臺灣老人休閒運動之型態及相關因素

The patterns and correlates of leisure-time physical activity among elderly adults in Taiwan

研究目地：此研究是探討台灣老人休閒運動之型態及相關因素。研究方法：以代謝當量（MET）測量運動強度，分析2001年NHIS中60歲以上的老人2977位。依休閒活動之頻率、強度及持續時間，分成：規律休閒活動、沒有休閒活動、不規律休閒活動3組。規律休閒活動是指每週活動5次且累積150分鐘的中度活動，或每週3次，每次30分鐘的強度活動；沒有休閒活動指過去2週沒有作任何休閒活動，其他則為不規律休閒活動。研究發現：44.4%的長者沒有休閒活動、34.5%的長者有規律休閒活動、21.1%的長者不規律休閒活動；其中教育程度較低、收入低、仍然工作、離婚、自評健康較差或ADL有困難者，較傾向於沒有休閒活動；在女性長者部份，隨著年紀增加、離婚之長者，傾向於有規律休閒活動。結論：台灣有一大部分的長者沒有休閒活動，尤其是社經地位較低的老人，針對這些長者應給與適當的健康介入，以促進長者之健康。

Objective: The study aims to examine the patterns and factors associate with leisure-time physical activity(LTPA) among elderly adults in Taiwan. Methods: The metabolic equivalent (MET), a unit of exercise intensity, or calories was assigned to each LTPA reported in the 2001 National Health Interview Survey, which included 2977 adults aged 60 and over. Subjects were categorized into three groups: regular exercisers, non-exercisers, and irregular exercisers, defined by their frequency, intensity and duration of leisure-time physical activity. Regular LTPA referred to taking leisure-time physical activity≧5 times a week and accumulating ≧150 minutes of moderate intensity, or ≧ 3 times a week and each time for ≧ 20 minutes of vigorous intensity. Non-exercisers were those not taking any leisure-time physical activity in the past two weeks. Others were considered as irregular exercisers. Result: The majority of elderly adults (44.4%) were non-exercisers, followed by regular LTPA (34.5%) and irregular exercisers (21.1%) during their leisure time. In the multivariate logistic model, elderly adults who were less educated, having lower income, currently employed, divorced , poorer self-reported health and with ADL difficulties were more likely to be non-exercisers, and those who were more aged, or divorced women were more likely to be regular exercisers. Conclusion: There is a high proportion of elderly adults in Taiwan that do not take leisure-time physical activity, particularly those who are socioeconomically disadvantaged and with poor health. It is suggested that appropriate health interventions be specifically designed for this high-risk group to promote their involvement in leisure-time physical activity.