The focus of a physically active lifestyle for older adults is to preserve functional mobility and delay losses associated with decrepitude in later years. Since ambulation is of utmost importance to older adults’ mobility, the purpose of this nonexhaustive review is to consider older adults’ walking behaviors objectively captured as steps/day and the factors that shape them. Summarized evidence currently indicates that apparently healthy older adults accumulate between 2,000–9,000 steps/day and that older adults living with disabilities and/or chronic conditions average approximately 1,200–8,800 steps/day. The scientific body of objectively monitored knowledge focused on potential individual, program, and contextual factors that shape older adults’ walking behaviors expressed as steps/day (i.e., their ability to and practice of getting “out and about”) is infantile at this time. We provide a simple research agenda to spark scholarly efforts to address research gaps and opportunities in the collective knowledge base.
Catrine Tudor-Locke and Stephanie Broyles
Susan B. Sisson and Stephanie T. Broyles
The primary and secondary purposes were to examine social-ecological correlates of excessive TV viewing (>2hr/day) in American children 1) between race/ethnic groups and 2) between boys and girls.
Children (n = 48,505) aged 6 to 18 years from the 2007 National Survey of Children’s Health were included. Social-ecological correlates included individual-, family-, and community-level variables. Logistic regression analyses were used for race/ethnicity [Non-Hispanic White (NHW), Non-Hispanic Black (NHB), Hispanic, other] and sex groups (boys, girls), to determine associated correlates.
By race/ethnicity, 16.6%, 37.8%, and 24.5% of NHW, NHB, and Hispanic exceeded recommendations. For boys and girls, 23.7% and 18.2% viewed excessive TV. Having a TV in the bedroom and higher poverty level were associated with excessive TV in all groups. Differences by race/ethnicity were age, sex, TV in the bedroom, extracurricular activities, physical activity, adequate sleep, family structure, family meals, knowing child’s friends, parent/ child communication, and neighborhood characteristics. Differences by sex were family structure, parent/ child communication, family meals, and neighborhood elements.
Social-ecological correlates and associated prevalence of excessive TV viewing differed across subgroups. These specific correlates can be targeted in tailored interventions.
Ariane L. Rung, Andrew J. Mowen, Stephanie T. Broyles, and Jeanette Gustat
Neighborhood parks play an important role in promoting physical activity. We examined the effect of activity area, condition, and presence of supporting features on number of park users and park-based physical activity levels.
37 parks and 154 activity areas within parks were assessed during summer 2008 for their features and park-based physical activity. Outcomes included any park use, number of park users, mean and total energy expenditure. Independent variables included type and condition of activity area, supporting features, size of activity area, gender, and day of week. Multilevel models controlled for clustering of observations at activity area and park levels.
Type of activity area was associated with number of park users, mean and total energy expenditure, with basketball courts having the highest number of users and total energy expenditure, and playgrounds having the highest mean energy expenditure. Condition of activity areas was positively associated with number of basketball court users and inversely associated with number of green space users and total green space energy expenditure. Various supporting features were both positively and negatively associated with each outcome.
This study provides evidence regarding characteristics of parks that can contribute to achieving physical activity goals within recreational spaces.
Susan B. Sisson, Stephanie T. Broyles, Birgitta L. Baker, and Peter T. Katzmarzyk
The purposes were 1) to determine if different leisure-time sedentary behaviors (LTSB), such as TV/video/video game viewing/playing (TV), reading for pleasure (reading), and nonschool computer usage, were associated with childhood overweight status, and 2) to assess the social-ecological correlates of LTSB.
The analytic sample was 33,117 (16,952 boys and 16,165 girls) participants from the 2003 National Survey of Children’s Health. The cut-point for excessive TV and nonschool computer usage was ≥ 2 hr/day. High quantities of daily reading for pleasure were classified as ≥ 31 min/day. Weighted descriptive characteristics were calculated on the sample (means ± SE or frequency). Logistic regression models were used to determine if the LTSB were associated with overweight status and to examine social-ecological correlates.
Over 35% of the sample was overweight. Odds of being overweight were higher in the 2 to 3 hr/day (OR: 1.48, 95% CI: 1.24, 1.76) and ≥ 4 hr/day (OR: 1.52, 95% CI: 1.22, 1.91) daily TV groups compared with none. Reading and nonschool computer usage was not associated with being overweight.
