Differential Determinants of Men's and Women's Everyday Physical Activity in Later Life

Chipperfield, Judith G.; Newall, Nancy E.; Chuchmach, Loring P.; Swift, Audrey U.; Haynes, Tara L.

doi:10.1093/geronb/63.4.s211

Cited by 35 publications

(29 citation statements)

References 49 publications

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“…As expected [17,30,31], we found that poor physical health (chronic health conditions and mobility limitations) was an important barrier to achieving MVPA guidelines. We found that associations with poor physical health remained after adjusting for depression.…”

Section: Discussionsupporting

confidence: 83%

Adherence to physical activity guidelines in older adults, using objectively measured physical activity in a population-based study

Jefferis¹,

Sartini²,

et al. 2014

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BackgroundPhysical activity (PA) levels in older adults decline with age. The prevalence and correlates of adherence to current UK PA guidelines in older adults has not been studied using objectively measured PA, which can examine precisely whether PA is carried out in bouts of specified length and intensity.MethodsFree living men and women aged 70–93 years from 25 towns in the United Kingdom, participating in parallel on-going population based cohort studies were invited (by post) to wear a GT3x accelerometer over the hip for one week in 2010–12. Adherence to UK PA guidelines was defined as ≥150 minutes/week of moderate or vigorous PA (MVPA) in bouts of ≥10 minutes; the effect of different intensities and durations were examined.Results1593 men and 857 women participated (responses 51% and 29% respectively). 15% men and 10% women achieved ≥150 minutes/week of MVPA (defined as >1040 cpm) in bouts lasting ≥10 minutes. With MVPA defined as >1952 cpm, prevalences were 7% and 3% respectively. Those adhering to guidelines were younger, had fewer chronic health conditions, less depression, less severe mobility limitations, but higher exercise self-efficacy and exercise outcomes expectations. They rated their local environment more highly for social activities and leisure facilities, having somewhere nice to go for a walk and feeling safe after dark, They left the house on more days per week, were more likely to use active transport (cycle or walk) and to walk a dog regularly.ConclusionsFew older adults attain current PA guidelines. Health promotion to extend the duration of moderate-intensity activity episodes to 10 minutes or more could yield important health gains among older adults. However future studies will need to clarify whether attaining guideline amounts of PA in spells lasting 10 minutes or more is critical for reducing chronic disease risks as well as improving cardiometabolic risk factors.

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Section: Discussionsupporting

confidence: 83%

Adherence to physical activity guidelines in older adults, using objectively measured physical activity in a population-based study

Jefferis¹,

Sartini²,

et al. 2014

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“…These findings are in contrast with the majority of studies suggesting that men are more active than females at older ages 17,38 . A few studies have suggested a reversal in the sex difference at older ages 39 potentially due to increased indoor household activity among older females compared to males 40–42 . Our study provides strong evidence of this reversal and additionally suggests that this may be driven by a differential diurnal pattern.…”

Section: Discussionmentioning

confidence: 99%

Re-evaluating the effect of age on physical activity over the lifespan

Varma

Dey

Leroux

et al. 2017

Preventive Medicine

113

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Advancements in accelerometer analytic and visualization techniques allow researchers to more precisely identify and compare critical periods of physical activity (PA) decline by age across the lifespan, and describe how daily PA patterns may vary across age groups. We used accelerometer data from the 2003–2006 cohorts of the National Health and Nutrition Examination Survey (NHANES) (n = 12,529) to quantify total PA as well as PA by intensity across the lifespan using sex-stratified, age specific percentile curves constructed using generalized additive models. We additionally estimated minute-to-minute diurnal PA using smoothed bivariate surfaces. We found that from childhood to adolescence (ages 6–19) across sex, PA is sharply lower by age partially due to a later initiation of morning PA. Total PA levels, at age 19 are comparable to levels at age 60. Contrary to prior evidence, during young adulthood (ages 20–30) total and light intensity PA increases by age and then stabilizes during midlife (ages 31–59) partially due to an earlier initiation of morning PA. We additionally found that males compared to females have an earlier lowering in PA by age at midlife and lower total PA, higher sedentary behavior, and lower light intensity PA in older adulthood; these trends seem to be driven by lower PA in the afternoon compared to females. Our results suggest a reevaluation of how emerging adulthood may affect PA levels and the importance of considering time of day and sex differences when developing PA interventions.

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“…For example, it has been implied that women might benefit more from the social aspects of physical activity than men (Chipperfield et al, 2008;Teychenne et al, 2008a), and therefore women might benefit more psychologically from physical activity than men. It is, however, also likely that the lack of significant results for men is related to the lower number of cases among men than women and the resulting lower statistical power.…”

Section: The Role Of Physiological and Psychological Mechanismsmentioning

confidence: 99%

A cohort study of leisure time physical activity and depression

Mikkelsen

Tolstrup

Flachs

et al. 2010

Preventive Medicine

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Differential Determinants of Men's and Women's Everyday Physical Activity in Later Life

Abstract: We consider reasons why poorer health might erode EPA for men (but not women) and why living alone might erode EPA for women (but not men).

Cited by 35 publications

References 49 publications

Adherence to physical activity guidelines in older adults, using objectively measured physical activity in a population-based study

Adherence to physical activity guidelines in older adults, using objectively measured physical activity in a population-based study

Re-evaluating the effect of age on physical activity over the lifespan

A cohort study of leisure time physical activity and depression

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