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

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 le...

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Main Authors: Heseltine, Ruth, Skelton, Dawn.A., Kendrick, Denise, Morris, Richard.W., Griffin, Mark, Haworth, Deborah, Masud, Tahir, Iliffe, Steve
Format: Article
Published: BioMed Central 2015
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Online Access:https://eprints.nottingham.ac.uk/30537/
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author Heseltine, Ruth
Skelton, Dawn.A.
Kendrick, Denise
Morris, Richard.W.
Griffin, Mark
Haworth, Deborah
Masud, Tahir
Iliffe, Steve
author_facet Heseltine, Ruth
Skelton, Dawn.A.
Kendrick, Denise
Morris, Richard.W.
Griffin, Mark
Haworth, Deborah
Masud, Tahir
Iliffe, Steve
author_sort Heseltine, Ruth
building Nottingham Research Data Repository
collection Online Access
description 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 (<18.5 or >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.
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spelling nottingham-305372024-08-15T15:16:54Z https://eprints.nottingham.ac.uk/30537/ “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 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 (<18.5 or >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. BioMed Central 2015-05-28 Article PeerReviewed Heseltine, Ruth, Skelton, Dawn.A., Kendrick, Denise, Morris, Richard.W., Griffin, Mark, Haworth, Deborah, Masud, Tahir and Iliffe, Steve (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). pp. 1-9. ISSN 1471-2296 Older people; Physical activity; Sedentary behaviour; Exercise promotion http://www.biomedcentral.com/1471-2296/16/67 doi:10.1186/s12875-015-0284-z doi:10.1186/s12875-015-0284-z
spellingShingle Older people; Physical activity; Sedentary behaviour; Exercise promotion
Heseltine, Ruth
Skelton, Dawn.A.
Kendrick, Denise
Morris, Richard.W.
Griffin, Mark
Haworth, Deborah
Masud, Tahir
Iliffe, Steve
“Keeping Moving”: factors associated with sedentary behaviour among older people recruited to an exercise promotion trial in general practice
title “Keeping Moving”: factors associated with sedentary behaviour among older people recruited to an exercise promotion trial in general practice
title_full “Keeping Moving”: factors associated with sedentary behaviour among older people recruited to an exercise promotion trial in general practice
title_fullStr “Keeping Moving”: factors associated with sedentary behaviour among older people recruited to an exercise promotion trial in general practice
title_full_unstemmed “Keeping Moving”: factors associated with sedentary behaviour among older people recruited to an exercise promotion trial in general practice
title_short “Keeping Moving”: factors associated with sedentary behaviour among older people recruited to an exercise promotion trial in general practice
title_sort “keeping moving”: factors associated with sedentary behaviour among older people recruited to an exercise promotion trial in general practice
topic Older people; Physical activity; Sedentary behaviour; Exercise promotion
url https://eprints.nottingham.ac.uk/30537/
https://eprints.nottingham.ac.uk/30537/
https://eprints.nottingham.ac.uk/30537/