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BMC Public Health
Published in: BMC Public Health 1/2011

Open Access 01-12-2011 | Research article

Physical activity patterns in older men and women in Germany: a cross-sectional study

Authors: Anna Moschny, Petra Platen, Renate Klaaßen-Mielke, Ulrike Trampisch, Timo Hinrichs

Published in: BMC Public Health | Issue 1/2011

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Abstract

Background

Data on physical activity in older adults in Germany is scarce. The aim of this study was to analyze physical activity patterns and to explore factors associated with physical activity in different domains, i.e. sporting activities (SA) and domestic activities (DA), in older men and women.

Methods

As part of the 7-year follow-up telephone interviews of the getABI cohort (community-dwelling older adults in Germany), the PRISCUS-PAQ was used to survey participants about their everyday physical activity patterns. Time per week (hh:mm) spent in SA and DA (heavy housework, gardening) was analyzed for men and women. Multivariate logistic regression analyses were performed in order to assess the odds of participating in SA and DA for at least 2.5 hours/week in association with sociodemographic factors, a broad range of physical health-related factors and interview date (season of the year).

Results

A total of 1,610 primary health care patients (51.6% women) with a median age of 77 (range 72-93) years were included in the analyses. Men engaged in SA more often than women (01:45 vs. 01:10), whereas women did more DA per week than men (04:00 vs. 03:00).
Being interviewed in spring or summer was associated with increased performance of DA in both sexes. Participation in these activities was reduced in more highly educated men and women. Living alone increased the odds of sports participation in women, but not in men. Most physical health-related factors were only selectively associated with either SA or DA, in men or women, respectively. The need for a walking aid was the only factor that consistently lowered the odds of being active in both activity domains and sexes.

