Community-Dwelling Older Adults and Physical Activity Recommendations: Patterns of Aerobic, Strengthening, and Balance Activities

in Journal of Aging and Physical Activity

Click name to view affiliation

Mariana WingoodDepartment of Rehabilitation and Movement Science, The University of Vermont, Burlington, VT, USA

Search for other papers by Mariana Wingood in
Current site
Google Scholar
PubMed
Close
*
,
Levi BonnellDepartment of General Internal Medicine Research, Larner College of Medicine, The University of Vermont, Burlington, VT, USA

Search for other papers by Levi Bonnell in
Current site
Google Scholar
PubMed
Close
,
Andrea Z. LaCroixDepartment of Family and Preventive Medicine, University of California, San Diego, San Diego, CA, USA

Search for other papers by Andrea Z. LaCroix in
Current site
Google Scholar
PubMed
Close
,
Dori RosenbergKaiser Permanente Washington Health Research Institute, Seattle, WA, USA

Search for other papers by Dori Rosenberg in
Current site
Google Scholar
PubMed
Close
,
Rod WalkerKaiser Permanente Washington Health Research Institute, Seattle, WA, USA

Search for other papers by Rod Walker in
Current site
Google Scholar
PubMed
Close
,
John BellettiereDepartment of Family and Preventive Medicine, University of California, San Diego, San Diego, CA, USA

Search for other papers by John Bellettiere in
Current site
Google Scholar
PubMed
Close
,
Mikael Anne Greenwood-HickmanKaiser Permanente Washington Health Research Institute, Seattle, WA, USA

Search for other papers by Mikael Anne Greenwood-Hickman in
Current site
Google Scholar
PubMed
Close
,
David WingDepartment of Family and Preventive Medicine, University of California, San Diego, San Diego, CA, USA

Search for other papers by David Wing in
Current site
Google Scholar
PubMed
Close
, and
Nancy GellDepartment of Rehabilitation and Movement Science, The University of Vermont, Burlington, VT, USA

Search for other papers by Nancy Gell in
Current site
Google Scholar
PubMed
Close
Restricted access

Though it is known that most older adults do not meet the recommended physical activity (PA) guidelines, little is known regarding their participation in balance activities or the full guidelines. Therefore, we sought to describe PA patterns among 1,352 community-dwelling older adult participants of the Adult Changes in Thought study, a longitudinal cohort study exploring dementia-related risk factors. We used a modified version of the Community Healthy Activities Model Program for Seniors questionnaire to explore PA performed and classify participants as meeting or not meeting the full guidelines or any component of the guidelines. Logistic regression was used to identify factors associated with meeting PA guidelines. Despite performing 10 hr of weekly PA, only 11% of participants met the full guidelines. Older age, greater body mass index, needing assistance with instrumental daily activities, and heart disease were associated with decreased odds of meeting PA guidelines. These results can guide interventions that address PA among older adults.

  • Collapse
  • Expand
  • Ainsworth, B.E., Haskell, W.L., Herrmann, S.D., Meckes, N., Bassett, D.R., Jr., Tudor-Locke, C., Greer, J.L., Vezina, J., Whitt-Glover, M.C., & Leon, A.S. (2011). 2011 Compendium of Physical Activities: A second update of codes and MET values. Medicine & Science in Sports & Exercise, 43(8), 15751581. https://doi.org/10.1249/MSS.0b013e31821ece12

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ainsworth, B.E., Haskell, W.L., Leon, A.S., Jacobs, D.R., Jr., Montoye, H.J., Sallis, J.F., & Paffenbarger, R.S., Jr. (1993). Compendium of physical activities: Classification of energy costs of human physical activities. Medicine & Science in Sports & Exercise, 25(1), 7180. https://doi.org/10.1249/00005768-199301000-00011

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Alves, A.J., Viana, J.L., Cavalcante, S.L., Oliveira, N.L., Duarte, J.A., Mota, J., Oliveira, J., & Ribeiro, F. (2016). Physical activity in primary and secondary prevention of cardiovascular disease: Overview updated. World Journal of Cardiology, 8(10), 575583. https://doi.org/10.4330/wjc.v8.i10.575

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Amireault, S., Baier, J.M., & Spencer, J.R. (2019). Physical activity preferences among older adults: A systematic review. Journal of Aging and Physical Activity, 27(1), 128139. https://doi.org/10.1123/japa.2017-0234

