Neighbourhood deprivation and physical activity in UK older adults

Fox, Keith R.; Hillsdon, Melvyn; Sharp, Deborah; Cooper, Ashley R; Coulson, JC; Davis, Mark; Harris, Richard J; McKenna, Jim; Narici, Marco V.; Stathi, Afroditi; Thompson, Janice L.

doi:10.1016/j.healthplace.2011.01.002

Cited by 63 publications

(72 citation statements)

References 22 publications

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“…27,28 Further, higher levels of deprivation, assessed using IMD have previously been associated with lower levels of activity. 29 Nonetheless, in this study, participants living in the 'most deprived' areas were more active compared to participants from the 'least deprived' areas. The disparity between these findings and our results may in part be due to the comparatively high levels of deprivation found within this sample.…”

Section: Discussion -contrasting

confidence: 54%

Physical activity assessment for public health: efficacious use of the single-item measure

et al. 2015

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Telephone -(+44) 013 812 9107Single-Item Physical Activity Measures 2 Objectives: The accurate mass assessment of physical activity is essential for effective Public Health policy and practice. Combined with a desire to minimise participant burden, the selfreported single-item physical activity screening measure has become increasingly attractive and widespread. To help reduce any potential misclassification, refining this instrumentation in line with any changes in prescribed activity levels is essential to optimise accuracy. Study design: This study compares the levels of agreement, sensitivity and specificity for the singleitem measure versus IPAQ using current physical activity recommendations. Methods:Agreement was assessed in a non-probability sample of 7650 adults. The  statistic, sensitivity and specificity were used to assess agreement between the tools for classifying participants as sufficiently active for health (≥150 minutes of physical activity per week) or not, and being classified as inactive (<30 of minutes of physical activity per week) or not. Results: The singleitem measure showed weak agreement with the IPAQ for identifying participants who met the current physical activity guidelines (= 0.13, 95% CI 0.12 to 0.14), sensitivity was 18.7% and specificity was 97.2%. For the classification of inactive participants it showed a moderate agreement with IPAQ (= 0.45, 95% CI 0.43 to 0.47), sensitivity was 74.2% and specificity was 79.7%. Conclusions: The single-item measure has a low diagnostic capacity compared to IPAQ. Further research is needed if it is to be used in large scale surveys and interventions where screening for sufficiently active or inactive individuals is the goal.

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Section: Discussion -contrasting

confidence: 54%

Physical activity assessment for public health: efficacious use of the single-item measure

et al. 2015

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“…Leisuretime physical activity has been found to be more common in neighborhoods which are perceived as safe (Tucker-Seeley et al 2009). In a British study, a lower level of physical activity was associated with older age, higher BMI and lower physical functioning, which in turn were more common in people living in more deprived areas (Fox et al 2011). It should also be noted that studies investigating the relationship between environment and physical activity among older people have shown diverse associations and it has been suggested that different domains of physical activity may show different associations: recreational, transportation and total physical activity measure different domains and thus the observed associations vary.…”

Section: Physical Activity In Old Agementioning

confidence: 98%

“…A safe neighborhood has been associated with higher levels of leisure-time physical activity than an unsafe neighborhood (Tucker-Seeley et al 2009). On the other hand, there is also evidence to the contrary: in a British study neighborhood deprivation was not associated with lower physical activity (Fox et al 2011). …”

Section: Life-space Mobilitymentioning

confidence: 99%

“…Regularly venturing outdoors helps preserve a physically active lifestyle, irrespective of functional status (Fox et al 2011), and physical activity has been associated with lower risk for walking limitation among older women (Latham 2014). Facilitators in the environment and lack of individual barriers are important prerequisites for becoming and staying active (Stathi et al 2012).…”

Section: Walking Limitation and Environmental Facilitatorsmentioning

confidence: 99%

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Barriers to outdoor physical activity and unmet physical activity need in older adults

