دورية أكاديمية
Socioeconomic differences in the benefits of structured physical activity compared with health education on the prevention of major mobility disability in older adults: the LIFE study.
| العنوان: | Socioeconomic differences in the benefits of structured physical activity compared with health education on the prevention of major mobility disability in older adults: the LIFE study. |
|---|---|
| المؤلفون: | Bann, David, Chen, Haiying, Bonell, Chris, Glynn, Nancy W, Fielding, Roger A, Manini, Todd, King, Abby C, Pahor, Marco, Mihalko, Shannon L, Gill, Thomas M, Life Study investigators |
| بيانات النشر: | BMJ Publishing Group |
| سنة النشر: | 2016 |
| المجموعة: | London School of Hygiene & Tropical Medicine: LSHTM Research Online |
| الوصف: | BACKGROUND: Evidence is lacking on whether health-benefiting community-based interventions differ in their effectiveness according to socioeconomic characteristics. We evaluated whether the benefit of a structured physical activity intervention on reducing mobility disability in older adults differs by education or income. METHODS: The Lifestyle Interventions and Independence for Elders (LIFE) study was a multicentre, randomised trial that compared a structured physical activity programme with a health education programme on the incidence of mobility disability among at-risk community-living older adults (aged 70-89 years; average follow-up of 2.6 years). Education (≤ high school (0-12 years), college (13-17 years) or postgraduate) and annual household income were self-reported (<$24 999, $25 000 to $49 999 and ≥$50 000). The risk of disability (objectively defined as loss of ability to walk 400 m) was compared between the 2 treatment groups using Cox regression, separately by socioeconomic group. Socioeconomic group×intervention interaction terms were tested. RESULTS: The effect of reducing the incidence of mobility disability was larger for those with postgraduate education (0.72, 0.51 to 1.03; N=411) compared with lower education (high school or less (0.93, 0.70 to 1.24; N=536). However, the education group×intervention interaction term was not statistically significant (p=0.54). Findings were in the same direction yet less pronounced when household income was used as the socioeconomic indicator. CONCLUSIONS: In the largest and longest running trial of physical activity amongst at-risk older adults, intervention effect sizes were largest among those with higher education or income, yet tests of statistical interactions were non-significant, likely due to inadequate power. TRIAL REGISTRATION NUMBER: NCT01072500. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | text |
| اللغة: | English |
| العلاقة: | https://researchonline.lshtm.ac.uk/id/eprint/2548642/1/Socioeconomic%20differences%20in_GOLD%20VoR.pdfTest; Bann, David; Chen, Haiying; Bonell, Chris ; Glynn, Nancy W; Fielding, Roger A; Manini, Todd; King, Abby C; Pahor, Marco; Mihalko, Shannon L; Gill, Thomas M; +1 more. Life Study investigators; (2016) Socioeconomic differences in the benefits of structured physical activity compared with health education on the prevention of major mobility disability in older adults: the LIFE study. Journal of epidemiology and community health, 70 (9). pp. 930-933. ISSN 0143-005X DOI: https://doi.org/10.1136/jech-2016-207321Test |
| الإتاحة: | https://doi.org/10.1136/jech-2016-207321Test https://researchonline.lshtm.ac.uk/id/eprint/2548642Test/ https://researchonline.lshtm.ac.uk/id/eprint/2548642/1/Socioeconomic%20differences%20in_GOLD%20VoR.pdfTest |
| حقوق: | cc_by |
| رقم الانضمام: | edsbas.A0727E85 |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |