Getting out and about in older adults: the nature of daily trips and their association with objectively assessed physical activity

<p>Abstract</p> <p>Background</p> <p>A key public health objective is increasing health-enhancing physical activity (PA) for older adults (OAs). Daily trip frequency is independently associated with objectively assessed PA volumes (OAs). Little is known about correlates...

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Main Authors: Sharp Debbie J, Coulson Jo C, Hillsdon Melvyn, Fox Kenneth R, Davis Mark G, Stathi Afroditi, Thompson Janice L
Format: Article
Language:English
Published: BMC 2011-10-01
Series:International Journal of Behavioral Nutrition and Physical Activity
Online Access:http://www.ijbnpa.org/content/8/1/116
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author Sharp Debbie J
Coulson Jo C
Hillsdon Melvyn
Fox Kenneth R
Davis Mark G
Stathi Afroditi
Thompson Janice L
author_facet Sharp Debbie J
Coulson Jo C
Hillsdon Melvyn
Fox Kenneth R
Davis Mark G
Stathi Afroditi
Thompson Janice L
author_sort Sharp Debbie J
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>A key public health objective is increasing health-enhancing physical activity (PA) for older adults (OAs). Daily trip frequency is independently associated with objectively assessed PA volumes (OAs). Little is known about correlates and these trips' transport mode, and how these elements relate to PA. Purpose: to describe the frequency, purpose, and travel mode of daily trips in OAs, and their association with participant characteristics and objectively-assessed PA.</p> <p>Methods</p> <p>Participants (n = 214, aged 78.1 SD 5.7 years), completed a seven-day trips log recording daily-trip frequency, purpose and transport mode. Concurrently participants wore an accelerometer which provided mean daily steps (steps·d<sup>-1</sup>), and minutes of moderate to vigorous PA (MVPA·d<sup>-1</sup>). Participants' physical function (PF) was estimated and demographic, height and weight data obtained.</p> <p>Results</p> <p>Trip frequency was associated with gender, age, physical function, walking-aid use, educational attainment, number of amenities within walking distance and cars in the household. Participants reported 9.6 (SD 4.2) trips per week (trips·wk<sup>-1</sup>). Most trips (61%) were by car (driver 44%, passenger 17%), 30% walking or cycling (active) and 9% public transport/other. Driving trips·wk<sup>-1 </sup>were more common in participants who were males (5.3 SD 3.6), well-educated (5.0 SD 4.3), high functioning (5.1 SD 4.6), younger (5.6 SD 4.9), affluent area residents (5.1 SD 4.2) and accessing > one car (7.2 SD 4.7). Active trips·wk<sup>-1 </sup>were more frequent in participants who were males (3.4 SD 3.6), normal weight (3.2 SD 3.4), not requiring walking aids (3.5 SD 3.3), well-educated (3.7 SD 0.7), from less deprived neighbourhoods (3.9 SD 3.9) and with ≥ 8 amenities nearby (4.4 SD 3.8).</p> <p>Public transport, and active trip frequency, were significantly associated with steps·d<sup>-1 </sup>(p < 0.001), even after adjustment for other trip modes and potential confounders. Public transport, active, or car driving trips were independently associated with minutes MVPA·d<sup>-1 </sup>(p < 0.01).</p> <p>Conclusions</p> <p>Daily trips are associated with objectively-measured PA as indicated by daily MVPA and steps. Public transport and active trips are associated with greater PA than those by car, especially as a car passenger. Strategies encouraging increased trips, particularly active or public transport trips, in OAs can potentially increase their PA and benefit public health.</p>
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spelling doaj.art-ebfe1259083f431da44fb7fe0eca3c0d2022-12-22T02:58:31ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682011-10-018111610.1186/1479-5868-8-116Getting out and about in older adults: the nature of daily trips and their association with objectively assessed physical activitySharp Debbie JCoulson Jo CHillsdon MelvynFox Kenneth RDavis Mark GStathi AfroditiThompson Janice L<p>Abstract</p> <p>Background</p> <p>A key public health objective is increasing health-enhancing physical activity (PA) for older adults (OAs). Daily trip frequency is independently associated with objectively assessed PA volumes (OAs). Little is known about correlates and these trips' transport mode, and how these elements relate to PA. Purpose: to describe the frequency, purpose, and travel mode of daily trips in OAs, and their association with participant characteristics and objectively-assessed PA.</p> <p>Methods</p> <p>Participants (n = 214, aged 78.1 SD 5.7 years), completed a seven-day trips log recording daily-trip frequency, purpose and transport mode. Concurrently participants wore an accelerometer which provided mean daily steps (steps·d<sup>-1</sup>), and minutes of moderate to vigorous PA (MVPA·d<sup>-1</sup>). Participants' physical function (PF) was estimated and demographic, height and weight data obtained.</p> <p>Results</p> <p>Trip frequency was associated with gender, age, physical function, walking-aid use, educational attainment, number of amenities within walking distance and cars in the household. Participants reported 9.6 (SD 4.2) trips per week (trips·wk<sup>-1</sup>). Most trips (61%) were by car (driver 44%, passenger 17%), 30% walking or cycling (active) and 9% public transport/other. Driving trips·wk<sup>-1 </sup>were more common in participants who were males (5.3 SD 3.6), well-educated (5.0 SD 4.3), high functioning (5.1 SD 4.6), younger (5.6 SD 4.9), affluent area residents (5.1 SD 4.2) and accessing > one car (7.2 SD 4.7). Active trips·wk<sup>-1 </sup>were more frequent in participants who were males (3.4 SD 3.6), normal weight (3.2 SD 3.4), not requiring walking aids (3.5 SD 3.3), well-educated (3.7 SD 0.7), from less deprived neighbourhoods (3.9 SD 3.9) and with ≥ 8 amenities nearby (4.4 SD 3.8).</p> <p>Public transport, and active trip frequency, were significantly associated with steps·d<sup>-1 </sup>(p < 0.001), even after adjustment for other trip modes and potential confounders. Public transport, active, or car driving trips were independently associated with minutes MVPA·d<sup>-1 </sup>(p < 0.01).</p> <p>Conclusions</p> <p>Daily trips are associated with objectively-measured PA as indicated by daily MVPA and steps. Public transport and active trips are associated with greater PA than those by car, especially as a car passenger. Strategies encouraging increased trips, particularly active or public transport trips, in OAs can potentially increase their PA and benefit public health.</p>http://www.ijbnpa.org/content/8/1/116
spellingShingle Sharp Debbie J
Coulson Jo C
Hillsdon Melvyn
Fox Kenneth R
Davis Mark G
Stathi Afroditi
Thompson Janice L
Getting out and about in older adults: the nature of daily trips and their association with objectively assessed physical activity
International Journal of Behavioral Nutrition and Physical Activity
title Getting out and about in older adults: the nature of daily trips and their association with objectively assessed physical activity
title_full Getting out and about in older adults: the nature of daily trips and their association with objectively assessed physical activity
title_fullStr Getting out and about in older adults: the nature of daily trips and their association with objectively assessed physical activity
title_full_unstemmed Getting out and about in older adults: the nature of daily trips and their association with objectively assessed physical activity
title_short Getting out and about in older adults: the nature of daily trips and their association with objectively assessed physical activity
title_sort getting out and about in older adults the nature of daily trips and their association with objectively assessed physical activity
url http://www.ijbnpa.org/content/8/1/116
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