Conclusions

This exploratory study delivers reliable and relevant data on the participation in and correlates of sporting and domestic activities of community-dwelling older adults for whom there had previously been only limited information at a population level in Germany. Findings are discussed and implications for epidemiological research and health promotion practice are provided.
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Literature
1.
Statistisches Bundesamt [Federal Statistical Office], (Ed.): Bevölkerung Deutschlands bis 2060. 12. koordinierte Bevölkerungsvorausberechnung [German population till 2060. 12th coordinated population forecast]. 2009, Wiesbaden: Eigenverlag [self-published]
2.
Blair SN: Physical inactivity: the biggest public health problem of the 21st century. Brit J Sport Med. 2009, 43: 1-2.
3.
Nelson ME, Rejeski WJ, Blair SN, Duncan PW, Judge JO, King AC, Macera CA, Castaneda-Sceppa C: Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Circulation. 2007, 116: 1094-1105.CrossRefPubMed
4.
Chodzko-Zajko WJ, Proctor DN, Fiatarone Singh MA, Minson CT, Nigg CR, Salem GJ, Skinner JS: Exercise and physical activity for older adults. Med Sci Sport Exer. 2009, 41: 1510-1530. 10.1249/MSS.0b013e3181a0c95c.CrossRef
5.
Physical Activity Guidelines Advisory Committee, (Ed.): Physical Activity Guidelines Advisory Committee Report 2008. 2008, Washington, DC: U.S. Department of Health and Human Services
6.
7.
Rütten A, Abu-Omar K, Lampert T, Ziese T: Heft 26 - Körperliche Aktivität [Issue 26 - Physical activity]. Gesundheitsberichterstattung des Bundes [Federal Health Reporting]. Edited by: Robert Koch-Institut. 2005, Berlin: Eigenverlag [self-published]
8.
Robert Koch-Institut, (Ed.): Beiträge zur Gesundheitsberichterstattung des Bundes - Daten und Fakten: Ergebnisse der Studie "Gesundheit in Deutschland aktuell 2009". [Contributions to Federal Health Reporting - Facts and figures: Study results "Health in Germany up-to-date 2009"]. 2010, Berlin: Eigenverlag (Vorabdruck) [self-published (preprint)]
9.
Australian Institute of Health and Welfare, (Ed.): Australia's health 2010. Australia's health series no. 12. Cat. no. AUS 122. 2010, Canberra: AIHW
10.
Craig R, Mindell J, Hirani V, (Eds.): Health Survey for England 2008. Physical activity and fitness. Summary of key findings. 2009, The Health and Social Care Information Centre
11.
Haley C, Andel R: Correlates of Physical Activity Participation in Community-Dwelling Older Adults. J Aging Phys Activ. 2010, 18: 375-389.
12.
Jones DA, Ainsworth BE, Croft JB, Macera CA, Lloyd EE, Yusuf HR: Moderate leisure-time physical activity: who is meeting the public health recommendations? A national cross-sectional study. Arch Fam Med. 1998, 7: 285-289. 10.1001/archfami.7.3.285.CrossRefPubMed
13.
Krems C, Lührmann PM, Neuhauser-Berthold M: Physical activity in young and elderly subjects. J Sport Med Phys Fit. 2004, 44: 71-76.
14.
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 Commun H. 2002, 56: 473-478. 10.1136/jech.56.6.473.CrossRef
15.
Ruchlin HS, Lachs MS: Prevalence and correlates of exercise among older adults. J Appl Gerontol. 1999, 18: 341-357. 10.1177/073346489901800305.CrossRef
16.
U.S. Department of Health and Human Services, (Ed.): Physical activity and health: A report of the Surgeon General. 1996, Atlanta, GA: Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion
17.
18.
Bijnen FCH, Feskens EJM, Caspersen CJ, Giampaoli S, Nissinen AM, Menotti A, Mosterd WL, Kromhout D: Physical activity and cardiovascular risk factors among elderly men in Finland, Italy, and the Netherlands. Am J Epidemiol. 1996, 143: 553-561.CrossRefPubMed
19.
Chad KE, Reeder BA, Harrison EL, Ashworth NL, Sheppard SM, Schultz SL, Bruner BG, Fisher KL, Lawson JA: Profile of physical activity levels in community-dwelling older adults. Med Sci Sport Exer. 2005, 37: 1774-1784. 10.1249/01.mss.0000181303.51937.9c.CrossRef
20.
