Association of physical activity with utilization of long-term care in community-dwelling older adults in Germany: results from the population-based KORA-Age observational study
Abstract Background Physical activity (PA) is a proven strategy to prevent chronic diseases and reduce falls. Furthermore, it improves or at least maintains performance of activities of daily living, and thus fosters an independent lifestyle in older adults. However, evidence on the association of P...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-08-01
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| Series: | International Journal of Behavioral Nutrition and Physical Activity |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12966-022-01322-z |
| _version_ | 1798042533980274688 |
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| author | Kathrin Steinbeisser Larissa Schwarzkopf Lars Schwettmann Michael Laxy Eva Grill Christian Rester Annette Peters Hildegard Seidl |
| author_facet | Kathrin Steinbeisser Larissa Schwarzkopf Lars Schwettmann Michael Laxy Eva Grill Christian Rester Annette Peters Hildegard Seidl |
| author_sort | Kathrin Steinbeisser |
| collection | DOAJ |
| description | Abstract Background Physical activity (PA) is a proven strategy to prevent chronic diseases and reduce falls. Furthermore, it improves or at least maintains performance of activities of daily living, and thus fosters an independent lifestyle in older adults. However, evidence on the association of PA with relevant subgroups, such as older adults with utilization of long-term care (LTC), is sparse. This knowledge would be essential for establishing effective, need-based strategies to minimize the burden on healthcare systems due to the increasing need for LTC in old age. Methods Data originate from the 2011/12 (t1) baseline assessment and 2016 (t2) follow-up of the population-based Cooperative Health Research in the Region of Augsburg (KORA-)Age study in southern Germany. In 4812 observations of individuals ≥65 years, the association between various types of PA (walking, exercise (i. e., subcategory of PA with the objective to improve or maintain one or more components of physical fitness), walking+exercise) and utilization of LTC (yes/no) was analyzed using generalized estimating equation logistic models. Corresponding models stratified by sex (females: 2499 observations; males: 2313 observations) examined sex-specific associations. Descriptive analyses assessed the proportion of individuals meeting the suggested minimum values in the German National Physical Activity Recommendations for older adults (GNPAR). Results All types of PA showed a statistically significant association with non-utilization of LTC in the entire cohort. “Walking+exercise” had the strongest association with non-utilization of LTC in the entire cohort (odds ratio (OR): 0.52, 95% confidence interval (CI): 0.39–0.70) and in males (OR: 0.41, CI: 0.26–0.65), whereas in females it was “exercise” (OR: 0.58; CI: 0.35–0.94). The proportion of individuals meeting the GNPAR was higher among those without utilization of LTC (32.7%) than among those with LTC (11.7%) and group differences were statistically significant (p ≤ 0.05). Conclusions The GNPAR are rarely met by older adults. However, doing any type of PA is associated with non-utilization of LTC in community-dwelling older adults. Therefore, older adults should be encouraged to walk or exercise regularly. Furthermore, future PA programs should consider target-groups’ particularities to reach individuals with the highest needs for support. |
| first_indexed | 2024-04-11T22:36:46Z |
| format | Article |
| id | doaj.art-75d54fba153a4b3db04c161dba26c1e0 |
| institution | Directory Open Access Journal |
| issn | 1479-5868 |
| language | English |
| last_indexed | 2024-04-11T22:36:46Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Behavioral Nutrition and Physical Activity |
| spelling | doaj.art-75d54fba153a4b3db04c161dba26c1e02022-12-22T03:59:11ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682022-08-0119111510.1186/s12966-022-01322-zAssociation of physical activity with utilization of long-term care in community-dwelling older adults in Germany: results from the population-based KORA-Age observational studyKathrin Steinbeisser0Larissa Schwarzkopf1Lars Schwettmann2Michael Laxy3Eva Grill4Christian Rester5Annette Peters6Hildegard Seidl7Institute of Health Economics and Health Care Management, Helmholtz Zentrum MünchenInstitute of Health Economics and Health Care Management, Helmholtz Zentrum MünchenInstitute of Health Economics and Health Care Management, Helmholtz Zentrum MünchenInstitute of Health Economics and Health Care