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Aging Anxiety and Physical Activity Outcomes among Middle and Older Age African Americans Cover

Aging Anxiety and Physical Activity Outcomes among Middle and Older Age African Americans

Open Access
|Oct 2023

Figures & Tables

Table 1

Sociodemographic characteristics of middle and older age of African American.

CHARACTERISTICSN (%)MEAN (SD)
Gender
Female111 (62.36)
Male64 (35.96)
Other3 (1.69)
Age (years)61.5 (11.4)
40–4930 (16.95)
50–5942 (23.73)
60–6959 (33.33)
70+46 (25.99)
Education
High school or less47 (26.40)
More than high school131 (73.60)
Marital status
Single1120 (67.24)
Married58 (32.58)
Location of residence
City90 (50.56)
Rural19 (10.67)
Suburb69 (38.76)
Ethnicity
Non-Hispanic/Latino169 (94.94)
Hispanic/Latino9 (5.06)
Income (USD)
≤20,00057 (32.57)
20,001–30,00030 (17.14)
30,001–50,00030 (17.14)
>50,00058 (33.14)
Weight status30.2 (7.4)
Underweight (BM I2< 18.5 kg/m2)6 (3.37)
Normal (18.5 kg/m < BMI < 24.9 kg/m2)40 (22.47)
Overweight (25 kg/m2 ≤ BMI < 29.9 kg/m2)55 (30.90)
Obese (BMI ≥30 kg/m2)77 (43.26)

[i] Note: 1 Never married, widowed, divorced, separated, BMI = body mass index.

Table 2

Characteristics of aging anxiety constructs of middle- and older- aged African Americans.

AGING ANXIETY CONSTRUCTSMEAN (SD)MEDIAN
Fear of older adults19.10 (3.23) (Min. = 11, Max. =25)19
Psychological concerns18.15 (2.55) (Min. = 9, Max. =25)18
Physical appearance17.27 (3.07) (Min. = 10, Max. =25)17
Fear of loss10.92 (3.93) (Min. = 5, Max. =25)11
Total score of aging anxiety65.44 (7.87) (Min. = 51, Max. =100)65

[i] Note: SD = standard deviation. 5-point Likert scale (strongly disagree to strongly agree) measuring aging anxiety, with higher scores indicating higher anxiety levels (Lasher and Faulkender 1993).

Table 3

Characteristics of actual PA and attitude toward PA of middle- and older-aged African Americans.

INTENTION AND ACTUAL PAMEAN (SD)7MEDIAN
Intention13.58 (1.37) (Min. = 1, Max. = 5)4
General23.86 (2.48) (Min. = 0, Max. = 8)3
Strengthening32.95 (2.14) (Min. = 0, Max. = 8)3
Stretching43.02 (2.11) (Min. = 0, Max. = 8)3
Attitude toward PA(Min. = 1, Max. = 7)
Useful/useless2.03 (1.82)1
Healthy/unhealthy1.74 (1.67)1
Good/bad1.58 (1.52)1
Enjoyable/unenjoyable2.47 (1.94)2
Interesting/boring2.51 (1.94)2
Pleasant/unpleasant2.46 (1.94)2
Attitude toward advantages/disadvantages of PA55.31 (4.47)3
Attitude toward enjoyment of PA67.43 (5.35)7
Total score of attitudes toward PA12.75 (9.01)11

[i] Note: 1 I intend to perform PA for 30 min/day for at least 3 days/week over the next 2 months (future). 2 During the past seven days, on how many days did you walk for at least 10 min at a time for fun, relaxation, exercise, or to walk the dog? 3 How many times per week do you do physical activities specifically designed to strengthen your muscles such as lifting weights or doing calisthenics (e.g., exercising large muscle groups)? 4 How many times per week do you do physical activities designed to stretch your muscles, such as yoga or exercises like bending side-to-side, toe-touching, and leg stretches? 5-point Likert scale (1 = not likely at all to 5 = very likely) for strengthening and stretching exercises. 9-point Likert scale (0 = 0 days to 7 = 7 days) for other physical activity questions (CDC, 2017). 5 PA attitudes by perceived positive or negative effects of being physically active (e.g., PA is useful/useless, healthy/unhealthy, and good/bad) 6 Affective attitude as indicated by the enjoyment level of doing PA (e.g., PA is enjoyable/unenjoyable, interesting/boring, and pleasant/unpleasant). A 7-point Likert scale was used to assess attitudes, where a score of 1 indicated a positive attitude, and a score of 7 indicated a negative attitude. (Ajzen 1991)]. PA = physical activity, 7 SD = standard deviation.

Table 4

Aging anxiety and different sociodemographic characteristics of African American middle age and older adults.

CHARACTERISTICSAGING ANXIETY CONSTRUCTS
FEAR OF OLDER ADULTSPSYCHOLOGICAL CONCERNSPHYSICAL APPEARANCEFEAR OF LOSSTOTAL SCORE OF AGING ANXIETY
MEAN (SD)MEAN (SD)MEAN (SD)MEAN (SD)MEAN (SD)
MEDIAN (IQR)1MEDIAN (IQR)1MEDIAN (IQR)1MEDIAN (IQR)1MEDIAN (IQR)1
Gender
Female19.02 (3.09)17.88 (2.17)17.05 (2.82)10.67 (3.98)64.67 (7.45)
19 (16–21)18 (16–19)17 (15–19)11 (8–13)64 (60–69)
Male19.31 (3.49)18.84 (2.82)17.68 (3.50)11.26 (3.90)67. 03 (8.43)
20 (16–21)19 (18–21)18 (15–20)11 (9–14)67 (61–74)
p-Value0.40710.00630.31600.02890.0334
Age (years)
40–4919.53 (3.25)18.60 (3.10)16.41 (3.58)9.8 (4.52)64.25 (8.46)
19 (18–21)18 (17–20)16 (14–17)9.5 (6–14)64 (58.5–71)
50–5919.76 (3.68)17.95 (2.64)16.40 (2.98)10.78 (3.89)64.90 (8.64)
20 (17–23)19 (16–20)16 (14–19)11 (8–13)64.5 (58–71)
60–6918.84 (3.05)18.32 (2.45)18.06 (3.31)11.44 (3.77)66.67 (7.72)
19 (16–21)18 (17–20)19 (15–20)11 (10–14)66 (61–73)
70+18.63 (2.94)17.91 (2.24)17.63 (2.13)11.10 (3.77)65.28 (6.92)
19 (16–20)18 (17–19)18 (16–19)11 (10–13)65 (60–70)
p-Value0.30650.82600.01330.45970.5153
Education
High school or less19.06 (3.55)17.84 (3.02)17.17 (3.61)10.74 (3.12)64.71 (7.67)
19 (16–21)19 (15–20)17 (14–19)11 (8–13)65 (58–70)
More than high school19.11 (3.12)18.26 (2.37)17.30 (2.87)10.98 (4.19)65.70 (7.96)
19 (16–21)18 (17–20)17 (15–19)11 (8.13)65 (60–72)
p-Value0.87570.92840.85220.66830.5629
Marital status
Single319.18 (3.28)18.05 (2.62)17.15 (2.97)10.59 (3.88)64.97 (7.89)
19 (16.5–21)18 (16–20)17 (15–19)11 (8–13)65 (59–71)
Married18.93 (3.13)18.34 (2.42)17.51 (3.29)11.60 (3.97)66.39 (7.81)
19 (16–21)18.5 (17–20)17 (15–20)12 (10–14)66.5 (60–72)
p-Value0.57530.75730.60490.04720.2659
Location of residence
City18.98 (3.26)18.20 (2.84)17.33 (3.11)10.55 (3.86)65.02 (7.52)
19 (16–21)19 (17–20)18 (15–19)11 (8–13)0265 (60–71)
Non-city19.21 (3.21)18.10 (2.24)17.20 (3.05)11.29 (3.98)65.87 (8.24)
19.5 (16–21)18 (17–20)17 (15–19.5)11 (9–13)65 (60–72)
p-Value0.59540.51910.77070.31120.7018
Income (USD)
≤20,00018.92 (3.25)17.80 (2.83)16.92 (3.26)9.78 (4.01)63.33 (7.83)
19 (17–21)18 (15–20)17 (14–19)10 (6–13)63 (57–68)
20,001–30,00019.40 (3.38)18.51 (2.94)17.96 (3.61)10.23 (3.32)66.27 (7.81)
19 (17–22)19 (17–21)18.5(15–20)10.5 (9–12)66 (61–73)
30,001–50,00019.03 (3.18)18.46 (2.40)17.56 (3.21)11.76 (4.52)66.83 (8.43)
19 (16–21)19 (17–20)18 (16–19)11 (10–14)66 (62–72)
>50,00019.22 (3.27)18.20 (2.19)17.15 (2.48)11.89 (3.59)66.48 (7.59)
19.5 (16–21)18 (17–20)17 (15–19)12 (10–14)65 (61–71)
p-Value0.90560.55310.40980.01400.0875

