Abstract
The aim of this study was to evaluate psychometric properties of the perceived constraints on the physical exercise scale and to indicate the most important perceived constraints that restrict the elderly from exercise.160 persons (aged 60–89) living in Lithuania, Kaunas city were interviewed in 2011. Physical activity was assessed using a short version of International Physical Activity Questionnaire. Constraints on physical exercise were determined according to a structured list of statements consisting of five domains: poor health, fear and negative experiences, lack of knowledge, lack of time and interest, and unsuitable environment. Perceived constraints on the exercise scale demonstrated satisfactory internal consistency and good construct validity: Cronbach’s alpha coefficients of internal reliability were above the standard (≥0.7) with the exception of lack of knowledge domain. Exploratory factor analysis revealed a fivefactor solution that accounted for 67.4% of the variance. Fear and negative experience during exercise increased the odds of insufficient physical activity by 3.3 (1.16–9.59) times whereas lack of time and interest — by 7.2 (2.98–17.31) times. Perceived constraints on the exercise scale is a suitable measure for the elderly investigations. Perceived constraints that most restrict elderly people from exercise were lack of time, interest, fear of falling and injuries.
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References
World Health Organization. Global recommendations on physical activity for health. World Health Organization, Geneva (Switzerland), 2010
Baumgartner R.N., Wayne S.J., Waters D.L., Janssen I., Gallagher D., Morley J.E., Sarcopenic obesity predicts instrumental activities of daily living disability in the elderly. Obes. Res., 2004, 12, 1995–2004
Spirduso W.W., Cronin D.L., Exercise doseresponse effects on quality of life and independent living in older adults, Med. Sci. Sports. Exerc., 2001, 33, S598–S610
Lim K.C., Kayser-Jones J.S., Waters C., Yoo G., Aging, health, and physical activity in Korean Americans, Geriatr. Nurs., 2007, 28, 112–119
Bayliss E.A., Ellis J.L., Steiner J.F., Barriers to selfmanagement and quality-of-life outcomes in seniors with multimorbidities, Ann. Fam. Med., 2007, 5, 395–402
Austin N., Devine A., Dick I., Prince R., Bruce D., Fear of falling in older women: a longitudinal study of incidence, persistence, and predictors, J. Am. Geriatr. Soc., 2007, 55, 1598–1603
Rosqvist E., Heikkinen E., Lyyra T.M., Hirvensalo M., Kallinen M., Leinonen R., et al., Factors affecting the increased risk of physical inactivity among older people with depressive symptoms, Scand. J. Med. Sci. Sports., 2009, 19, 398–405
Avlund K., Rantanen T., Schroll M., Factors underlying tiredness in older adults, Aging Clin. Exp. Res., 2007, 19, 16–25
Sallinen J., Leinonen R., Hirvensalo M., Lyyra T.M., Heikkinen E., Rantanen T., Perceived constraints on physical exercise among obese and non-obese older people, Prev. Med., 2009, 49, 506–510
Lithuanian Ministry of Health Information. Health Statistics of Lithuania 2010. Lithuanian Ministry of Health Information Centre of Institute of Hygiene, Vilnius (Lithuania), 2011
Daugeliene E., Tamosiunas A., Reklaitiene R., Baceviciene M., Radisauskas R, Jureniene K., Health and lifestyle of the elderly people, Lithuanian General Practitioner 2009, 2, 88–94
Craig C.L., Marshall A.L., Sjöström M., Bauman A.E., Booth M.L., Ainsworth B.E., et al., International physical activity questionnaire: 12-country reliability and validity, Med. Sci. Sports. Exerc., 2003, 35, 1381–1395
Hirvensalo M., Lampinen P., Rantanen T., Physical exercise in old age: an eight year follow-up study on involvement, motives, and obstacles among persons age 65–84, J. Aging Phys. Act., 1998, 6, 157–168
Hosmer D.W., Lemeshow S., Applied logistic regression, Willey, New York, 1989
Rasinaho M., Hirvensalo M., Leinonen R., Lintunen T., Rantanen T., Motives for and barriers to physical activity among older adults with mobility limitations, J. Aging Phys. Act. 2007, 15, 90–102
Leinonen R., Heikkinen E., Hirvensalo M., Lintunen T., Rasinaho M., Sakari-Rantala R., et al., Customer-oriented counseling for physical activity in older people: study protocol and selected baseline results of a randomized-controlled trial, Scand. J. Med. Sci. Sports, 2007, 17, 156–164
Costello E., Kafchinski M., Vrazel J., Sullivan P., Motivators, barriers, and beliefs regarding physical activity in an older adult population, J. Geriatr. Phys. Ther., 2011, 34, 138–147
Thomas S., Halbert J., Mackintosh S., Quinn S., Crotty M., Sociodemographic factors associated with self-reported exercise and physical activity behaviors and attitudes of South Australians: results of a population-based survey, J. Aging Health., 2012, 24, 287–306
Bruce D.G., Devine A., Prince R.L., Recreational physical activity levels in healthy older women: the importance of fear of falling, J. Am. Geriatr. Soc., 2002, 50, 84–89
Cumming R.G., Salkeld G., Thomas M., Szonyi G., Prospective study of the impact of fear of falling on activities of daily living, SF-36 scores, and nursing home admission, J. Gerontol. A Biol. Sci. Med. Sci., 2000, 55, M299–M305
Horne M., Skelton D.A., Speed S., Todd C., Attitudes and beliefs to the uptake and maintenance of physical activity among community-dwelling South Asians aged 60-70 years: a qualitative study, Public Health, 2012, 126, 417–423
Atlantis E., Barnes E.H., Ball K., Weight status and perception barriers to healthy physical activity and diet behavior, Int. J. Obes. (Lond.), 2008, 32, 343–352
Bautista L., Reininger B., Gay J.L., Barroso C.S., McCormick J.B., Perceived barriers to exercise in Hispanic adults by level of activity, J. Phys. Act. Health, 2011, 8, 916–925
Crombie I.K., Irvine L., Williams B., McGinnis A.R., Slane P.W., Alder E.M., et al., Why older people do not participate in leisure time physical activity: a survey of activity levels, beliefs and deterrents, Age Ageing, 2004, 33, 287–292
Bjornsdottir G., Arnadottir S.A., Halldorsdottir S., Facilitators of and barriers to physical activity in retirement communities: experiences of older women in urban areas, Phys. Ther., 2012, 92, 551–562
Carlson J.A., Sallis J.F., Conway T.L., Saelens B.E., Frank L.D., Kerr J., et al., Interactions between psychosocial and built environment factors in explaining older adults’ physical activity, Prev Med. 2012, 54, 68–73
Shigematsu R., Sallis J.F., Conway T.L., Saelens B.E., Frank L.D., Cain K.L., et al., Age differences in the relation of perceived neighborhood environment to walking, Med. Sci. Sports Exerc., 2009, 41, 314–321
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Baceviciene, M., Alisauskas, J. Perceived constraints on exercise in the group of the elderly: a pilot study. cent.eur.j.med 8, 689–695 (2013). https://doi.org/10.2478/s11536-013-0184-3
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DOI: https://doi.org/10.2478/s11536-013-0184-3