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Physical Activity for an Aging Population

Public Health Reviews volume 32, pages 401–426 (2010)Cite this article

Abstract

Physical activity has been identified as one of three key health behaviors impacting the major chronic diseases of aging that are increasingly responsible for a substantial proportion of global mortality. Although the scientific evidence indicates that the health and quality of life effects of a physically active lifestyle extend across the life course, midlife and older adults represent the most inactive portion of the population. Among the objectives of this review are to discuss the benefits of an active lifestyle, particularly for older adults; highlight the major issues and challenges currently facing the physical activity and aging field; and explore the types of directions for science, policy, and practice that could positively impact the significant physical inactivity challenge facing a growing number of countries worldwide.

References

  1. Lee RD. Rethinking the evolutionary theory of aging: transfers, not births, shape senescence in social species. Proc Natl Acad Sci U S A. 2003;100:9637–42.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. King DK. Neighborhood and individual factors in activity in older adults: Results from the Neighborhood and Senior Health Study. J Aging Phys Act. 2008;16:144–70.

    Article  PubMed  Google Scholar 

  3. Gonyea JG. The economic well-being of older Americans and the persistent divide. Public Health & Aging Report. 2005;15:1–11.

    Article  Google Scholar 

  4. World Health Organization. The Heidelberg Guidelines for promoting physical activity among older persons. J Aging and Phys Act. 1997;5:1–8.

    Google Scholar 

  5. American College of Sports Medicine. ACSM Position Stand on Exercise and Physical Activity for Older Adults. Med Sci Sports Exerc. 1998;30:992–1008.

    Google Scholar 

  6. Sheppard L, Senior J, Park CH, Mockenhaupt R, Chodzko-Zajko W, Bazzarre T. The National Blueprint Consensus Conference Summary Report: Strategic priorities for increasing physical activity among adults aged > 50. Am J Prev Med. 2003;25:209–13.

    Article  PubMed  Google Scholar 

  7. Eaton SB, Eaton SB, III. An evolutionary perspective on human physical activity: implications for health. Comp Biochem Physiol Part A. 2003;136:153–9.

    Article  Google Scholar 

  8. Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: Definitions and distinctions for health-related research. Public Health Rep. 1985;100:126–30.

    CAS  PubMed  PubMed Central  Google Scholar 

  9. Physical Activity Guidelines Advisory Committee. Report of the Physical Activity Guidelines Advisory Committee, 2008. Washington (DC): U.S. Department of Health and Human Services; 2008.

    Google Scholar 

  10. Pahor M, Blair SN, Espeland M, Fielding R, Gill TM, Guralnik JM, Hadley EC, King AC, Kritchevsky SB, Maraldi C, Miller ME, Newman AB, Rejeski WJ, Romashkan S, Studenski S. Effects of a physical activity intervention on measures of physical performance: Results of the Lifestyle Interventions and Independence for Elders Pilot (LIFE-P) Study. J Gerontol A Biol Sci Med Sci. 2006;61:1157–65.

    Article  PubMed  Google Scholar 

  11. Sun Q, Townsend MK, Okereke OI, Franco OH, Hu FB, Grodstein F. Physical activity at midlife in relation to successful survival in women at age 70 years or older. Arch Intern Med. 2010;170:194–201.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Lawton MP. Environment and other determinants of well-being in older people. Gerontologist. 1983;23:349–57.

    Article  CAS  PubMed  Google Scholar 

  13. Satariano WA. The epidemiology of aging: An ecological approach. Sudbury (MA): Jones and Bartlett Publishers, Inc.; 2006.

    Google Scholar 

  14. Perkins CC, Pivarnik JM, Paneth N, Stein AD. Physical activity and fetal growth during pregnancy. Obstet Gynecol. 2007;109:81–7.

    Article  PubMed  Google Scholar 

  15. Sundquist K, Qvist J, Sundquist J, Johansson SE. Frequent and occasional physical activity in the elderly: a 12-year follow-up study of mortality. Am J Prev Med. 2004;27:22–7.

    Article  PubMed  Google Scholar 

  16. Manini TM, Everhart JE, Patel KV, Schoeller DA, Colbert LH, Visser M, Tylavsky F, Bauer DC, Goodpaster BH, Harris TB. Daily activity energy expenditure and mortality among older adults. JAMA. 2006;296:171–9.

