Skip to main content
Top
Gepubliceerd in:

01-02-2015

Physical activity levels and patterns in older adults: the influence of a DVD-based exercise program

Auteurs: Neha P. Gothe, Thomas R. Wójcicki, Erin A. Olson, Jason Fanning, Elizabeth Awick, H. David Chung, Krystle E. Zuniga, Michael J. Mackenzie, Robert W. Motl, Edward McAuley

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 1/2015

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

The use of multimedia to influence health behaviors offers unique advantages over more traditional center-based programs, however, little is known about the effectiveness of such approaches in improving physical activity levels over time. The purpose of this study was to examine the efficacy of a progressive and age-appropriate, DVD-delivered exercise program in promoting physical activity levels among older adult cohorts. Community dwelling older adults (N = 307, Mean age = 71 years) were randomized to one of two groups: a 6-month home-based DVD-delivered exercise (i.e., FlexToBa™) intervention group or a healthy aging DVD control group. Physical activity was assessed objectively using a standard 7-day accelerometer wear period and subjectively using the Godin Leisure Time Exercise Questionnaire, at baseline and follow-up. Analysis of covariances indicated a statistically significant treatment effect for subjectively [F(1,250) = 8.42, P = .004, η2 = .03] and objectively [F(1,240) = 3.77, P = .05, η2 = .02] measured physical activity. The older cohort (>70) in the FlexToBa condition further had significantly larger improvements in physical activity levels compared to their younger counterparts. From a public health perspective, media-delivered interventions such as the FlexToBa program might prove to be cost-effective, have a broader reach and at the same time be effective in improving physical activity levels in older adults.
Literatuur
go back to reference Buman, M. P., Hekler, E. B., Haskell, W. L., Pruitt, L., Conway, T. L., Cain, K. L., et al. (2010). Objective light-intensity physical activity associations with rated health in older adults. American Journal of Epidemiology, 172, 1155–1165.PubMedCentralPubMedCrossRef Buman, M. P., Hekler, E. B., Haskell, W. L., Pruitt, L., Conway, T. L., Cain, K. L., et al. (2010). Objective light-intensity physical activity associations with rated health in older adults. American Journal of Epidemiology, 172, 1155–1165.PubMedCentralPubMedCrossRef
go back to reference Chang, J. T., Morton, S. C., Rubenstein, L. Z., Mojica, W. A., Maglione, M., Suttorp, M. J., et al. (2004). Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomised clinical trials. British Medical Journal, 328, 680–683.PubMedCentralPubMedCrossRef Chang, J. T., Morton, S. C., Rubenstein, L. Z., Mojica, W. A., Maglione, M., Suttorp, M. J., et al. (2004). Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomised clinical trials. British Medical Journal, 328, 680–683.PubMedCentralPubMedCrossRef
go back to reference Copeland, J. L., & Elsinger, D. W. (2009). Accelerometer assessment of physical activity in active, healthy older adults. Journal of Aging and Physical Activity, 17, 17–30.PubMed Copeland, J. L., & Elsinger, D. W. (2009). Accelerometer assessment of physical activity in active, healthy older adults. Journal of Aging and Physical Activity, 17, 17–30.PubMed
go back to reference Coughlin, J. F., D’Ambrosio, L. A., Reimer, B., & Pratt, M. R. (2007). Older adult perceptions of smart home technologies: implications for research, policy & market innovations in healthcare. In Engineering in Medicine and Biology Society, 2007. EMBS 2007. 29th Annual International Conference of the IEEE (pp. 1810–1815). IEEE. Coughlin, J. F., D’Ambrosio, L. A., Reimer, B., & Pratt, M. R. (2007). Older adult perceptions of smart home technologies: implications for research, policy & market innovations in healthcare. In Engineering in Medicine and Biology Society, 2007. EMBS 2007. 29th Annual International Conference of the IEEE (pp. 1810–1815). IEEE.
go back to reference Godin, G. (2011). Commentary: The Godin-Shephard leisure-time physical activity questionnaire. Health & Fitness Journal of Canada, 4, 18–22. Godin, G. (2011). Commentary: The Godin-Shephard leisure-time physical activity questionnaire. Health & Fitness Journal of Canada, 4, 18–22.
