The Relationship between Outdoor Activity and Health in Older Adults Using GPS

International Journal of Environmental Research and Public Health - Tập 9 Số 12 - Trang 4615-4625
Jacqueline Kerr1, Simon J. Marshall1,2, Suneeta Godbole1,2, Suvi Neukam3, Katie Crist1,2, Kari Wasilenko1,2, Shahrokh Golshan4,2, David M. Büchner5
1Department of Family and Preventive Medicine, UCSD, 9500 Gilman Drive La Jolla, CA 92093, USA
2University of california at San Diego
3University of New England College of Osteopathic Medicine, 11 Hills Beach Rd, Biddeford, ME, 04005, USA
4Department of Psychiatry, UCSD, 9500 Gilman Drive, La Jolla, CA, 92093, USA
5Department of Kinesiology and Community Health, University of Illinois at Urbana Champaign, Champaign, Il, 61820, USA

Tóm tắt

Physical activity (PA) provides health benefits in older adults. Research suggests that exposure to nature and time spent outdoors may also have effects on health. Older adults are the least active segment of our population, and are likely to spend less time outdoors than other age groups. The relationship between time spent in PA, outdoor time, and various health outcomes was assessed for 117 older adults living in retirement communities. Participants wore an accelerometer and GPS device for 7 days. They also completed assessments of physical, cognitive, and emotional functioning. Analyses of variance were employed with a main and interaction effect tested for ±30 min PA and outdoor time. Significant differences were found for those who spent >30 min in PA or outdoors for depressive symptoms, fear of falling, and self-reported functioning. Time to complete a 400 m walk was significantly different by PA time only. QoL and cognitive functioning scores were not significantly different. The interactions were also not significant. This study is one of the first to demonstrate the feasibility of using accelerometer and GPS data concurrently to assess PA location in older adults. Future analyses will shed light on potential causal relationships and could inform guidelines for outdoor activity.

Từ khóa


Tài liệu tham khảo

Physical Activity Guidelines Advisory Committee Report, 2008. Available online:www.health.gov/paguidelines/report/pdf/committeereport.pdf.

Physical Activity Guidelines for Americans. Available online:www.health.gov/paguidelines/.

Global Recommendations on Physical Activity for Health. Available online:http://whqlibdoc.who.int/publications/2010/9789241599979_eng.pdf.

Frumkin, 2001, Beyond toxicity: Human health and the natural environment, Am. J. Prev. Med., 20, 234, 10.1016/S0749-3797(00)00317-2

2003, Health and nature—New Challenges for health promotion, Health Promot. Int., 18, 173, 10.1093/heapro/dag012

Boddy, 2011, Does participating in physical activity in outdoor natural environments have a greater effect on physical and mental wellbeing than physical activity indoors? A systematic review, Environ. Sci. Technol., 45, 1761, 10.1021/es102947t

Wilson, E.O. (1984). Biophilia, Harvard University Press.

Troiano, 2008, Physical activity in the United States measured by accelerometer, Med. Sci. Sports Exerc., 40, 181, 10.1249/mss.0b013e31815a51b3

Matthews, 2008, Amount of time spent in sedentary behaviors in the United States, 2003–2004, Am. J. Epidemiol., 167, 875, 10.1093/aje/kwm390

Sirard, 2000, Field evaluation of the Computer Science and Applications, Inc. physical activity monitor, Med. Sci. Sports Exerc., 32, 695, 10.1097/00005768-200003000-00022

Freedson, 1998, Calibration of the Computer Science and Applications, Inc. accelerometer, Med. Sci. Sports Exerc., 30, 777, 10.1097/00005768-199805000-00021

Murphy, 2009, Review of physical activity measurement using accelerometers in older adults: Considerations for research design and conduct, Prev. Med., 48, 108, 10.1016/j.ypmed.2008.12.001

Choi, 2012, Assessment of wear/nonwear time classification algorithms for triaxial accelerometer, Med. Sci. Sports Exerc., 44, 2009, 10.1249/MSS.0b013e318258cb36

Copeland, 2009, Accelerometer assessment of physical activity in active, healthy older adults, J. Aging Phys. Act., 17, 17, 10.1123/japa.17.1.17

Buman, 2010, Objective light-intensity physical activity associations with rated health in older adults, Am. J. Epidemiol., 172, 1155, 10.1093/aje/kwq249

Kerr, 2011, Using global positioning systems in health research: A practical approach to data collection and processing, Am. J. Prev. Med., 41, 532, 10.1016/j.amepre.2011.07.017

Pooja, 2013, Christakis Use of light sensors and GPS to differentiate indoor vs. outdoor locations of physical activity in preschoolers at child care, AJPM, 441, 85

Kerr, 2012, Validating GPS data with the PALMS system to detectdifferent active transportation modes, Med. Sci. Sports Exerc., 44, S2529

Rejeski, 2001, Physical activity and quality of life in older adults, J. Gerontol. A Biol. Sci. Med. Sci., 56, 23, 10.1093/gerona/56.suppl_2.23

Patrick, 1988, Quality of life following intensive care, J. Gen. Intern. Med., 3, 218, 10.1007/BF02596335

(2002). Physical Activity and Older Americans: Benefits and Strategies, Centers for Disease Control and Prevention.

