Determinants of initiation and maintenance of physical activity among older adults: a literature review

Stralen, Maartje M. van; Vries, Hein de; Mudde, Aart N.; Bolman, Catherine; Lechner, Lilian

doi:10.1080/17437190903229462

Cited by 291 publications

(316 citation statements)

References 80 publications

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“…In addition, significant intervention effects were also found among the participants irrespective of their gender, educational level, partner status, functional limitations, baseline PA level, attitude, social support, and self-efficacy. The results of the study are promising since participants more at risk (e.g., lower educated, higher BMI, having functional limitations, being insufficiently active, being less motivated or having lower social support, self-efficacy, or attitude) are often less responsive to an intervention and are less likely to change their PA behavior [14,22]. In this study, however, the more at-risk subgroups increased their PA behavior equally or sometimes even more than their less at-risk counterparts as a result of the environmentally tailored intervention.…”

Section: Discussionmentioning

confidence: 99%

“…The determinants on which the programs focused were selected based on the results of a Delphi study [24], and a literature review [14] on the determinants of changing PA behavior among older adults. Based on theoretical models such as the such as the I-Change model [25], the Transtheoretical model [26], the Health Action Process Approach [27], the Precaution Adoption Process Model [28], the Self-regulation theory [29], and the Self-determination theory [30] and on additional focus group interviews [18], theoretical methods and intervention strategies were selected and included into the computer-tailoring program.…”

Section: Intervention and Designmentioning

confidence: 99%

“…In regression analyses, age, gender, educational level, BMI, having a partner, and having functional limitations were included as covariates because of their known influence on PA [14,43].…”

Section: Statistical Analysesmentioning

confidence: 99%

“…Computer tailoring has shown promising effects in various health promotion programs [6,7], and has shown promising effects among older adults [8][9][10]. Researchers have recently acknowledged the importance of a more ecological approach to PA promotion by addressing social and physical environmental determinants in addition to focusing solely on intrapersonal determinants [11][12][13][14]. Additionally, several observational studies gave indications that interventions aiming at achieving realistic perceptions of PA possibilities in the immediate environment of the target group might be important in changing PA behavior [15][16][17].…”

Section: Introductionmentioning

confidence: 99%

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Exploring the Efficacy and Moderators of Two Computer-Tailored Physical Activity Interventions for Older Adults: A Randomized Controlled Trial

et al. 2010

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Background Important health benefits can be derived when low-cost (e.g., computer-tailored) physical activity interventions for older adults demonstrate sustained effects. Purpose The purpose of the study was to conduct in-depth analysis on the long-term efficacy of two tailored physical activity interventions for older adults. Methods A randomized controlled trial (n=1,971) with two computer-tailored interventions and a no-intervention control group was conducted. The two tailored interventions consisted of three tailored letters, delivered during 4 months. The basic tailored intervention targeted psychosocial determinants alone, while the environmentally tailored intervention additionally targeted environmental determinants, by providing tailored environmental information. Selfreported behaviors (i.e., total physical activity, transport walking and cycling, leisure walking and cycling, and sports) were measured at baseline and 12 months. Additionally, potential personal, health-related, and psychosocial moderators of the intervention effects were examined. Results The environmentally tailored intervention was effective in changing total physical activity, leisure cycling, and sports compared with the basic intervention and control group. No intervention effects were found for the basic intervention. Moderation analysis revealed that participants with a higher age, lower body mass index, and higher intention were unresponsive to the interventions. Conclusions Providing environmental information is an effective intervention strategy for increasing physical activity behaviors among older adults, especially among certain "at-risk" subgroups such as lower educated, overweight, or insufficiently active participants. Moderation analysis was perceived as a promising method for identifying meaningful subgroups that are unaffected by an intervention, which should receive special attention in future interventions.

