Physical Activity in Older Adults: an Ecological Approach
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Studies identifying correlates of physical activity (PA) at all levels of the ecological model can provide an empirical basis for designing interventions to increase older adults’ PA.
Applying ecological model principles, this study concurrently examined individual, psychosocial, and environmental correlates of older adults’ PA to determine whether built environment factors contribute to PA over and above individual/demographic and psychosocial variables.
Using a cross-sectional observational design, 726 adults, aged ≥66 years, were recruited from two US regions. Explanatory variables included demographics, self-efficacy, social support, barriers, and environmental variables measured by using geographic information systems (GIS) and self-report. Outcomes included reported walking for errands and leisure/exercise and accelerometer-measured daily moderate to vigorous PA (MVPA). Analyses employed mixed-model regressions with backward elimination.
For daily MVPA, the only significant environmental variable was GIS-based proximity to a park (p < 0.001) after controlling for individual/demographic and psychosocial factors. Walking for errands was positively related to four environmental variables: reported walking/cycling facilities (p < 0.05), GIS-based intersection density (p < 0.01), mixed land use (p < 0.01), and private recreation facilities (p < 0.01). Walking for leisure/exercise was negatively related to GIS-based mixed land use (p < 0.05). Non-Hispanic white race/ethnicity, self-efficacy, and social support positively related to all three PA outcomes (p < 0.05).
Correlates of older adults’ PA were found at all ecological levels, supporting multiple levels of influence and need for multilevel interventions. Environmental correlates varied by PA outcome. Walking for errands exhibited the most environmental associations.
KeywordsBuilt environment Exercise Accelerometer Health promotion Public health Aging
- 4.US Department of Health and Human Services (HHS), Office of Disease Prevention and Health Promotion. 2008 Physical Activity Guidelines for Americans. Washington: HHS; 2008.Google Scholar
- 5.U.S. Department of Health and Human Services. Step It Up! The Surgeon General’s Call to Action to Promote Walking and Walkable Communities. Washington, DC: U.S. Dept of Health and Human Services, Office of the Surgeon General; 2015.Google Scholar
- 6.Sallis JF, Owen N. Ecological models of health behavior. In: Glanz K, Rimer BK, Viswanath K, eds. Health behavior and health education: theory, research, and practice. 5th ed. San Francisco: Jossey-Bass; 2015:43–64.Google Scholar
- 33.McNeill LH, Wyrwich KW, Brownson RC, Clark EM, Kreuter MW. Individual, social environmental, and physical environmental influences on physical activity among black and white adults: a structural equation analysis. Ann Behav Med. 2006;31(1):36–44. doi: 10.1207/s15324796abm3101_7.CrossRefPubMedGoogle Scholar
- 36.Van Holle V, Van Cauwenberg J, Van Dyck D, Deforche B, Van de Weghe N, De Bourdeaudhuij I. Relationship between neighborhood walkability and older adults’ physical activity: results from the Belgian environmental physical activity study in seniors (BEPAS seniors). Int J Behav Nutr Phys Act. 2014;11(1). doi: 10.1186/s12966-014-0110-3.
- 40.Tappe KA, Glanz K, Sallis JF, Zhou C, Saelens BE. Children’s physical activity and parents’ perception of the neighborhood environment: neighborhood impact on kids study. Int J Behav Nutr Phys Act. 2013;10:39. doi: 10.1186/1479-5868-10-39.
- 42.Bandura, A. Social foundations of thought and action. New Jersey: Englewood Cliffs; 1986.Google Scholar