Strawbridge, 2002, Physical activity reduces the risk of subsequent depression for older adults, Am. J. Epidemiol., 156, 328, 10.1093/aje/kwf047

Nelson, 2007, Physical activity and public health in older adults: Recommendation from the American College of Sports Medicine and the American Heart Association, Med. Sci. Sports Exerc., 39, 1435, 10.1249/mss.0b013e3180616aa2

Andresen, 1994, Screening for depression in well older adults: Evaluation of a short form of the CES-D, Amer. J. Prev. Med., 10, 77, 10.1016/S0749-3797(18)30622-6

Boyle, 2002, Tests of executive function predict instrumental activities of daily living in community-dwelling older individuals, Appl. Neuropsychol., 9, 187, 10.1207/S15324826AN0903_8

Steinberg, 2005, Mayo’s older Americans normative studies: Age- and IQ-adjusted norms for the trail-making test, the stroop test, and MAE controlled oral word association test, Clin. Neuropsychol., 19, 329, 10.1080/13854040590945210

Lezak, M.D., Howieson, D.B., and Loring, D.W. (2004). Neuropsychological Assesment, Oxford University Press. [4th].

Spreen, O., and Strauss, E. (1991). A Compendium of Neuropsychological Tests: Administration, Norms, and Commentary, Oxford University Press.

Barnes, 2008, Cognition in older women: The importance of daytime movement, J. Am. Geriatr. Soc., 56, 1658, 10.1111/j.1532-5415.2008.01841.x

Baker, 2010, Effects of aerobic exercise on mild cognitive impairment: A controlled trial, Arch. Neurol., 67, 71, 10.1001/archneurol.2009.307

Buell, 2009, Vitamin D is associated with cognitive function in elders receiving home health services, J. Gerontol. A Biol. Sci. Med. Sci., 64, 888, 10.1093/gerona/glp032

Rantakokko, 2009, Fear of moving outdoors and development of outdoor walking difficulty in older people, J. Am. Geriatr. Soc., 57, 634, 10.1111/j.1532-5415.2009.02180.x

Kempen, 2008, The short FES-I: A shortened version of the falls efficacy scale-international to assess fear of falling, Age Ageing, 37, 45, 10.1093/ageing/afm157

Anton, 2011, Effects of a weight loss plus exercise program on physical function in overweight, older women: A randomized controlled trial, Clin. Interv. Aging, 6, 141, 10.2147/CIA.S17001

Sayers, 2004, Validation of the late-life function and disability instrument, J. Am. Geriatr. Soc., 52, 1554, 10.1111/j.1532-5415.2004.52422.x

Holick, 2007, Vitamin D and skin physiology: A D-lightful story, J. Bone Miner. Res., 22, V28, 10.1359/jbmr.07s211

Webber, 2009, Monitoring mobility in older adults using global positioning system (GPS) watches and accelerometers: A feasibility study, J. Aging Phys. Act., 17, 455, 10.1123/japa.17.4.455

Jacobs, 2008, Going outdoors daily predicts long-term functional and health benefits among ambulatory older people, J. Aging Health., 20, 259, 10.1177/0898264308315427

Kono, 2004, Frequency of going outdoors: A predictor of functional and psychosocial change among ambulatory frail elders living at home, J. Gerontol. A Biol. Sci. Med. Sci., 59, 275, 10.1093/gerona/59.3.M275

Vieth, 2005, The role of vitamin D in the prevention of osteoporosis, Ann. Med., 37, 278, 10.1080/07853890510007313

Kerr, 2012, Outdoor physical activity and self rated health in older adults living in two regions of the U.S, Int. J. Behav. Nutr. Phys. Act., 30, 89, 10.1186/1479-5868-9-89

Maas, 2009, Social contacts as a possible mechanism behind the relation between green space and health, Health Place., 15, 586, 10.1016/j.healthplace.2008.09.006

Lauretani, 2010, Vitamin D in older population: new roles for this “classic actor”?, Aging Male., 13, 215, 10.3109/13685538.2010.487551

Murayama, 2012, Contextual effect of neighborhood environment on homebound elderly in a Japanese community, Arch. Gerontol. Geriatr., 54, 67, 10.1016/j.archger.2011.03.016

Thông tin
Thông tin xuất bản

International Journal of Environmental Research and Public Health

Tập 9 Số 12

4615-4625

Thông tin tác giả