Çevrenin Yaşlı Bireylerde Fiziksel Aktivite Davranışı Üzerindeki Rolü

Year 2021, Volume: 4 Issue: 2, 72 - 77, 31.08.2021

Gülşah Şahin

https://doi.org/10.47141/geriatrik.939573

Abstract

COVID-19 salgını, fiziksel hareketsizliğin artmasına neden olmuştur. Kapalı ortamlara olan güven azalmış, ev-içi, yakın çevredeki parklara olan ilgi artmıştır. Destekleyici bir çevrenin yaşlı bireylerde hem fiziksel işlevi geliştirmesi hem de yaşam kalitesini arttırması mümkündür. Çevre, yaşlı yetişkinlerde fiziksel aktiviteye katılımı hem kolaylaştırıcı hem de kısıtlayıcı etkilere sahiptir. Fiziksel aktiviteyi teşvik edecek fiziksel çevre özelliklerini belirlemek, yaşlıların daha bağımsız olmalarına katkı sağlayabilecektir. Fakat tesislerin ya da parkların yaşlı bireylere uygun tasarımlarda olup olmadığı ile ilgili araştırmalar çok kısıtlıdır. Yaşlı bireylerin dikkate aldığı, güvenlik, tasarım, estetik, yakınlık, işlevsellik gibi özelliklerin özendirici ve teşvik edici etkileri vardır. Bu derlemenin amacı yaşlı bireylere özgü fiziksel aktivite ve gezinme alanlarının özelliklerine odaklanmaktır.

Keywords

park, fiziksel aktivite, güvenlik, tasarım, yaşlanma

The Role of Environment on Physical Activity Behavior in Older Adults

Abstract

The COVID-19 outbreak has caused more physical inactivity. Confidence in indoor environments has decreased, and interest in indoor and nearby parks has increased. A supportive environment can improve both physical function and quality of life in older adults. The environment has both promoting and restrictive effects on older adults to participate in physical activity. Determining physical environmental characteristics may contribute to being more independent in older adults. However, studies on whether the facilities or parks are suitable for older adults are limited. Features such as safety, design, aesthetics, closeness, and functionality that older adults take into account have encouraging and encouraging effects. The purpose of this review is to focus on the characteristics of physical activity and park areas, particular for older adults.

