The objective of this study was to identify preferences for physical activity among adults aged 65 years and over. A systematic review was conducted. A search strategy without language and date restriction (up until March 31st, 2017) was developed for PubMed, CINAHL, PsycINFO, ERIC, and SPORTDiscus. Study selection and data extraction were performed independently by two reviewers. A total of 21 independent primary studies were included in the systematic review. Irrespective of the methodologies used and samples, a majority of older adults prefer to walk and engage in physical activity continuously for about 30 minutes. These findings are mainly generalizable to white-Caucasian females from the US. Two-thirds of the studies were at high risk of selection bias, which suggests additional caution when interpreting the review findings. Nonetheless, policy makers, community organisations, and health care providers should consider walkability in their efforts to promote physical activity in older adults.
Although the acute effect of exercise on behavioral cognitive performance is well-documented in the exercise psychology field, a comprehensive evaluation on neuroelectric brain activity that determines healthy cognitive functioning following acute exercise is lacking. This systematic review included 39 studies examining acute exercise effects on P3 of event-related potential through its amplitude and latency, which reflect the amounts of attentional resources allocated to and the processing speed for categorizing a stimulus. Exercise has small effects on increasing amplitude and decreasing latency. The amplitude effect was moderated by age and the type, intensity, and duration of exercise, with a smaller effect being observed for individuals aged ≤18 and 19–35 than >60 years, for high-intensity than moderate-intensity exercise, for high-intensity interval training exercise than aerobic, resistance, and combined exercise, as well as for exercise lasting ≤10 and 11–20 than exercise lasting 21–30 min. The latency effect was moderated by exercise duration, with 11–20 min exercise showing a smaller effect than exercise lasting ≤10 min. These results demonstrated that acute exercise enhances allocation of attentional resources and processing speed needed to implement cognitive processes underlying goal-directed behavior. Further, these effects may be manipulated through targeting specific age groups and prescribing specific exercise parameters.
4 August 2016 in American Journal of Lifestyle Medicine
Multiple health behavior change (MHBC) interventions have great potential for enhancing health and well-being following cancer diagnosis and treatment. However, the characteristics and effects of MHBC interventions remain elusive for cancer survivors. The main purpose of this study was to evaluate the effectiveness of MHBC interventions on healthy eating and physical activity behaviors among cancer survivors. A secondary aim was to examine the effect of using a simultaneous and sequential design approach to MHBC (ie, changing both behaviors at the same time or one after the other). Randomized controlled trials reporting the impact of a MHBC intervention on both healthy eating and physical activity behaviors among cancer survivors were retrieved from MEDLINE, Cochrane Library, and PsycINFO. A total of 27 MHBC interventions were identified; most (92.6%) were designed to promote simultaneous change in both behaviors and assessed end-of-treatment effect among breast cancer survivors. MHBC interventions led by nurses or multidisciplinary teams showed the most compelling evidence for small to moderate improvement in both behaviors, with interventions that lasted ≥17 weeks more likely to improve both behaviors. This study identifies research priorities and provides preliminary evidence for clinical decision making and advancements in MHBC intervention design and delivery for clinical oncology.
Background and Objectives: The overall purpose of this article was to investigate beliefs related to physical activity maintenance among adults aged 60 years or older. Research Design and Methods: Study 1 identified modal, salient behavioral, normative, and control beliefs using a free-response format. Study 2 was designed to gain a deeper understanding about these beliefs through in-depth semistructured interviews. Results: Findings indicate that perceived physical and emotional benefits, scheduling and having a physical activity routine, social support, and features of indoor and outdoor locations are facilitating of maintenance. Some beliefs appear more relevant to sustained engagement in physical activity, while others may be more helpful for reengagement after 1 week of inactivity. Discussion and Implications: This investigation raises new hypotheses for future research and provides insight for the use and adaptation of behavior change strategies that are potentially more acceptable and effective for the promotion of physical activity maintenance for older adults.