    Article  CAS  PubMed  Google Scholar 

  17. Sternfeld B, Wang H, Quesenberry CP, Jr., Abrams B, Everson-Rose SA, Greendale GA, Matthews KA, Torrens JI, Sowers M. Physical activity and changes in weight and waist circumference in midlife women: findings from the Study of Women’s Health Across the Nation. Am J Epidemiol. 2004;160:912–22.

    Article  PubMed  Google Scholar 

  18. Nagi SZ. Some conceptual issues in disability and rehabilitation. In: Sussman MB, editor. Sociology and rehabilitation. Washington (DC): American Sociological Association; 1965. p. 100–13.

    Google Scholar 

  19. Oxford Health Alliance. Oxford Vision 2020: Community interventions for health. Oxford, UK: Oxford Health Alliance; 2009.

    Google Scholar 

  20. Schnohr P, Scharling H, Jensen JS. Changes in leisure-time physical activity and risk of death: an observational study of 7,000 men and women. Am J Epidemiol. 2003;158:639–44.

    Article  PubMed  Google Scholar 

  21. Centers for Disease Control and Prevention. Trends in leisure-time physical inactivity by age, sex, and race/ethnicity—United States, 1994–2004. MMWR Morb Mortal Wkly Rep. 2005;54:991–4.

    Google Scholar 

  22. Kalache A, Kickbusch I. A global strategy for healthy ageing. World Health. 1997;50:4–5.

    Google Scholar 

  23. WHO. Global strategy on diet, physical activity and health: A framework to monitor and evaluate implementation. Geneva: WHO; 2006.

    Google Scholar 

  24. International Journal of Public Health. Physical activity in Europe. Int J Public Health. 2004;49:229–317.

    Google Scholar 

  25. Hakim AA, Petrovitch H, Burchfiel CM, Ross GW, Rodriguez BL, White LR, Yano K, Curb JD, Abbott RD. Effects of walking on mortality among nonsmoking retired men. N Engl J Med. 1998;338:94–9.

    Article  CAS  PubMed  Google Scholar 

  26. King AC. Interventions to promote physical activity in older adults. J Gerontol A Biol Sci Med Sci. 2001;56A:36–46.

    Article  Google Scholar 

  27. Bravata DM, Smith-Spangler C, Sundaram V, Gienger AL, Lin N, Lewis R, Stave CD, Olkin I, Sirard JR. Using pedometers to increase physical activity and improve health: a systematic review. JAMA. 2007;298:2296–304.

    Article  CAS  PubMed  Google Scholar 

  28. U.S. Department of Health and Human Services. Physical activity and health: a report of the Surgeon General. Atlanta (GA): U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion; 1996.

    Google Scholar 

  29. Harrison RA, McElduff P, Edwards R. Planning to win: Health and lifestyles associated with physical activity amongst 15,423 adults. Public Health. 2006;120:206–12.

    Article  CAS  PubMed  Google Scholar 

  30. Burton LC, Shapiro S, German PS. Determinants of physical activity initiation and maintenance among community-dwelling older persons. Prev Med. 1999;29:422–30.

    Article  CAS  PubMed  Google Scholar 

  31. Cousins SO. Elderly tomboys? Sources of self-efficacy for physical activity in later life. J Aging Phys Act. 1997;5:229–43.

    Article  Google Scholar 

  32. King AC, Stokols D, Talen E, Brassington GS, Killingsworth R. Theoretical approaches to the promotion of physical activity: Forging a transdisciplinary paradigm. Am J Prev Med. 2002;23:15–25.

    Article  PubMed  Google Scholar 

  33. Prohaska T, Belansky E, Belza B, Buchner D, Marshall V, McTigue K, Satariano W, Wilcox S. Physical activity, public health, and aging: critical issues and research priorities. J Gerontol B Psychol Sci Soc Sci. 2006;61:S267–73.

    Article  PubMed  Google Scholar 

  34. Nomaguchi KM, Bianchi SM. Exercise time: Gender differences in the effects of marriage, parenthood, and employment. J Marriage & Family. 2004;66:413–30.

    Article  Google Scholar 

  35. Cahill S, South K, Spade J. Outing age: public policy issues affecting gay, lesbian, bisexual and transgender elders. New York (NY): The Policy Institute of the National Gay and Lesbian Task Force Foundation; 2000.

    Google Scholar 

  36. Chao D, Foy CG, Farmer D. Exercise adherence among older adults: challenges and strategies. Control Clin Trials. 2000;21:212S–7S.

