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“Keeping Moving”: factors associated with sedentary behaviour among older people recruited to an exercise promotion trial in general practice

Heseltine, Ruth; Skelton, Dawn.A.; Kendrick, Denise; Morris, Richard.W.; Griffin, Mark; Haworth, Deborah; Masud, Tahir; Iliffe, Steve

Authors

Ruth Heseltine

Dawn.A. Skelton

DENISE KENDRICK denise.kendrick@nottingham.ac.uk
Professor of Primary Care Research

Richard.W. Morris

Mark Griffin

Deborah Haworth

Tahir Masud

Steve Iliffe



Abstract

Background

Sedentary behaviour is detrimental to health, even in those who achieve recommended levels of physical activity. Efforts to increase physical activity in older people so that they reach beneficial levels have been disappointing. Reducing sedentary behaviour may improve health and be less demanding of older people, but it is not clear how to achieve this. We explored the characteristics of sedentary older people enrolled into an exercise promotion trial to gain insights about those who were sedentary but wanted to increase activity.

Method

Participants in the ProAct65+ trial (2009–2013) were categorised as sedentary or not using a self-report questionnaire. Demographic data, health status, self-rated function and physical test performance were examined for each group. 1104 participants aged 65 & over were included in the secondary analysis of trial data from older people recruited via general practice. Results were analysed using logistic regression with stepwise backward elimination.

Results

Three hundred eighty seven (35 %) of the study sample were characterised as sedentary. The likelihood of being categorised as sedentary increased with an abnormal BMI (25 kg/m2) (Odds Ratio 1.740, CI 1.248–2.425), ever smoking (OR 1.420, CI 1.042–1.934) and with every additional medication prescribed (OR 1.069, CI 1.016–1.124). Participants reporting better self-rated physical health (SF-12) were less likely to be sedentary; (OR 0.961, 0.936–0.987). Participants’ sedentary behaviour was not associated with gender, age, income, education, falls, functional fitness, quality of life or number of co-morbidities.

Conclusion

Some sedentary older adults will respond positively to an invitation to join an exercise study. Those who did so in this study had poor self-rated health, abnormal BMI, a history of smoking, and multiple medication use, and are therefore likely to benefit from an exercise intervention.

Journal Article Type Article
Publication Date May 28, 2015
Journal BMC Family Practice
Electronic ISSN 1471-2296
Publisher Humana Press
Peer Reviewed Peer Reviewed
Volume 16
Issue 67
APA6 Citation Heseltine, R., Skelton, D., Kendrick, D., Morris, R., Griffin, M., Haworth, D., …Iliffe, S. (2015). “Keeping Moving”: factors associated with sedentary behaviour among older people recruited to an exercise promotion trial in general practice. BMC Family Practice, 16(67), doi:10.1186/s12875-015-0284-z
DOI https://doi.org/10.1186/s12875-015-0284-z
Keywords Older people; Physical activity; Sedentary behaviour; Exercise promotion
Publisher URL http://www.biomedcentral.com/1471-2296/16/67
Related Public URLs http://creativecommons.org/licenses/by/4.0/
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0
Additional Information ISRCTN reference: ISRCTN43453770

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0





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