From: The association between social support and physical activity in older adults: a systematic review
First Author (Year) Country | Study design1 Sample size1 | Gender Age (Years): [Range] Mean (SD) | PA Measure2 | Domain of PA3 | Definition of ‘active’ 4 | SS Measure5 | Type of SS | Source of SS |
---|---|---|---|---|---|---|---|---|
Booth [95] Australia | XS 402 | 44.8% male [60+ years] NA | SR: LTPA questionnaire [95] | LTPA (walking and MVPA) | >800 kcal /week spent doing PA | Social environment scale (Likert scale, 4 items). Adapted from Sallis’ SS for ex. Scale [42]. | SSPA | friends and family |
Bopp [65] Rural USA | XS 102 | All female [50+ years] 70.6 (9.2) | SR: PA Scale for the Elderly (PASE) [96]. Strength training. | Strength training exercise (LTPA) | Â | SS for ex. scale [42] Friends 15 qs, family 5 qs. Conflicts with original version (5 friends, 5 family). | SSPA | friends and family |
Carlson [31] USA | XS 687-709 (3 PA variables) | 46.9% male [65+ years] 74.4 (6.3) | Objective: Accelerometer (1 week) and subjective SR survey: CHAMPS [97] | Total MVPA, TPA |  | SS for ex. scale. Adapted from [42] & [31]. 4 items; Internal consistency Cronbach’s α = 0.67 | SSPA | family and friends (Sum score) |
Gellert [66] Germany | Experimental N = 302 n = 48 ex. with partner n = 84 singles n = 170 not ex. with partner | 52% male [60-95 years] 66.5 (4.9) | SR PAQ-50 (adapted from [98]. Frequency and duration in last 7 days | HH, LTPA/ sport, TPA |  | Only 2 items from SS for ex. Scale [42] | SSPA. | friends, partner and family (total) |
Hall [67] USA | XS 128 | All female [NA] 69.6 | Objective: accelerometer analysed as less than 10,000 and more than 10,000 steps per day | All | At least 10 000 steps /day | SS for ex. scale [42] 10 item version, not clear which questions. | SSPA | Friends and family |
Kaplan [80] Canada | XS 12611 | 39% male [65+ years] NA | SR: leisure PA. Monthly moderate-intensity PA lasting more than 15 mins | LTPA | Greater than 15 mins PA at least 12x/m = frequent; less than this = infrequent | 4 questions. Perceived SS [93]. Qs: 1) someone they could confide in, 2) someone they could count on, 3) someone who could give them advice,4) and someone who made them feel loved. Score = sum of all affirmative (yes) responses to the four items. (Internal consistency Cronbach’s α = 0.75.) | General perceived SS. (General SS) |  |
Kim [68] South Korea | XS 290 | 30% male [65-89 years] 68.6 (4.4) | SR: Leisure time PA scale [99] Habitual weekly PA. Greater than 15 mins. Scored in METs (sum total of all activities) | LTPA | Â | 24 item SS for ex. scale [42]. Translated [100]. 12 friend and 12 family questions. Unclear exactly which Qs. | SSPA | family and friends |
Kraithaworn [69] Thailand | XS 258 | 26% male [60-88 years] 70.0 (6.4) | Modified version of self-reported PAQ for older Thais [101]. 42 items. Number hours /week for each activity. Last 7Â days. Scored in METs | All | 30 mins mod. intensity PA, 5Â days /week or 20 mins vig. PA 3Â days /week. | Scale developed from Social support for ex. scale [42] modified version for this study and Thais. 11 items [102]. Unclear which questions used. | SSPA (emotional support, tangible support, informational support. | family and friends |
Lian [70] Singapore | XS 2494 | 42% male [60+ years] NA | SR: Number of times doing moderate or vigorous PA at least 20 mins in last week (moderate: walking, gardening, tai chi chuan, qigong; Vigorous: jogging, cycling, swimming) | LTPA | mod. or vig. PA at least 20 mins at least 3x /week | SS for ex. Scale Adapted from [103]. 6 questions in original; 3 friends, 3 family. | SSPA. | Family and friends |
Luo [58] China | Longitudinal. 2002 sample n = 14072 re-interviewed 2005 n = 7668 re-interviewed 2008 n = 4033 | 47.1% male [65-105 years] 72(6) | SR: Regular PA yes/no? | LTPA |  | Loneliness (as an IV for health). Single question about loneliness (how often lonely: never - always). 5 point Likert scale | Loneliness | NA |
McAuley [71] USA | Longitudinal 153 | 28% male [60-75 years] 66 | PA during the study: attendance at the classes (SR exercise log after each class). Follow up PA at 6 and 18Â months assessed by SR: PASE [104] 10 item scale | LTPA, OPA, HHPA, (summed) | Â | Social Support Provisions Scale [105] (support provided by exercise group). 24 items, 6 headings reflecting the social provisions proposed by [106]: attachment, social integration, reassurance of worth, reliable alliance, opportunity for nurturance, and guidance. | SSPA. | Exercise group |
Mowen [81] USA | XS 1515 | 44% male [50-99 years] 67.4(9) | SR: Single ordinal item. Daily PA levels scored 1-3. 1 = sedentary, 2 = moderate activity 3 = vigorous activity (uses examples for each e.g. usually sedentary, usually walking a lot etc.) | LTPA, OPA, TPA (combined) |  | Social support questionnaire (SSQ) [92]. 6 items. Number of people providing supports and degree of satisfaction with support. 6 Point Likert | General SS, network size, SS satisfaction | Number of people to provide support, satisfaction with. (all people in network) |