go back to reference Godin, G., & Shephard, R. J. (1985). A simple method to assess exercise behavior in the community. Canadian Journal of Applied Sport Sciences. Journal canadien des sciences appliquees au sport, 10, 141–146.PubMed Godin, G., & Shephard, R. J. (1985). A simple method to assess exercise behavior in the community. Canadian Journal of Applied Sport Sciences. Journal canadien des sciences appliquees au sport, 10, 141–146.PubMed
go back to reference Hall, K. S., & McAuley, E. (2011). Examining indirect associations between physical activity, function, and disability in independent-and assisted-living residents. Journal of Physical Activity & Health, 8, 716–723. Hall, K. S., & McAuley, E. (2011). Examining indirect associations between physical activity, function, and disability in independent-and assisted-living residents. Journal of Physical Activity & Health, 8, 716–723.
go back to reference Heinz, M., Martin, P., Margrett, J. A., Yearns, M., Franke, W., Yang, H. I., et al. (2013). Perceptions of technology among older adults. Journal of Gerontological Nursing, 39, 42–51.PubMedCrossRef Heinz, M., Martin, P., Margrett, J. A., Yearns, M., Franke, W., Yang, H. I., et al. (2013). Perceptions of technology among older adults. Journal of Gerontological Nursing, 39, 42–51.PubMedCrossRef
go back to reference Kaczanowska, A. (2012). IBISWorld industry report OD5356 fitness DVD production in the US. New York: IBISWorld. Kaczanowska, A. (2012). IBISWorld industry report OD5356 fitness DVD production in the US. New York: IBISWorld.
go back to reference Keysor, J. J. (2003). Does late-life physical activity or exercise prevent or minimize disablement? A critical review of the scientific evidence. American Journal of Preventative Medicine, 25, 129–136.CrossRef Keysor, J. J. (2003). Does late-life physical activity or exercise prevent or minimize disablement? A critical review of the scientific evidence. American Journal of Preventative Medicine, 25, 129–136.CrossRef
go back to reference Lee, I. M., Shiroma, E. J., Lobelo, F., Puska, P., Blair, S. N., & Katzmarzyk, P. T. (2012). Effect of physical inactivity on major non-communicable diseases worldwide: An analysis of burden of disease and life expectancy. Lancet, 380, 219–229.PubMedCentralPubMedCrossRef Lee, I. M., Shiroma, E. J., Lobelo, F., Puska, P., Blair, S. N., & Katzmarzyk, P. T. (2012). Effect of physical inactivity on major non-communicable diseases worldwide: An analysis of burden of disease and life expectancy. Lancet, 380, 219–229.PubMedCentralPubMedCrossRef
go back to reference Mailey, E. L., Gothe, N. P., Wójcicki, T. R., Szabo, A. N., Olson, E. A., Mullen, S. P., et al. (2014). Influence of allowable interruption period on estimates of accelerometer wear time and sedentary time in older adults. Journal of Aging and Physical Activity, 22, 255–260.PubMedCentralPubMedCrossRef Mailey, E. L., Gothe, N. P., Wójcicki, T. R., Szabo, A. N., Olson, E. A., Mullen, S. P., et al. (2014). Influence of allowable interruption period on estimates of accelerometer wear time and sedentary time in older adults. Journal of Aging and Physical Activity, 22, 255–260.PubMedCentralPubMedCrossRef
go back to reference McAuley, E., Wójcicki, T. R., Gothe, N. P., Mailey, E. L., Szabo, A. N., Fanning, J., et al. (2013). Effects of a DVD-delivered exercise intervention on physical function in older adults. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 68, 1076–1082.PubMedCentralCrossRef McAuley, E., Wójcicki, T. R., Gothe, N. P., Mailey, E. L., Szabo, A. N., Fanning, J., et al. (2013). Effects of a DVD-delivered exercise intervention on physical function in older adults. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 68, 1076–1082.PubMedCentralCrossRef
go back to reference McAuley, E., Wójcicki, T. R., White, S. M., Mailey, E. L., Szabo, A. N., Gothe, N., et al. (2012). Physical activity, function, and quality of life: Design and methods of the FlexToBa™ Trial. Contemporary Clinical Trials, 33, 228–236.PubMedCentralPubMedCrossRef McAuley, E., Wójcicki, T. R., White, S. M., Mailey, E. L., Szabo, A. N., Gothe, N., et al. (2012). Physical activity, function, and quality of life: Design and methods of the FlexToBa™ Trial. Contemporary Clinical Trials, 33, 228–236.PubMedCentralPubMedCrossRef