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Bellettiere, J., LaMonte, M.J., Healy, G.N., Liles, S., Evenson, K.R., Di, C., Kerr, J., Lee, I.-M., Rillamas-Sun, E., Buchner, D., Hovell, M.F., & Buchner, D. (2021). Sedentary behavior and diabetes risk among women over the age of 65 years: The OPACH study. Diabetes Care, 44(2), 563570. https://doi.org/10.2337/dc20-0709

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Bennie, J., Pedisic, Z., Suni, J., Tokola, K., Husu, P., Biddle, S., & Vasankari, T. (2017). Self-reported health-enhancing physical activity recommendation adherence among 64,380 Finnish adults. Scandinavian Journal of Medicine & Science in Sports, 27(12), 18421853. https://doi.org/10.1111/sms.12863

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Bennie, J.A., Kolbe-Alexander, T., Seghers, J., Biddle, S.J., & De Cocker, K. (2020). Trends in muscle-strengthening exercise among nationally representative samples of United States adults between 2011 and 2017. Journal of Physical Activity and Health, 17(5), 512518. https://doi.org/10.1123/jpah.2019-0472

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Bethancourt, H.J., Rosenberg, D.E., Beatty, T., & Arterburn, D.E. (2014). Barriers to and facilitators of physical activity program use among older adults. Clinical Medicine & Research, 12(1–2), 1020. https://doi.org/10.3121/cmr.2013.1171

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Bray, N., Jones, G., Rush, K., Jones, C., & Jakobi, J.M. (2020). Multi-component exercise with high-intensity, free-weight, functional resistance training in pre-frail females: A quasi-experimental, pilot study. Journal of Frailty & Aging, 9, 111117.

    • Search Google Scholar
    • Export Citation
  • Cook, M.J., Bellou, E., Bowes, J., Sergeant, J.C., O’Neill, T.W., Barton, A., & Verstappen, S.M. (2018). The prevalence of co-morbidities and their impact on physical activity in people with inflammatory rheumatic diseases compared with the general population: Results from the UK Biobank. Rheumatology, 57(12), 21722182. https://doi.org/10.1093/rheumatology/key224

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Crevenna, R., & Dorner, T.E. (2019). Association between fulfilling the recommendations for health-enhancing physical activity with (instrumental) activities of daily living in older Austrians. Wiener Klinische Wochenschrift, 131(11), 265272. https://doi.org/10.1007/s00508-019-1511-8

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Di Lorito, C., Long, A., Byrne, A., Harwood, R. H., Gladman, J. R., Schneider, S., Logana, P., Bosco, A., & van der Wardt, V. (2020). Exercise interventions for older adults: A systematic review of meta-analyses. Journal of Sport and Health Science, 10(1), 2947. https://doi.org/10.1016/j.jshs.2020.06.003

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Esliger, D.W., & Tremblay, M.S. (2007). Physical activity and inactivity profiling: The next generation. Applied Physiology, Nutrition, and Metabolism, 32(Suppl. 2E), S195S207. https://doi.org/10.1139/H07-107

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Findorff, M.J., Wyman, J.F., & Gross, C.R. (2009). Predictors of long-term exercise adherence in a community-based sample of older women. Journal of Women’s Health, 18(11), 17691776. https://doi.org/10.1089/jwh.2008.1265

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Flegal, K., Kishiyama, S., Zajdel, D., Haas, M., & Oken, B. (2007). Adherence to yoga and exercise interventions in a 6-month clinical trial. BMC Complementary and Alternative Medicine, 7(1), 17. https://doi.org/10.1186/1472-6882-7-37

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Franco, M.R., Tong, A., Howard, K., Sherrington, C., Ferreira, P.H., Pinto, R.Z., & Ferreira, M.L. (2015). Older people’s perspectives on participation in physical activity: A systematic review and thematic synthesis of qualitative literature. British Journal of Sports Medicine, 49(19), 12681276. https://doi.org/10.1136/bjsports-2014-094015

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Fulton, J.E., Buchner, D.M., Carlson, S.A., Borbely, D., Rose, K.M., O’Connor, A.E., Gunn, J.P., & Petersen, R. (2018). CDC’s active people, Healthy NationSM: Creating an active America, together. Journal of Physical Activity and Health, 15(7), 469473. https://doi.org/10.1123/jpah.2018-0249

