Assessing adherence to physical activity guidelines and correlates among older Korean adults with a focus on 10-minute bout duration using subjective and objective measures

Junhui Park, Su Hyun Kim, Young Hoon Kim and Chang-Hyung Lee

PLOS ONE, 2025, vol. 20, issue 6, 1-19

Abstract: Background: Understanding physical activity (PA) patterns in older adults is crucial for effectively promoting adherence to PA guidelines. However, measuring PA can be challenging because it involves a balance between ease of administration and accuracy of data collection. The primary objective of this study was to analyze PA levels in older Korean adults using both self-reported and objective accelerometer measures, and the secondary objective was to investigate the factors associated with adherence to PA guidelines. Methods: Using data from the Korea National Health and Nutrition Examination Survey (KNHANES VII-2) 2017, we assessed 425 older adults who provided both self-reported and accelerometer data. Adherence to PA guidelines was evaluated using two different thresholds for the accelerometer data, each applied both strictly and with a tolerance of one to two minutes when defining a 10-minute bout. Results: Self-reported data indicated a 34% adherence rate, whereas accelerometer-based rates ranged from 16% to 62.8%, depending on the cutoff values and tolerance settings. Bland-Altman analyses demonstrated notable differences between subjective and objective measurements. In terms of correlates, the questionnaire data highlighted factors such as education and household income, whereas the accelerometer-based findings emphasized sex, age, hypertriglyceridemia, and low high-density lipoprotein cholesterol. Conclusions: This study revealed substantial discrepancies in both moderate-to-vigorous PA adherence estimates and significant predictors when comparing self-reported surveys to accelerometer data among older adults. For estimating population-level adherence, in the absence of accelerometer cutoff values established by a specialized lab, both self-reported data and accelerometer measurements offer unique insights. Meanwhile, when analyzing the factors influencing PA adherence, accelerometer data may be preferable, as subjective biases in self-report can affect the observed correlates in statistical results.

Date: 2025
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0324342 (text/html)
https://journals.plos.org/plosone/article/file?id= ... 24342&type=printable (application/pdf)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0324342

DOI: 10.1371/journal.pone.0324342

Access Statistics for this article

More articles in PLOS ONE from Public Library of Science
Bibliographic data for series maintained by plosone ().