Physical Activity, Sedentary Time, and Frailty in Older Migrant Women From Ethnically Diverse Backgrounds: A Mixed-Methods Study

in Journal of Aging and Physical Activity

Click name to view affiliation

Diana Castaneda-Gameros
Search for other papers by Diana Castaneda-Gameros in
Current site
Google Scholar
PubMed Close
,
Sabi Redwood
Search for other papers by Sabi Redwood in
Current site
Google Scholar
PubMed Close
, and
Janice L. Thompson
Search for other papers by Janice L. Thompson in
Current site
Google Scholar
PubMed Close
DOI:
https://doi.org/10.1123/japa.2016-0287
Keywords:
physical activity; frailty; ethnicity; interviews
In Print:
Volume 26: Issue 2
Page Range:
194–203
Restricted access

There is limited evidence examining the association between physical activity (PA), sedentary time (ST), frailty, and factors influencing PA behaviors in migrant older women from ethnically diverse backgrounds. The aims of this mixed-methods study were to: 1) examine PA levels and ST across frailty status; 2) identify any differences in PA/ST between ethnic and religious groups; and 3) qualitatively explore factors influencing PA among older (≥60 years) migrant women (n = 60). PA/ST were assessed using accelerometry and frailty status using the frailty phenotype. Key factors influencing PA were explored via semi-structured interviews (n = 36) and analyzed using thematic analysis. Participants were highly sedentary irrespective of frailty status. Moderate-to-vigorous-physical activity (MVPA) was independently associated with frailty. Participants spent 69% of waking time in ST, with only 15% meeting current weekly PA recommendations. Health-related and socio-cultural factors were reported as common barriers to achieving PA recommendations. Maintaining independence, preventing physical decline and depression were key factors promoting PA. Understanding the challenges and needs of this population can help to inform strategies to promote PA and thus optimize physical function.

Castaneda-Gameros and Thompson are with School of Sport, Exercise & Rehabilitation Sciences, University of Birmingham, Birmingham, United Kingdom. Redwood is with School of Social & Community Medicine, University of Bristol, Bristol, United Kingdom; and National Institute for Health Research, Collaborations for Leadership in Applied Health Research and Care West (NIHR CLAHRC West), Bristol, United Kingdom.

Address author correspondence to Diana Castaneda-Gameros at dianacgameros@gmail.com.
  • Collapse
  • Expand

Journal of Aging and Physical Activity

Cover Journal of Aging and Physical Activity

  • Babakus, W.S., & Thompson, J.L. (2012). Physical activity among South Asian women: A systematic, mixed-methods review. International Journal of Behavioral Nutrition and Physical Activity, 9, 150. PubMed doi:10.1186/1479-5868-9-150

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Bartali, B., Frongillo, E.A., Bandinelli, S., Lauretani, F., Semba, R.D., Fried, L.P., & Ferrucci, L. (2006). Low nutrient intake is an essential component of frailty in older persons. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 61, 589–593. PubMed

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Blodgett, J., Theou, O., Kirkland, S., Andreou, P., & Rockwood, K. (2015a). The association between sedentary behaviour, moderate-vigorous physical activity and frailty in NHANES cohorts. Maturitas, 80, 187–191. PubMed doi:10.1016/j.maturitas.2014.11.010

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Blodgett, J., Theou, O., Kirkland, S., Andreou, P., & Rockwood, K. (2015b). Frailty in NHANES: Comparing the frailty index and phenotype. Archives of Gerontology and Geriatrics, 60, 464–470. PubMed doi:10.1016/j.archger.2015.01.016

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Boyd, C.M., Xue, Q.L., Simpson, C.F., Guralnik, J.M., & Fried, L.P. (2005). Frailty, hospitalization, and progression of disability in a cohort of disabled older women. American Journal of Medicine, 118, 1225–1231. PubMed doi:10.1016/j.amjmed.2005.01.062

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101. doi:10.1191/1478088706qp063oa