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Füzéki, E., Engeroff, T., & Banzer, W. (2017). Health benefits of light-intensity physical activity: A systematic review of accelerometer data of the National Health and Nutrition Examination Survey (NHANES). Sports Medicine, 47(9), 17691793. https://doi.org/10.1007/s40279-017-0724-0

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gellert, P., Witham, M.D., Crombie, I.K., Donnan, P.T., McMurdo, M.E.T., & Sniehotta, F.F. (2015). The role of perceived barriers and objectively measured physical activity in adults aged 65–100. Age and Ageing, 44(3), 384390. https://doi.org/10.1093/ageing/afv001

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Glass, N.L., Bellettiere, J., Jain, P., LaMonte, M.J., & LaCroix, A.Z. (2021). Evaluation of light physical activity measured by accelerometry and mobility disability during a 6-year follow-up in older women. JAMA, 4(2), Article e210005. https://doi.org/10.1001/jamanetworkopen.2021.0005

    • Search Google Scholar
    • Export Citation
  • Green, L.W., & Fielding, J. (2011). The U.S. healthy people initiative: Its genesis and its sustainability. Annual Review of Public Health, 32(1), 451470. https://doi.org/10.1146/annurev-publhealth-031210-101148

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hekler, E.B., Buman, M.P., Haskell, W.L., Conway, T.L., Cain, K.L., Sallis, J.F., Saelens, B.E., Frank, L.D., Kerr, K., & King, A.C. (2012). Reliability and validity of CHAMPS self-reported sedentary-to-vigorous intensity physical activity in older adults. Journal of Physical Activity and Health, 9(2), 225236. https://doi.org/10.1123/jpah.9.2.225

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hughes, S.L., Seymour, R.B., Campbell, R.T., Desai, P., Huber, G., & Chang, H.J. (2010). Fit and strong: Bolstering maintenance of physical activity among older adults with lower-extremity osteoarthritis. American Journal of Health Behavior, 34(6), 750763. https://doi.org/10.5993/AJHB.34.6.10

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Jancey, J., Lee, A., Howat, P., Clarke, A., Wang, K., & Shilton, T. (2007). Reducing attrition in physical activity programs for older adults. Journal of Aging and Physical Activity, 15(2), 152165. https://doi.org/10.1123/japa.15.2.152

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Keadle, S.K., McKinnon, R., Graubard, B.I., & Troiano, R.P. (2016). Prevalence and trends in physical activity among older adults in the United States: A comparison across three national surveys. American Journal of Health Behavior, 89, 3743. https://doi.org/10.1016/j.ypmed.2016.05.009

    • Search Google Scholar
    • Export Citation
  • Kendrick, D., Orton, E., Lafond, N., Audsley, S., Maula, A., Morris, R., Vedhara, K., & Iliffe, S. (2018). Keeping active: Maintenance of physical activity after exercise programmes for older adults. American Journal of Health Behavior, 164, 118127.

    • Search Google Scholar
    • Export Citation
  • LaCroix, A.Z., Bellettiere, J., Rillamas-Sun, E., Di, C., Evenson, K.R., Lewis, C.E., Buchner, D.M., Stefanick, M.L., Lee, I.-M., Rosenberg, D.E., LaMonte, M.J., & Women’s Health Initiative. (2019). Association of light physical activity measured by accelerometry and incidence of coronary heart disease and cardiovascular disease in older women. JAMA, 2(3), Article e190419. https://doi.org/10.1001/jamanetworkopen.2019.0419

    • Search Google Scholar
    • Export Citation
  • LaMonte, M.J., Buchner, D.M., Rillamas-Sun, E., Di, C., Evenson, K.R., Bellettiere, J., Lewis, C.E., Lee, I-M., Tinker, L.F., Seguin R., Zaslovsky, O., Eaton, C.B., Stefanick M.L., & Seguin, R. (2018). Accelerometer-measured physical activity and mortality in women aged 63 to 99. Journal of the American Geriatrics Society, 66(5), 886894. https://doi.org/10.1111/jgs.15201

    • Crossref
    • Search Google Scholar
    • Export Citation
  • LaMonte, M.J., Lee, I.-M., Rillamas-Sun, E., Bellettiere, J., Evenson, K.R., Buchner, D.M., Di, C., Lewis, C.E., Rosenberg, D.E., Stefanick, M.L., & Stefanick, M.L. (2019). Comparison of questionnaire and device measures of physical activity and sedentary behavior in a multi-ethnic cohort of older women. Journal for the Measurement of Physical Behaviour, 2(2), 8293. https://doi.org/10.1123/jmpb.2018-0057

