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Aartolahti E, Eronen J, Törmäkangas T, Rantanen T, Hirvensalo M, Palmberg L, Skantz H, Viljanen A, Portegijs E, Iwarsson S, Rantakokko M. Perceived Opportunities for Physical Activity and Willingness to Be More Active in Older Adults with Different Physical Activity Levels. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:6146. [PMID: 34200182 PMCID: PMC8201061 DOI: 10.3390/ijerph18116146] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Revised: 05/31/2021] [Accepted: 06/04/2021] [Indexed: 01/03/2023]
Abstract
This study examined equity in physical activity (PA) by investigating whether perceived opportunity for PA was associated with willingness to be more active. Among community residents (75, 80, or 85 years old, n = 962) perceived opportunity for PA (poor and good), willingness to be more active (not at all, a bit, and a lot), and level of PA (low, moderate, and high) were assessed via questionnaires. Multinomial logistic regression showed that physical activity moderated the association between poor opportunity and willingness to increase PA. Among those with moderate PA, poor opportunity for PA increased the odds of willingness to be a lot more active (multinomial odds ratio, mOR 3.90, 95% confidence interval 2.21-6.87) than not wanting to be more active compared to those perceiving good opportunities. Associations were similar at high PA levels (p < 0.001), but were not found at low PA levels. Those with moderate or high PA wish to increase their activity particularly when the perceived opportunities for activity are not optimal. Among those with low PA, perceived opportunities are not associated with a perceived need to increase physical activity. Increasing equity in physical activity in old age requires provision of support and opportunities at every level of physical activity.
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Affiliation(s)
- Eeva Aartolahti
- Faculty of Sport and Health Sciences, University of Jyväskylä, FI-40014 Jyväskylä, Finland; (J.E.); (T.T.); (T.R.); (M.H.); (L.P.); (H.S.); (A.V.); (E.P.)
- Institute of Rehabilitation, JAMK University of Applied Sciences, FI-40100 Jyväskylä, Finland;
| | - Johanna Eronen
- Faculty of Sport and Health Sciences, University of Jyväskylä, FI-40014 Jyväskylä, Finland; (J.E.); (T.T.); (T.R.); (M.H.); (L.P.); (H.S.); (A.V.); (E.P.)
- Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, FI-40014 Jyväskylä, Finland
| | - Timo Törmäkangas
- Faculty of Sport and Health Sciences, University of Jyväskylä, FI-40014 Jyväskylä, Finland; (J.E.); (T.T.); (T.R.); (M.H.); (L.P.); (H.S.); (A.V.); (E.P.)
- Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, FI-40014 Jyväskylä, Finland
| | - Taina Rantanen
- Faculty of Sport and Health Sciences, University of Jyväskylä, FI-40014 Jyväskylä, Finland; (J.E.); (T.T.); (T.R.); (M.H.); (L.P.); (H.S.); (A.V.); (E.P.)
- Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, FI-40014 Jyväskylä, Finland
| | - Mirja Hirvensalo
- Faculty of Sport and Health Sciences, University of Jyväskylä, FI-40014 Jyväskylä, Finland; (J.E.); (T.T.); (T.R.); (M.H.); (L.P.); (H.S.); (A.V.); (E.P.)
| | - Lotta Palmberg
- Faculty of Sport and Health Sciences, University of Jyväskylä, FI-40014 Jyväskylä, Finland; (J.E.); (T.T.); (T.R.); (M.H.); (L.P.); (H.S.); (A.V.); (E.P.)
- Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, FI-40014 Jyväskylä, Finland
| | - Heidi Skantz
- Faculty of Sport and Health Sciences, University of Jyväskylä, FI-40014 Jyväskylä, Finland; (J.E.); (T.T.); (T.R.); (M.H.); (L.P.); (H.S.); (A.V.); (E.P.)
- Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, FI-40014 Jyväskylä, Finland
| | - Anne Viljanen
- Faculty of Sport and Health Sciences, University of Jyväskylä, FI-40014 Jyväskylä, Finland; (J.E.); (T.T.); (T.R.); (M.H.); (L.P.); (H.S.); (A.V.); (E.P.)
- Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, FI-40014 Jyväskylä, Finland
| | - Erja Portegijs
- Faculty of Sport and Health Sciences, University of Jyväskylä, FI-40014 Jyväskylä, Finland; (J.E.); (T.T.); (T.R.); (M.H.); (L.P.); (H.S.); (A.V.); (E.P.)
- Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, FI-40014 Jyväskylä, Finland
| | - Susanne Iwarsson
- Department of Health Sciences & Centre for Ageing and Supportive Environments (CASE), Lund University, SE-22100 Lund, Sweden;
| | - Merja Rantakokko
- Institute of Rehabilitation, JAMK University of Applied Sciences, FI-40100 Jyväskylä, Finland;
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Gao Y, Rantalainen T, Finni T, Portegijs E, Eronen J, Rantanen T, Rantakokko M. Daily Physical Activity and Sedentary Time Assessed by Acceleration Based on Mean Amplitude Deviation among Older People. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17186887. [PMID: 32967156 PMCID: PMC7560095 DOI: 10.3390/ijerph17186887] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/14/2020] [Revised: 09/15/2020] [Accepted: 09/16/2020] [Indexed: 11/16/2022]
Abstract
Accelerometer-derived estimates of physical activity (PA) and sedentary time have been an important methodological focus. However, little is known about the daily activities among older people during their normal lives. Furthermore, some older individuals would like to be more active, yet experience an unmet PA need, which is defined as the desire to engage in more PA but without the opportunity to act on the desire. This study examined the intensity of daily PA and sedentary behavior measured with accelerometers among older people, and whether PA differs between weekdays and weekends and those with and without the experience of unmet PA need, measured with self-reports. A total of 174 community-dwelling older people (64% female) aged 75 to 90 years used an accelerometer for 7 consecutive days during waking hours, and the results were classified for sedentary behavior (thresholds of 0.0167 g), light activity (0.091 g), and moderate-to-vigorous activity (MVPA, 0.414 g) based on mean amplitude deviation (g). We found that during weekdays, older people engaged slightly more in light activity and had less sedentary time than during weekends. In total, 7.6% of the participants perceived an unmet PA need. Accordingly, those with unmet PA needs spent less time in MVPA, especially during weekdays, and they might benefit from PA-enabling interventions.
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Affiliation(s)
- Ying Gao
- Department of Sports Science, College of Education, Zhejiang University, Hangzhou 310058, China
- Faculty of Sport and Health Sciences, University of Jyväskylä, 40014 Jyväskylä, Finland; (T.R.); (T.F.); (E.P.); (J.E.); (T.R.)
- Correspondence:
| | - Timo Rantalainen
- Faculty of Sport and Health Sciences, University of Jyväskylä, 40014 Jyväskylä, Finland; (T.R.); (T.F.); (E.P.); (J.E.); (T.R.)
| | - Taija Finni
- Faculty of Sport and Health Sciences, University of Jyväskylä, 40014 Jyväskylä, Finland; (T.R.); (T.F.); (E.P.); (J.E.); (T.R.)
| | - Erja Portegijs
- Faculty of Sport and Health Sciences, University of Jyväskylä, 40014 Jyväskylä, Finland; (T.R.); (T.F.); (E.P.); (J.E.); (T.R.)
| | - Johanna Eronen
- Faculty of Sport and Health Sciences, University of Jyväskylä, 40014 Jyväskylä, Finland; (T.R.); (T.F.); (E.P.); (J.E.); (T.R.)
| | - Taina Rantanen
- Faculty of Sport and Health Sciences, University of Jyväskylä, 40014 Jyväskylä, Finland; (T.R.); (T.F.); (E.P.); (J.E.); (T.R.)
| | - Merja Rantakokko
- School of Health and Social Studies, JAMK University of Applied Sciences, 40101 Jyväskylä, Finland;
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