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Buman, M.P., Hekler, E.B., Haskell, W.L., Pruitt, L., Conway, T.L., Cain, K.L., … King, A.C. (2010). Objective light-intensity physical activity associations with rated health in older adults. American Journal of Epidemiology, 172, 1155–1165. PubMed doi:10.1093/aje/kwq249

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Caperchione, C.M., Kolt, G.S., & Mummery, W.K. (2009). Physical activity in culturally and linguistically diverse migrant groups to Western society: A review of barriers, enablers and experiences. Sports Medicine, 39, 167–177. PubMed doi:10.2165/00007256-200939030-00001

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Castaneda-Gameros, D., Redwood, S., & Thompson, J.L. (2017). Low nutrient intake and frailty among overweight and obese migrant women from ethnically diverse backgrounds ages 60 years and older: A mixed-methods study. Journal of Nutrition Education and Behavior, 49, 3–10. PubMed doi:10.1016/j.jneb.2016.08.006

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Choi, L., Ward, S.C., Schnelle, J.F., & Buchowski, M.S. (2012). Assessment of wear/nonwear time classification algorithms for triaxial accelerometer. Medicine & Science in Sports & Exercise, 44, 2009–2016. PubMed doi:10.1249/MSS.0b013e318258cb36

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Christensen, K., Doblhammer, G., Rau, R., & Vaupel, J.W. (2009). Ageing populations: The challenges ahead. Lancet, 374, 1196–1208. PubMed doi:10.1016/S0140-6736(09)61460-4

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Clegg, A., Young, J., Iliffe, S., Rikkert, M.O., & Rockwood, K. (2013). Frailty in elderly people. The Lancet, 381, 752–762. doi:10.1016/S0140-6736(12)62167-9

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Copeland, J.L., & Esliger, D.W. (2009). Accelerometer assessment of physical activity in active, healthy older adults. Journal of Aging and Physical Activity, 17, 17–30. PubMed doi:10.1123/japa.17.1.17

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Craig, R., Mindell, J., & Hirani, V. (2009). Health survey for England 2008: Physical activity and fitness. London , UK: The Health and Social Care Information Centre.

    • Search Google Scholar
    • Export Citation

  • Cruz-Jentoft, A.J., Baeyens, J.P., Bauer, J.M., Boirie, Y., Cederholm, T., Landi, F., … European Working Group on Sarcopenia in Older People. (2010). Sarcopenia: European consensus on definition and diagnosis: Report of the European working group on Sarcopenia in older people. Age and Ageing, 39(4), 412–423. PubMed doi:10.1093/ageing/afq034

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Curry, W.B., Duda, J.L., & Thompson, J.L. (2015). Perceived and objectively measured physical activity and sedentary time among South Asian women in the UK. International Journal of Environmental Research and Public Health, 12, 3152–3173. PubMed doi:10.3390/ijerph120303152

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Curry, W.B., & Thompson, J.L. (2014). Objectively measured physical activity and sedentary time in South Asian women: A cross-sectional study. BMC Public Health, 14, 1269. PubMed doi:10.1186/1471-2458-14-1269

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Da Silva, C.R., De Queiroz, B.M., Oliveira, D.S., Das, M.M., Carneiro, J.A., Pereira, R., & Fernandes, M.H. (2016). Cross-sectional relationships between sedentary behavior and frailty in older adults. The Journal of Sports Medicine and Physical Fitness, 57(6), 825–830. PubMed doi:10.23736/S0022-4707

    • Search Google Scholar
    • Export Citation

  • Department for Communities and Local Government. (2011). English indices of deprivation. Retrieved from https://www.gov.uk/government/collections/english-indices-of-deprivation

    • Search Google Scholar
    • Export Citation

  • Department of Health. (2011). UK department of health. Physical activity guideline for older adults (65+ years). Retrieved from https://www.gov.uk/government/publications/uk-physical-activity-guidelines