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Leirós-Rodríguez, R., Soto-Rodríguez, A., Pérez-Ribao, I., & García-Soidán, J.L. (2018). Comparisons of the health benefits of strength training, aqua-fitness, and aerobic exercise for the elderly. Rehabilitation Research and Practice, 2018, Article 5230971.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Lewinsohn, P.M., Seeley, J.R., Roberts, R.E., & Allen, N.B. (1997). Center for Epidemiologic Studies Depression Scale (CES-D) as a screening instrument for depression among community-residing older adults. Psychology and Aging, 12(2), 277. https://doi.org/10.1037/0882-7974.12.2.277

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Liu, C.-j., Chang, W.-P., Araujo de Carvalho, I., Savage, K.E., Radford, L.W., & Amuthavalli T.J. (2017). Effects of physical exercise in older adults with reduced physical capacity: Meta-analysis of resistance exercise and multimodal exercise. International Journal of Rehabilitation Research, 40(4), 303314. https://doi.org/10.1097/MRR.0000000000000249

    • Crossref
    • Search Google Scholar
    • Export Citation
  • McPhail, S.M., Schippers, M., Marshall, A.L., Waite, M., & Kuipers, P. (2014). Perceived barriers and facilitators to increasing physical activity among people with musculoskeletal disorders: A qualitative investigation to inform intervention development. Clinical Interventions in Aging, 9, 2113. https://doi.org/10.2147/CIA.S72731

    • 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(Suppl. 2E), S69S108. https://doi.org/10.1139/H07-111

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Pereira Neiva, H., Brandão Faíl, L., Izquierdo, M., Marques, M.C., & Marinho, D.A. (2018). The effect of 12 weeks of water-aerobics on health status and physical fitness: An ecological approach. PLoS One, 13(5), Article e0198319. https://doi.org/10.1371/journal.pone.0198319

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Petrescu-Prahova, M., Belza, B., Kohn, M., & Miyawaki, C. (2016). Implementation and maintenance of a community-based older adult physical activity program. Gerontologist, 56(4), 677686. https://doi.org/10.1093/geront/gnv024

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Physical Activity Guidelines for Americans (PAGA). (2018). U.S. Department of Health and Human Services. https://health.gov/sites/default/files/2019-09/Physical_Activity_Guidelines_2nd_edition.pdf

    • Search Google Scholar
    • Export Citation
  • Pires, P.R., Trombert, V., Poncet, A., Kizlik, J., Gold, G., Ehret, G., Ehret, G., Trombetti, A., & Reny, J.-L. (2020). Feasibility and safety of high-intensity interval training for the rehabilitation of geriatric inpatients (HIITERGY) a pilot randomized study. BMC Geriatrics, 20, 110.

    • Search Google Scholar
    • Export Citation
  • Prince, S.A., Adamo, K.B., Hamel, M.E., Hardt, J., Connor, G.S., & Tremblay, M. (2008). A comparison of direct versus self-report measures for assessing physical activity in adults: A systematic review. International Journal of Behavioral Nutrition and Physical Activity, 5(1), 56. https://doi.org/10.1186/1479-5868-5-56

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Riebe, D., Blissmer, B.J., Greaney, M.L., Garber, C.E., Lees, F.D., & Clark, P.G. (2009). The relationship between obesity, physical activity, and physical function in older adults. Journal of Aging and Health, 21(8), 11591178. https://doi.org/10.1177/0898264309350076

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Roland, K.P., Jakobi, J.M., & Jones, G.R. (2011). Does yoga engender fitness in older adults? A critical review. Journal of Aging and Physical Activity, 19(1), 6279. https://doi.org/10.1123/japa.19.1.62

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Rosenberg, D., Walker, R., Greenwood-Hickman, M.A., Bellettiere, J., Xiang, Y., Richmire, K., Higgins, M., Wing, D., Larson, E.B., Crane, P.K., & Crane, P.K. (2020). Device-assessed physical activity and sedentary behavior in a community-based cohort of older adults. BMC Public Health, 20(1), 113. https://doi.org/10.1186/s12889-020-09330-z

