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European Review of Aging and Physical Activity

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01-12-2022 | Anxiety | Research article

Interactive effect of socio-eco-demographic characteristics and perceived physical activity barriers on physical activity level among older adults

Authors: Hamid Arazi, Mani Izadi, Hadis Kabirian

Published in: European Review of Aging and Physical Activity | Issue 1/2022

Abstract

Background

Studies examining associations of socio-eco-demographic characteristics with physical activity (PA) participation of older adults have produced inconsistent results. Perceived PA barriers may be a possible explanation for the mixed findings. Therefore, the purpose of this study was to examine the correlation of socio-eco-demographic (SED) characteristics with PA of older adults and the moderation effects of perceived barriers of PA.

Methods

Three hundred eighty-four older adults (≥ 60 years old) were recruited from public places in six different cities. Questions regarding socio-eco-demographic characteristics, PA, and perceived PA barriers were asked, in-person, by two examiners. Ordinal logistic regression models examined the association of socio-eco-demographic characteristics with subjectively measured PA, and the interactive effects of subscales of perceived PA barriers and socio-eco-demographic variables for PA outcomes.

Results

Significant main effects for PA outcomes were found for education and living status (P < 0.01) and college-educated individuals and those were living in their private houses reported higher PA. Also, 24 significant interactive effects of perceived PA barriers by socio-eco-demographic factors were found (P < 0.05). Significant moderation effects by all subscales of perceived PA barriers were observed for education and living status. The effect of age for the PA outcomes was moderated by “lack of time”, “fear of injury”, and “lack of skill”. Only “fear of injury” and “lack of time” moderated the effect of gender and marriage for outcome variable, respectively. The effect of employment was moderated by “lack of willpower”, “fear of injury”, “lack of skill” and “lack of resources”.

Conclusions

Novel evidence revealed that there are moderations by perceived PA barriers for the effect of almost all socio-eco-demographic characteristics. These findings highlight a need to consider older adults’ perspectives and perceptions, when it comes to establish policies for PA participation.

Mazzeo R, Cavanagh P, Evans W, Fiatarone M, Hagberg J, McAuley E, et al. Exercise and physical activity for older adults: American College of Sports Medicine position stand. Med Sci Sports Exerc. 1998;30(6):992–1008.

Commonwealth Department of Health and Family Services. Developing an Active Australia: A framework for action for physical activity and health. Canberra: Commonwealth Government of Australia; 1998.

Haley C, Andel R. Correlates of physical activity participation in community-dwelling older adults. J Aging Phys Act. 2010;18(4):375–89. https://doi.org/10.1123/japa.18.4.375.CrossRefPubMed

Lohne-Seiler H, Hansen BH, Kolle E, Anderssen SA. Accelerometer-determined physical activity and self-reported health in a population of older adults (65–85 years): a cross-sectional study. BMC Public Health. 2014;14(1):284. https://doi.org/10.1186/1471-2458-14-284.CrossRefPubMedPubMedCentral

Biernat E, Tomaszewski P. Socio-demographic and leisure activity determinants of physical activity of working Warsaw residents aged 60 to 69 years. J Hum Kinet. 2011;30(1):173–81. https://doi.org/10.2478/v10078-011-0085-y.CrossRefPubMedPubMedCentral

Bauman AE, Reis RS, Sallis JF, Wells JC, Loos RJ, Martin BW, et al. Correlates of physical activity: why are some people physically active and others not? Lancet. 2012;380(9838):258–71. https://doi.org/10.1016/S0140-6736(12)60735-1.CrossRefPubMed

Trost SG, Owen N, Bauman AE, Sallis JF, Brown W. Correlates of adults’ participation in physical activity: review and update. Med Sci Sports Exerc. 2002;34(12):1996–2001. https://doi.org/10.1097/00005768-200212000-00020.CrossRefPubMed

Stamatakis E, Grunseit AC, Coombs N, Ding D, Chau JY, Phongsavan P, et al. Associations between socio-economic position and sedentary behaviour in a large population sample of Australian middle and older-aged adults: the social, economic, and environmental factor (SEEF) study. Prev Med. 2014;63:72–80. https://doi.org/10.1016/j.ypmed.2014.03.009.CrossRefPubMed

Mitáš J, Cerin E, Reis RS, Conway TL, Cain KL, Adams MA, et al. Do associations of sex, age and education with transport and leisure-time physical activity differ across 17 cities in 12 countries? Int J Behav Nutr Phys Act. 2019;16(1):121. https://doi.org/10.1186/s12966-019-0894-2.CrossRefPubMedPubMedCentral

10.

van Stralen MM, De Vries H, Mudde AN, Bolman C, Lechner L. Determinants of initiation and maintenance of physical activity among older adults: a literature review. Health Psychol Rev. 2009;3(2):147–207. https://doi.org/10.1080/17437190903229462.CrossRef

11.

