Barriers to the involvement of the elderly in public services to promote physical activity

Ribeiro, Renato Mendonça; Tribess, Sheilla; Santos, Andrêza Soares dos; Pinto, Lélia Lessa Teixeira; Ribeiro, Maria da Conceição Lopes; Roza, Liliane Beatriz; Virtuoso Júnior, Jair Sindra

doi:10.1590/1413-81232015203.03702014

Acessibilidade / Reportar erro

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Article • Ciênc. saúde coletiva 20 (3) • Mar 2015 • https://doi.org/10.1590/1413-81232015203.03702014 copy

Barriers to the involvement of the elderly in public services to promote physical activity

Authorship SCIMAGO INSTITUTIONS RANKINGS

The aim of this study was to examine the sociodemographic, health and behavioural characteristics related to non-participation of elderly people in activities offered by the program PROETI Health of Uberaba, Minas Gerais state. Observational study, case-control design with pairing 1:1 and sample composed of 220 elderly 60-80 years. Binary Logistic Regression was used to identify the sociodemographic, health and behavioral factors associated with non-engagement of non-users to the program. After hierarchical analysis, the non-engagement of the elderly in the program activities was associated with depressive symptoms, insufficient physical activity in the domain of leisure and reduced self-efficacy for performing moderate or vigorous physical activity. The characteristics identified in this study should receive priority attention in the formulation of community programs targeted at promoting physical activity for elderly people.

Motor activity; Health promotion; Health services for the elderly

	Case
Variable	%	N	%	N	p^*

Age Group					0.585
60-69 years	71.8	79	70.9	78
70-79 years	27.3	30	29.1	32
≥ 80 years	0.9	1	0	0
Marital Status					0.338
Single	9.1	10	10	11
Married/living with a partner	50	55	40	44
Widowed	28.2	31	39.1	43
Divorced or separated	12.7	14	10.9	12
People in the same residence					0.04
Lives alone	17.3	19	19.1	21
Spouse only	25.5	28	14.5	16
+ children	31.8	35	25.5	28
+ grandchildren	14.5	16	30	33
Others	10.9	12	10.9	12
Educational level					0.018
Illiterate	6.4	7	10	11
1-2 years	14.5	16	28.2	31
≥ 3 years	79.1	87	61.8	68
Socioeconomic Level					0.01
Classes A and B	25.5	28	10	11
Class C	46.4	51	53.6	59
Classes D and E	28.2	31	36.4	40

	Case
Variables	%	N	%	N	p

Health Perception					0.01^*
Positive	50.9	56	30	33
Negative	49.1	54	70	77
Sleep quality (sleeps well)					0.05^*
Positive	65.5	72	53.6	59
Negative	34.5	38	46.4	51
Medicines consumed					0.024^**
≤ 1	27.3	30	20.9	23
2-4	53.6	59	43.6	48
> 4	19.1	21	35.5	39
Cognitive decline
Absence	75.5	83	62.7	69	0.029^*
Presence	24.5	27	37.3	41
Depressive symptoms					0.000^*
Absence	85.5	94	57.3	63
Presence	14.5	16	42.7	47
BADL					0.116^*
Independent	90	99	83.6	92
Dependent	10	11	16.4	18
IADL					0.002^*
Independent	89.1	98	72.7	80
Dependent	10.9	12	27.3	30

	Case
Variables	%	N	%	N	p^*

Smoker					0.412
No	71.8	79	61.8	68
Yes	28.2	31	38.2	42
Alcohol consumption					0.484
No	73.4	80	74.5	82
Yes	26.6	29	25.5	28
Self-esteem					0.003
High	66.4	73	47.3	52
Low to moderate	33.6	37	52.7	58
Self-efficacy (walking)					0.000
High	47.3	52	17.3	19
Low to moderate	52.7	58	82.7	91
Self-efficacy (moderate to vigorous					0.000
physical activity)
High	77.3	85	15.5	17
Low to moderate	22.7	25	84.5	93

			Non-members of the Proeti Health Program

Variables	Prevalence		Crude Analysis			Multivariate Analysis^**
Variables	Prevalence		OR (95% IC)	Wald
	%		OR (95% IC)	Wald		OR (95% CI)	p^*
Block 1 Socio-demographic aspects
Socioeconomic class				8.58			1.35
A, B	28.2	1			1
C	53.6	2.94 [1.33-6.50]			2.03 [0.61-6.76]
D, E	56.3	3.28 [1.41-7.61]			1.65 [0.46-5.88]
Block 2 Functional and clinical aspects
of health^*
Health Perception				9.80
Positive	37.1	1			1
Negative	58.8	2.42 [1.39-4.20]
Labyrinthitis				6.94			0.60
No	43	1			1
Yes	62.7	2.15 [1.21-3.82]			1.55 [0.64-3.7]
Sleep quality (sleeps well)				6.25
Always	46.3	1
Almost always	22.3	0.86 [0.42-1.77]
Sometimes	25.5	1.15 [0.58-2.28]
Never/rarely	15	2.66 [1.12-6.29]
Medications				7.27
< 2	43.4	1
2-4	44.9	1.06 [0.54-2.06]
> 4	65	2.42 [1.13-5.17]
Cognitive decline				4.12
Absence	45.4	1
Presence	60.3	1.82 [1.02-3.26]
Depressive symptoms				19.8			7.28
Absence	40.1	1			1
Presence	74.6	4.38 [2.28-8.40]			3.50 [1.40-8.69]
IADLs^a				8.98
Independent	44.9	1
Dependent	71.4	3.06 [1.47-6.36]
Block 3 Behavioral Aspects^**
Self-esteem				8.05
Positive	41.6	1
Negative	61.1	2.20 [1.27-3.79]
Physical activity during leisure time				53.88			31.48
≥ 150 min/week	16.3	1			1
< 150 min/week	71.6	12.9 [6.55-25.7]			12.8-[5.26-31.3]
Self-efficacy (walking)				21.21
Positive	26.8	1
Negative	61.1	4.3 [2.31-7.98]
Self-efficacy (moderate/vigorous				70.42			41.61
physical activity)
High	16.7	1			1
Low	78.8	18.6 [9.39-36.8]			15.5 [6.76-35.8]

ABRASCO - Associação Brasileira de Saúde Coletiva Av. Brasil, 4036 - sala 700 Manguinhos, 21040-361 Rio de Janeiro RJ - Brazil, Tel.: +55 21 3882-9153 / 3882-9151 - Rio de Janeiro - RJ - Brazil
E-mail: cienciasaudecoletiva@fiocruz.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] ContributorsRM Ribeiro and JS Virtuoso Junior conceived and designed the study, analyzed and interpreted the data, wrote and critically reviewed the manuscript, and approved the version to be published. S Tribess, AS Santos, LLT Pinto, MCL Ribeiro, LB Roza participated in the writing and critical review of the manuscript and approved the version to be published