Is Self-Reported Physical Activity Participation Associated with Lower Health Services Utilization among Older Adults? Cross-Sectional Evidence from the Canadian Community Health Survey
Purpose. To examine relationships between leisure time physical activity (LTPA) and health services utilization (H) in a nationally representative sample of community-dwelling older adults. Methods. Cross-sectional data from 56,652 Canadian Community Health Survey respondents aged ≥ 50 years (48% M;...
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Language: | English |
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Wiley
2015-01-01
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Series: | Journal of Aging Research |
Online Access: | http://dx.doi.org/10.1155/2015/425354 |
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author | Koren L. Fisher Elizabeth L. Harrison Bruce A. Reeder Nazmi Sari Karen E. Chad |
author_facet | Koren L. Fisher Elizabeth L. Harrison Bruce A. Reeder Nazmi Sari Karen E. Chad |
author_sort | Koren L. Fisher |
collection | DOAJ |
description | Purpose. To examine relationships between leisure time physical activity (LTPA) and health services utilization (H) in a nationally representative sample of community-dwelling older adults. Methods. Cross-sectional data from 56,652 Canadian Community Health Survey respondents aged ≥ 50 years (48% M; 52% F; mean age 63.5 ± 10.2 years) were stratified into three age groups and analysed using multivariate generalized linear modeling techniques. Participants were classified according to PA level based on self-reported daily energy expenditure. Nonleisure PA (NLPA) was categorized into four levels ranging from mostly sitting to mostly lifting objects. Results. Active 50–65-year-old individuals were 27% less likely to report any GP consultations ORadj=0.73; P<0.001 and had 8% fewer GP consultations annually (IRRadj=0.92; P<0.01) than their inactive peers. Active persons aged 65–79 years were 18% less likely than inactive respondents to have been hospitalized overnight in the previous year (ORadj=0.82, P<0.05). Higher levels of NLPA were significantly associated with lower levels of HSU, across all age groups. Conclusion. Nonleisure PA appeared to be a stronger predictor of all types of HSU, particularly in the two oldest age groups. Considering strategies that focus on reducing time spent in sedentary activities may have a positive impact on reducing the demand for health services. |
format | Article |
id | doaj-art-518bf7f586fa4b049ac5e08363e1536d |
institution | Kabale University |
issn | 2090-2204 2090-2212 |
language | English |
publishDate | 2015-01-01 |
publisher | Wiley |
record_format | Article |
series | Journal of Aging Research |
spelling | doaj-art-518bf7f586fa4b049ac5e08363e1536d2025-02-03T06:42:27ZengWileyJournal of Aging Research2090-22042090-22122015-01-01201510.1155/2015/425354425354Is Self-Reported Physical Activity Participation Associated with Lower Health Services Utilization among Older Adults? Cross-Sectional Evidence from the Canadian Community Health SurveyKoren L. Fisher0Elizabeth L. Harrison1Bruce A. Reeder2Nazmi Sari3Karen E. Chad4Department of Kinesiology, California State University, Fullerton 800 N. State College Boulevard, Fullerton, CA 92831, USASchool of Physical Therapy, University of Saskatchewan, 1121 College Drive, Saskatoon, SK, S7N 0W3, CanadaDepartment of Community Health and Epidemiology, University of Saskatchewan, Box 7, Health Science Building, 107 Wiggins Road, Saskatoon, SK, S7N 5E5, CanadaDepartment of Economics, University of Saskatchewan, Arts 815, 9 Campus Drive, Saskatoon, SK, S7N 5A5, CanadaDepartment of Kinesiology, University of Saskatchewan, 87 Campus Drive, Saskatoon, SK, S7N 5B2, CanadaPurpose. To examine relationships between leisure time physical activity (LTPA) and health services utilization (H) in a nationally representative sample of community-dwelling older adults. Methods. Cross-sectional data from 56,652 Canadian Community Health Survey respondents aged ≥ 50 years (48% M; 52% F; mean age 63.5 ± 10.2 years) were stratified into three age groups and analysed using multivariate generalized linear modeling techniques. Participants were classified according to PA level based on self-reported daily energy expenditure. Nonleisure PA (NLPA) was categorized into four levels ranging from mostly sitting to mostly lifting objects. Results. Active 50–65-year-old individuals were 27% less likely to report any GP consultations ORadj=0.73; P<0.001 and had 8% fewer GP consultations annually (IRRadj=0.92; P<0.01) than their inactive peers. Active persons aged 65–79 years were 18% less likely than inactive respondents to have been hospitalized overnight in the previous year (ORadj=0.82, P<0.05). Higher levels of NLPA were significantly associated with lower levels of HSU, across all age groups. Conclusion. Nonleisure PA appeared to be a stronger predictor of all types of HSU, particularly in the two oldest age groups. Considering strategies that focus on reducing time spent in sedentary activities may have a positive impact on reducing the demand for health services.http://dx.doi.org/10.1155/2015/425354 |
spellingShingle | Koren L. Fisher Elizabeth L. Harrison Bruce A. Reeder Nazmi Sari Karen E. Chad Is Self-Reported Physical Activity Participation Associated with Lower Health Services Utilization among Older Adults? Cross-Sectional Evidence from the Canadian Community Health Survey Journal of Aging Research |
title | Is Self-Reported Physical Activity Participation Associated with Lower Health Services Utilization among Older Adults? Cross-Sectional Evidence from the Canadian Community Health Survey |
title_full | Is Self-Reported Physical Activity Participation Associated with Lower Health Services Utilization among Older Adults? Cross-Sectional Evidence from the Canadian Community Health Survey |
title_fullStr | Is Self-Reported Physical Activity Participation Associated with Lower Health Services Utilization among Older Adults? Cross-Sectional Evidence from the Canadian Community Health Survey |
title_full_unstemmed | Is Self-Reported Physical Activity Participation Associated with Lower Health Services Utilization among Older Adults? Cross-Sectional Evidence from the Canadian Community Health Survey |
title_short | Is Self-Reported Physical Activity Participation Associated with Lower Health Services Utilization among Older Adults? Cross-Sectional Evidence from the Canadian Community Health Survey |
title_sort | is self reported physical activity participation associated with lower health services utilization among older adults cross sectional evidence from the canadian community health survey |
url | http://dx.doi.org/10.1155/2015/425354 |
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