Management, Helmholtz Zentrum MünchenInstitute for Medical Information Processing, Biometry and Epidemiology (IBE), Ludwig-Maximilians-University MunichFaculty for Applied Healthcare Sciences, Technical University of DeggendorfInstitute of Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental HealthInstitute of Health Economics and Health Care Management, Helmholtz Zentrum MünchenAbstract Background Physical activity (PA) is a proven strategy to prevent chronic diseases and reduce falls. Furthermore, it improves or at least maintains performance of activities of daily living, and thus fosters an independent lifestyle in older adults. However, evidence on the association of PA with relevant subgroups, such as older adults with utilization of long-term care (LTC), is sparse. This knowledge would be essential for establishing effective, need-based strategies to minimize the burden on healthcare systems due to the increasing need for LTC in old age. Methods Data originate from the 2011/12 (t1) baseline assessment and 2016 (t2) follow-up of the population-based Cooperative Health Research in the Region of Augsburg (KORA-)Age study in southern Germany. In 4812 observations of individuals ≥65 years, the association between various types of PA (walking, exercise (i. e., subcategory of PA with the objective to improve or maintain one or more components of physical fitness), walking+exercise) and utilization of LTC (yes/no) was analyzed using generalized estimating equation logistic models. Corresponding models stratified by sex (females: 2499 observations; males: 2313 observations) examined sex-specific associations. Descriptive analyses assessed the proportion of individuals meeting the suggested minimum values in the German National Physical Activity Recommendations for older adults (GNPAR). Results All types of PA showed a statistically significant association with non-utilization of LTC in the entire cohort. “Walking+exercise” had the strongest association with non-utilization of LTC in the entire cohort (odds ratio (OR): 0.52, 95% confidence interval (CI): 0.39–0.70) and in males (OR: 0.41, CI: 0.26–0.65), whereas in females it was “exercise” (OR: 0.58; CI: 0.35–0.94). The proportion of individuals meeting the GNPAR was higher among those without utilization of LTC (32.7%) than among those with LTC (11.7%) and group differences were statistically significant (p ≤ 0.05). Conclusions The GNPAR are rarely met by older adults. However, doing any type of PA is associated with non-utilization of LTC in community-dwelling older adults. Therefore, older adults should be encouraged to walk or exercise regularly. Furthermore, future PA programs should consider target-groups’ particularities to reach individuals with the highest needs for support.https://doi.org/10.1186/s12966-022-01322-zSportsHealth care utilizationNursing careElderlyGenderPrevention |
| spellingShingle | Kathrin Steinbeisser Larissa Schwarzkopf Lars Schwettmann Michael Laxy Eva Grill Christian Rester Annette Peters Hildegard Seidl Association of physical activity with utilization of long-term care in community-dwelling older adults in Germany: results from the population-based KORA-Age observational study International Journal of Behavioral Nutrition and Physical Activity Sports Health care utilization Nursing care Elderly Gender Prevention |
| title | Association of physical activity with utilization of long-term care in community-dwelling older adults in Germany: results from the population-based KORA-Age observational study |
| title_full | Association of physical activity with utilization of long-term care in community-dwelling older adults in Germany: results from the population-based KORA-Age observational study |
| title_fullStr | Association of physical activity with utilization of long-term care in community-dwelling older adults in Germany: results from the population-based KORA-Age observational study |
| title_full_unstemmed | Association of physical activity with utilization of long-term care in community-dwelling older adults in Germany: results from the population-based KORA-Age observational study |
| title_short | Association of physical activity with utilization of long-term care in community-dwelling older adults in Germany: results from the population-based KORA-Age observational study |
| title_sort | association of physical activity with utilization of long term care in community dwelling older adults in germany results from the population based kora age observational study |
| topic | Sports Health care utilization Nursing care Elderly Gender Prevention |
| url | https://doi.org/10.1186/s12966-022-01322-z |
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