    Article  CAS  PubMed  Google Scholar 

  37. Ashworth NL, Chad KE, Harrison EL, Reeder BA, Marshall SC. Home versus center based physical activity programs in older adults. Cochrane Database Syst Rev. 2005(1):CD004017.

  38. Rejeski WJ, Brawley LR, Ambrosius WT, Brubaker PH, Focht BC, Foy CG, Fox LD. Older adults with chronic disease: benefits of group-mediated counseling in the promotion of physically active lifestyles. Health Psychol. 2003;22:414–23.

    Article  PubMed  Google Scholar 

  39. Wood L, Giles-Corti B, Bulsara M. The pet connection: pets as a conduit for social capital? Soc Sci Med. 2005;61:1159–73.

    Article  PubMed  Google Scholar 

  40. King AC, Castro C, Wilcox S, Eyler AA, Sallis JF, Brownson RC. Personal and environmental factors associated with physical inactivity among different racial-ethnic groups of U.S. middle-aged and older-aged women. Health Psychol. 2000;19:354–64.

    CAS  PubMed  Google Scholar 

  41. van Gool CH, Penninx BW, Kempen GI, Miller GD, van Eijk JT, Pahor M, Messier SP. Determinants of high and low attendance to diet and exercise interventions among overweight and obese older adults. Results from the arthritis, diet, and activity promotion trial. Contemp Clin Trials. 2006;27:227–37.

    Article  PubMed  Google Scholar 

  42. Wilcox S, King AC, Brassington G, Ahn D. Physical activity preferences of middle-aged and older adults: A community analysis. J Aging Phys Act. 1999;7:386–99.

    Article  Google Scholar 

  43. King AC, Haskell WL, Young DR, Oka RK, Stefanick ML. Long-term effects of varying intensities and formats of physical activity on participation rates, fitness, and lipoproteins in men and women aged 50 to 65 years. Circulation. 1995;91:2596–604.

    Article  CAS  PubMed  Google Scholar 

  44. Seeman TE, Crimmins E. Social environment effects on health and aging: integrating epidemiologic and demographic approaches and perspectives. Ann N Y Acad Sci. 2001;954:88–117.

    Article  CAS  PubMed  Google Scholar 

  45. Fried LP, Carlson MC, Freedman M, Frick KD, Glass TA, Hill J, McGill S, Rebok GW, Seeman T, Tielsch J, Wasik BA, Zeger S. A social model for health promotion for an aging population: initial evidence on the Experience Corps model. J Urban Health. 2004;81:64–78.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Vrazel J, Saunders RP, Wilcox S. An overview and proposed framework of social-environmental influences on the physical-activity behavior of women. Am J Health Promot. 2008;23:2–12.

    Article  PubMed  Google Scholar 

  47. Eyler AA, Matson-Koffman D, Vest JR, Evenson KR, Sanderson B, Thompson JL, Wilbur J, Wilcox S, Young DR. Environmental, policy, and cultural factors related to physical activity in a diverse sample of women: The Women’s Cardiovascular Health Network Project. Women Health. 2002;36:1–134.

    Article  PubMed  Google Scholar 

  48. Belza B, Walwick J, Shiu-Thornton S, Schwartz S, Taylor M, LoGerfo J. Older adult perspectives on physical activity and exercise: voices from multiple cultures. Prev Chronic Dis. 2004;1:A09.

    PubMed  PubMed Central  Google Scholar 

  49. Marshall AL, Owen N, Bauman AE. Mediated approaches for influencing physical activity: update of the evidence on mass media, print, telephone and website delivery of interventions. J Sci Med Sport. 2004;7:74–80.

    Article  CAS  PubMed  Google Scholar 

  50. Merrill RM, Shields EC, White GL, Jr., Druce D. Climate conditions and physical activity in the United States. Am J Health Behav. 2005;29:371–81.

    Article  PubMed  Google Scholar 

  51. Saelens BE, Handy SL. Built environment correlates of walking: a review. Med Sci Sports Exerc. 2008;40:S550–66.

    Article  PubMed  PubMed Central  Google Scholar 

  52. Frank LD, Engelke PO, Schmid TL. Health and community design: The impact of the built environment on physical activity. Washington (DC): Island; 2003.

    Google Scholar 

  53. Librett JJ, Yore MM, Schmid TL. Local ordinances that promote physical activity: a survey of municipal policies. Am J Public Health. 2003;93:1399–403.