Eronen

Bonsdorff

Törmäkangas

et al. 2014

Preventive Medicine

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Physical activity is a basic need, also in old age. However, many older people cannot fulfil this need, often due to walking limitations causing imbalance in person-environment fit. Decreased physical activity can lead to unmet physical activity need and restriction on life-space mobility. The opportunities to remain physically active depend on various factors, not all of which are equally achievable for all older adults. The aim was to investigate disparities in physical activity among older community-dwelling people, with a focus on functioning, environmental barriers and facilitators, and socioeconomic status (SES).The data were drawn from two studies conducted in Central Finland: Screening and Counseling for Physical Activity and Mobility (632 participants, 75% women, mean age 77.6) and Life-Space Mobility in Old Age (848 participants, 62% women, mean age 80.1). Walking limitations, SES, social support, environmental facilitators for outdoor walking and barriers to outdoor physical activity were self-reported. The outcome measures were unmet physical activity need, walking limitation and life-space mobility.Five outdoor physical activity barrier profiles were identified, in which people differed in health and functioning and vulnerability to the challenges of the environment. A higher number of environmental facilitators decreased the risk for walking limitation. The risk for unmet physical activity need increased along with the number of individual and environmental outdoor physical activity barriers, but was highest among people whose poor health and functioning hindered them from going outdoors. Low SES was associated with more restricted life-space mobility and unmet physical activity need, especially among persons with walking limitations.Disparities in physical activity can be traced back to various individual, social and environmental factors. The importance of the environment for physical activity is considerable especially among older people with walking limitations. Keywords ACKNOWLEDGEMENTSThis study was carried out at the Gerontology Research Center, Department of Health Sciences, University of Jyväskylä, Finland. My deepest gratitude goes to the supervisors of this thesis, Professor Taina Rantanen and Mikaela von Bonsdorff, PhD. Taina, I can't stop wondering how you always have solutions to the most complex problems and answers to even the trickiest questions. I highly value your knowledge and experience in the field of gerontology and feel proud that I have been able to conduct my PhD thesis under your supervision. Mikaela, thank you for always having time for me and my questions, especially during the first year of my PhD studies. I admire your enthusiasm towards research and appreciate the guidance and advice that you have given me. I feel that we have become friends during these years. I sincerely thank Professor Teppo Kröger for his interest and supportive comments on this work. I also want to thank Research Director Katja Kokko at the Gerontology Research Center, and Director of t...

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“…Physical activity, especially walking, is an important QOL factor which is essential for humans to lead healthy and independent lives [1,2]. With the growing interest in physical and walking activities for older persons, a substantial amount of research has recently been reported on [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Effects of Continuous Intervention for Physical Activity and Walking for Healthy Older Persons

Nakayama¹,

Kimura²,

Kobayashi³

et al. 2015

Int J Nurs Clin Pract

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Objective: The objective of this study is to clarify effects of continuous intervention (summer: 6 years; winter: 5 years) for physical activity of older persons, especially concerning their manner of walking, while evaluating the survey results. Methods: The survey participants in the summer were eight older persons, while there were seven older persons who participated in the winter. The average age of the participants at the beginning of this survey in the summer was 69.8 ± 3.0 years (6 males and 2 females), while that in the winter was 69.7 ± 2.8 years (5 males and 2 females). We conducted basic physical measurements, along with measurements of physical fitness, actions connected with daily life activities, and walking functions twice a year (summer and winter). Additionally, nurses offered personalized health instructions regarding the changes in the measurement values and daily health conditions. Actions connected with daily life activities, and walking functions, which need extra data analysis from measurement values, were returned to each subject in written form with comment at a later date. Result: The fat ratio decreased in the summer, while conversely in the winter an increase was shown. The grip strength of both hands declined only in the summer. The value of the single-leg stance with eyes open significantly decreased both in the summer and the winter at the end of the intervention. As for walking data, cycle durations were both decreased in the summer and the winter, and the walking speed was increased in the winter. Conclusion: Our long-term follow-up survey confirmed that while there was decline in some physical measurement parameters, the values indicating the walking functions of the participants, the cycle duration and the speed were enhanced. Maintaining a high level of consciousness with regard to walking can lead to expected improvement in the walking functions of older persons.

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Neighbourhood deprivation and physical activity in UK older adults

Cited by 63 publications

References 22 publications

Physical activity assessment for public health: efficacious use of the single-item measure

Physical activity assessment for public health: efficacious use of the single-item measure

Barriers to outdoor physical activity and unmet physical activity need in older adults

Effects of Continuous Intervention for Physical Activity and Walking for Healthy Older Persons

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