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Abstract

Purpose:

To examine wearable activity monitor (WAM) use and its association with meeting the 2008 aerobic Physical Activity Guidelines (PAG) and walking among older adults.

Design:

Cross-sectional.

Setting:

FallStyles 2015 national consumer panel survey.

Sample:

1,317 U.S. adults aged ≥ 60 years.

Measures:

Self-reported WAM use, meeting aerobic PAG, and walking. Covariates included age, sex, race/ethnicity, education level, marital status, annual household income, and geographic region of the country.

Analysis:

Chi-square tests to examine associations between WAM use and respondent demographic characteristics. Logistic regressions to explore associations between WAM use and meeting aerobic PAG and walking adjusted for demographics (e.g., education, income).

Results:

Among older adults, 8.0% were current WAM users and 11.3% were past WAM users. Current WAM use was most prevalent among those aged 65-74 (16.6%), females (9.4%), college graduates (13.8%), and those with incomes $75,000-$99,999 (14.8%). Current WAM users were more likely than never WAM users to report meeting aerobic PAG (OR: 3.98; 95% CI: 2.07, 7.66) and walking (OR: 3.90; 95% CI: 1.57, 9.69). Past and never WAM use were not associated with meeting aerobic PAG or walking.

Conclusion:

We found current WAM use is associated with meeting the aerobic PAG and walking among older adults. Further longitudinal research is needed to understand whether WAM could promote increased PA among older adults.

Keywords

digital health older adults physical activity activity trackers

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References

U.S. Department of Health and Human Services, 2018 Physical Activity Guidelines Advisory Committee, 2018. Physical activity guidelines advisory committee scientific report. Published 2018. Accessed March 15, 2019. https://health.gov/sites/default/files/201909/PAG_Advisory_Committee_Report.pdf

Floegel

Perez

. An integrative review of physical activity/exercise intervention effects on function and health-related quality of life in older adults with heart failure. Geriatr Nurs. 2016;37(5):340–347.

Gillespie

Robertson

Gillespie

, et al. Interventions for preventing falls in older people living in the community. Cochrane Database Sys Rev. 2012;(9):CD007146.

Laurin

Verreault

Lindsay

MacPherson

Rockwood

. Physical activity and risk of cognitive impairment and dementia in elderly persons. Arch Neurol. 2001;58(3):498–504.

Blair

Wei

. Sedentary habits, health, and function in older women and men. Am J Health Promot. 2000;15(1):1–8.

Manini

Pahor

. Physical activity and maintaining physical function in older adults. Br J Sports Med. 2009;43(1);28–31.

Healthy People. 2020. Office of Disease Prevention and Health Promotion. Published 2020. Accessed July 3, 2019. https://www.healthypeople.gov/2020/data-search/Search-the-Data#objid=5069

Loprinzi

Lee

Cardinal

. Evidence to support including lifestyle light-intensity recommendations in physical activity guidelines for older adults. Am J Health Promot. 2015;29(5):277–284. doi:10.4278/ajhp.130709-quan-354.

Paul

Carlson

Carroll

Berrigan

Fulton

. Walking for transportation and leisure among U.S. adults—National Health Interview Survey 2010. Phys Act Health. 2015;12(suppl 1). doi:10.1123/jpah.2013-0519

10.

The Community Guide. Physical activity: digital health interventions for adults 55 years and older. Published August 28, 2019. Accessed September 10, 2019. https://www.thecommunityguide.org/findings/physical-activity-digital-health-interventions-adults-55-years-and-older

11.

Muellmann

Forberger

Mollers

Broring

Zeeb

Pischke

. Effectiveness of eHealth interventions for the promotion of physical activity in older adults: a systematic review. Prev Med. 2018;108:93–110.

12.

Kaewkannate

Kim

. The comparison of wearable fitness devices. Wearable Technologies. BMC Public Health. 2016;433. doi:10.5772/intechopen.76967

13.

Oliveira

Sherrington

Zheng

ERY

Franco

Tiedemann

. Effect of interventions using physical activity trackers on physical activity in people aged 60 years and over: a systematic review and meta-analysis. Br J Sports Med. 2020;54(20):1188-1194. doi:10.1136/bjsports-2018-100324

14.