Smith L, Gardner B, Fisher A, Hamer M. Patterns and correlates of physical activity behaviour over 10 years in older adults: prospective analyses from the English longitudinal study of ageing. BMJ Open. 2015;5(4):e007423. https://doi.org/10.1136/bmjopen-2014-007423.CrossRefPubMedPubMedCentral

12.

Milanović Z, Pantelić S, Trajković N, Sporiš G, Kostić R, James N. Age-related decrease in physical activity and functional fitness among elderly men and women. Clin Interv Aging. 2013;8:549. https://doi.org/10.2147/CIA.S44112.CrossRefPubMedPubMedCentral

13.

King AC, Kiernan M, Ahn DK, Wilcox S. The effects of marital transitions on changes in physical activity: results from a 10-year community study. Ann Behav Med. 1998;20(2):64–9. https://doi.org/10.1007/BF02884450.CrossRefPubMed

14.

Li K-K, Cardinal BJ, Acock AC. Concordance of physical activity trajectories among middle-aged and older married couples: impact of diseases and functional difficulties. J Gerontol B Psychol Sci Soc Sci. 2013;68(5):794–806. https://doi.org/10.1093/geronb/gbt068.CrossRefPubMed

15.

Barnett I, van Sluijs EM, Ogilvie D. Physical activity and transitioning to retirement: a systematic review. Am J Prev Med. 2012;43(3):329–36. https://doi.org/10.1016/j.amepre.2012.05.026.CrossRefPubMedPubMedCentral

16.

Ball K, Timperio A, Salmon J, Giles-Corti B, Roberts R, Crawford D. Personal, social and environmental determinants of educational inequalities in walking: a multilevel study. J Epidemiol Community Health. 2007;61(2):108–14. https://doi.org/10.1136/jech.2006.048520.CrossRefPubMedPubMedCentral

17.

Cerin E, Leslie E. How socio-economic status contributes to participation in leisure-time physical activity. Soc Sci Med. 2008;66(12):2596–609. https://doi.org/10.1016/j.socscimed.2008.02.012.CrossRefPubMed

18.

Kamphuis C, Van Lenthe FJ, Giskes K, Huisman M, Brug J, Mackenbach JP. Socioeconomic differences in lack of recreational walking among older adults: the role of neighbourhood and individual factors. Int J Behav Nutr Phys Act. 2009;6(1):1–11. https://doi.org/10.1186/1479-5868-6-1.CrossRefPubMedPubMedCentral

19.

Champion VL. Skinner CS. The health belief model. In Glanz K, Rimer BK, Viswanath K. (eds), Health Behavior and Health Education: Theory, Research, and Practice. San Francisco: Jossey-Bass; 2008. p. 45–65.

20.

Chao D, Foy CG, Farmer D. Exercise adherence among older adults: challenges and strategies. Control Clin Trials. 2000;21(5):S212–S7. https://doi.org/10.1016/S0197-2456(00)00081-7.CrossRef

21.

Schutzer KA, Graves BS. Barriers and motivations to exercise in older adults. Prev Med. 2004;39(5):1056–61. https://doi.org/10.1016/j.ypmed.2004.04.003.CrossRefPubMed

22.

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(2):5–14. https://doi.org/10.1016/S0749-3797(02)00469-5.CrossRefPubMed

23.

van Stralen MM, Lechner L, Mudde AN, de Vries H, Bolman C. Determinants of awareness, initiation and maintenance of physical activity among the over-fifties: a Delphi study. Health Educ Res. 2010;25(2):233–47. https://doi.org/10.1093/her/cyn045.CrossRefPubMed

24.

Topolski TD, LoGerfo J, Patrick DL, Williams B, Walwick J, Patrick MMB. Peer reviewed: the Rapid Assessment of Physical Activity (RAPA) among older adults. Prev Chronic Dis. 2006;3(4):A118.

25.

Khajavi D, Khanmohamadi R. Predicting depressive symptoms of the elderly according to physical activity level and demographic characteristics: examining the role of age and gender. J Motor Learn Movement. 2015;7(1):87–103.

26.

Centers for Disease Control and Prevention. Barriers to Being Physically Active Quiz. Available online: https://www.cdc.gov/diabetes/ndep/pdfs/8-road-to-health-barriers-quiz-508.pdf. Accessed Aug 2018.

27.

Liu X. Ordinal regression analysis: fitting the proportional odds model using Stata, SAS and SPSS. J Mod Appl Stat Methods. 2009;8(2):30–642. https://doi.org/10.22237/jmasm/1257035340.CrossRef

28.

Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee I-M, et al. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: Guidance for prescribing exercise. Special communications: Position stand. Med Sci Sports Exerc. 2011;43(7):1334–1359. https://doi.org/10.1249/MSS.0b013e318213fefb.

