Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-26T23:01:38.745Z Has data issue: false hasContentIssue false

Measuring Physical Activity in the Elderly: Some Implications for Nutrition

Published online by Cambridge University Press:  29 November 2010

Roy J. Shephard
Affiliation:
University of Toronto

Abstract

The possibility of measuring human activity patterns is discussed in terms of data obtained by attitude assessment, activity questionnaires, personal monitoring devices and fitness assessment. Specific problems are noted in applying these several techniques to elderly populations. Attitude assessments indicate the intention to exercise, and practical barriers may limit the translation of intention into overt behaviour. Questionnaires are open to exaggeration, but nevertheless remain the most practical method of evaluating large populations. Personal monitors can only be applied to small samples, but may nevertheless be helpful in improving questionnaire design. Fitness tests raise concerns of safety, and seem likely to bias population sampling towards the active elderly; scores are also influenced more by inherited factors than by current activity. Activity measurements seem unlikely to yield more than a crude estimate of total dietary needs in a population, but they may nevertheless help to identify a subset of old people where detailed nutritional examination is particularly cost-effective. The accurate determination of activity patterns will also have value as a means of encouraging the elderly to adopt an active lifestyle, maximizing their physical potential.

Résumé

Les méthodes possibles de mesurer l'activité physique comprennent une évaluation d'attitude, le complètement des questionnaires, l'utilisation des moniteurs personnels et la détermination de capacité physique. L'évaluation des sujets âgés présente quelques problèmes spécifiques. L'attitudé face à l'activité physique indique l'intention de l'individu de faire l'exercice, mais quelques barrières pratiques peuvent limiter l'expression de cette intention. Un questionnaire reste ouvert à une tendance d'exagérer l'activité physique, mais néanmoins, cela semble la façon la plus pratique d'évaluer une population importante. L'application des moniteurs personnels se limite aux échantillons assez limités, mais cette technologie peut apporter l'information conduisante à une amélioration progressive des questionnaires. Des épreuves de capacité physique sont influencées par les facteurs génétiques et peuvent favoriser un selectionnement de sujets actifs. Les mesures directes d'activité physique manquent de précision, mais peuvent identifier quelques sujets qui méritent une évaluation nutritive détaillée. Le développement des méthodes d'évaluation de l'activité physique peut enfin encourager une augmentation de l'activité habituelle de la part des sujets âgés.

