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Associations among Physician Advice, Physical Activity, and Socio-demographic Groups in Older Spanish Adults*

Published online by Cambridge University Press:  25 July 2012

María Martín Rodríguez ,
Jesús Martínez del Castillo ,
José Antonio Serrano Sánchez ,
José Emilio Jiménez-Beatty Navarro ,
José Antonio Santacruz  and
Antonio Rivero Herráiz
María Martín Rodríguez
Affiliation:
Polytechnic University of Madrid, Spain
Jesús Martínez del Castillo*
Affiliation:
Polytechnic University of Madrid, Spain
José Antonio Serrano Sánchez
Affiliation:
Las Palmas University, Spain
José Emilio Jiménez-Beatty Navarro
Affiliation:
Alcalá University, Spain
José Antonio Santacruz
Affiliation:
Alcalá University, Spain
Antonio Rivero Herráiz
Affiliation:
Polytechnic University of Madrid, Spain
*
†Correspondence and requests for offprints should be sent to / La correspondance et les demandes de tirés-à-part doivent être adressées à: Jesús Martínez del Castillo, Ph.D. Department of Physical Activity and Social Sciences 7 Martín Fierro Polytechnic University of Madrid Madrid, Spain 28040 ([email protected])
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Abstract

This study examined the relationship between medical advice to engage in physical activity with type of demand required by physical activity and demographic variables. A cross-sectional study was developed, featuring a questionnaire on physicians’ advice, and type of demand. The questionnaire was completed by a probability and nationwide sample of older adults in Spain (n = 933, M = 74.1, range 65–93), randomly selected using multistage sampling. More physically active older adults have, more often than the less active, received physicians’ advice to engage in physical activity. There is a significant relationship between medical advice and type of demand (p < .01) and age (p < .05). However, no relationship was found between physician medical advice and gender, social class, or income. Physicians can effectively promote physical activity among sedentary older adults through appropriate advice. Consequently, health authorities should promote physicians’ advising older patients to pursue physical activity.

Résumé

Cette étude a examiné la relation entre l’avis médicale pour s’engager dans ld’activité physique avec, le type de demande d’activité physique et les variables démographiques. Une étude transversale a été élaborécréé. Un questionnaire avec des items sur l’avis médicale, le niveau de demande pour l’activité physique, et les variables démographiques a été complété par une échantillon national de personnes âgées en Espagne (N = 933, M = 74,1, range de 65 à 93), sélectionnées de manière aléatoire à plusieurs étapes. Les personnes âgées actifs actives physiquement ont plus souvent reçu des avis médicale médicaux à la pratiquepour s’engager dans ld’activité physique que les personnes non activefs. Il existe une relation significative entre l’avis médicale et le type de demande (p <.01) et l’âge (p <.05). Cependant, aucune relation n’a été trouvée déterminée entre l’avis médicale d’activité physique et le sexe, la classe sociale, ou le revenu. Les médécins peuvent effectivement favoriserencourager l’activité physique chez les adultes âgés sédentaires par des conseils d’activité physiqueavec un résultat efficace. Donc, les autorités sanitaires devraient promouvoir encourager aux médécins de conseiller à leurs patients plus âgés de s’engager dans l’activité physiqueles conseils médicaux de l’activité physique à leurs patients âgés.

Keywords

personnes âgées espagnolesactivité physiqueavis médicaleétude transversaleSpanish older adultsphysical activityphysician advicecross-sectional study
Type
Research Notes
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 31 , Issue 3 , September 2012 , pp. 349 - 356
Copyright
Copyright © Canadian Association on Gerontology 2012

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Footnotes

*

We thank the research participants for their cooperation. We received support for research, and/or authorship of this article, through work supported by the Ministry of Education and Science (Spain) and European Regional Development Fund (ERDF) European funds (National Research Plan I+D+i DEP2005-00161-C03); aid to support research and development lines of research groups at the Polytechnic University of Madrid (UPM05-C-11 203); and Aid for Research Projects University of Alcalá.