Walsh JME, Pressman AR, Cauley JA, Browner WS: Predictors of physical activity in community-dwelling elderly white women. J Gen Intern Med. 2001, 16: 721-727. 10.1111/j.1525-1497.2001.00506.x.CrossRefPubMedPubMedCentral
21.
Yusuf HR, Croft JB, Giles WH, Anda RF, Casper ML, Caspersen CJ, Jones DA: Leisure-time physical activity among older adults - United States, 1990. Arch Intern Med. 1996, 156: 1321-1326. 10.1001/archinte.156.12.1321.CrossRefPubMed
22.
Lührmann PM, Bender R, Edelmann-Schafer B, Neuhauser-Berthold M: Longitudinal changes in energy expenditure in an elderly German population: a 12-year follow-up. Eur J Clin Nutr. 2009, 63: 986-992. 10.1038/ejcn.2009.1.CrossRefPubMed
23.
Sallis JF, Cervero RB, Ascher W, Henderson KA, Kraft MK, Kerr J: An ecological approach to creating active living communities. Annu Rev Public Health. 2006, 27: 297-322. 10.1146/annurev.publhealth.27.021405.102100.CrossRefPubMed
24.
van Stralen MM, De Vries H, Mudde A, Bolman C, Lechner L: Determinants of initiation and maintenance of physical activity among older adults: a literature review. Health Psychology Review. 2009, 3: 147-207. 10.1080/17437190903229462.CrossRef
25.
Cohen-Mansfield J, Marx MS, Guralnik JM: Motivators and barriers to exercise in an older community-dwelling population. J Aging Phys Activ. 2003, 11: 242-253.
26.
Mathews AE, Laditka SB, Laditka JN, Wilcox S, Corwin SJ, Liu R, Friedman DB, Hunter R, Tseng W, Logsdon RG: Older adults' perceived physical activity enablers and barriers: a multicultural perspective. J Aging Phys Activ. 2010, 18: 119-140.
27.
Kaplan MS, Newsom JT, McFarland BH, Lu LN: Demographic and psychosocial correlates of physical activity in late life. Am J Prev Med. 2001, 21: 306-312. 10.1016/S0749-3797(01)00364-6.CrossRefPubMed
28.
Hinrichs T, Trampisch U, Burghaus I, Endres H, Klaaßen-Mielke R, Moschny A, Platen P: Correlates of sport participation among community-dwelling elderly people in Germany: a cross-sectional study. Eur Rev Aging Phys Act. 2010, 7: 105-115. 10.1007/s11556-010-0063-8.CrossRef
29.
Leung YW, Ceccato N, Stewart DE, Grace SL: A prospective examination of patterns and correlates of exercise maintenance in coronary artery disease patients. J Behav Med. 2007, 30: 411-421. 10.1007/s10865-007-9117-4.CrossRefPubMedPubMedCentral
30.
Trost SG, Owen N, Bauman AE, Sallis JF, Brown W: Correlates of adults' participation in physical activity: review and update. Med Sci Sport Exer. 2002, 34: 1996-2001. 10.1097/00005768-200212000-00020.CrossRef
31.
Becker S, Huy C, Brinkhoff KP, Gomolinsky U, Klein T, Thiel A, Zimmermann-Stenzel M: "Ein aktives Leben leben" - Sport, Bewegung und Gesundheit im mittleren und höheren Erwachsenenalter - Konzeption, Datenerhebung und erste Ergebnisse eines repräsentativen Basis-Surveys für die 50-70-jährige baden-württembergische Wohnbevölkerung ["Living an active life" - Sports, exercise and health in middle-aged and older adults - An empirical database on physical activity, health behavior and lifestyle in the 50- to 70-year-old residential population of Baden-Wuerttemberg]. Gesundheitswesen. 2007, 69: 401-407. 10.1055/s-2007-985127.CrossRefPubMed
32.
van den Hombergh CE, Schouten EG, van Staveren WA, van Amelsvoort LG, Kok FJ: Physical activities of noninstitutionalized Dutch elderly and characteristics of inactive elderly. Med Sci Sport Exer. 1995, 27: 334-339.CrossRef
33.
Zizzi S, Goodrich D, Wu Y, Parker L, Rye S, Pawar V, Mangone C, Tessaro I: Correlates of physical activity in a community sample of older adults in Appalachia. J Aging Phys Activ. 2006, 14: 423-438.
34.
Diehm C, Lange S, Darius H, Pittrow D, von Stritzky B, Tepohl G, Haberl RL, Allenberg JR, Dasch B, Trampisch HJ: Association of low ankle brachial index with high mortality in primary care. Eur Heart J. 2006, 27: 1743-1749. 10.1093/eurheartj/ehl092.CrossRefPubMed
35.
