Volume 7, Issue 1 (Winter 2019)                   Iran J Health Sci 2019, 7(1): 1-8 | Back to browse issues page


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Department of Epidemiology and Biostatistics, School of Public Health, , afotouhi@tums.ac.ir
Abstract:   (7529 Views)
Background and purpose: Nowadays, immobility is known to be the fourth risk factor for mortality. The aim of the present study was to investigate the relationship between fall experience over the previous year and levels of physical activity in the elderly.
Materials and Methods: The study was performed with 1616 participants of 60≤ years. The relationship between physical activities in the elderly with age, sex, educational level, body mass index, comorbidities, and fall experience over the previous year was evaluated. Physical activity in the elderly was evaluated using the physical activity scale for the elderly.
Results: In the multiple regression model, the age (β: -1.6, 95% CI:  -2.0- -1.1), sex, female (β: 11.0, 95% CI: 4.3-17.6), and comorbidities (β: -6.8, 95% CI: -13.5 - -0.1) had a significant relationship with the physical activity score. On the contrary, there was no significant difference between the score of physical activity and both groups with and without the experience of fall over the previous year (β: 0.09, 95% CI: -8.0 - 8.2).
Conclusion: Increasing age with comorbidity resulted in a decrease in the average physical activity score in the studied elderly population. However, the experience of fall had no relationship with it. Providing the conditions alongside the training required to carry out physical activities, especially in the elderly people with the disease, was suggested.
 
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Type of Study: Original Article | Subject: Health

