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Poverty is higher in remote rural areas and in inner cities, but the rural elderly are much more likely to be poor than those living in urban areas. Thirteen percent of rural elders 60 years and older were poor in 2000, compared with nine percent of elders living in a metro area [20]. Thus we expect to find the most evidence of impeded access for the poor elderly who reside in rural areas. We interact the proportion of elderly in poverty with the proportion in rural areas to include in the model. We also expect that elderly living among elderly in rural areas may have greater access impedance than elderly. | Palacios-Cena et al. BMC Public Health 2011 11 799 http www.biomedcentral.com 1471-2458 11 799 BMC Public Health RESEARCH ARTICLE Open Access Time trends in leisure time physical activity and physical fitness in elderly people 20 year followup of the Spanish population national health survey 1987-2006 P s rx I z- - 1.3 1 2 2 Domingo Palacios-Cena 1 Cristina Alonso-Blanco Rodrigo Jimenez-Garcia Valentin Hernandez-Barrera Pilar Carrasco-Garrido2 Elena Pileno-Martinez1 and Cesar Fernandez-de-las-Penas4 Abstract Background To estimate trends in leisure time physical activity and physical fitness between 1987-2006 in older Spanish people. Methods We analyzed data collected from the Spanish National Health Surveys conducted in 1987 n 29 647 1993 n 20 707 1995-1997 n 12 800 2001 n 21 058 2003 n 21 650 and 2006 n 29 478 . The number of subjects aged 65 years included in the current study was 29 263 1987 n 4 958-16.7 1993 n 3 75117.8 1995-97 n 2 229-17.4 2001 n 4 356-20.7 2003 6 134-28.3 2006 7 835-26.5 . Main variables included leisure-time physical activity and physical fitness. We analyzed socio-demographic characteristics self-rated health status lifestyle habit and co-morbid conditions using multivariate logistic regression models. Results Women exhibited lower prevalence of leisure time physical activity and physical fitness compared to men P 0.05 . The multivariate analysis for time trends found that practising leisure time physical activity increased from 1987 to 2006 P 0.001 . Variables associated with a lower likelihood of practicing leisure time physical activity were age 80 years old 2 co-morbid chronic conditions and obesity. Variables associated with lower physical fitness included age 80 years worse self rated health 2 medications only for walking and obesity. Conclusions We found an increase in leisure time physical activity in the older Spanish population. Older age married status co-morbid conditions obesity and worse self-perceived health status were .
