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;...

Full description

Saved in:
Bibliographic Details
Main Authors: Koren L. Fisher, Elizabeth L. Harrison, Bruce A. Reeder, Nazmi Sari, Karen E. Chad
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Aging Research
Online Access:http://dx.doi.org/10.1155/2015/425354
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832547985226989568
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
work_keys_str_mv AT korenlfisher isselfreportedphysicalactivityparticipationassociatedwithlowerhealthservicesutilizationamongolderadultscrosssectionalevidencefromthecanadiancommunityhealthsurvey
AT elizabethlharrison isselfreportedphysicalactivityparticipationassociatedwithlowerhealthservicesutilizationamongolderadultscrosssectionalevidencefromthecanadiancommunityhealthsurvey
AT bruceareeder isselfreportedphysicalactivityparticipationassociatedwithlowerhealthservicesutilizationamongolderadultscrosssectionalevidencefromthecanadiancommunityhealthsurvey
AT nazmisari isselfreportedphysicalactivityparticipationassociatedwithlowerhealthservicesutilizationamongolderadultscrosssectionalevidencefromthecanadiancommunityhealthsurvey
AT karenechad isselfreportedphysicalactivityparticipationassociatedwithlowerhealthservicesutilizationamongolderadultscrosssectionalevidencefromthecanadiancommunityhealthsurvey