Are current guidelines the best targets for older people across - - PowerPoint PPT Presentation
Are current guidelines the best targets for older people across Ireland? Dr Mark Tully UKCRC Centre of Excellence for Public Health (NI) Centre for Public Health Queens University Belfast Guidelines Over a week, activity should add up to
Dr Mark Tully
UKCRC Centre of Excellence for Public Health (NI) Centre for Public Health Queen’s University Belfast
Over a week, activity should add up to at least 150 minutes (2½ hours) of moderate intensity activity in bouts of 10 minutes or more Older adults should also undertake physical activity to improve muscle strength on at least two days a week
HSNI, 2012
SPORT NI, 2011
SPORT NI, 2011
SPORT NI, 2011 0% 10% 20% 30% 40% 50% 60%
Getting about Sport Home Work
Significant associations were observed between overall psychological wellbeing and
travel
SPORT NI, 2011
Sex Urban/rural Area deprivation Social class Car ownership Home ownership
Qualifications Retired (y/n) Disability Happiness BMI Health
SPORT NI, 2011
No AT (n=886, 64%) Some AT (n=507, 36%) Chi sq (p-value) Gender Male 43.0% 42.4% 0.86 Female 57.0% 57.6% Urban/Rural Urban 78.6% 91.5% 0.00 Rural 21.4% 8.5% Deprivation classification Most deprived 36.3% 45.0% 0.01 Mid third 29.5% 24.9% Least deprived 34.2% 30.2% Disability Has a disability 51.2% 39.6% 0.00 No disability 48.8% 60.4% Cars No car 27.2% 37.5% 0.00 1 car 56.8% 48.1% 2+ car 16.0% 14.4% Health Very good 16.6% 18.7% 0.00 Good 27.3% 36.7% Average 28.1% 30.2% Poor or worse 28.0% 14.4%
SPORT NI, 2011
OR 95% CI p-value Urban/Rural (ref: rural) Urban 2.67 1.77-4.03 0.00 Deprivation classification (ref: least deprived) Most deprived 1.36 1.00-1.85 0.05 Mid third 1.26 0.90-1.76 0.18 Social class (ref: C2DE) ABC1 1.20 0.88-1.63 0.25 Qualifications (ref: uni degree) No formal qualifications 0.72 0.45-1.15 0.17 GCSE or equivalent 0.96 0.60-1.55 0.88 Marital status (ref: single/widowed/divorced) Married/civil partnership 0.94 0.69-1.26 0.66 Retired (ref: No) Yes 0.91 0.64-1.29 0.59 Cars (ref: no car) 1 car 0.56 0.34-0.93 0.03 2+ car 0.54 0.39-0.75 0.00
SPORT NI, 2011
OR 95% CI p-value How happy would you say you are? (ref: very happy) Unhappy (1-5) 1.08 0.68-1.71 0.75 Happy (6-7) 1.09 0.80-1.48 0.58 Disability (ref: No disability) Has a disability 0.72 0.54-0.97 0.03 BMI (ref: normal weight) Overweight or obese 0.87 0.67-1.13 0.31 Health status (ref: poor or worse) Very good 2.12 1.31-3.44 0.00 Good 2.29 1.52-3.45 0.00 Average 2.03 1.38-2.99 0.00
ageing in the over 50’s
above
BEHAVIOUR CHANGE: INDIVIDUAL APPROACHES (NICE 2014) Develop acceptable, practical and sustainable behaviour change interventions and programme Use proven behaviour change techniques when designing interventions
Goals and planning Feedback and monitoring Social support
Ensure interventions meet individual need
https://www.nice.org.uk/Guidance/PH49
The Lancet 2012; 380:272-281
baseline
11 weeks
assessment
‘active’ are co-associated with key variables in 14 focus group discussions.
“Walk With Me Study”
AIM Feasibility and of a community delivered, peer-led physical activity intervention that promotes physical activity in older adults
Ongoing work in Northern Ireland
Funded by the NIHR Project:12/133/04
Dr Mark Tully
UKCRC Centre of Excellence for Public Health (NI) Centre for Public Health Queen’s University Belfast m.tully@qub.ac.uk @marktully_qub