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58. Feasibility of a Park-Based Active Transportation Intervention to Promote Youth Physical Activity and Access to Parks and Recreation.

Author

Chung, Nicky, Ostbye, Truls, Jones, Jason, Smith, Annette, Zewdie, Hiwot, Yuan, Andrew, Kumar, Advika, and D'Agostino, Emily

Subjects
*PHYSICAL activity, *TRANSPORTATION safety measures, *RECREATION
Abstract

This study conducted a needs assessment and feasibility testing of Going Places, a novel park-based active transportation intervention that aims to improve physical activity and access to parks and recreation. Participants (n=19) were recruited from park sites serving predominantly racial/ethnic minority and low income communities in North Carolina, United States. Surveys were administered to participants (n=17), accelerometer-based step data was collected (n=6), and one focus group was conducted (n=6). Feasibility was assessed based on retention, engagement with community partners, and program delivery. Surveys showed more than half of youth (mean age=15.9 years; 100% non-Hispanic Black) did not use active transportation, reported low levels of physical activity, and demonstrated barriers to active transportation including safety concerns, accessibility, and social factors. Seventeen lessons were delivered at two sites. This work has potential to promote youth active transportation in a parks and recreation setting to benefit youths' physical activity patterns for lifelong health. [ABSTRACT FROM AUTHOR]

Published
2023
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91. A 10-Year Follow-Up of Urinary and Fecal Incontinence among the Oldest Old in the Community: The Canadian Study of Health and Aging

Author

Ostbye,Truls, Seim, Arnfinn, Krause, Katrina M., Feightner, John, Hachinski, Vladimir, Sykes, Elizabeth, and Hunskaar, Steinar

Abstract

Urinary incontinence is common in the elderly. The epidemiology of fecal and double (urinary and fecal) incontinence is less known. The Canadian Study of Health and Aging (CSHA) is a national study of elderly living in the community at baseline (n = 8,949) and interviewed in 1991-1992, 1996, and 2001. Using data from the CSHA, we report the prevalence of urinary, fecal, and double incontinence in each wave and the cumulative incidence between waves and investigate the predictors of urinary and fecal incontinence. Urinary incontinence increased rapidly in old age, being almost twice as high in women as in men. Fecal and double incontinence were less common, but also increased rapidly with age. In women, parity showed a positive relationship with (prevalent) urinary incontinence. In men, diabetes was a risk factor for urinary and fecal incontinence. We conclude that urinary, fecal, and double incontinence increase rapidly with age and that inquiry about incontinence should be part of routine medical and nursing assessment of all elderly.

Published
2004

92. Predictors and Sequelae of Fractures in the Elderly: The Canadian Study of Health and Aging (CSHA)

Author

Ostbye, Truls, Walton, Ruth E., Steenhuis, Runa, and Hodsman, Anthony B.

Abstract

The objective of this study was to describe the incidence, type, risk factors, and sequelae of fractures experienced by community-dwelling elderly Canadians. Data are from the Canadian Study of Health and Aging (CSHA), a longitudinal cohort study, collected in three waves: baseline (1991), wave 2 (1996), and wave 3 (2001). In CSHA-2 (1996), fractures were reported by 3.7 per cent of men and 7.5 per cent of women; in CSHA-3 (2001), by 2.9 per cent of men and 7.3 per cent of women. The distribution of fracture types was similar for men and women. Risk factors for women were increased age, history of fracture, and regular alcohol use; for men, stroke, arthritis, and lack of independent bathing. Walkers or wheelchairs were needed by over 30 per cent of those with any lower body fracture. One third of subjects with any fracture and over 50 per cent with femur fractures reported moderate or severe pain. It is concluded that elderly Canadians are at high risk for fractures, and older women are at most risk. Pain and mobility problems were common sequelae. The need for primary and secondary prevention of these age-related events is paramount.

Published
2004

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