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PurposeThe impact of a sedentary lifestyle on health and well-being is well recognized. However, there is limited understanding of how a lifetime of physical activity and sedentary behaviour influences an active lifestyle in older adults. The aim of this study was to describe how lived experience of physical activity and sedentary behaviour impacts daily activities among older adults, from a life course perspective.MethodsQualitative content analysis was used; individual telephone interviews were conducted with fourteen older adults aged 71 to 92 years. The participants received initial support from community care and lived in ordinary housing in southern Sweden.ResultsThe interviews yielded one theme, “Navigating with an embodied activity compass,” and two sub-themes: “Being guided by the past” and “Unveiling pathways through body awareness.”ConclusionsOur study highlights how older adults’ lived experiences of physical activity, with their connections to body awareness and acceptance, impact daily physical activity. These findings offer new knowledge for clinical practitioners balancing recommendations of sedentary behaviour and physical activity, to promote healthy daily physical activity among older adults. Future research and policies should consider the lived experiences of older adults when addressing public health matters related to sedentary behaviour and physical activity.

Abstrakt Bakgrund: Befolkningen i Sverige blir äldre vilket medför komplicerade åkommor, återinläggningar och ökat tryck på hälso- och sjukvården. Bristande uppfattningar om utförandekapacitet hos patienten bidrar till återinläggning. Genom att bedöma aktiviteter i dagliga livet (ADL) kan arbetsterapeuten kartlägga bristande aktivitetsområden hos individen. Syfte: Att undersöka patienters uppfattningar om sin utförandekapacitet och huruvida dessa påverkas av en ADL-bedömning eller ej. Metod: Prospektiv tvärsnittsstudie genom enkätundersökning. Ett instrument för att samla in uppskattad utförandekapacitet skapades, för att svara på syftet. 32 personer deltog i studien. Data från instrumentet sammanställdes samt analyserades i SPSS genom paried samples T-test. Resultat: Patienternas uppfattningar om sin utförandekapacitet samstämde vid första skattning till 21% med ADL-bedömningen. Patienternas skattning efter ADL-bedömning samstämde till 71%, en ökning på 238% med en trestjärnig signifikansnivå, p=0,0000 genom paried samples T-test. Slutsats: ADL-bedömning är grundläggande för att säkerställa att patienternas uppfattningar om sin utförandekapacitet samstämmer med hur aktuellt vårdtillfälle påverkat det tidigare aktivitetsutförandet. ADL-bedömning är en viktig del av vårdkedjan och arbetsterapeuten har ett unikt sätt att utreda patientens behov., Background: The population in Sweden is getting older, which results in complicated conditions, re-admissions and increased pressure on healthcare services. Patients’ deficient perceptions of their performance capacity contributes to re-admission. By estimating activities in daily life (ADL), the occupational therapist map areas of activity in which the patient performs insufficient. Purpose: To investigate patients’ perceptions of their performance capacity and whether these are affected by an ADL assessment or not. Method: Prospective cross-sectional study through a questionnaire. An instrument for gathering estimated performance capacity was created. 32 people participated in the study. Data from the instrument was compiled and analyzed in SPSS by paried samples T-test. Results: Patients' perceptions of their performance capacity matched at first estimation to 21% with the ADL-assessment. Patients' estimation after ADL assessment conformed to 71%, an increase of 238% on a three-star significance level, p = 0.0000 by paried samples T-test. Conclusion: ADL assessment is essential to ensure that the patients’ perceptions of their performance capacity are consistent with how the current hospitalization affect their performance. ADL assessment is an important part of the care chain, and the occupational therapist has a unique way to investigate patient needs.