29.

Eshaghi SR, Shahsanai A, Ardakani MM. Assessment of the Physical Activity of Elderly Population of Isfahan, Iran. J Isfahan Med Sch. 2011;29(147):939–46.

30.

Vancampfort D, Koyanagi A, Ward PB, Rosenbaum S, Schuch FB, Mugisha J, et al. Chronic physical conditions, multimorbidity and physical activity across 46 low-and middle-income countries. Int J Behav Nutr Phys Act. 2017;14(1):6. https://doi.org/10.1186/s12966-017-0463-5.CrossRefPubMedPubMedCentral

31.

Resnick B, Palmer MH, Jenkins LS, Spellbring AM. Path analysis of efficacy expectations and exercise behaviour in older adults. J Adv Nurs. 2000;31(6):1309–15. https://doi.org/10.1046/j.1365-2648.2000.01463.x.CrossRefPubMed

32.

Janke M, Davey A, Kleiber D. Modeling change in older adults’ leisure activities. Leis Sci. 2006;28(3):285–303. https://doi.org/10.1080/01490400600598145.CrossRef

33.

Droomers M, Schrijvers CTM, Mackenbach J. Educational level and decreases in leisure time physical activity: predictors from the longitudinal GLOBE study. J Epidemiol Community Health. 2001;55(8):562–8. https://doi.org/10.1136/jech.55.8.562.CrossRefPubMedPubMedCentral

34.

Mouton CP, Calmbach WL, Dhanda R, Espino DV, Hazuda H. Barriers and benefits to leisure-time physical activity among older Mexican Americans. Arch Fam Med. 2000;9(9):892–7. https://doi.org/10.1001/archfami.9.9.892.CrossRefPubMed

35.

Weiss DR, O'Loughlin JL, Platt RW, Paradis G. Five-year predictors of physical activity decline among adults in low-income communities: a prospective study. Int J Behav Nutr Phys Act. 2007;4(1):2. https://doi.org/10.1186/1479-5868-4-2.CrossRefPubMedPubMedCentral

36.

Dawson J, Hillsdon M, Boller I, Foster C. Perceived barriers to walking in the neighbourhood environment and change in physical activity levels over 12 months. Br J Sports Med. 2007;41(9):562–8. https://doi.org/10.1136/bjsm.2006.033340.CrossRefPubMedPubMedCentral

37.

Jeong S, Il Cho S. Effects of living alone versus with others and of housemate type on smoking, drinking, dietary habits, and physical activity among elderly people. Epidemiol Health. 2017;39(34):1–7.

38.

Mathews AE, Laditka SB, Laditka JN, Wilcox S, Corwin SJ, Liu R, et al. Older adults’ perceived physical activity enablers and barriers: a multicultural perspective. J Aging Phys Act. 2010;18(2):119–40. https://doi.org/10.1123/japa.18.2.119.CrossRefPubMed

39.

Baert V, Gorus E, Mets T, Geerts C, Bautmans I. Motivators and barriers for physical activity in the oldest old: a systematic review. Ageing Res Rev. 2011;10(4):464–74. https://doi.org/10.1016/j.arr.2011.04.001.CrossRefPubMed

40.

Gobbi S, Sebastiao E, Papini CB, Nakamura PM, Valdanha Netto A, Gobbi LTB, et al. Physical inactivity and related barriers: a study in a community dwelling of older brazilians. J Aging Res. 2012;2012:1–8. https://doi.org/10.1155/2012/685190.CrossRef

41.

Bjornsdottir G, Arnadottir SA, Halldorsdottir S. Facilitators of and barriers to physical activity in retirement communities: experiences of older women in urban areas. Phys Ther. 2012;92(4):551–62. https://doi.org/10.2522/ptj.20110149.CrossRefPubMed

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(4):354–64. https://doi.org/10.1037/0278-6133.19.4.354.CrossRefPubMed

43.

Sawchuk CN, Russo JE, Bogart A, Charles S, Goldberg J, Roy-Byrne P, et al. Peer reviewed: barriers and facilitators to walking and physical activity among American Indian elders. Prevent Chronic Dis. 2011;8(3):A63.

44.

Rothman KJ. No adjustments are needed for multiple comparisons. Epidemiology. 1990;1(1):43–6. https://doi.org/10.1097/00001648-199001000-00010.CrossRefPubMed

Title: Interactive effect of socio-eco-demographic characteristics and perceived physical activity barriers on physical activity level among older adults
Authors: Hamid Arazi
Mani Izadi
Hadis Kabirian
Publication date: 01-12-2022
Publisher: BioMed Central
Keyword: Anxiety
Published in: European Review of Aging and Physical Activity / Issue 1/2022
Print ISSN: 1813-7253
Electronic ISSN: 1861-6909
DOI: https://doi.org/10.1186/s11556-022-00288-y

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