References

Agrawal, Y., Carey, J.P., Della Santina, C.C., Schubert, M.C., & Minor, L.B. (2009). Disorders of balance and vestibular function in US adults: Data from the National Health and Nutrition Examination Survey, 2001-2004. Archives of Internal Medicine, 169, 938–944.CrossRefGoogle ScholarPubMed
Balde, A., Figueras, J., Hawking, D.A., & Miller, J.R. (2003). Physician advice to the elderly about physical activity. Journal of Aging and Physical Activity, 11(1), 90–97.CrossRefGoogle Scholar
Boyce, C.J., Brown, G.D., & Moore, S.C. (2011). Money and happiness: Rank of income, not income, affects life satisfaction. Psychological Science, 2, 471–475.Google Scholar
Burt, V.L., Cutler, J.A., Higgins, M., Horan, M.J., Labarthe, D., Whelton, P., et al. . (1995). Trends in the prevalence, awareness, treatment, and control of hypertension in the adult US population. Data from the health examination surveys, 1960 to 1991. Hypertension, 26, 60–69.CrossRefGoogle ScholarPubMed
Bryman, A. (2004). Social research methods. New York: Oxford University Press.Google Scholar
Carlsson, S., Andersson, T., Wolk, A., & Ahlbom, A. (2006). Low physical activity and mortality in women: Baseline lifestyle and health as alternative explanations. Scandinavian Journal of Public Health, 34(5), 480–487.CrossRefGoogle ScholarPubMed
Desai, M.M., Zhang, P., & Hennessy, C.H. (1999). Surveillance for morbidity and mortality among older adults – United States, 1995-1996. Morbidity and Mortality Weekly Report, CDC, 48(8), 7–25.Google ScholarPubMed
Florindo, A.A., Guimaraes, V.V., Cesar, C.L., Barros, M.B., Alves, M.C., & Goldbaum, M. (2009). Epidemiology of leisure, transportation, occupational, and household physical activity: Prevalence and associated factors. Journal of Physical Activity and Health, 6(5), 625–632.CrossRefGoogle ScholarPubMed
Franco, O.H., de Laet, C., Peeters, A., Jonker, J., Mackenbach, J., & Nusselder, W. (2005). Effects of physical activity on life expectancy with cardiovascular disease. Archives of Internal Medicine, 165(20), 2355–2360.CrossRefGoogle ScholarPubMed
Glasgow, R.E., Eakin, E.G., Fisher, E.B., Bacak, S.J., & Brownson, R.C. (2001). Physician advice and support for physical activity: Results from a national survey. American Journal of Preventive Medicine, 21, 189–196.CrossRefGoogle ScholarPubMed
Grandes, G., Sanchez, A., Sanchez-Pinilla, R.O., Torcal, J., Montoya, I., Lizarraga, K., et al. . (2009). Effectiveness of physical activity advice and prescription by physicians in routine primary care: A cluster randomized trial. Archives of Internal Medicine, 169(7), 694–701.CrossRefGoogle ScholarPubMed
Halvorson, R. (2009). Doctors don’t heed own advice. IDEA Fitness Journal, 6(4), 13.Google Scholar
Hirvensalo, M., Heikkinen, E., Lintunen, T., & Rantanen, T. (2005). Recommendations for and warnings against physical activity given to older people by health care professionals. Preventive Medicine, 41(1), 342–347.CrossRefGoogle ScholarPubMed
Instituto de Mayores y Servicios Sociales. (2009). Las personas mayores en España. Informe 2008 [Older persons in Spain. Report 2008]. Madrid, Spain: Ministerio de Sanidad y Política Social.Google Scholar
Jiménez-Beatty Navarro, J.E., Graupera, J.L., Martínez del Castillo, J., Martín, M., & Campos, A. (2007). Motivational factors and physician advice for physical activity in older urban adults. Journal of Aging and Physical Activity, 15(3), 241–256.CrossRefGoogle ScholarPubMed
Kemmlert, K., & Lundholm, L. (2001). Slips, trips and falls in different work groups – with reference to age and from a preventive perspective. Applied Ergonomics, 32, 149–153.CrossRefGoogle ScholarPubMed
Kruger, J., Ham, S.A., & Sanker, S. (2008). Physical inactivity during leisure time among older adults – Behavioral Risk Factor Surveillance System, 2005. Journal of Aging and Physical Activity, 16(3), 280–291.CrossRefGoogle ScholarPubMed
Liu, W.M., Ali, S.R., Soleck, G., Hopps, J., Dunston, K., & Pickett, T. Jr. (2004). Using social class in counseling psychology research. Journal of Counseling Psychology, 51, 3–18.CrossRefGoogle Scholar
Maly, M.R., Costigan, P.A., & Olney, S.J. (2007). Self-efficacy mediates walking performance in older adults with knee osteoarthritis. Journal of Gerontology, 62(10), 1142–1146.Google ScholarPubMed
Martínez del Castillo, J., Rodríguez, M.L., Jiménez-Beatty, J.E., & Graupera, J.L. (2005). Influencia de la educación física escolar en la práctica de actividad física en la vejez. [The physical education influence in primary school on the practice of physical activity in old age]. Motricidad. European Journal of Human Movement, 13, 71–86.Google Scholar
Martinson, B.C., Crain, A.L., Pronk, N.P., O’Connor, P.J., & Maciosek, M.V. (2003). Changes in physical activity and short-term changes in health care charges: A prospective cohort study of older adults. Preventive Medicine, 37, 319–326.CrossRefGoogle ScholarPubMed