Type
Articles
Copyright
Copyright © Canadian Association on Gerontology 1990

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ainsworth, B., McNally, C., Richardson, M., Ruffin, M., Cook, T., Jacobs, D., Serfass, R.C. and Leon, A.S. (1988). Validity of the Paffenbarger college alumni physical activity questionnaire. Medicine and Science in Sports and Exercise 20: S43.Google Scholar
Ajzen, I. and Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Englewood Cliffs N.J.: Prentice Hall.Google Scholar
Andersen, K.L., Masironi, R., Rutenfranz, J. and Seliger, V. (1978). Habitual physical activity and health. WHO Regional Publications, European Series, Number 6. Copenhagen: World Health Organisation.Google Scholar
Bailey, D.A., Shephard, R.J., Mirwald, R.L. and McBride, G.A. (1974). Current view of Canadian cardio-respiratory fitness. Canadian Medical Association Journal 111: 2530.Google Scholar
Bandura, A. (1977). Social learning theory. Englewood N.J.: Prentice Hall.Google Scholar
Becker, M.H., Haefner, D.P., Kasl, S.V., Kirscht, J.P., Maiman, L.A. and Rosenstock, I.M. (1977). Selected Psychosocial models and correlates of individual health-related behaviors. Medical Care 15: Suppl. 2746.Google ScholarPubMed
Blair, S.N. (1988). Exercise, health and longevity. In: Lamb, D.R. and Murray, R. (Eds.). Perspectives in exercise science and sports medicine. Vol. I. Prolonged exercise. Indianapolis: Benchmark Press, pp. 443488.Google Scholar
Blair, S.N., Brill, P.A. and Krohl, H.W. (1989). Physical activity patterns in older individuals. Am. J. Clin. Nutr. In Press.Google Scholar
Block, G. and Hartman, A.M. (1989). Issues in reproducibility and validity of dietary studies. American Journal of Clinical Nutrition 50: 11331138.CrossRefGoogle ScholarPubMed
Bouchard, C., Shephard, R.J., Stephens, T., Sutton, J.R. and McPherson, B. (1989). Exercise, fitness and health — the consensus statement. Can. J. Spt. Sci. Suppl. 2 1S31S.Google Scholar
Cunningham, D.A., Rechnitzer, P.A. and Donner, A. (1986). Exercise, training and the speed of self-selected walking pace in retirement. Can. J. Aging 5: 1926.CrossRefGoogle Scholar
Department of Health and Human Services (1981). Disability Survey 72. Res. Rep. 56. Washington D.C.: US Dept of Health and Human Services.Google Scholar
Dishman, R.K. and Steinhardt, M. (1988). Reliability and concurrent validity for a 7-d recall of physical activity in college students. Medicine and Science in Exercise and Sports 20: 1425.CrossRefGoogle ScholarPubMed
Durnin, J.V.G.A. and Passmore, R. (1967). Energy, work and leisure. London: Hei-nemann.Google Scholar
Edholm, O.G. (1977). Energy balance in man. Journal of Human Nutrition 31: 413431.Google ScholarPubMed
Evans, A.J., Altman, D., Flora, J. and Haskell, W.L. (1988). Validation of self-reported physical activity. Medicine and Science in Sports and Exercise 20: S43.Google Scholar
Ferro-Luzzi, A. (1982). Meaning and constraints of energy-intake studies in free-living populations. In: Harrison, G.A. Energy and effort. London: Taylor & Francis, pp. 115137.Google Scholar
Godin, G. and Shephard, R.J. (1985a). A simple method to assess exercise behavior in the community. Canadian Journal of Applied Sport Sciences 10: 141146.Google ScholarPubMed
Godin, G. and Shephard, R.J. (1985b). Intentions to exercise among spouses — a study of the cognitive relationships. Canadian Journal of Applied Sport Sciences 10: 3643.Google Scholar
Godin, G. and Shephard, R.J. (1989). An evaluation of the potential role of the physician in influencing community exercise behavior. American Journal of Health Promotion, In Press.Google Scholar
Godin, G., Shephard, R.J. and Colantonio, A. (1986). The cognitive profile of those who intend to exercise but do not. Public Health Reports 101: 521526.Google ScholarPubMed
Godin, G., Valois, P., Shephard, R.J. and Desharnais, R. (1987) Prediction of leisure-time exercise behavior. A path analysis (Lisrel V) model. Journal of Behavioral Medicine 10: 145158.Google ScholarPubMed