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Saquib, J., King, A.C., Castro, C.M., Tinker, L.F., Sims, S., Shikany, J.M., Bea, J.W., Lacroix, A.Z., Van Horn, L., & Stefanick, M.L. (2016). A pilot study combining Go4Life® materials with an interactive voice response system to promote physical activity in older women. Journal of Women & Aging, 28(5), 454462. https://doi.org/10.1080/08952841.2015.1018065

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Shaw, B.A., & Spokane, L.S. (2008). Examining the association between education level and physical activity changes during early old age. Journal of Aging and Health, 20(7), 767787. https://doi.org/10.1177/0898264308321081

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Sherrington, C., Fairhall, N., Kwok, W., Wallbank, G., Tiedemann, A., Michaleff, Z.A., Ng, C.A., & Bauman, A. (2020). Evidence on physical activity and falls prevention for people aged 65+ years: Systematic review to inform the WHO guidelines on physical activity and sedentary behaviour. International Journal of Behavioral Nutrition and Physical Activity, 17(1), 19. https://doi.org/10.1186/s12966-020-01041-3

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Sivaramakrishnan, D., Fitzsimons, C., Kelly, P., Ludwig, K., Mutrie, N., Saunders, D.H., & Baker, G. (2019). The effects of yoga compared to active and inactive controls on physical function and health related quality of life in older adults—Systematic review and meta-analysis of randomised controlled trials. International Journal of Behavioral Nutrition and Physical Activity, 16(1), 33. https://doi.org/10.1186/s12966-019-0789-2

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Skelton, D.A., & Mavroeidi, A. (2018). Which strength and balance activities are safe and efficacious for individuals with specific challenges (osteoporosis, vertebral fractures, frailty, dementia)? A narrative review. Journal of Frailty, Sarcopenia and Falls, 3(2), 85104. https://doi.org/10.22540/JFSF-03-085

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Stewart, A.L., Mills, K.M., King, A.C., Haskell, W.L., Gillis, D., & Ritter, P.L. (2001). CHAMPS physical activity questionnaire for older adults: Outcomes for interventions. MSSE, 33(7), 11261141.

    • Search Google Scholar
    • Export Citation
  • Stewart, A.L., Mills, K.M., King, A.C., McLellan, B.Y., Roitz, K.B., & Ritter, P.L. (1997). Evaluation of CHAMPS, a physical activity promotion program for older adults. Annals Journal of Behavioral Medicine, 19(4), 353. https://doi.org/10.1007/BF02895154

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Storeng, S.H., Sund, E.R., & Krokstad, S. (2018). Factors associated with basic and instrumental activities of daily living in elderly participants of a population-based survey: The Nord-Trøndelag Health Study, Norway. BMJ Open, 8(3), Article e018942. https://doi.org/10.1136/bmjopen-2017-018942

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Strain, T., Fitzsimons, C., Kelly, P., & Mutrie, N. (2016). The forgotten guidelines: Cross-sectional analysis of participation in muscle strengthening and balance & co-ordination activities by adults and older adults in Scotland. BMC Public Health, 16(1), 112. https://doi.org/10.1186/s12889-016-3774-6

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Teng, E.L., Hasegawa, K., Homma, A., Imai, Y., Larson, E., Graves, A., Sugimoto, K., Yamaguchi, T., Sasaki, H., Chiu, D., & White, L.R. (1994). The cognitive abilities screening instrument (CASI): A practical test for cross-cultural epidemiological studies of dementia. International Psychogeriatrics, 6(1), 4558. https://doi.org/10.1017/S1041610294001602

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Terroso, M., Rosa, N., Marques, A.T., & Simoes, R. (2014). Physical consequences of falls in the elderly: A literature review from 1995 to 2010. European Review of Aging and Physical Activity, 11(1), 5159. https://doi.org/10.1007/s11556-013-0134-8

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Washburn, R.A. (2000). Assessment of physical activity in older adults. Research Quarterly for Exercise and Sport, 71(Suppl. 2), 7987. https://doi.org/10.1080/02701367.2000.11082790

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Watson, K.B., Carlson, S.A., Gunn, J.P., Galuska, D.A., O’Connor, A., Greenlund, K.J., & Fulton, J.E. (2016). Physical inactivity among adults aged 50 years and older. Morbidity and Mortality Weekly Report, 65(36), 954958. https://doi.org/10.15585/mmwr.mm6536a3

    • Crossref
    • Search Google Scholar
    • Export Citation
All Time Past Year Past 30 Days
Abstract Views 1605 1032 129
Full Text Views 67 48 1
PDF Downloads 88 59 3