    • Search Google Scholar
    • Export Citation

  • Ekelund, U., Steene-Johannessen, J., Brown, W.J., Fagerland, M.W., Owen, N., Powell, K.E., … Lancet Sedentary Behaviour Working Group. (2016). Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? A harmonised meta-analysis of data from more than 1 million men and women. The Lancet, 388, 1302–1310. PubMed doi:10.1016/S0140-6736(16)30370-1

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Ensrud, K.E., Ewing, S.K., Taylor, B.C., Fink, H.A., Stone, K.L., Cauley, J.A., … Study of Osteoporotic Fractures Research Group. (2007). Frailty and risk of falls, fracture, and mortality in older women: The study of osteoporotic fractures. Journals of Gerontology. Series A: Biological Sciences and Medical Sciences, 62, 744–751. PubMed

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Fried, L.P., Tangen, C.M., Walston, J., Newman, A.B., Hirsch, C., Gottdiener, J., … Cardiovascular Health Study Collaborative Research Group. (2001). Frailty in older adults: Evidence for a phenotype. Journals of Gerontology. Series A: Biological Sciences and Medical Sciences, 56, 146–156.

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Greenhalgh, T., Helman, C., & Chowdhury, A.M. (1998). Health beliefs and folk models of diabetes in British Bangladeshis: A qualitative study. British Medical Journal, 316, 978–983. PubMed doi:10.1136/bmj.316.7136.978

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Guest, G., Bunce, A., & Johnson, L. (2006). How many interviews are enough? An experiment with data saturation and variability. Field Methods, 18, 59–82. doi:10.1177/1525822X05279903

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Harper, S., & Levin, S. (2005). Family care, independent living and ethnicity. Social Policy and Society, 4, 157–169. doi:10.1017/S1474746404002295

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Horne, M., Skelton, D.A., Speed, S., & Todd, C. (2012). 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, 126, 417–423. PubMed doi:10.1016/j.puhe.2012.02.002

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Horne, M., Skelton, D.A., Speed, S., & Todd, C. (2013). Perceived barriers to initiating and maintaining physical activity among South Asian and white British adults in their 60s living in the United Kingdom: A qualitative study. Ethnicity & Health, 18, 626–645. PubMed doi:10.1080/13557858.2013.814762

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Horne, M., & Tierney, S. (2012). What are the barriers and facilitators to exercise and physical activity uptake and adherence among South Asian older adults: A systematic review of qualitative studies. Preventive Medicine, 55, 276–284. PubMed doi:10.1016/j.ypmed.2012.07.016

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Kolt, G.S., Schofield, G.M., Rush, E.C., Oliver, M., & Chadha, N.K. (2007). Body fatness, physical activity, and nutritional behaviours in Asian Indian immigrants to New Zealand. Asia Pacific Journal of Clinical Nutrition, 16, 663–670. PubMed doi:10.6133/apjcn.2007.16.4.11

    • Search Google Scholar
    • Export Citation

  • Lee, J., Chang, R.W., Ehrlich‐Jones, L., Kwoh, C.K., Nevitt, M., Semanik, P.A., … Dunlop, D.D. (2015). Sedentary behavior and physical function: Objective evidence from the osteoarthritis initiative. Arthritis Care & Research, 67, 366–373. PubMed doi:10.1002/acr.22432

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Marques, E.A., Baptista, F., Santos, D.A., Silva, A.M., Mota, J., & Sardinha, L.B. (2014). Risk for losing physical independence in older adults: The role of sedentary time, light, and moderate to vigorous physical activity. Maturitas, 79, 91–95. PubMed doi:10.1016/j.maturitas.2014.06.012

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Matthews, C.E., Moore, S.C., Sampson, J., Blair, A., Xiao, Q., Keadle, S.K., … Park, Y. (2015). Mortality benefits for replacing sitting time with different physical activities. Medicine & Science in Sports & Exercise, 47, 1833–1840. PubMed doi:10.1249/MSS.0000000000000621