Harris, T.B. (1989). The NHANES surveys: where we have been and where are we going? American Journal of Clinical Nutrition, In Press.Google Scholar
Hegsted, D.M. (1988). Recommended dietary needs in the elderly. American Journal of Clinical Nutrition. In Press.Google Scholar
Heikkinen, E. (1979). Normal Aging. Definition, problems and relation to physical activity. In: Recent advances in gerontology. Eds.: Orimo, H., Shimada, K., Iriki, M. & Maeda, D.. Amsterdam: Excerpta Medica, pp. 501503.Google Scholar
Hervey, G.R. and Tobin, G. (1983). Luxuskonsumption, diet-induced thermogenesis — a critical review. Clinical Science 64: 718.CrossRefGoogle ScholarPubMed
Holdstock, D.J., Misiewicz, J.J., Smith, T. and Rowlands, E.N. (1970). Propulsion (mass movements) in the human colon and its relationship to meals and somatic activity. Gut 11: 9199.Google ScholarPubMed
Howell, J.W., Byrnes, W.C., Foster, V.L., Lynch, W.D. and Dickinson, A.L. (1988). Comparison of 7-day activity recall by survey/interview. Medicine and Science in Sports and Exercise. 20: S43.Google Scholar
Humphrey, S.J.E. and Wolff, H.S. (1977). The oxylog. Journal of Physiology 267: 12P.Google ScholarPubMed
Jenkins, R.R. (1988). Free radical chemistry: Relationship to exercise. Sports Medicine 5: 156170.CrossRefGoogle ScholarPubMed
Kannel, W.B. and Gordon, T. (1974). Obesity and cardiovascular disease: The Framingham study. In: Burland, W., Samuel, P., Yudkin, J.Obesity. London: Churchill-Livingstone, pp. 2451.Google Scholar
Klein, P.D., James, W.P., Wong, W.W., Irving, C.S., Murgatroyd, P.R., Cabrera, M., Dalloso, H.M., Klein, E.R. and Nichols, B.L. (1984). Calorimetric validation of the double-labeled water method for estimation of energy expenditure in man. Human Nutrition. Clinical Nutrition. 38: 95106.Google Scholar
Kofranyi, E. and Michaelis, H.F. (1949). Ein tragbarer Apparat zur Bestimmung des Gassoffwechsels. Arbeitsphysiologie 11: 148150.Google Scholar
Kohl, H.W., Blair, S.N., Paffenbarger, R.S., Macera, C.A. and Kronenfeld, J.J. (1988). A mail survey of physical activity habits as related to measured physical fitness. American Journal of Epidemiology 127: 12281239.CrossRefGoogle ScholarPubMed
Laporte, R.E., Montoye, H.J. and Caspersen, C.J. (1985). Assessment of physical activity in epidemiological research: problems and prospects. Public Health Reports. 100: 131146.Google Scholar
Lowenstein, F.W. (1986). Nutritional requirements of the elderly. In: Young, E.A.Nutrition, aging, and health. New York: A.R. Liss, pp. 6189.Google Scholar
Metropolitan Life Insurance (1983). Metropolitan height and weight tables. Statistical Bulletin, Metropolitan Life Insurance Company 64: 2.Google Scholar
Montoye, H.J. (1975). Physical activity and health: an epidemiologic study of an entire community. Englewood Cliffs N.J.: Prentice Hall.Google Scholar
Montoye, H.J. and Taylor, H.L. (1984). Measurement of physical activity in population studies: A review. Human Biology 56: 195216.Google ScholarPubMed
Morris, J.N., Everitt, M.G., Pollard, R, Chave, S.P.W. and Semmence, A.M. (1980). Vigorous exercise in leisure time: protection against coronary heart disease. Lancet (ii) 12071210.CrossRefGoogle Scholar
Niinimaa, V. and Shephard, R.J. (1978). Training and oxygen conductance in the elderly. II. The cardiovascular system. Journal of Gerontology 33: 362367.CrossRefGoogle ScholarPubMed
Paffenbarger, R.S., Hyde, R.T., Wing, A.L. and Hsieh, C.C. (1986). Physical activity, all-cause mortality and longevity of college alumni. New England Journal of Medicine 314: 605613.CrossRefGoogle ScholarPubMed
Powell, K.E. (1985). 1990 Physical fitness and exercise objectives. Summary of current status and recommendations for 2000. Washington, D.C.: President's Council for Physical Fitness and Sports.Google Scholar
Riddle, P.K. (1980). Attitudes, beliefs, behavioral intentions and behaviors of women and men toward regular jogging. Research Quarterly 51: 663674.Google ScholarPubMed
Rokeach, M. (1968). Beliefs, attitudes and values. San Francisco: Jossey-Bass.Google Scholar
