Factors That Influence Meeting the Recommended Weekly Physical Activity Target Among Older People With Physical Multimorbidity: Evidence From 6 Low- and Middle-Income Countries

混淆 情感(语言学) 可能性 逻辑回归 医学 老年学 调解 生活质量(医疗保健) 心理干预 横断面研究 优势比 体力活动 人口学 心理学 物理疗法 护理部 沟通 病理 精神科 社会学 政治学 内科学 法学
作者
Lee Smith,Dong Keon Yon,Laurie T. Butler,Karel Kostev,Carol Brayne,Yvonne Barnett,Benjamin R. Underwood,Jae Il Shin,Masoud Rahmati,Sharon Neufeld,Anya Ragnhildstveit,Guillermo F. López Sánchez,Ai Koyanagi
出处
期刊:Journal of Physical Activity and Health [Human Kinetics]
卷期号:: 1-9
标识
DOI:10.1123/jpah.2023-0473
摘要

Background : There is a scarcity of studies on the association between physical multimorbidity and lower levels of physical activity among older adults from low- and middle-income countries, while the potential mediating variables in this association are largely unknown. Methods : Cross-sectional, community-based, nationally representative data from the World Health Organization Study on global AGEing and adult health were analyzed. Data on 11 chronic physical conditions were collected. Scoring <150 minutes of moderate- to high-intensity physical activity per week was considered low physical activity. Multivariable logistic regression and mediation analysis were done to assess associations and quality of life measures which might influence these associations. Results : Data on 14,585 people aged ≥65 years were analyzed (mean [SD] age 72.6 (11.5) y, maximum age 114 y; 55.0% women). After adjustment for potential confounders, compared with no chronic conditions, ≥3 conditions were associated with a significant 1.59 to 2.42 times higher odds for low physical activity. Finally, mobility mediated the largest proportion of the association between ≥3 chronic physical conditions and low physical activity (mediated percentage 50.7%), followed by activities of daily living disability (30.7%), cognition (24.0%), affect (23.6%), and pain/discomfort (22.0%). Conclusions : Physical multimorbidity was associated with higher odds for low physical activity among older adults residing in low- and middle-income countries. Mobility, disability, cognition, affect, and pain/discomfort explained the largest proportion of this association. Given the universal benefits of regular and sustained participation in physical activity, it would be prudent to implement interventions among older people with physical multimorbidity to increase levels of physical activity. Future studies should assess the impact of addressing the identified potential mediators among people with multimorbidity on physical activity levels.

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