Mercer

Giangregorio

Schneider

Chilana

Grindrod

. Acceptance of commercially available wearable activity trackers among adults aged over 50 and with chronic illness: a mixed-methods evaluation. JMIR mHealth uHealth. 2016;4(1):e7. doi:10.2196/mhealth.4225

15.

O’Brien

Troutman-Jordan

Hathaway

Armstrong

Moore

. Acceptability of wristband activity trackers among community dwelling older adults. Geriatr Nurs. 2015;36(2):S21–S25. doi:10.1016/j.gerinurse.2015.02.019

16.

Gualtieri

Rosenbluth

Phillips

. Can a free wearable activity tracker change behavior? The impact of trackers on adults in a physician-led wellness group. JMIR Res Protoc. 2016;5(4):e237. doi:10.2196/resprot.6534.

17.

Winstead

Anderson

Yost

Cotten

Warr

Berkowsky

. You can teach an old dog new tricks. J Appl Gerontol. 2012;32(5):540–560. doi:10.1177/0733464811431824

18.

Weber

Questions re: HealthStyles. 2017.

19.

Porter Novelli. Styles 2011 Methodology. 2015.

20.

U.S. Department of Health and Human Services, Physical Activity Guidelines Advisory Committee. Physical activity guidelines advisory committee report, 2008. Published 2008. Accessed January 20, 2019. https://health.gov/sites/default/files/2019-09/paguide.pdf

21.

National Health Interview Survey, U.S. Department of Health and Human Services. Vital and Health Statistics, Series 10, Number 256. Published 2012.

22.

Centers for Disease Control and Prevention. . Step It Up! The Surgeon General’s call to action to promote walking and walkable communities. Published 2015. Accessed January 19, 2020. https://www.cdc.gov/physicalactivity/walking/call-to-action/index.htm

23.

Anderson

Perrin

. Tech adoption climbs among older adults. Pew Research Center. 2017.

24.

Preusse

Mitzner

Fausset

Rogers

. Older adults’ acceptance of activity trackers. J Appl Gerontol. 2016;36(2):127–155.

25.

Laumbach

Kipen

. Acute effects of motor vehicle traffic-related air pollution exposures on measures of oxidative stress in human airways. Ann NY Acad Sci. 2010;1203:107–112.

26.

Patel

Asch

Volpp

. Wearable devices as facilitators, not drivers, of health behavior change. JAMA. 2015;313(5):459–460.

27.

Sullivan

Lachman

. Behavior change with fitness technology in sedentary adults: a review of the evidence for increasing physical activity. Front Public Health. 2017;4(289):1–16.

28.

Sallis

Owen

. Physical Activity and Behavioral Medicine. Sage; 1999.

29.

Judah

Gardner

Kenward

DeStavola

Aunger

. Exploratory study of the impact of perceived reward on habit formation. BMC Psychol. 2018;6(62):1–12.

30.

Eaton

Reynes

Assaf

Feldman

Lasater

Carleton

. Predicting physical activity change in men and women in two New England communities. Am J Prev Med. 1993;9(4):209–219.

31.

Prince

Adamo

Hamel

Hardt

Gorber

Tremblay

. A comparison of direct versus self-report measures for assessing physical activity in adults: a systematic review. Int J Behav Nutr Phys Act. 2008;5(1):56. doi:10.1186/1479-5868-5-56

32.

Tudor-Locke

Myers

. Challenges and opportunities for measuring physical activity in sedentary adults. Sport Med. 2001;31(2):91–100.

33.

National Prevention Council, National Center for Biotechnology Information. Healthy aging in action. Published 2016. Accessed July 10, 2019. https://www.ncbi.nlm.nih.gov/books/NBK538955/

34.

Morey

Sloane

Pieper

, et al. Effect of physical activity guidelines on physical function in older adults. J Am Geriatr Soc. 2008;56(10):1873–1878.

35.

Omura

Carlson

Paul

Watson

Fulton

. National physical activity surveillance: users of wearable activity monitors as a potential data source. Prev Med Rep. 2016;5:124–126.

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Wearable Activity Monitor Use Is Associated With the Aerobic Physical Activity Guidelines and Walking Among Older Adults