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首页> 外文期刊>International Journal of Environmental Research and Public Health >Do Older Adults with Multimorbidity Meet the Recommended Levels of Physical Activity? An Analysis of Scottish Health Survey
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Do Older Adults with Multimorbidity Meet the Recommended Levels of Physical Activity? An Analysis of Scottish Health Survey

机译：患有多发病的老年人是否达到建议的体育锻炼水平？苏格兰健康调查分析

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摘要

There is a positive association between physical activity (PA) and improved health in older adults. The objective of this study was to assess the prevalence and determinants of meeting recommended levels of PA among older adults with multimorbidity. Data has been derived from the nationally representative Scottish Health Surveys (2014–2017). A sub-sample of 2230 older adults (aged 65+) with multimorbidity were the study participants. Physical activity was evaluated using current recommended guidelines. Overall, 32.3% of the participants met the recommended levels of PA. Independent predictors of meeting the recommended levels of PA include male gender [odds ratio (OR) 2.00 (95% confidence interval (CI) 1.58–2.54)], living in the least deprived areas [OR 1.79 (95% CI 1.20–2.69)]; being a non-smoker [OR 2.22 (95% CI 1.48–3. 34)]. Also, meeting recommended PA decreased with age [OR 0.92 (95% CI 0.90–0.94)] and body mass index [OR 0.93 (95% CI 0.91–0.95]; but increased per additional portion of fruit and vegetables taken [OR 1.19 (95% CI 1.12–1.25)] and with increase in well-being scale score [OR 1.05 (95% CI 1.03 to 1.06)]. Adherence to PA guidelines seems to be more related to age, BMI, gender (i.e. higher PA adherence in men vs. women), social support (i.e. social deprivation), dietary habits (i.e. fruit and vegetable intake) and social isolation among the elderly. In the one-third of older population, adherence to PA was associated to better mental health. Therefore, adaptation of PA guideline to suit theses determinants factors would reduce the gap difference among older adults with multimorbidity and enhance their mental well-being.
机译：老年人的体育活动（PA）与健康状况改善之间存在正相关关系。这项研究的目的是评估患有多种疾病的成年人中达到推荐的PA水平的患病率和决定因素。数据来自全国代表性的苏格兰健康调查（2014-2017年）。研究参与者为2230名多发病的老年人（65岁以上）的子样本。使用当前推荐的指南评估了身体活动。总体而言，32.3％的参与者达到了建议的PA水平。达到建议的PA水平的独立预测因子包括生活在最贫困地区的男性性别[优势比（OR）2.00（95％置信区间（CI）1.58–2.54）] [OR 1.79（95％CI 1.20–2.69） ];是不吸烟者[OR 2.22（95％CI 1.48–3。34）]。此外，达到推荐的PA随年龄[OR 0.92（95％CI 0.90–0.94）]和体重指数[OR 0.93（95％CI 0.91–0.95）]而降低;但是每摄取水果和蔬菜的比例增加[OR 1.19（ 95％CI 1.12–1.25）]和​​幸福感评分得分的提高[OR 1.05（95％CI 1.03至1.06）]。遵守PA准则似乎与年龄，BMI，性别（即更高的PA依从性）相关男性与女性之间），社会支持（即社会剥夺），饮食习惯（即水果和蔬菜摄入量）和老年人的社会隔离;三分之一的老年人口中，遵守PA与改善心理健康有关。因此，调整PA指南以适应这些决定因素将减少患有多种疾病的老年人之间的差异，并提高他们的心理健康。

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