Global population is rapidly ageing due to an increase in life
expectancy and a reduction in fertility rates, while the number
of years lived with disability is also on the rise [1-5]. In 2010, an
estimated 524 million people were aged 65 or older, 8% of the
world’s population. By 2050 this is expected to nearly triple to 1.5
billion, representing about 16% of the world’s population [1]. In the
United Kingdom alone, there are about 10 million people aged over
65, a number expected to rise by 1.1 million by 2020 [6].
Ageing presents both challenges and opportunities. It will
increase demand for primary health care and long-term care,
require a larger and better trained workforce and intensify the
need for environments to be made more age-friendly. In addition,
it is well known that age is an independent risk factor for the
development of non-communicable diseases (NCDs) such as
cardiovascular disease, cancer, diabetes and dementia [1,7].
Even without NCDs, function and independence generally
decline in older age as a result of reductions in cognitive and
physical capacity [8-14], where reduced or impaired mobility plays
an important role in poorer quality oflife (QOL) among those living
in residential care homes [14-17]. Approximately, 90% of people in
long-term care have some typeof reduced mobility [18], with about
40% of those with dementia losing their ability to walk each year
[19].
Now more than ever it is vital to investigate ways to encourage
“aging well” [10] or “Active Ageing”, which refers to older adults
being enabled to continue participating in “social, economic,
cultural, spiritual and civic affairs” and maintain a good QOL [11].
Performing sufficient physical activity (PA) is a primary
modifiable determinant of health especially pertinent to active
ageing because it is known to have vastmental and physical health
benefits for people of all ages [12,13]. Therefore, with or without
NCDs, increasing PA levels is one of the primary targets of the World
Health Organization (WHO) [14].
However, despite the known benefits of regular PA [15], 23%
of adults globally are insufficiently active, with some high income
countries having inactivity rates of up to 54% [16]. In addition,
inactivity rates increase with age, with around two-thirds of those
between 65-74 years and three-quarters of those over 75 years
not meeting PA guidelines of at least 150 min/week of moderate
intensity activity in either the US [17] or Australia [18], and those
living in care homes still spend most of their time in wheelchairs or
in bed [20].
Adding to that [21], according to the European Opinion
Research Group, 97.4% of people aged 65 and over do not meet
recommendations for physical activity to achieve health benefits
[22]. In the older Polish population, the most popular use of free
time is watching television and listening to the radio (30.2%),
followed by reading (15.5%), passive recreation (13.1%), religious
practices (11.9%), and gardening (8.7%) [23].
On the other hand, aging is one of the greatest social and
economic challenges facing the European Union (EU). According
to a 2011 report by the Central Statistical Office in Poland, nearly
40% of people older than 70 years of age have problems with
basic self-care: more than 1.8 million have difficulty self-washing,
and more than 1.6 million have difficulty dressing and undressing
independently [4,21].
However, many behavior change theories highlight the
importance of social factors such as social support (SS) and social
connectedness in maintaining and/or initiating behavior change in
PA with older adults [24-29]. Furthermore, the WHO identifies SS
as a key determinant of Active Ageing [11].
Professor, Chief Doctor, Director of Department of Pediatric Surgery, Associate Director of Department of Surgery, Doctoral Supervisor Tongji hospital, Tongji medical college, Huazhong University of Science and Technology
Senior Research Engineer and Professor, Center for Refining and Petrochemicals, Research Institute, King Fahd University of Petroleum and Minerals (KFUPM), Dhahran, Saudi Arabia
Interim Dean, College of Education and Health Sciences, Director of Biomechanics Laboratory, Sport Science Innovation Program, Bridgewater State University