Numerous
research studies and policies maintain the relationship between the use of
regular physical activity and improvement in overall quality of ageing.
Conversely, chronic inactivity is associated with negative health outcomes. The longer older adults remain inactive and participate in a
sedentary lifestyle the more likely they are to experience accelerated losses
in physical fitness, health and function that will eventually lead to the
following:
1. Render them more dependent
on care from others;
2. Put them at higher risk for
several chronic conditions and debilitating diseases;
3. Make them less likely to
pursue leisure-time physical activity; and
4. Increase their likelihood of
consuming larger amounts of health & primary care resources and expenses.
Health
Canada (2002, p. 3) reports segments of the older adult population are
particularly vulnerable to reduced levels of participation and encounter more
barriers to physical activity than others in the same age category. They are:
·
Older adults with low incomes or low education levels;
·
Older adults 75 years and over;
·
Older adults living in institutions;
·
Older adults with illness, disabilities or chronic diseases;
·
Female older adults.
Infrequent
participation in physical activity is higher in this age bracket for women than
it is for men. Women tend to be involved in forms of activities, careers and
lifestyles that require less exertion than men do. Older adults considered
isolated due to location or lack of social support networks are profoundly at
risk.
The most recent edition of the National Advisory Council on Aging publication, Seniors
in Canada Report Card 2006 maintains the majority of older adults in Canada
are inactive (less than 15 minutes of moderate exercise or <1.5 KKD/day).
This inactive trend has changed very little among seniors since the last
publication of the Report Card in 2001, even though ample
research supports that regular participation in physical activity improves the overall quality of life in old age seniors remain inactive. The rate of
inactivity among seniors in 2005 was 62%.
The
rate of inactivity among males actually increased from 53% to 55% between 2000-01
and in 2005. The rate of inactivity for females in 2005 was even higher at 67%.
This trend of inactivity increases even more as women age. Over three quarters
of women aged 75 years and older were considered inactive in 2005 (2006, p.11).
The
Seniors Report Card 2006 highlights that this lack of physical activity is the
result of many factors and barriers encountered by seniors who may want to be
more active. In many cases, physical activity is simply not incorporated into
day-to-day living due to a lack of awareness around its importance in later
life, or due to ageist attitudes that still negate its relevance. To help
address this inactive lifestyle
the
National Advisory Council on Aging (2006, p13) suggests that the following
priorities for action aimed at improving the health of older adults as it
relates to physical activity should be adopted:
·
Improve chronic disease management (e.g. self-management and community supports
to adopt healthier lifestyles);
·
Improve personal health practices (e.g. regular physical activity and
healthy eating);
·
Strengthen prevention programs for falls and injuries.
Physical
activity for older adults is not a new component of both government and
non-government policy statements and commitments in Canada. The goals of the
Pan Canadian Integrated: Healthy
·
Living Strategy adopted in 2005 are to improve overall health outcomes
and to reduce health disparities.
·
The physical activity goal indicated in the strategy is:
o By 2015, increase by 20% the proportion of Canadians who participate in regular physical activity based on
30 minutes/day of moderate to vigorous activity as measured by the CCHS and the
Physical Activity Benchmarks/Monitoring Program (Government of Canada, 2005, p.
10).
In
1999, the Active Living Coalition for Older Adults released the document Moving
Through the Years: A Blueprint for Action for Active Living and Older Adults.
The Blueprint for Action presents guiding principles and identifies priority
goals:
·
Increase public awareness about the benefits of active living;
·
Develop competent leaders in active living who can meet the needs and
interests of the older adult;
·
Support and encourage seniors’ desire to embrace an active lifestyle by
ensuring that resources and social supports are in place;
·
Strengthen delivery systems and improve levels of cooperation,
coordination and communication among interested organizations;
·
Encourage and enable older adults to advocate for a quality of life
that includes physical activity, well-being and opportunities for active
living;
·
Identify, support and share research priorities and results; and
·
Continually monitor and evaluate programs, services and outcomes (ALCOA
1999, p.5). Future directions may need
