Article

Interactions between psychosocial and built environment factors in explaining older adults' physical activity

Joint Doctoral Program in Public Health, San Diego State University & University of California, San Diego, 3900 Fifth Avenue, Suite 310, San Diego, CA 92103, USA.
Preventive Medicine (Impact Factor: 2.93). 01/2012; 54(1):68-73. DOI: 10.1016/j.ypmed.2011.10.004
Source: PubMed

ABSTRACT To evaluate ecological model predictions of cross-level interactions among psychosocial and environmental correlates of physical activity in 719 community-dwelling older adults in the Baltimore, Maryland and Seattle, Washington areas during 2005-2008.
Walkability, access to parks and recreation facilities and moderate-to-vigorous physical activity (MVPA) minutes per week (min/week) were measured objectively. Neighborhood aesthetics, walking facilities, social support, self-efficacy, barriers and transportation and leisure walking min/week were self-reported.
Walkability interacted with social support in explaining total MVPA (B=13.71) and with social support (B=7.90), self-efficacy (B=7.66) and barriers (B=-8.26) in explaining walking for transportation. Aesthetics interacted with barriers in explaining total MVPA (B=-12.20) and walking facilities interacted with self-efficacy in explaining walking for leisure (B=-10.88; Ps<.05). Summarizing across the interactions, living in a supportive environment (vs. unsupportive) was related to 30-59 more min/week of physical activity for participants with more positive psychosocial attributes, but only 0-28 more min/week for participants with less positive psychosocial attributes.
Results supported synergistic interactions between built environment and psychosocial factors in explaining physical activity among older adults. Findings suggest multilevel interventions may be most effective in increasing physical activity.

Full-text

Available from: Jordan A Carlson, May 06, 2015
0 Followers
 · 
285 Views
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Healthy aging includes physical, psychological, social, and spiritual well-being in later years. The purpose of this study is to identify the psychosocial factors influencing healthy aging and examining their socio-demographic characteristics. Perceived health status, depression, self-esteem, self-achievement, ego-integrity, participation in leisure activities, and loneliness were identified as influential factors in healthy aging. 171 Korean adults aged between 45 and 77 years-old participated in the study. Self-reporting questionnaires were used, followed by descriptive statistics and multiple regressions as inferential statistical analyses. There were significant differences between participants' general characteristics: age, education, religion, housing, hobby, and economic status. The factors related to healthy aging had positive correlation with perceived health status, self-esteem, self-achievements, and leisure activities, and negative correlation with depression and loneliness. The factors influencing healthy aging were depression, leisure activities, perceived health status, ego integrity, and self-achievements. These factors were able to explain 51.9%. According to the results, depression is the factor with the greatest influence on healthy aging. Perceived health status, ego integrity, self-achievement, self-esteem, participation of leisure activities were also influential on healthy aging as beneficial factors.
    Health and Quality of Life Outcomes 12/2015; 13(1):225. DOI:10.1186/s12955-015-0225-5 · 2.10 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Walking and participating in activities outdoors in old age can be restricted both by the physical capacity of the individual and by the maintenance and/or the design of the outdoor environment. The purpose of this paper is to compare frequency of walking and frequency of activity outside the home, reported environmental barriers and valuation of the outdoor environment between two areas, in one of which there was an intervention in the outdoor environment 5–8 years prior to this study. The paper is based on a questionnaire sent out in 2011, to all residents 65 years and older in two different areas, the Study Area, an area with an intervention, and the Reference Area. The results show that reports on functional limitations, use of mobility devices and walking difficulties were similar in both areas. Despite that, respondents in the Study Area had a significantly higher frequency of walking and they also participated to a higher degree in activities than respondents in the Reference Area, even though they reported more environmental barriers. The valuation of the outdoor environment was, however, similar in both areas. The results indicate that older people benefit from interventions in the outdoor environment. However, the results also emphasize the importance of good maintenance of the environment.
    Journal of Transport Geography 01/2015; 42. DOI:10.1016/j.jtrangeo.2014.11.006 · 2.54 Impact Factor
  • [Show abstract] [Hide abstract]
    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.
    Central European Journal of Medicine 10/2013; 8(5):689-695. DOI:10.2478/s11536-013-0184-3 · 0.21 Impact Factor