getABI Study Group: getABI: German epidemiological trial on ankle brachial index for elderly patients in family practice to detect peripheral arterial disease, significant marker for high mortality. VASA-Journal of Vascular Disease. 2002, 31: 241-248. 10.1024/0301-1526.31.4.241.CrossRef
36.
Arbeitsgruppe Epidemiologische Methoden der Deutschen Arbeitsgemeinschaft Epidemiologie (DAE) [German Working Group Epidemiology]: Leitlinien und Empfehlungen zur Sicherung von guter epidemiologischer Praxis (GEP) - Überarbeitete Fassung nach Evaluation [Guidelines and recommendations for ensuring Good Epidemiological Practice - Revised version after evaluation]. Gesundheitswesen. 2005, 67: 217-225. 10.1055/s-2004-813850.CrossRef
37.
Trampisch U, Platen P, Burghaus I, Moschny A, Wilm S, Thiem U, Hinrichs T: Reliabilität des PRISCUS-PAQ. Fragebogen zur Erfassung körperlicher Aktivität von Personen im Alter von 70 Jahren und älter [Reliability of the PRISCUS-PAQ. Questionnaire to assess physical activity of persons at the age of 70 years and older]. Z Gerontol Geriat. 2010, 43: 399-406. 10.1007/s00391-010-0118-5.CrossRef
38.
Lamb SE, Jorstad-Stein EC, Hauer K, Becker C: Development of a common outcome data set for fall injury prevention trials: the Prevention of Falls Network Europe consensus. J Am Geriatr Soc. 2005, 53: 1618-1622. 10.1111/j.1532-5415.2005.53455.x.CrossRefPubMed
39.
Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, Macera CA, Heath GW, Thompson PD, Bauman A: Physical activity and public health: Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sport Exer. 2007, 39: 1423-1434. 10.1249/mss.0b013e3180616b27.CrossRef
40.
Centers for Disease Control and Prevention: Prevalence of self-reported physically active adults - United States, 2007. MMWR. 2008, 57: 1297-1300.
41.
Sarkin JA, Nichols JF, Sallis JF, Calfas KJ: Self-report measures and scoring protocols affect prevalence estimates of meeting physical activity guidelines. Med Sci Sport Exer. 2000, 32: 149-156.CrossRef
42.
King AC, Castro C, Wilcox S, Eyler AA, Sallis JF, Brownson RC: Personal and environmental factors associated with physical inactivity among different racial-ethnic groups of US middle-aged and older-aged women. Health Psychol. 2000, 19: 354-364.CrossRefPubMed
43.
Sjogren K, Stjernberg L: A gender perspective on factors that influence outdoor recreational physical activity among the elderly. BMC Geriatr. 2010, 10: 34-10.1186/1471-2318-10-34.CrossRefPubMedPubMedCentral
44.
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 Aging. 2009, 21: 33-47. 10.1080/08952840802633669.CrossRefPubMed
45.
Bundesministerium für Familien, Senioren, Frauen und Jugend (BMFSFJ) [Federal Ministry for Families, Seniors, Women and Youth], (Ed.): Frauen in Deutschland [Women in Germany]. 2004, Berlin
46.
Tesch-Römer C, Wurm S: Gesundheit im Alter bedingt durch Schicksal, Schichtzugehörigkeit und Verhalten? Gesundheitsrelevante Lebenslagen und Lebensstile [Health in old age due to fate, social class and behaviour? Health-relevant circumstances and lifestyles]. Gesundheit und Krankheit im Alter - Beiträge zur Gesundheitsberichterstattung des Bundes [Health and morbidity in old age - Contributions to Federal Health Reporting]. Edited by: Statistisches Bundesamt Deutsches Zentrum für Altersfragen, Robert Koch-Institut. 2009, Berlin: Eigenverlag [self-published]
47.
Baumgartner B, Halder L, Kolip P, (Eds.): Qualitative Interviewstudie mit 50- bis 65-jährigen, alleinlebenden Bremerinnen und Bremern sowie Bremer Experten zum dem Thema: Wohnen im Alter in Bremen. Endbericht [Qualitative interview survey in solitarily living 50-to-65-year-old men and women from Bremen, and in experts with regard to habitation in old age in Bremen. Final report]. 2009, Institut für Public Health und Pflegeforschung, Universität Bremen [Institute for Public Health and Research in Nursing, University of Bremen]
48.
Tucker P, Gilliland J: The effect of season and weather on physical activity: a systematic review. Public Health. 2007, 121: 909-922. 10.1016/j.puhe.2007.04.009.CrossRefPubMed
