Objectively assessed physical activity and subsequent health service use of UK adults aged 70 and over : a four to five year follow up study

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Objectively assessed physical activity and subsequent health service use of UK adults aged 70 and over : a four to five year follow up study. / Simmonds, Bethany; Fox, Kenneth; Davis, Mark; Ku, Po-wen; Gray, Selena; Hillsdon, Melvyn; Sharp, Debbie; Stathi, Afroditi; Thompson, Janice; Coulson, Joanna; Trayers, Tanya; Chao, Linda (Editor).

In: PLoS ONE, Vol. 9, No. 5, e97676, 27.05.2014.

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Simmonds, Bethany ; Fox, Kenneth ; Davis, Mark ; Ku, Po-wen ; Gray, Selena ; Hillsdon, Melvyn ; Sharp, Debbie ; Stathi, Afroditi ; Thompson, Janice ; Coulson, Joanna ; Trayers, Tanya ; Chao, Linda (Editor). / Objectively assessed physical activity and subsequent health service use of UK adults aged 70 and over : a four to five year follow up study. In: PLoS ONE. 2014 ; Vol. 9, No. 5.

Bibtex

@article{2864a1e5d6534d7282ad6abc8dab61d4,
title = "Objectively assessed physical activity and subsequent health service use of UK adults aged 70 and over : a four to five year follow up study",
abstract = "ObjectivesTo examine the associations between volume and intensity of older peoples' physical activity, with their subsequent health service usage over the following four to five years.Study DesignA prospective cohort design using baseline participant characteristics, objectively assessed physical activity and lower limb function provided by Project OPAL (Older People and Active Living). OPAL-PLUS provided data on numbers of primary care consultations, prescriptions, unplanned hospital admissions, and secondary care referrals, extracted from medical records for up to five years following the baseline OPAL data collection.Participants and Data CollectionOPAL participants were a diverse sample of 240 older adults with a mean age of 78 years. They were recruited from 12 General Practitioner surgeries from low, middle, and high areas of deprivation in a city in the West of England. Primary care consultations, secondary care referrals, unplanned hospital admissions, number of prescriptions and new disease diagnoses were assessed for 213 (104 females) of the original 240 OPAL participants who had either consented to participate in OPAL-PLUS or already died during the follow-up period.ResultsIn regression modelling, adjusted for socio-economic variables, existing disease, weight status, minutes of moderate-to-vigorous physical activity (MVPA) per day predicted subsequent numbers of prescriptions. Steps taken per day and MVPA also predicted unplanned hospital admissions, although the strength of the effect was reduced when further adjustment was made for lower limb function.ConclusionsCommunity-based programs are needed which are successful in engaging older adults in their late 70s and 80s in more walking, MVPA and activity that helps them avoid loss of physical function. There is a potential for cost savings to health services through reduced reliance on prescriptions and fewer unplanned hospital admissions.",
keywords = "Diagnostic medicine, Educational attainment, Elderly, Exercise, Health Services Research, Hospitals, Primary care, Socioeconomic aspects of health",
author = "Bethany Simmonds and Kenneth Fox and Mark Davis and Po-wen Ku and Selena Gray and Melvyn Hillsdon and Debbie Sharp and Afroditi Stathi and Janice Thompson and Joanna Coulson and Tanya Trayers and Linda Chao",
year = "2014",
month = may,
day = "27",
doi = "10.1371/journal.pone.0097676",
language = "English",
volume = "9",
journal = "PLoSONE",
issn = "1932-6203",
publisher = "Public Library of Science (PLOS)",
number = "5",

}

RIS

TY - JOUR

T1 - Objectively assessed physical activity and subsequent health service use of UK adults aged 70 and over : a four to five year follow up study

AU - Simmonds, Bethany

AU - Fox, Kenneth

AU - Davis, Mark

AU - Ku, Po-wen

AU - Gray, Selena

AU - Hillsdon, Melvyn

AU - Sharp, Debbie

AU - Stathi, Afroditi

AU - Thompson, Janice

AU - Coulson, Joanna

AU - Trayers, Tanya

A2 - Chao, Linda

PY - 2014/5/27

Y1 - 2014/5/27

N2 - ObjectivesTo examine the associations between volume and intensity of older peoples' physical activity, with their subsequent health service usage over the following four to five years.Study DesignA prospective cohort design using baseline participant characteristics, objectively assessed physical activity and lower limb function provided by Project OPAL (Older People and Active Living). OPAL-PLUS provided data on numbers of primary care consultations, prescriptions, unplanned hospital admissions, and secondary care referrals, extracted from medical records for up to five years following the baseline OPAL data collection.Participants and Data CollectionOPAL participants were a diverse sample of 240 older adults with a mean age of 78 years. They were recruited from 12 General Practitioner surgeries from low, middle, and high areas of deprivation in a city in the West of England. Primary care consultations, secondary care referrals, unplanned hospital admissions, number of prescriptions and new disease diagnoses were assessed for 213 (104 females) of the original 240 OPAL participants who had either consented to participate in OPAL-PLUS or already died during the follow-up period.ResultsIn regression modelling, adjusted for socio-economic variables, existing disease, weight status, minutes of moderate-to-vigorous physical activity (MVPA) per day predicted subsequent numbers of prescriptions. Steps taken per day and MVPA also predicted unplanned hospital admissions, although the strength of the effect was reduced when further adjustment was made for lower limb function.ConclusionsCommunity-based programs are needed which are successful in engaging older adults in their late 70s and 80s in more walking, MVPA and activity that helps them avoid loss of physical function. There is a potential for cost savings to health services through reduced reliance on prescriptions and fewer unplanned hospital admissions.

AB - ObjectivesTo examine the associations between volume and intensity of older peoples' physical activity, with their subsequent health service usage over the following four to five years.Study DesignA prospective cohort design using baseline participant characteristics, objectively assessed physical activity and lower limb function provided by Project OPAL (Older People and Active Living). OPAL-PLUS provided data on numbers of primary care consultations, prescriptions, unplanned hospital admissions, and secondary care referrals, extracted from medical records for up to five years following the baseline OPAL data collection.Participants and Data CollectionOPAL participants were a diverse sample of 240 older adults with a mean age of 78 years. They were recruited from 12 General Practitioner surgeries from low, middle, and high areas of deprivation in a city in the West of England. Primary care consultations, secondary care referrals, unplanned hospital admissions, number of prescriptions and new disease diagnoses were assessed for 213 (104 females) of the original 240 OPAL participants who had either consented to participate in OPAL-PLUS or already died during the follow-up period.ResultsIn regression modelling, adjusted for socio-economic variables, existing disease, weight status, minutes of moderate-to-vigorous physical activity (MVPA) per day predicted subsequent numbers of prescriptions. Steps taken per day and MVPA also predicted unplanned hospital admissions, although the strength of the effect was reduced when further adjustment was made for lower limb function.ConclusionsCommunity-based programs are needed which are successful in engaging older adults in their late 70s and 80s in more walking, MVPA and activity that helps them avoid loss of physical function. There is a potential for cost savings to health services through reduced reliance on prescriptions and fewer unplanned hospital admissions.

KW - Diagnostic medicine

KW - Educational attainment

KW - Elderly

KW - Exercise

KW - Health Services Research

KW - Hospitals

KW - Primary care

KW - Socioeconomic aspects of health

U2 - 10.1371/journal.pone.0097676

DO - 10.1371/journal.pone.0097676

M3 - Article

C2 - 24866573

VL - 9

JO - PLoSONE

JF - PLoSONE

SN - 1932-6203

IS - 5

M1 - e97676

ER -