[i] Note: 1 Interquartile range. 2 Standard deviation 3 Never married, widowed, divorced, and separated. Bolded p-values indicate a significant relationship. 5-point Likert scale (strongly disagree to strongly agree) measuring aging anxiety, with higher scores indicating higher anxiety levels (Lasher and Faulkender 1993).

Table 5

Aging anxiety, aging anxiety constructs, and PA.

FEAR OF OLDER ADULTSPSYCHOLOGICAL CONCERNSPHYSICAL APPEARANCEFEAR OF LOSSTOTAL SCORE OF AGING ANXIETY
Intention1
Correlation coefficient0.21600.09250.02100.02660.1523
p-Value0.00380.22200.78060.72410.0435
General2
Correlation coefficient–0.07320.04690.0221–0.03300.1549
p-Value0.33160.53580.76940.66140.0401
Strengthening3
Correlation coefficient–0.03395–0.0290–0.1870–0.0740–0.0679
p-Value0.65290.70150.01260.32620.3703
Stretching4
Correlation coefficient0.0672–0.0155–0.07430.02210.0804
p-Value0.37230.83820.32520.76920.2886

[i] Note: 1 I intend to perform PA for 30 min/day for at least 3 days/week over the next 2 months (future). 2 During the past seven days, how many days did you walk for at least 10 min at a time for fun, relaxation, exercise, or to walk the dog? 3 How many times per week do you do physical activities specifically designed to strengthen your muscles, such as lifting weights or doing calisthenics (e.g., exercising large muscle groups)? 4 How many times per week do you do physical activities designed to stretch your muscles, such as yoga or exercises like bending side-to-side, toe-touching, and leg stretches? 5-point Likert scale (1 = not likely at all to 5 = very likely) for strengthening and stretching exercises. 9-point Likert scale (0 = 0 days to 7 = 7 days) for other physical activity questions (CDC, 2017). 5-point Likert scale (strongly disagree to strongly agree) measuring aging anxiety, with higher scores indicating higher anxiety levels (Lasher and Faulkender 1993).Bolded p-values indicate a significant relationship.

Table 6

Aging anxiety and attitudes toward PA.

FEAR OF OLDER ADULTSPSYCHOLOGICAL CONCERNSPHYSICAL APPEARANCEFEAR OF LOSSESTOTAL SCORE OF AGING ANXIETY
Useful/useless
Correlation coefficient–0.1972–0.0451–0.0409–0.1008–0.1802
p-Value0.00850.55330.58930.18150.0170
Healthy/unhealthy
Correlation coefficient–0.2685–0.1761–0.0953–0.1780–0.2877
p-Value0.00030.02080.21210.01870.0001
Good/bad
Correlation coefficient–0.2070–0.1541–0.0500–0.0992–0.2180
p-Value0.00570.04160.50980.18860.0037
Enjoyable/unenjoyable
Correlation coefficient–0.3418–0.2577–0.1064–0.1731–0.3731
p-Value<0.00010.00060.15850.0208<0.0001
Interesting/boring
Correlation coefficient–0.3388–0.17129–0.1149–0.1049–0.3060
p-Value<0.00010.02340.12890.1643<0.0001
Pleasant/unpleasant
Correlation coefficient–0.2730–0.2125–0.1010–0.1803–0.3277
p-Value0.00020.00460.17250.0160<0.0001
Attitude toward PA advantage/disadvantage1
Correlation coefficient–0.23011–0.1092–0.0618–0.12482–0.22623
p-Value0.00200.14890.41360.09690.0025
Attitude toward PA enjoyment2
Correlation coefficient–0.3312–0.2220–0.1235–0.1624–0.3572
p-Value<0.00010.00310.10140.0303<0.0001
Total score attitude toward PA
Correlation coefficient–0.3221–0.2166–0.1038–0.1665–0.3438
p-Value<0.00010.00390.16900.0263<0.0001