go back to reference Nocon, M., Hiemann, T., Müller-Riemenschneider, F., Thalau, F., Roll, S., & Willich, S. N. (2008). Association of physical activity with all-cause and cardiovascular mortality: A systematic review and meta-analysis. European Journal of Cardiovascular Prevention & Rehabilitation, 15, 239–246.CrossRef Nocon, M., Hiemann, T., Müller-Riemenschneider, F., Thalau, F., Roll, S., & Willich, S. N. (2008). Association of physical activity with all-cause and cardiovascular mortality: A systematic review and meta-analysis. European Journal of Cardiovascular Prevention & Rehabilitation, 15, 239–246.CrossRef
go back to reference Pahor, M., Blair, S. N., Espeland, M., Fielding, R., Gill, T. M., Guralnik, J. M., et al. (2007). Effects of a physical activity intervention on measures of physical performance: Results of the Lifestyle Interventions and Independence for Elders Pilot (LIFE-P) Study. The Journals of Gerontology: Series A: Biological Sciences and Medical Sciences, 61, 1157–1165. Pahor, M., Blair, S. N., Espeland, M., Fielding, R., Gill, T. M., Guralnik, J. M., et al. (2007). Effects of a physical activity intervention on measures of physical performance: Results of the Lifestyle Interventions and Independence for Elders Pilot (LIFE-P) Study. The Journals of Gerontology: Series A: Biological Sciences and Medical Sciences, 61, 1157–1165.
go back to reference Peterson, M. D., Rhea, M. R., Sen, A., & Gordon, P. M. (2010). Resistance exercise for muscular strength in older adults: A meta-analysis. Ageing Research Reviews, 9, 226–237.PubMedCentralPubMedCrossRef Peterson, M. D., Rhea, M. R., Sen, A., & Gordon, P. M. (2010). Resistance exercise for muscular strength in older adults: A meta-analysis. Ageing Research Reviews, 9, 226–237.PubMedCentralPubMedCrossRef
go back to reference Schutzer, K. A., & Graves, B. S. (2004). Barriers and motivations to exercise in older adults. Preventive Medicine, 39, 1056–1061.PubMedCrossRef Schutzer, K. A., & Graves, B. S. (2004). Barriers and motivations to exercise in older adults. Preventive Medicine, 39, 1056–1061.PubMedCrossRef
go back to reference Tucker, J. M., Welk, G. J., & Beyler, N. K. (2011). Physical activity in adults: Compliance with the physical activity guidelines for Americans. American Journal of Preventive Medicine, 40, 454–461.PubMedCrossRef Tucker, J. M., Welk, G. J., & Beyler, N. K. (2011). Physical activity in adults: Compliance with the physical activity guidelines for Americans. American Journal of Preventive Medicine, 40, 454–461.PubMedCrossRef
go back to reference US Department of Health and Human Services, Office of Disease Prevention and Health Promotion. (2008). 2008 Physical activity guidelines for Americans. Washington, DC: HHS. US Department of Health and Human Services, Office of Disease Prevention and Health Promotion. (2008). 2008 Physical activity guidelines for Americans. Washington, DC: HHS.
go back to reference Van Der Bij, A. K., Laurant, M. G. H., & Wensing, M. (2002). Effectiveness of physical activity interventions for older adults: A review. American Journal of Preventative Medicine, 22, 120–133.CrossRef Van Der Bij, A. K., Laurant, M. G. H., & Wensing, M. (2002). Effectiveness of physical activity interventions for older adults: A review. American Journal of Preventative Medicine, 22, 120–133.CrossRef
go back to reference World Health Organization. (2010). Global recommendations on physical activity for health. Geneva, Switzerland: WHO. World Health Organization. (2010). Global recommendations on physical activity for health. Geneva, Switzerland: WHO.
Metagegevens
Titel
Physical activity levels and patterns in older adults: the influence of a DVD-based exercise program
Auteurs
Neha P. Gothe
Thomas R. Wójcicki
Erin A. Olson
Jason Fanning
Elizabeth Awick
H. David Chung
Krystle E. Zuniga
Michael J. Mackenzie
Robert W. Motl
Edward McAuley
Publicatiedatum
01-02-2015
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 1/2015
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-014-9581-6

Andere artikelen Uitgave 1/2015

Journal of Behavioral Medicine 1/2015 Naar de uitgave