    Article  PubMed  PubMed Central  Google Scholar 

  54. Handy SL, Cao X, Mokhtarian PL. Does self-selection explain the relationship between built environment and walking behavior? Empirical evidence from Northern California. J Am Planning Assoc. 2006;72:55–74.

    Article  Google Scholar 

  55. van Lenthe FJ, Martikainen P, Mackenbach JP. Neighbourhood inequalities in health and health-related behaviour: results of selective migration? Health Place. 2007;13:123–37.

    Article  PubMed  Google Scholar 

  56. Giles-Corti B, King A. Creating active environments across the life course: Thinking outside “the square”. Br J Sports Med. 2009;43:109–13.

    Article  CAS  PubMed  Google Scholar 

  57. Carver A, Timperio AF, Crawford DA. Neighborhood road environments and physical activity among youth: the CLAN study. J Urban Health. 2008;85:532–44.

    Article  PubMed  PubMed Central  Google Scholar 

  58. King AC, Toobert D, Ahn D, Resnicow K, Coday M, Riebe D, Garber CE, Hurtz S, Morton J, Sallis JF. Perceived environments as physical activity correlates and moderators of interventions in five studies. Am J Health Promot. 2006;21:24–35.

    Article  PubMed  Google Scholar 

  59. Waters J. Broke boomers may be forced to delay retirement. MarketWatch. 2008 May 19, 2008.

    Google Scholar 

  60. AARP. The economic turndown’s impact on middle-aged and older Americans. 2008 May, 2008.

    Google Scholar 

  61. Litwin H, Sapir EV. Forgone health care due to cost among older adults in European countries and in Israel. Eur J Ageing. 2009;6:167–76.

    Article  PubMed  PubMed Central  Google Scholar 

  62. Ball K, Timperio A, Salmon J, Giles-Corti B, Roberts R, Crawford D. Personal, social and environmental determinants of educational inequalities in walking: a multilevel study. J Epidemiol Community Health. 2007;61:108–14.

    Article  PubMed  PubMed Central  Google Scholar 

  63. Dunstan DW, Salmon J, Owen N, Armstrong T, Zimmet PZ, Welborn TA, Cameron AJ, Dwyer T, Jolley D, Shaw JE. Physical activity and television viewing in relation to risk of undiagnosed abnormal glucose metabolism in adults. Diabetes Care. 2004;27:2603–9.

    Article  PubMed  Google Scholar 

  64. Hu FB, Li TY, Colditz GA, Willett WC, Manson JE. Television watching and other sedentary behaviors in relation to risk of obesity and type 2 diabetes mellitus in women. JAMA. 2003;289:1785–91.

    Article  PubMed  Google Scholar 

  65. King AC, Goldberg JH, Salmon J, Owen N, Dunstan D, Weber D, et al. Identifying subgroups of U.S. adults at risk for prolonged television viewing to inform program development. Am J Prev Med. 2010;38:17–26.

    Article  PubMed  Google Scholar 

  66. Lee RE, King AC. Discretionary time among older adults: How do physical activity promotion interventions affect sedentary and active behaviors? Ann Behav Med. 2003;25:112–9.

    Article  PubMed  Google Scholar 

  67. Otten JJ, Jones KE, Littenberg B, Harvey-Berino J. Effects of television viewing reduction on energy intake and expenditure in overweight and obese adults: a randomized controlled trial. Arch Intern Med. 2009;169:2109–15.

    Article  PubMed  Google Scholar 

  68. Satariano WA, McAuley E. Promoting physical activity among older adults: from ecology to the individual. Am J Prev Med. 2003;25:184–92.

    Article  PubMed  Google Scholar 

  69. Hooker SP, Shoemaker W, Seavey W, Weidmer C. California Active Aging Project: Putting science into practice to promote physical activity for older adults. Gerontologist. 2000;40:260.

    Article  Google Scholar 

  70. Wilcox S, Dowda M, Leviton LC, Bartlett-Prescott J, Bazzarre T, Campbell-Voytal K, Carpenter RA, Castro CM, Dowdy D, Dunn AL, Griffin SF, Guerra M, King AC, Ory MG, Rheaume C, Tobnick J, Wegley S. Active for life: final results from the translation of two physical activity programs. Am J Prev Med. 2008;35:340–51.