[i] Note: 1 PA attitudes via the perceived positive or negative effects of being physically active (e.g., PA is useful/useless, healthy/unhealthy, and good/bad). 2 Affective attitude as indicated by the enjoyment level of participating in PA (e.g., PA is enjoyable/unenjoyable, interesting/boring, and pleasant/unpleasant). A 7-point Likert scale was used to assess attitudes, where a score of 1 indicated a positive attitude, and a score of 7 indicated a negative attitude. (Ajzen 1991). 3 Physical activity. 5-point Likert scale (strongly disagree to strongly agree) measuring aging anxiety, with higher scores indicating higher anxiety levels (Lasher and Faulkender 1993).

Bolded p-values indicate a significant relationship.

Table 7

Association between aging anxiety and its constructs, as well as the association between PA and attitudes toward PA, while controlling for different demographic variables.

REFERENCEODDS RATIO95% CI1p-VALUE
Fear of older adults
GenderFemale1.9931.03–3.850.0406
Attitude toward PA2 enjoyment1.1211.05–1.190.0003
Psychological concerns
Attitude toward PA enjoyment1.0661.01–1.120.0306
Physical appearance
Age (years)40–49 vs. 50–591.5680.53–4.630.4153
40–49 vs. 60–693.7371.34–10.420.0118
40–49 vs. ≥703.3011.04–8.760.0408
50–59 vs. 60–692.3831.02–5.520.0428
50–59 vs. ≥701.9320.79–4.680.1444
60–69 vs. ≥700.8110.36–1.810.6099
Strengthening1.2011.02–1.400.0237
Fear of loss
Marital statusMarried0.4340.20–0.900.0264
Income (USD)≤20,000 vs. 20,001–30,0001.4180.57–3.510.4502
≤20,000 vs. 30,001–50,0003.5011.31–9.340.0124
≤20,000 vs. >50,0002.2761.02–5.060.0441
20,001–30,000 vs. 30,001–50,0002.4690.82–7.370.1055
20,001–30,000 vs. >50,0001.6050.62–4.150.3299
30,001vs. >50,0000.6500.23–1.780.4042
Total score of aging anxiety
GenderFemale2.3541.19–4.630.0013
Attitude toward PA enjoyment1.1361.06–1.21<0.0001

[i] Note: 5-point Likert scale (1 = not likely at all to 5 = very likely) for strengthening and stretching exercises. 9-point Likert scale (0 = 0 days to 7 = 7 days) for other physical activity questions (CDC, 2017). A 7-point Likert scale was used to assess attitudes, where a score of 1 indicated a positive attitude, and a score of 7 indicated a negative attitude (Ajzen 1991). 1 Confidence interval, 2 Physical activity. Bolded p-values indicate the significant relationship. 5-point Likert scale (strongly disagree to strongly agree) measuring aging anxiety, with higher scores indicating higher anxiety levels (Lasher and Faulkender 1993).

DOI: https://doi.org/10.5334/paah.287 | Journal eISSN: 2515-2270
Language: English
Submitted on: Jun 15, 2023
Accepted on: Sep 3, 2023
Published on: Oct 2, 2023
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2023 Lillie Monroe-Lord, Elgloria Harrison, Azam Ardakani, Sarah L. Francis, Furong Xu, Melissa Ventura Marra, Lee Weidauer, Anna E. Arthur, Nadine R. Sahyoun, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.