Rothwell, N.J. and Stock, M.J. (1983). Luxuskonsumption, diet-induced thermogenesis. The case in favour. Clinical Science 64: 1923.CrossRefGoogle ScholarPubMed
Rotter, J.B. (1975). Some problems and misconceptions related to the construct validity of internal versus external control of reinforcement. Journal of Consulting and Clinical Psychology 43: 5667.CrossRefGoogle Scholar
Sallis, J.F., Haskell, W.L., Wood, P.D., Fortmann, S.P., Rogers, T., Blair, S.N. and Paffenbarger, R.S. (1985). Physical activity assessment methodology in the Five-City Project. American Journal of Epidemiology 121: 91106.CrossRefGoogle ScholarPubMed
Segal, K.R. and Gutin, B. (1983). Thermic effect of food and exercise in lean and obese women. Metabolism 32: 581589.CrossRefGoogle ScholarPubMed
Shephard, R.J. (1977). Endurance Fitness (2nd Ed.).Toronto: University of Toronto Press.Google Scholar
Shephard, R.J. (1981). Ischemic heart disease and exercise. London: Croom Helm.Google Scholar
Shephard, R.J. (1982). Physiology and Biochemistry of Exercise. New York: Praeger.Google Scholar
Shephard, R.J. (1986a). Fitness of a nation: Lessons from the Canada Fitness Survey. Basel: Karger.Google Scholar
Shephard, R.J. (1986b). Nutrition and physiology of aging. In: Nutrition, aging and health. Ed.: Young, E.A.. New York: Liss, pp. 124.Google Scholar
Shephard, R.J. (1987). Physical activity and aging (2nd Ed.). London: Croom Helm.Google Scholar
Shephard, R.J. (1988a). The aging of cardiovascular function. In: Academy Papers, Ed. Eckert, H. & Spirduso, W.. Champaign, Ill.: Human Kinetics Publishers.Google Scholar
Shephard, R.J. (1988b). Fitness boom or bust - a Canadian perspective. Res. Quart. 59: 265270.Google Scholar
Shephard, R.J.(1990). Body composition in biological anthropology. London: Cambridge University Press, In Press.Google Scholar
Shephard, R.J. and McClure, R.L. (1965). The prediction of cardiorespiratory fitness. Internationale Zeitschrift fur Angewandte Physiologie 21: 212223.Google Scholar
Shephard, R.J. and Montelpare, W. (1988). Geriatric benefits of exercise as an adult. Journal of Gerontology 43: M8690.CrossRefGoogle ScholarPubMed
Sidney, K.H. and Shephard, R.J. (1977a). Activity patterns of elderly men and women. Journal of Gerontology 32: 2532.CrossRefGoogle ScholarPubMed
Sidney, K.H. and Shephard, R.J. (1977b). Attitudes towards health and physical activity in the elderly. Effects of a physical training program. Medicine and Science in Sports 8: 246252.Google Scholar
Slater, C.H., Green, L.W., Vernon, S.W. and Keith, V.M. (1987). Problems in estimating the prevalence of physical activity from national surveys. Preventive Medicine 16: 107118.CrossRefGoogle ScholarPubMed
Society of Actuaries (1959). Build and blood pressure study. Chicago: Society of Actuaries.Google Scholar
Stephens, T., Jacobs, D.R. and White, C.C. (1985). A descriptive epidemiology of leisure-time physical activity. Public Health Reports 100: 147158.Google ScholarPubMed
Tüdus, P., Shephard, R.J. and Montelpare, W. (1989). Energy intake and nutrient balance: data for the older adult. Can. J. Spt. Sci. 14: 173177.Google Scholar
Tremblay, A., Després, J.P. and Bouchard, C. (1985). The effects of exercise training on energy balance and adipose tissue morphology and metabolism. Sports Medicine 2: 223233.CrossRefGoogle Scholar
Triandis, H.C. (1977). Interpersonal behavior. Monterey: Brooks-Cole.Google Scholar
Verde, T., Shephard, R.J., Corey, P. and Moore, R. (1983). Exercise and heat-induced sweat. In: Knuttgen, H.G., Vogel, J.A., Poortmans, J.R.Biochemistry of exercise. Champaign, Ill.: Human Kinetics Publishers, pp. 618622.Google Scholar
Wolff, H.S. (1958). The integrating pneumotachograph: a new instrument for the measurement of energy expenditures by indirect calorimetry. Quarterly Journal of Experimental Physiology 43: 270283.CrossRefGoogle ScholarPubMed
Woteki, C.E., Briefel, R.R. and Kuczmarski, R. (1988). Contributions of the National Center for Health Statistics. American Journal of Clinical Nutrition 47: 320328.CrossRefGoogle ScholarPubMed