    Article  PubMed  Google Scholar 

  71. Norman GJ, Zabinski MF, Adams MA, Rosenberg DE, Yaroch AL, Atienza AA. A review of eHealth interventions for physical activity and dietary behavior change. Am J Prev Med. 2007;33:336–45.

    Article  PubMed  PubMed Central  Google Scholar 

  72. King AC, Friedman R, Marcus B, Castro C, Napolitano M, Ahn D, Baker L. Ongoing physical activity advice by humans versus computers: The Community Health Advice by Telephone (CHAT) Trial. Health Psychol. 2007;26:718–27.

    Article  PubMed  Google Scholar 

  73. InsideFacebook.com. Latest data on U.S. facebook age and gender demographics. 2008; Available from: http://www.insidefacebook.com/2008/09/18/latest-data-on-us-facebook-age-and-gender-demographics.

    Google Scholar 

  74. Weiner M, Callahan CM, Tierney WM, Overhage JM, Mamlin B, Dexter PR, McDonald CJ. Using information technology to improve the health care of older adults. Ann Intern Med. 2003;139:430–6.

    Article  PubMed  Google Scholar 

  75. Kremers SP, Visscher TL, Brug J, Chin A Paw MJ, Schouten EG, Schuit AJ, Seidell JC, Van Baak MA, Van Mechelen W, Kemper HC, Kok FJ, Saris WH, Kromhout D. Netherlands research programme weight gain prevention (NHF-NRG): rationale, objectives and strategies. Eur J Clin Nutr. 2005;59:498–507.

    Article  CAS  PubMed  Google Scholar 

  76. World Bank Global ICT Department. Financing information and communication infrastructure needs in the developing world: Public and private roles. 2005.

    Book  Google Scholar 

  77. Sallis JF, Bowles HR, Bauman A, Ainsworth BE, Bull FC, Craig CL, Sjöström M, De Bourdeaudhuij I, Lefevre J, Matsudo V, Matsudo S, Macfarlane DJ, Gomez LF, Inoue S, Murase N, Volbekiene V, McLean G, Carr H, Heggebo LK, Tomten H, Bergman P. Neighborhood environments and physical activity among adults in 11 countries. Am J Prev Med. 2009;36:484–90.

    Article  PubMed  Google Scholar 

  78. Blair T, Minkler M. Participatory action research with older adults: key principles in practice. Gerontologist. 2009;49:651–62.

    Article  PubMed  Google Scholar 

  79. Minkler M, Wallerstein N, editors. Community based participatory research for health: Process to outcomes, 2nd edition. San Francisco (CA): Jossey Bass; 2008.

    Google Scholar 

  80. Snowdon W, Schultz J, Swinburn B. Problem and solution trees: a practical approach for identifying potential interventions to improve population nutrition. Health Promot Int. 2008;23:345–53.

    Article  PubMed  Google Scholar 

  81. Bornstein D, Pate RR, Pratt M. A review of the national physical activity plans of six countries. J Phys Act Health. 2009;6:S245–S64.

    Article  PubMed  Google Scholar 

  82. Pate RRE. A National Physical Activity Plan for the United States—Special Issue. J Phys Act Health. 2009;6:S157–S264.

    Article  Google Scholar 

  83. Harrison RA, Roberts C, Elton PJ. Does primary care referral to an exercise programme increase physical activity one year later? A randomized controlled trial. J Public Health. 2005;27:25–32.

    Article  Google Scholar 

  84. Kanis JA, Johnell O, Oden A, Johansson H, McCloskey E. FRAX and the assessment of fracture probability in men and women from the UK. Osteoporos Int. 2008;19:385–97.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  85. Damush TM, Stewart AL, Mills KM, King AC, Ritter PL. Prevalence and correlates of physician recommendations to exercise among older adults. J Gerontol A Biol Sci Med Sci. 1999;54A:M423–M7.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Health Research & Policy, and Stanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, 259 Campus Drive, HRP Redwood Building, T221, Stanford, CA, 94305-5405, USA

    Abby C. King PhD

  2. Institute for Health Research, Kaiser Permanente, Denver, CO, USA

    Diane K. King PhD

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Recommended Citation: King A, King D. Physical Activity for an Aging Population. Public Health Reviews. 2010;32:401–26.

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King, A.C., King, D.K. Physical Activity for an Aging Population. Public Health Rev 32, 401–426 (2010). https://doi.org/10.1007/BF03391609

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