References
1. WHO. WHO | 10 facts on ageing and health: World Health Organization; 2017 [updated 2017-05-23 11:25:24. Available from: http://www.who.int/features/factfiles/ageing/en/.
2. Paterson DH, Warburton DE. Physical activity and functional limitations in older adults: a systematic review related to Canada's Physical Activity Guidelines. The international journal of behavioral nutrition and physical activity. 2010; 7:38. [DOI:10.1186/1479-5868-7-38] [PMID] [PMCID]
3. Statistics FIFoA-R. Older Americans 2008: Key indicators of well-being: Government Printing Office; 2008.
4. Ageing WHO, Unit LC. WHO global report on falls prevention in older age: World Health Organization; 2008?
5. Salminen MJ, Vahlberg TJ, Salonoja MT, Aarnio PT, Kivela SL. Effect of a risk-based multifactorial fall prevention program on the incidence of falls. Journal of the American Geriatrics Society. 2009; 57(4): 612-9. [DOI:10.1111/j.1532-5415.2009.02176.x] [PMID]
6. CDC. Older Adult Falls | Home and Recreational Safety | CDC Injury Center: CDC; 2017 [Available from: https://www. cdc.gov/homeandrecreationalsafety/falls/index.html.
7. Kosorok MR, Omenn GS, Diehr P, Koepsell TD, Patrick DL. Restricted activity days among older adults. American journal of public health. 1992; 82(9):1263-7. [DOI:10.2105/AJPH.82.9.1263] [PMID] [PMCID]
8. Curcio C-L, Gomez F, Reyes-Ortiz CA. Activity restriction related to fear of falling among older people in the Colombian Andes Mountains: are functional or psychosocial risk factors more important? Journal of Aging and Health. 2009; 21(3):460-79. [DOI:10.1177/0898264308329024] [PMID]
9. Salehi L, Shokrvash B, Jamshidi E, Montazeri A. Physical activity in Iranian older adults who experienced fall during the past 12 months. BMC Geriatr. 2014;14(1):115. [DOI:10.1186/1471-2318-14-115] [PMID] [PMCID]
10. Committee PAGA. Physical activity guidelines for Americans. Washington, DC: US Department of Health and Human Services. 2008:15-34.
11. Struber JC. Considering physical inactivity in relation to obesity. Internet Journal of Allied Health Sciences and Practice. 2004; 2(1):1-7.
12. WHO | Physical activity: World Health Organization; 2017 [updated 2017-02-21 15:38:30. Available from: http://www. who.int/media Centre/factsheets/fs385/en/.
13. Blair SN. Physical inactivity: the biggest public health problem of the 21st century. British journal of sports medicine. 2009;43(1):1-2. [PMID]
14. Gregg EW, Pereira MA, Caspersen CJ. Physical activity, falls, and fractures among older adults: a review of the epidemiologic evidence. Journal of the American Geriatrics Society. 2000; 48(8):883-93. [DOI:10.1111/j.1532-5415.2000.tb06884.x] [PMID]
15. WHO. Global recommendations on physical activity for health. 2010.
16. WHO | 10 facts on physical activity: World Health Organization; 2017 [updated 2017-02-01. Available from: http://www.who. int/features/factfiles/physical_activity/en/.
17. Macera CA, Jones DA, Yore M, Ham S, Kohl HW, Kimsey Jr C, et al. Prevalence of physical activity, including lifestyle activities among adults-United States, 2000-2001. Morbidity and Mortality Weekly Report. 2003; 52(32):764-9.
18. Sadrollahi A, Hosseinian M, Alavi NM, Khalili Z, Esalatmanesh S. Physical activity patterns in the elderly kashan population. Iran Red Crescent Medical Journal. 2016;18(6): 1-8. [DOI:10.5812/ircmj.25008] [PMID] [PMCID]
19. Motefaker M, Sadrbafghi S, Rafiee M, Bahadorzadeh L, Namayandeh S, Karimi M, et al. SuicEpidemiology of physical activity: a population based study in Yazd cityide attempt and its relation to stressors and supportive systems: a study in Karaj city. Tehran University of Medical Journal. 2007; 65(4):77-81.
20. Hosseini SR, Cumming RG, Kheirkhah F, Nooreddini H, Baiani M, Mikaniki E, et al. Cohort profile: The Amirkola health and ageing project (AHAP). International Journal of Epidemiology. 2013;43(5):1393-400. [PMID: 23918798]. [DOI:10.1093/ije/dyt089] [PMID]
21. Washburn RA, Smith KW, Jette AM, Janney CA. The Physical Activity Scale for the Elderly (PASE): development and evaluation. Journal of clinical epidemiology. 1993;46(2):153-62. [DOI:10.1016/0895-4356(93)90053-4]
22. Sturnieks DL, St George R, Lord SR. Balance disorders in the elderly. Clinical neurophysiology.2008;38(6):467-78. [DOI:10.1016/j.neucli.2008.09.001] [PMID]
23. McKay C, Anderson KE. How to manage falls in community dwelling older adults: a review of the evidence. Postgraduate medical journal.2010:pgmj. 2009; 86(1015): 299-306.093468.
24. Chu L-W, Chi I, Chiu A. Incidence and predictors of falls in the Chinese elderly. Annals of the Academy of Medicine, Singapore. 2005;34(1):60-72. [PMID]
25. Tinetti ME, De Leon CFM, Doucette JT, Baker DI. Fear of falling and fall-related efficacy in relationship to functioning among community-living elders. Journal of gerontology. 1994;49(3):140-147. [DOI:10.1093/geronj/49.3.M140]
26. Mazo G, Liposcki D, Ananda C, Prevê D. Health conditions, incidence of falls and physical activity levels among the elderly. Brazilian Journal of Physical Therapy. 2007;11(6):437-42.
27. Curcio CL, Gomez F, Reyes-Ortiz CA. Activity restriction related to fear of falling among older people in the Colombian Andes mountains: are functional or psychosocial risk factors more important? Journal of aging and health. 2009;21(3):460-79. [DOI:10.1177/0898264308329024] [PMID]
28. Salehi L, Eftekhar H, Mohammad K, Taghdisi MH, Shojaeizadeh D. Physical activity among a sample of Iranians aged over 60 years: an application of the transtheoretical model. Archives of Iranian medicine. 2010;13(6) : 528- 536. [PMID]
29. Benjamin K, Donnelly TT. Barriers and facilitators influencing the physical activity of Arabic adults: A literature review. Avicenna. 2013; 8: 1-16. [DOI:10.5339/avi.2013.8]
30. Nelson CC, Wagner GR, Caban-Martinez AJ, Buxton OM, Kenwood CT, Sabbath EL, et al. Physical activity and body mass index: the contribution of age and workplace characteristics. American journal of preventive medicine. 2014;46(3):42-51. [DOI:10.1016/j.amepre.2013.10.035] [PMID] [PMCID]
31. Eshaghi SR, Shahsanai A, Ardakani MM. Assessment of the Physical Activity of Elderly Population of Isfahan, Journal of Isfahan Medical School. 2011;29(147): 939- 946.
32. Florindo AA, Hallal PC, Moura ECd, Malta DC. Practice of physical activities and associated factors in adults, Brazil, 2006. Revista de saúde pública. 2009;43 (Suppl 2):65-73. [DOI:10.1590/S0034-89102009000900009] [PMID]
33. Mora S, Lee I-M, Buring JE, Ridker PM. Association of physical activity and body mass index with novel and traditional cardiovascular biomarkers in women. Journal of the American Medical Association. 2006;295(12):1412-9. [DOI:10.1001/jama.295.12.1412] [PMID]

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