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Section: Discussionmentioning

confidence: 99%

Section: Intervention and Designmentioning

confidence: 99%

Section: Statistical Analysesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Exploring the Efficacy and Moderators of Two Computer-Tailored Physical Activity Interventions for Older Adults: A Randomized Controlled Trial

et al. 2010

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“…To promote physical activity in older age, two important social factors have been identified in a recent review: Having an exercise partner and receiving exercise-specific social support by intimate partners, family members, or friends (van Stralen et al 2009). In this context, support from these significant others showed to be more effective than support by health care providers (van Stralen et al 2009), although some studies report also opposite effects (e.g., Whaley and Schrider 2005).…”

Section: Social Integration and Social Supportmentioning

confidence: 99%

Physical activity intervention in older adults: does a participating partner make a difference?

et al. 2011

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Social integration and social support are expected to facilitate the adoption and maintenance of physical activity. In the context of a physical activity intervention, we distinguished three partner status groups, serving as an indicator of social integration. It was hypothesized that individuals whose partner also participated in the intervention, as opposed to individuals whose partners did not participate, or individuals without an intimate partner, would benefit more in terms of their physical activity. In a second step, a differential prediction pattern of social support on physical activity for each of the three partner status groups was investigated. The study involved 302 men and women (aged 60-95 years) and included two measurement points in time: A baseline assessment with a leaflet intervention to foster physical activity, and a 4-week

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Depressive Symptoms and Physical Activity During 3 Decades in Adult Life

2014

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IMPORTANCE Associations have been documented between physical activity and depressive symptoms, but the direction of this association is unclear.OBJECTIVE To examine whether depressive symptoms are concurrent with physical activity and to examine the direction of the relationship from 23 to 50 years of age. DESIGN, SETTING, AND PARTICIPANTSParticipants included members of the 1958 British Birth Cohort, a general population sample of all persons born in England, Scotland, and Wales in a single week in March 1958 who were followed up to 50 years of age (2008). We included approximately 11 000 cohort members with information on depressive symptoms or frequency of physical activity at 23, 33, 42, or 50 years of age.EXPOSURES Depressive symptoms were measured using the Psychological subscale of the Malaise Inventory; frequency of physical activity, by questionnaire. MAIN OUTCOMES AND MEASURESNumber of depressive symptoms (on a scale of 0 to 15 items), depression (defined as being in the top 10% for symptoms at 23, 33, 42, or 50 years of age), and frequency of physical activity (times per week).RESULTS At most ages, we found a trend of fewer depressive symptoms with more frequent activity; for example, per higher frequency of activity per week at 50 years of age, the mean number of symptoms was lower by 0.06 (95% CI, −0.09 to −0.04). In longitudinal analyses, activity was associated with fewer symptoms from 23 to 50 years of age (per higher frequency of activity per week, symptoms were lower by 0.06 [95% CI, −0.07 to −0.05]), and the magnitude of association did not vary with age (P = .21 for interaction). Those who were inactive at 23 years of age and remained inactive 5 years later showed no change in symptom level (mean difference, −0.01 [95% CI, −0.04 to 0.02]); those increasing activity to 3 times/wk had a lower mean number of symptoms (mean difference, −0.18 [95% CI, −0.22 to −0.15]). Such differences equate to estimated reductions in odds of depression by 19%. A longitudinal relationship observed between symptoms and activity weakened with age (P < .001 for interaction). Mean activity among those with no symptoms at 23 years of age and 5 years later was higher by 0.60 (95% CI, 0.57-0.64) times/wk; in those with 1 additional depressive symptom, 0.53 (95% CI, 0.49-0.56) times/wk. Activity frequency did not differ among those with no symptoms at 43 years of age who subsequently had 0 or 1 symptom at 48 years of age. Associations for depression were generally similar to those for the full symptom spectrum. CONCLUSIONS AND RELEVANCEThe relationship between activity and depressive symptoms was bidirectional, albeit more persistent during adult life in the direction from activity to depressive symptoms. Findings suggest that activity may alleviate depressive symptoms in the general population and, in turn, depressive symptoms in early adulthood may be a barrier to activity.

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Determinants of initiation and maintenance of physical activity among older adults: a literature review

Cited by 291 publications

References 80 publications

Exploring the Efficacy and Moderators of Two Computer-Tailored Physical Activity Interventions for Older Adults: A Randomized Controlled Trial

Exploring the Efficacy and Moderators of Two Computer-Tailored Physical Activity Interventions for Older Adults: A Randomized Controlled Trial

Physical activity intervention in older adults: does a participating partner make a difference?

Depressive Symptoms and Physical Activity During 3 Decades in Adult Life

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