. Methods 1,937 older adults with a median age of 77 (range 72-93) years (53.3% female) took part in the 7-year follow-up telephone interviews of the getABI cohort. Participants who stated that they did not get enough physical activity were surveyed with respect to barriers to physical activity. Barriers were analysed for all respondents, as well as by sex and age group for cases with complete data. Multivariate logistic regression analysis was performed to evaluate differences between sexes and age groups. The level of significance (alpha < 0.05) was adjusted for multiple testing according to Bonferroni (p < .004). Results 1,607 (83.0%) participants stated that they were sufficiently physically active. 286 participants rated their physical activity as insufficient and responded to questions on barriers to physical activity completely. The three most frequently cited barriers were poor health (57.7%), lack of company (43.0%), and lack of interest (36.7%). Lack of opportunities for sports or leisure activities (30.3% vs. 15.6%), and lack of transport (29.0% vs. 7.1%) were more frequently stated by female respondents than male respondents. These differences between men and women were significant (p = .003; p < .001) after adjustment for respondents' age. Analyses by age groups revealed that poor health was more frequently considered a barrier to physical activity by participants aged 80+ years compared to the younger age group (71.1% vs. 51.5%). This age-dependent difference was significant (p = .002) irrespective of the participants' sex. Conclusions The present study provides relevant data on barriers to physical activity in older adults. By revealing appreciable differences between men and women, and age groups, this study has implications for efforts to increase older adults' physical activity. Promotion and intervention strategies should consider the barriers and tailor measures to the specific needs of older adults in order to reduce their constraints to physical activity.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                rbcdh
                Revista Brasileira de Cineantropometria & Desempenho Humano
                Rev. bras. cineantropom. desempenho hum.
                Universidade Federal de Santa Catarina (Florianópolis, SC, Brazil )
                1415-8426
                1980-0037
                October 2016
                : 18
                : 5
                : 520-529
                Affiliations
                [04] Florianópolis Santa Catarina orgnameUniversidade do Estado de Santa Catarina orgdiv1Center for Health Science and Sport Brazil
                [02] Florianópolis Santa Catarina orgnameUniversidade Federal de Santa Catarina orgdiv1Sports Center Brazil
                [01] Florianópolis Santa Catarina orgnameUniversidade Federal de Santa Catarina orgdiv1Graduate Program in Medical Sciences Brazil
                [03] Rio do Sul Santa Catarina orgnameUniversidade do Vale do Itajaí Brazil
                Article
                S1980-00372016000500520
                10.5007/1980-0037.2016v18n5p520
                11c82c06-e20a-4dee-8a4a-1d9d6856aeb2

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 08 July 2016
                : 24 September 2015
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 28, Pages: 10
                Product

                SciELO Brazil


                Health conditions,Health status,Individuals aged 80 years and over,Motor activity,Population characteristics,Atividade motora,Características da população,Condições de saúde,Idosos de 80 anos ou mais,Nível de saúde

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