The Role of Social, Environmental, and Health-Related Factors on Physical Activity and Functional Health Outcome in Community-Dwelling Older Adults: A Secondary Analysis Using Data From the National Social Life, Health, and Aging Project (NSHAP).
Soren, Adisa Delano
A secondary analysis was performed using cross-sectional and longitudinal data from a nationally representative, population-based survey study on factors related to older adult health and well-being. The present study includes a subsample of 918 community-dwelling US older adults aged 65-85 (M = 72.6, SD = 5.4) who were functionally independent at baseline assessment. The study sought to examine the relationship between baseline morbidity status and five-year functional health status. In addition, the frequency in which older adults engaged in physical activity was explored as a potential mediator to this relationship. Lastly, physiological, social, and physical environment characteristics were evaluated in relation to physical activity frequency. Results revealed that having more numerous health conditions and less frequent performance of physical activity was related to poorer functional health at five-year follow-up R2 = .10 F(2, 915) = 51.16, p < .001. In addition, arthritis emerged as a key health condition that significantly predicted five-year functional health status b = -.29 t(914) = -4.02, p < .001. Frequent social contact with family/friends was positively related to physical activity frequency, while body pain intensity was inversely related to physical activity frequency. Neighborhood-level characteristics were not significantly related to physical activity frequency. Future directions are explored.
Aging; Public policy; Disability; Disease Status; Functional Health; Physical Activity
Sagha Zadeh, Rana
Cornwell, Erin York; Evans, Gary William
Design and Environmental Analysis
M.S., Design and Environmental Analysis
Master of Science
dissertation or thesis