The role of sports clubs in helping older people to stay active and prevent frailty: a longitudinal mediation analysis
Watts, P., Webb, Elizabeth and Netuveli, G. 2017. The role of sports clubs in helping older people to stay active and prevent frailty: a longitudinal mediation analysis. International Journal of Behavioral Nutrition and Physical Activity. 14, p. Art. 95. https://doi.org/10.1186/s12966-017-0552-5
|Watts, P., Webb, Elizabeth and Netuveli, G.
We used data from waves 1 to 7 of the English Longitudinal Study of Ageing (ELSA). Survey items on physical activity were combined to produce a measure of moderate or vigorous physical activity for each wave. Frailty was measured using an index of accumulated deficits. A total of sixty deficits, including symptoms, disabilities and diseases were recorded through self-report and tests. Direct and indirect relationships between sports club membership, levels of physical activity and frailty were examined using a cross-lagged panel model.
We found evidence for an indirect relationship between sports club membership and frailty, mediated by physical activity. This finding was observed when examining time-specific indirect pathways and the total of all indirect pathways across seven waves of survey data (Est = −0.097 [95% CI = −0.124,-0.070], p = <0.001).
These analyses provide evidence to suggest that sports clubs may be useful in preventing and managing frailty in older adults, both directly and indirectly through increased physical activity levels. Sports clubs accessible to older people may improve health in this demographic by increasing activity levels and reducing frailty and associated comorbidities. There is a need for investment in these organisations to provide opportunities for older people to achieve the levels of physical activity necessary to prevent health problems associated with inactivity.
|Physical activity; Sports clubs; Frailty; Older adults
|International Journal of Behavioral Nutrition and Physical Activity
|14, p. Art. 95
|Digital Object Identifier (DOI)
|Web address (URL)
|14 Jul 2017
|Publication process dates
|24 Jul 2017
|07 Jul 2017
|National Institute of Aging
|Office for National Statistics
|The role of sports clubs in helping older people to stay active and prevent frailty: a longitudinal mediation analysis
|© 2017 The Authors
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