Keywords

park, physical activity, safety, design, aging

References

• 1. World Health Organization, (2018). Global action plan on physical activity 2018-2030: more active people for a healthier world. WHO Press, Geneva, Switzerland.
• 2. https://www.who.int/news-room/fact-sheets/detail/physical-activity
• 3. King AC. Interventions to promote physical activity by older adults. J Gerontol A Biol Sci Med Sci. 2001; 56(suppl): 36-46.
• 4. Hamdorf P, Starr G, Williams M. A survey of physical-activity levels and functional capacity in older adults in South Australia. J Aging Phys Act. 2002; 10(3): 281-289.
• 5. Yen IH, Anderson LA. Built environment and mobility of older adults:important policy and practice efforts. J Am Geriatr Soc. 2012; 60(5): 951-956.
• 6. Stockwell S, Trott M, Tully M, et al. Changes in physical activity and sedentary behaviours from before to during the COVID-19 pandemic lockdown:a systematic review. BMJ Open Sport Exerc Med. 2021; 7(1).
• 7. Brownson RC, Hoehner CM, Day K, et al. Measuring the built environment for physical activity: State of the science. Am J Prev Med. 2009; 36(Suppl): 99-123.
• 8. Carr K, Weir PL, Azar D, Azar NR. Universal design: A step toward successful aging. J Aging Res, 2013;1-8.
• 9. Haselwandter EM, Corcoran MP, Folta SC, et al. The built environment, physical activity, and aging in the United States: A state of the science review. J Aging Phys Act. 2015; 23(2): 323-329.
• 10. Li F, Fisher KJ, Brownson RC, Bosworth M. Multilevel modelling of built environment characteristics related to neighbourhood walking activity in older adults. J Epidemiol Community Health. 2005; 59(7): 558–64.
• 11. Michael Y, Beard B, Choi D, et al. Measuring the influence of built neighborhood environments on walking in older adults. J Aging Phys Act. 2006; (14): 302-312.
• 12. Michael YL, Gold R, Perrin NA, Hillier TA.Built environment and lower extremity physical performance: Prospective findings from the study of osteoporotic fractures in women. J Aging Health. 2011; 23(8): 1246-1262.
• 13. Sawchuk CN, Russo JE, Bogart A, et al. Barriers and facilitators to walking and physical activity among American Indian elders. Preventing Chronic Disease. 2011; 8(3): 63.
• 14. Walsh JM, Pressman AM, Cauley JA, Browner WS. Predictors of physical activity in community-dwelling elderly white women. J Gen Intern Med. 2001; (16): 721-727.
• 15. Shendell DG, Johnson ML, Sanders DL, et al., Community built environment factors and mobility around senior wellness centers: The concept of Safe Senior Zones. J Environ Health. 2011; 73(7): 9-18.
• 16. Frank LD, Schmid TL, Sallis JF, et al. Linking objectively measured physical activity with objectively measured urban form: findings from SMARTRAQ. Am J Prev Med. 2005; 28(Suppl): 117-25.
• 17. Frank L, Kerr J, Chapman J, Sallis J. Urban form relationships with walk trip frequency and distance among youth. Am J Health Promot. 2007; 21(Suppl): 305-311.
• 18. Kahn EB, Ramsey LT, Brownson RC, et al. The effectiveness of interventions to increase physical activity.A systematic review. Am J Prev Med. 2002; 22(Suppl): 73-107.
• 19. Sallis JF, Bauman A, Pratt M. Environmental and policy interventions to promote physical activity. Am J Prev Med. 1998; (15): 379-397.
• 20. King AC. Community intervention for promotion of physical activity and fitness. Exerc Sport Sci Rev. 1991; (19): 211-259.
• 21. Roemmich JN, Epstein LH, Raja S, et al. Association of access to parks and recreational facilities with the physical activity of young children. Prev Med. 2006; 43(6): 437-41.
• 22. Giles-Corti B, Broomhall MH, Knuiman M, et al. Increasing walking:how important is distance to, attractiveness and size of public open space? Am J Prev Med. 2005; 28:169-76.
• 23. Cohen DA, McKenzie TL, Sehgal A, et al. Contribution of public parks to physical activity. Am J Public Health. 2007; 97(3): 509-514.
• 24. Takahashi PY, Baker MA, Cha S, Targonski PV. A cross-sectional survey of the relationship between walking, biking, and the built environment for adults aged over 70 years. Risk Manag Healthc Policy. 2012; 5(1): 35-41.
• 25. Cohen DA, Sehgal A, Williamson S, et al. New recreational facilities for the young and the old in Los Angeles policy and programming implications. J Public Health Policy. 2009; 30(1): 248-263.
• 26. Day K, Boarnet M, Alfonzo M, Forsyth A. The Irvine- Minnesota inventory to measure built environments: Development. Am J Prev Med. 2006; 30(2): 144-152.
• 27. Hoehner CM, Ivy A, Brennan Ramirez LK, et al. Active neighborhood checklist: A user-friendly and reliable tool for assessing activity friendliness.Am J Health Promot. 2007; 21(6): 534-537.
• 28. Addy CL, Wilson DK, Kirtland KA, et al. Associations of perceived social and physical environmental supports with physical activity and walking behavior. Am J Public Health. 2004; 94(3): 440-3.
• 29. Plotnikoff RC, Mayhew A, Birkett N, Loucaides CA, Fodor G. Age, gender, and urban-rural differences in the correlates of physical activity. Prev Med. 2004; 39(6): 1115-25.
• 30. Cunningham GO, Michael YL. Concepts guiding the study of the impact of the built environment on physical activity for older adults: a review of the literature. Am J Health Promot. 2004; 18(6): 435-443.
• 31. Crews DE. Artificial environments and an aging population: designing for age-related functional losses. J Physiol Anthropol Appl Human Sci. 2005; 24(1): 103-109.
• 32. Frank JS, Patla AE. Balance and Mobility Challenges in Older Adults: Implications for Preserving Community Mobility. Am J Prev Med. 2003; 25: 157-63.
• 33. Kerr J, Rosenberg D, Frank L. The role of the built environment in healthy aging: Community design, physical activity and health among older adults. Journal of Planning Literature. 2012; 27(1): 43-60.
• 34. Forsyth A, Oakes JM, Lee B, Schmitz KH. The built environment, walking and physical activity: Is the environment more important to some people than others? Environment is Transp Res D Transp Environ. 2009; 14(1): 42-49.
• 35. Rantakokko M, Mänty M, Iwarsson S, et al. Fear of moving outdoors and development of outdoor walking difficulty in older people. J Am Geriatr Soc. 2009; 57(4): 634-640.
• 36. Rantakokko M, Iwarsson S, Hirvensalo M, et al. Unmet physical activity need in old age. J Am Geriatr Soc. 2010; 58(4): 707-712.
• 37. Sallis JF, Johnson MF, Calfas KJ, Caparosa S, Nichols JF. Assessing perceived physical environmental variables that may influence physical activity. Research Quarterly for Exercise and Sport. 1997; 68(4): 345-351.
• 38. French S, Wood L, Foster SA, et al. Sense of community and its association with the neighborhood built environment. Environ Behav. 2014; 46(6): 677-697.
• 39. Ross A, Searle M. A conceptual model of leisure time physical activity, neighborhood environment and sense of community. Environ Behav. 2019; 51(6): 749-781.
• 40. Aslan D, Özcebe H, Temel F, et al. What influences physical activity among elders? A Turkish experience from Ankara, Turkey. Arch Gerontol Geriatr. 2008; (46)1: 79-88.
• 41. Şener A, Terzioğlu RG, Karabulut E. Life satisfaction and leisure activities during men's retirement: a Turkish sample. Aging and Mental Health. 2007; (11)1: 30-36.
• 42. Çetin SY, Kara İG, Kitiş A. Evde yaşayan yaşlılarda sosyal katılımı etkileyen faktörlerin incelenmesi. Ergoterapi ve Rehabilitasyon Dergisi. 2014; 2(1): 11-20.
• 43. Salar S, Günal A, Pekçetin S ve ark. Yaşlılarda aktivite, çevre ve yaşam memnuniyeti ilişkisi. Ergoterapi ve Rehabilitasyon Dergisi. 2018; 4(2): 89-96.
• 44. Kalınkara V. Yaşlı bireyler için yaşam çevresinin ergonomik tasarımı. Yaşlı Sorunları Araştırma Dergisi. 2010; (1): 54-64.