Abstract
Purpose
This study aimed to analyze the association between functional limitations variables and physical activity in older adults.
Methods
A cross-sectional study, including 10,446 older adults aged 60 years or more who participated in the National Health Survey, 2013. The outcome variable was physical activity in the past 90 days and the explanatory variables were functional limitations, such as impairments in basic and instrumental activities of daily living, severe fall, use of walking aids, and chronic problems in the spine. Logistic regression was performed to obtain odds ratios (OR) and respective confidence intervals (95%), using the program Stata 13.1.
Results
The prevalence of insufficient physical activity was 85.9% (95%CI: 85.2–86.6) and the highest odds were among older adults with two or more impairments in basic activities (OR: 2.98, 95%CI: 2.11–4.22), severe fall (OR: 1.52, 95%CI: 1.01–2.32), and use of walking device (OR: 4.65, 95%CI: 2.45–8.80).
Conclusions
The prevalence of insufficient physical activity was high and multifactorial, allowing the identification of profiles of greater vulnerability, which should be considered regarding the direction of public policies for rehabilitation interventions directed at the functional performance of older adults.
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Funding
Agreement between Núcleo de Pesquisas Epidemiológicas em Nutrição e Saúde (Center for Epidemiological Research in Nutrition and Health – FSP-USP) and Secretaria de Vigilância em Saúde do Ministério da Saúde (Health Surveillance Secretariat of the Brazilian Ministry of Health – SVS-MS), protocol number BR/LOA/1500052.001.
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LFM worked in the planning, development and reporting of the research; AMCF worked in the critical review and reporting of the study; JSCA provided advice, statistical analysis, critical review and worked in the final report of the research.
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Ethical considerations
The PNS was approved by the Research Ethics National Committee (CONEP, Brazilian acronym) in 2013, Regulation n° 328.159, and all the participants signed the free and informed consent form. The use of a data base generated from the 2013 survey was authorized by the Health Ministry and IBGE (IBGE, 2014).
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The study used a data set that is available online in the public domain; hence, there was no need to seek ethical consent to publish this study.
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Moreira, L.F., Filho, A.M.C. & de Amorim, J.S.C. Association of physical performance impairments and limitations with insufficient physical activity among older adults in Brazil: results from the national health survey. J Public Health (Berl.) 30, 781–788 (2022). https://doi.org/10.1007/s10389-020-01351-7
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DOI: https://doi.org/10.1007/s10389-020-01351-7