P-408: Factors associated with remaining active at an older age: a cross- sectional study among community-dwelling older adults

摘要

Introduction: Time spent out-of-home is associated with higher quality of life and with remaining living at home among frail elders. This study examines potential risk and protective factors associated with an active lifestyle and whether associations vary according to physical limitations. Methods: Data were self-reported by 3419 community-dwelling adults aged 68-82 years enrolled in the Lausanne cohort Lc65 +. Associations between an active lifestyle (going out ≥ 5 days/week and walking often) and physical limitations, health and social variables were examined using logistic regression models. Sub-group analyses were performed according to severity of physical limitations. Results: 73.9% of participants reported an active lifestyle. Limitations in climbing stairs (adjOR: 0.61, 95% CI 0.47-0.80) and walking (adjOR 0.24, 95% CI 0.18-0.31), dyspnea (adjOR 0.60, 95% CI 0.48-0.75), depressive symptoms (adjOR 0.58, 95% CI 0.47-0.70), fear of falling (adjOR 0.75, 95% CI 0.62-0.91) and older age (adjOR 0.73, 95% CI 0.59-0.92) were associated with decreased odds of reporting an active lifestyle. In contrast, participants living alone (adjOR 1.30, 95% CI 1.08-1.56), reporting a dense (adjOR 1.57, 95% CI 1.26-1.96) and a high-quality (adjOR 1.28, 95% CI 1.06-1.53) social network were significantly more likely to report an active lifestyle. Among those with severe limitations, a new emotional relationship (adjOR 2.52, 95% CI 1.18-5.38) was associated with being active, whereas cognitive complaints (adjOR 0.66, 95% CI 0.47-0.93), urinary incontinence (adjOR 0.67; 95% CI 0.46-0.97), dyspnea (adjOR 0.67; 95% CI 0.48-0.93), and depressive symptoms (adjOR 0.67; 95% CI 0.48-0.93) were associated with decreased odds of being active. Conclusion: Physical limitations are associated with considerable decreased odds of remaining active. However social variables appear to mitigate this association, even among elders with severe limitations. Further studies are needed to determine causality in order to help guide interventions to promote an active lifestyle.