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Patel, A.V., Bernstein, L., Deka, A., Feigelson, H.S., Campbell, P.T., Gapstur, S.M., … Thun, M.J. (2010). Leisure time spent sitting in relation to total mortality in a prospective cohort of US adults. American Journal of Epidemiology, 172, 419–429. PubMed doi:10.1093/aje/kwq155

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Paterson, D.H., Jones, G.R., & Rice, C.L. (2007). Ageing and physical activity: Evidence to develop exercise recommendations for older adults. Applied Physiology, Nutrition, and Metabolism, 32, S69–S108. doi:10.1139/H07-111

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Peterson, M.J., Giuliani, C., Morey, M.C., Pieper, C.F., Evenson, K.R., Mercer, V., … Body Composition Study Research Group. (2009). Physical activity as a preventative factor for frailty: The health, aging, and body composition study. Journals of Gerontology. Series A: Biological Sciences and Medical Sciences, 64, 61–68. PubMed doi:10.1093/gerona/gln001

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Pollard, T.M., & Guell, C. (2012). Assessing physical activity in muslim women of South Asian origin. Journal of Physical Activity and Health, 9, 970. PubMed doi:10.1123/jpah.9.7.970

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Radloff, L.S. (1977). The CES-D scale a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Rechel, B., Grundy, E., Robine, J.M., Cylus, J., Mackenbach, J.P., Knai, C., & McKee, M. (2013). Ageing in the European union. Lancet, 381, 1312–1322. PubMed doi:10.1016/S0140-6736(12)62087-X

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Redwood, S., & Gill, P.S. (2013). Under-representation of minority ethnic groups in research—call for action. British Journal of General Practice, 63, 342–343. PubMed doi:10.1093/fampra/cms054

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Schwenk, M., Mohler, J., Wendel, C., D’Huyvetter, K., Fain, M., Taylor-Piliae, R., & Najafi, B. (2015). Wearable sensor-based in-home assessment of gait, balance, and physical activity for discrimination of frailty status: Baseline results of the Arizona frailty cohort study. Gerontology, 61, 258–267. PubMed doi:10.1159/000369095

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Spring, M., Westermeyer, J., Halcon, L., Savik, K., Robertson, C., Johnson, D.R., … Jaranson, J. (2003). Sampling in difficult to access refugee and immigrant communities. Journal of Nervous & Mental Diseases, 191, 813–819. PubMed doi:10.1097/01.nmd.0000100925.24561.8f

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Sprotson, K., & Mindell, J. (2006). Health survey for England 2004: Health of ethnic minorities-summary of key findings. Leeds, UK: The Information Centre.

    • Search Google Scholar
    • Export Citation

  • Squires, A. (2009). Methodological challenges in cross-language qualitative research: A research review. International Journal of Nursing Studies, 46, 277–287. PubMed doi:10.1016/j.ijnurstu.2008.08.006

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Sriskantharajah, J., & Kai, J. (2007). Promoting physical activity among South Asian women with coronary heart disease and diabetes: What might help? Family Practice, 24, 71–76. PubMed doi:10.1093/fampra/cml066

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Teddlie, C., & Yu, F. (2007). Mixed methods sampling: A typology with examples. Journal of Mixed Methods Research, 1, 77–100. doi:10.1177/2345678906292430

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Trayers, T., Lawlor, D.A., Fox, K.R., Coulson, J., Davis, M., Stathi, A., & Peters, T. (2014). Associations of objectively measured physical activity with lower limb function in older men and women: Findings from the Older People and Active Living (OPAL) study. Journal of Aging and Physical Activity, 22, 34–43. PubMed doi:10.1123/japa.2012-0087

    • Crossref
    • Search Google Scholar
    • Export Citation

  • WHO Expert Consultation. (2004). Appropiate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet, 363, 157–163. PubMed doi:10.1016/S0140-6736(03)15268-3

    • Search Google Scholar
    • Export Citation
All Time Past Year Past 30 Days
Abstract Views 3898 1050 60
Full Text Views 52 14 4
PDF Downloads 33 7 3