TV was associated with overweight classification; however, nonschool computer usage and reading were not. Several individual, family, and community correlates were associated with high volumes of daily TV viewing.
Tiago V. Barreira, Catrine Tudor-Locke, Catherine M. Champagne, Stephanie T. Broyles, William D. Johnson, and Peter T. Katzmarzyk
The purpose of this study was to compare steps/day detected by the YAMAX SW-200 pedometer versus the Actigraph GT3X accelerometer in free-living adults.
Daily YAMAX and GT3X steps were collected from a sample of 23 overweight and obese participants (78% female; age = 52.6 ± 8.4 yr.; BMI = 31.0 ± 3.7 m·kg-2). Because a pedometer is more likely to be used in a community-based intervention program, it was used as the standard for comparison. Percent difference (PD) and absolute percent difference (APD) were calculated to examine between-instrument agreement. In addition, days were categorized based on PD: a) under-counting (> −10 PD), b) acceptable counting (−10 to 10 PD), and c) over-counting (> 10 PD).
The YAMAX and GT3X detected 8,025 ± 3,967 and 7131 ± 3066 steps/day, respectively, and the outputs were highly correlated (r = .87). Average PD was −3.1% ± 30.7% and average APD was 23.9% ± 19.4%. Relative to the YAMAX, 53% of the days detected by the GT3X were classified as under-counting, 25% acceptable counting, and 23% over-counting.
Although the output of these 2 instruments is highly correlated, caution is advised when directly comparing or using their output interchangeably.
Elroy J. Aguiar, John M. Schuna Jr., Tiago V. Barreira, Emily F. Mire, Stephanie T. Broyles, Peter T. Katzmarzyk, William D. Johnson, and Catrine Tudor-Locke
Walking cadence (steps per minute) is associated with the intensity of ambulatory behavior. This analysis provides normative values for peak 30-min cadence, an indicator of “natural best effort” during free-living behavior. A sample of 1,196 older adults (aged from 60 to 85+) with accelerometer data from the National Health and Nutrition Examination Survey 2005–2006 was used. Peak 30-min cadence was calculated for each individual. Quintile-defined values were computed, stratified by sex and age groups. Smoothed sex-specific centile curves across the age span were fitted using the LMS method. Peak 30-min cadence generally trended lower as age increased. The uppermost quintile value was >85 steps/min (men: 60–64 years), and the lowermost quintile value was <22 steps/min (women: 85+). The highest 95th centile value was 103 steps/min (men: 64–70 years), and the lowest 5th centile value was 15 steps/min (women: 85+). These normative values may be useful for evaluating older adults’ “natural best effort” during free-living ambulatory behavior.
Tiago V. Barreira, Stephanie T. Broyles, Catrine Tudor-Locke, Jean-Philippe Chaput, Mikael Fogelholm, Gang Hu, Rebecca Kuriyan, Estelle V. Lambert, Carol A. Maher, José A. Maia, Timothy Olds, Vincent Onywera, Olga L. Sarmiento, Martyn Standage, Mark S. Tremblay, Peter T. Katzmarzyk, and for the ISCOLE Research Group
Background: To determine if children’s moderate to vigorous physical activity (MVPA) and sedentary time varied across levels of household income in countries at different levels of Human Development Index (HDI), consistent with the theory of epidemiological transition. Methods: Data from 6548 children (55% girls) aged 9–11 years from 12 countries at different HDI levels are used in this analysis to assess MVPA and sedentary time (measured using ActiGraph accelerometers) across levels of household income. Least-square means are estimated separately for boys and girls at the estimated 10th, 50th, and 90th percentiles of HDI for the sample. Results: For boys, time in MVPA is negatively associated with income at the 10th and 50th percentiles of HDI (both P < .002). For girls, time in MVPA is negatively associated with income at the 10th and 50th percentiles of HDI (all P < .01) and positively related with income at the 90th percentile (P = .04). Sedentary time is positively associated with income at the 10th percentile of HDI for boys (P = .03), but not for girls. Conclusions: Results support the possibility of an epidemiological transition in physical activity, with lower levels of MVPA observed at opposite levels of income depending on the HDI percentile. This phenomenon was not observed for sedentary time.