Mills, K.M., Stewart, A.L., McLellan, B.Y., Verboncoeur, C.J., King, A.C., & Brown, B.W. (2001). Evaluation of enrollment bias in a physical activity promotion program for seniors. Journal of Aging and Physical Activity, 9(4), 398–413.CrossRefGoogle Scholar
Musha, H. (2008). Decision for allowing patients with heart disease to participate in sports. Japanese Journal of Clinical Sports Medicine, 16(2), 146–152.Google Scholar
Nelson, M.E., Rejeski, W.J., Blair, S.N., Duncan, P.W., Judge, J.O., King, A. C., et al. . (2007). Physical activity and public health in older adults: Recommendation from the American College of Sports Medicine and the American Heart Association. Circulation, 116(9), 1094–1105.Google Scholar
Nied, R.J., & Franklin, B. (2002). Promoting and prescribing exercise for the elderly. American Family Physician, 65(3), 419–426.Google ScholarPubMed
Nkomo, V.T., Gardin, J.M., Skelton, T.N., Gottdiener, J.S., Scott, C.G., & Enriquez-Sarano, M. (2006). Burden of valvular heart diseases: A population-based study. Lancet, 368(9540), 1005–1011.CrossRefGoogle ScholarPubMed
Ostrove, J.M., Adler, N.E., Kuppermann, M., & Washington, A.E. (2000). Objective and subjective assessments of socioeconomic status and their relationship to self-rated health in an ethnically diverse sample of pregnant women. Health Psychology, 19, 613–618.CrossRefGoogle Scholar
Panel on Prevention of Falls in Older Persons. (2010). Summary of the Updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons. Journal of American Geriatric Society, 59(1), 148–157.Google Scholar
Pfeiffer, B.A., Clay, S.W., & Conatser, R.R. (2001). A green prescription study: does written exercise prescribed by a physician result in increased physical activity among older adults? Journal of Aging and Health, 13(4), 527–538.CrossRefGoogle Scholar
Rhodes, R.E., Martin, A.D., Taunton, J.E., Rhodes, E.C., Donnelly, M., & Elliot, J. (1999). Factors associated with exercise adherence among older adults: an individual perspective. Sports Medicine, 28(6), 397–411.CrossRefGoogle ScholarPubMed
Roudsari, B.S., Ebel, B.E., Corso, P.S., Molinari, N.A., & Koepsell, T.D. (2005). The acute medical care costs of fall-related injuries among the U.S. older adults. Injury, 36(11), 1316–1322.CrossRefGoogle ScholarPubMed
Rushford, N., Murphy, B.M., Worcester, M.U., Goble, A.J., Higgins, R.O., Le Grande, M.R., et al. . (2007). Recall of information received in hospital by female cardiac patients. European Journal of Cardiovascular Prevention and Rehabilitation, 14(3), 463–469.CrossRefGoogle ScholarPubMed
Saez, T., Suarez, C., Blanco, F., & Gabriel, R. (1998). Epidemiology of cardiovascular diseases in the Spanish elderly population. Revista Española de Cardiologia, 51, 864–873.Google ScholarPubMed
Shaw, B.A., & Spokane, L. (2008). Examining the association between education-level and physical activity changes during early old age. Journal of Aging and Health, 20, 767–787.CrossRefGoogle ScholarPubMed
Sheppard, L., Senior, J., Park, C.H., Mockenhaupt, R., & Chodzko-Zajko, W. (2003). Strategic priorities for increasing physical activity among adults age 50 and older: The National Blueprint Consensus Conference summary report. Journal of Aging and Physical Activity, 11(3), 286–292.CrossRefGoogle Scholar
Shephard, R.J. (2000). For debate: Medical clearance: A possible inhibitor of physical activity in the elderly? Trends in Canadian thought. Science and Sports, 15(4), 207–211.CrossRefGoogle Scholar
Singh-Manoux, A., Adler, N.E., & Marmot, M.G. (2003). Subjective social status: its determinants and its association with measures of ill-health in the Whitehall II study. Social Science & Medicine, 56, 1321–1333.CrossRefGoogle ScholarPubMed
Stephens, T., & Craig, C.L. (1990). The well-being of Canadians: Highlights of the 1988 Campbell’s Soup survey. Ottawa, Ontario, Canada: Canadian Fitness and Lifestyle Research Institute.Google Scholar
Taylor, A.H., Cable, N.T., Faulkner, G., Hillsdon, M., Narici, M., & Van Der Bij, A.K. (2004). Physical activity and older adults: a review of health benefits and the effectiveness of interventions. Journal of Sport Science, 22(8), 703–725.CrossRefGoogle ScholarPubMed
Umstattd, M.R., Wilcox, S., Saunders, R., Watkins, K., & Dowda, M. (2008). Self-regulation and physical activity: the relationship in older adults. American Journal of Health Behavior, 32(2), 115–124.CrossRefGoogle ScholarPubMed
Vaqué-Rafart, J., & San José-Laporte, A. (2002). Envejecimiento: problemas que plantea y soluciones adoptadas [Aging: problems and adopted solutions]. In Piédrola Gil, G. (Ed.), Medicina Preventiva y salud pública [Preventive Medicine and Public Heath] (pp. 867–886). Barcelona, Spain: Masson.Google Scholar
World Health Organization. (2004). Global Strategy on Diet, Physical Activity and Health. Geneva, Switzerland: WHO.Google Scholar
Zhao, G., Ford, E.S., Li, C., & Balluz, L.S. (2011). Physical activity in U.S. older adults with diabetes mellitus: Prevalence and correlates of meeting physical activity recommendations. Journal of American Geriatric Society, 59(1), 132–137.CrossRefGoogle ScholarPubMed