Netz [59] Israel | XS 1663 | 48% male [65+ years] 74.8(6.2) | SR: frequency and average time doing certain types of Moderate and vigorous intensity PA each week (e.g. walking etc.). | LTPA | Sufficiently active: Mod. PA at least 150 mins /week, or Vig. PA at least 75 mins /week or an equivalent mix of the 2. Insufficiently active: Some activity but less than the levels above. Inactive: no activity other than light-intensity activity less than 1x /week | 1 item from CES-D [107] Lonely/not lonely 4 point Likert scale. A question also about living alone | Loneliness, living alone | NA |
Newall [60] USA | Longitudinal 194 | 37.7% male [77-96 years] 83(4.2) | Objective: Accelerometer. Daily PA | all daily activity | Â | Loneliness measured in 2001 using [108] 11-item loneliness scale. | Loneliness | NA |
O'Brien Cousins [72] Canada | XS 327 | All female [70-98 years] 76.7 (5.5) | SR: Older adults exercise status inventory (adapted from other scales for this study) | LTPA, OPA, HHPA (summed) | Â | 4 Questions (1) previous family sport involvement; (2) current encouragement by at least one person to maintain one's physical abilities; (3) endorsement by the family physician; and 4) peer group interest in physical fitness activity | SSPA | family, friends, doctor (sum score) |
Oka [73] Japan | XS 137 | 47% male [70-89 years] 74.5 | Objective: pedometer daily number of steps. Recorded. Over 1 year and data downloaded every month. | All | Men = 6700 steps, women = 5900 steps | Itakura Social support for ex. [109] 5 item scale. Functional, emotional, and informational Social support for exercise i) advice/instruction, ii) understanding/ sympathy, iii) former encouragement/ reinforcement, iv) joint implementation, v) compliment/ appreciation. | SSPA. | family and friends (sum score) |
USA | XS 1900 | 38.5% male [50+ years] 67.7 (6.9) | SR: survey frequency, intensity, time of 6 different PAs (specified by participants) over the last week. Total METs calculated. | LTPA | A minimum of 3 METs (mod. level of PA), at least 5Â days /week (meeting PA guidelines) | Social support for ex. scale [42] 12 items for friends and family (not clear if 12 is total number of questions or 12 for each friends and family) | SSPA | Family and friends (separate) |
Park [75] South Korea | XS 187 | 29.9% male [57-96 years] 71.6 (5.9) | SR: PASE [110] | LTPA, OPA HHPA (summed) | high-active = 150mins mod. and/or 75 mins vig. PA /week. low-active = Less than above | Social support for ex scale [42] Not clear if full original questionnaire was used. Translated into Korean. | SSPA | Friends and family |
Potts [83] USA | XS. 936 | 40.4% male [NA] 72.6 (5.9) | SR telephone interview: Regular exercise in last week yes/no | LTPA | Â | Social network scale [91] . 10 items. Number of friends and family (asked separately) seen regularly, able to talk to about private matters and ask for help. | General Social engagement (General SS) | family and friends |
Sasidharan [76] USA | XS 1967 | Gender NA [50+ years] NA | SR: 5 items from PASE [110] | LTPA | Â | Social support for ex scale [42] 12 questions for each; friends and family | SSPA | friends or family |
Schuster [77] USA | XS 108 | 31% male [60+ years] NA | SR: Frequency of participation in one or more physical activities in last 6Â months for 20-30Â min? | LTPA | Â | Social support for ex. scale. 5 items. Adapted from Sallis (1987). Not clear which questions | SSPA | Friends and family (combined). |
Shankar [61] UK | XS 8688 | 46.1% male [NA] 66.9 (10.4) | SR: times /week taken part in vigorous, moderate or mild PA | LTPA, OPA | Inactive = mod.- vig. PA no more than 1x /week | 3 item revised UCLA loneliness scale [111]. And also a measure of social isolation | Loneliness and social isolation | NA |
Shiovitz-Ezra [62] USA | XS 3005 | 46.6% male [57-85 years] NA | SR interview: frequency participating in PA (examples provided), 5-point Likert scale ranging from more than 3x /week to never. | LTPA | Â | Loneliness question from CES-D | Loneliness | Loneliness |
Theeke [63] USA | XS 13812 | 38.7% male [NA] 67.7 (9.2) | SR: Frequency doing sports/ activities that are moderately energetic: every day, more than 1x/week, 1x/week, 1-3x /m, never. | LTPA | Â | Loneliness question from Center for Epidemiologic Studies Depression Scale (CES-D) [94]. | Loneliness | NA |
Vance [82] USA | XS 158 | 52.5% male [65-91 years] 74.8 (5.8) | SR: PA Questionnaire | All types of LTPA separated | Â | Lubben Social Networks Scale [91] | Social engagement (General SS) | Â |
Wilcox [78] Rural USA | XS 102 | All female [50+ years] M = 70.6 | SR: PASE; [110] | LTPA, OPA, HHPA, (summed) |  | SS for ex. scale [42] (15 friends, 5 family) | SSPA | Family and friends. Average of 2 used or for analysis (overall SS) |
Yeom [79] USA. | Quasi-exp. N = 64 n (IG) =33 n (CG) =31 | 23.4% male [60-89 years] 71 (7.4) | SR: Participation in any type of regular PA for a minimum 30 min 3x /week? (y/n) | LTPA (flexibility, balance, walking) | Answered ‘Yes’ to PA question | SS for ex. scale [42] 9 items friends and 9 family. Not clear exactly which questions. | SSPA | Friends and family (separate) |