DO THE PERCEPTION OF BENEFITS OF AND BARRIERS TO EXERCISE AFFECT PHYSICAL PERFORMANCE IN THE ELDERLY?

Abstract

Introduction: It is important to sustain mobility in order to maintain functionality and physical independence in the elderly. The aim was to evaluate the perception of exercise in the elderly in terms of the benefits of and barriers to exercise and determine the related factors. Materials and Method: 138 elderly people aged 65 and over were included in the study. Demographics, ambulation status and duration, history of falls, spontaneous/low-energy fractures, exercise/walking activities were recorded. Depression states, benefits and barriers of exercise, risk of falling, balance and Daily activities were evaluated. Results: The average age of the patients was 71.59±6.21 years and 52.2% were female. Only a quarter (24.6%) reported regular exercise, 50.7% had history of falling, and 18.8% had a fracture history. Only 24.6% of the patients walked for exercise purposes and 44.2% did exercise. The perception of exercise benefit was significantly higher in those with a history of falling (p=0.012) and significantly lower in those who walked for exercise purposes and did exercise (p<0.001 and p<0.001). Perception of exercise benefit was positively correlated with depression, negatively correlated with Lawton-Brody, and perception of obstacle was negatively correlated with balance (r=0.333, r=-0.375, r=-0.383, respectively). Depression level, perceived benefit of exercise, risk of falling were higher in women whereas balance disorder was higher in men (p<0.001, p=0.049, p=0.004, respectively). Conclusion: In the elderly, exercise is associated with the perception of benefit/obstacle, depression, risk of falling/fracture, balance and functional dependence. Active life should be supported by strengthening the perception of benefit and reducing the perception of obstacles. Keywords: Aged; Exercise; Health Promotion; Activities of Daily Living; Depression; Fall.