49.
Sumukadas D, Witham M, Struthers A, McMurdo M: Day length and weather conditions profoundly affect physical activity levels in older functionally impaired people. J Epidemiol Community Health. 2009, 63: 305-309. 10.1136/jech.2008.080838.CrossRefPubMed
50.
Shephard RJ, Aoyagi Y: Seasonal variations in physical activity and implications for human health. Eur J Appl Physiol. 2009, 107: 251-271. 10.1007/s00421-009-1127-1.CrossRefPubMed
51.
Bruce DG, Devine A, Prince RL: Recreational physical activity levels in healthy older women: The importance of fear of falling. J Am Geriatr Soc. 2002, 50: 84-89. 10.1046/j.1532-5415.2002.50012.x.CrossRefPubMed
52.
Howland J, Peterson EW, Levin WC, Fried L, Pordon D, Bak S: Fear of falling among the community-dwelling elderly. J Aging Health. 1993, 5: 229-243. 10.1177/089826439300500205.CrossRefPubMed
53.
Kressig RW, Wolf SL, Sattin RW, O'Grady M, Greenspan A, Curns A, Kutner M: Associations of demographic, functional, and behavioral characteristics with activity-related fear of falling among older adults transitioning to frailty. J Am Geriatr Soc. 2001, 49: 1456-1462. 10.1046/j.1532-5415.2001.4911237.x.CrossRefPubMed
54.
Lachman ME, Howland J, Tennstedt S, Jette A, Assmann S, Peterson EW: Fear of falling and activity restriction: the survey of activities and fear of falling in the elderly (SAFE). J Gerontol B Psychol Sci Soc Sci. 1998, 53: P43-50.CrossRefPubMed
55.
Lees FD, Clark PG, Nigg CR, Newman P: Barriers to exercise behavior among older adults: A focus-group study. J Aging Phys Activ. 2005, 13: 23-33.
56.
Wilcox S: Physical activity in older women of color. Top Geriatr Rehabil. 2002, 18: 21-33.CrossRef
57.
Rasinaho M, Hirvensalo M, Leinonen R, Lintunen T, Rantanen T: Motives for and barriers to physical activity among older adults with mobility limitations. J Aging Phys Act. 2007, 15: 90-102.PubMed
58.
Deshpande N, Metter EJ, Lauretani F, Bandinelli S, Guralnik J, Ferrucci L: Activity restriction induced by fear of falling and objective and subjective measures of physical function: a prospective cohort study. J Am Geriatr Soc. 2008, 56: 615-620. 10.1111/j.1532-5415.2007.01639.x.CrossRefPubMedPubMedCentral
59.
Mahoney JE, Sager MA, Jalaluddin M: Use of an ambulation assistive device predicts functional decline associated with hospitalization. J Gerontol a-Biol. 1999, 54: M83-M88. 10.1093/gerona/54.2.M83.CrossRef
60.
Hays LM, Clark DO: Correlates of physical activity in a sample of older adults with type 2 diabetes. Diab Care. 1999, 22: 706-712. 10.2337/diacare.22.5.706.CrossRef
61.
Jorgensen T, Andersen LB, Froberg K, Maeder U, Von Huth Smith L, Aadahl M: Position statement: Testing physical condition in a population - how good are the methods?. European Journal of Sports Science. 2009, 9: 257-267. 10.1080/17461390902862664.CrossRef
62.
Lamonte MJ, Ainsworth BE: Quantifying energy expenditure and physical activity in the context of dose response. Med Sci Sport Exer. 2001, 33: S370-S378. 10.1097/00005768-200106001-00006.CrossRef
63.
Bauman AE, Sallis JF, Dzewaltowski DA, Owen N: Toward a better understanding of the influences on physical activity - The role of determinants, correlates, causal variables, mediators, moderators, and confounders. Am J Prev Med. 2002, 23: 5-14. 10.1016/S0749-3797(02)00469-5.CrossRefPubMed
64.
Thiem U, Theile G, Junius-Walker U, Holt S, Thurmann P, Hinrichs T, Platen P, Diederichs C, Berger K, Hodek JM, et al: Prerequisites for a new health care model for elderly people with multimorbidity: The PRISCUS research consortium. Z Gerontol Geriat. 2010, 44: 115-120.CrossRef
Metadata
Title
Physical activity patterns in older men and women in Germany: a cross-sectional study
Authors
Anna Moschny
Petra Platen
Renate Klaaßen-Mielke
Ulrike Trampisch
Timo Hinrichs
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2011
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-11-559

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