Physical activity (PA) is important for healthy ageing. Better insight into objectively measured PA levels in older adults is needed, since most previous studies employed self-report measures for PA assessment, which are associated with overestimation of PA. This study aimed to provide insight in objectively measured indoor and outdoor PA of older adults, and in PA differences by frailty levels. Data were collected among non-frail (N = 74) and frail (N = 10) subjects, aged 65 to 89 years. PA, measured for seven days with accelerometers and GPS-devices, was categorized into three levels of intensity (sedentary, light, and moderate-to-vigorous PA). Older adults spent most time in sedentary and light PA. Subjects spent 84.7%, 15.1% and 0.2%per day in sedentary, light and moderate-to-vigorous PA respectively. On average, older adults spent 9.8 (SD 23.7) minutes per week in moderate-to-vigorous activity, and 747.0 (SD 389.6) minutes per week in light activity. None of the subjects met the WHO recommendations of 150 weekly minutes of moderate-to-vigorous PA. Age-, sex- and health status-adjusted results revealed no differences in PA between non-frail and frail older adults. Subjects spent significantly more sedentary time at home, than not at home. Non-frail subjects spent significantly more time not at home during moderate-to-vigorous activities, than at home. Objective assessment of PA in older adults revealed that most PA was of light intensity, and time spent in moderate-to-vigorous PA was very low. None of the older adults met the World Health Organization recommendations for PA. These levels of MVPA are much lower than generally reported based on self-reported PA. Future studies should employ objective methods, and age specific thresholds for healthy PA levels in older adults are needed. These results emphasize the need for effective strategies for healthy PA levels for the growing proportion of older adults. https://doi.org/10.1371/journal.pone.0123168
MULTIFILE
Cancer and its treatments cause significant changes in sexuality that affect the quality of life of both patients and their partners. As these issues are not always discussed with healthcare professionals, cancer patients turn to online health communities to find answers to questions or for emotional support pertaining to sexual issues. By using a discursive psychological perspective, we explore the social actions that participants in online health forums perform when discussing sexuality. Data were collected by entering search terms in the search bars of three online health forums. Our analysis of 213 threads, containing 1,275 posts, provides insight into how participants who present themselves as women with cancer account for their sexual issues and, in doing so, orient to two intertwined norms: Having untroubled sex is part of a couple’s relationship, and male partners are entitled to having untroubled sex. We discuss the potential harmful consequences of orienting to norms related to sexual behaviour. Yet, our findings can also help healthcare professionals in broaching the topic of sexuality in conversations with cancer patients. The insights of this study into what female patients themselves treat as relevant can assist health professionals in better aligning with patients’ interactional concerns.
Over the last decade, many (European) countries have created special committees or conducted special investigations into the occurrence of sexual abuse in residential and/or foster care. Many of these studies concluded that children and young people in care are at a greater risk of being sexually abused, compared to youth growing up at home. However, the extent and scope of sexual abuse which has historically occurred in residential and/or foster care remains contested and is highly controversial. Although a broad range of factors are involved, one issue that is of crucial importance in the prevention of sexual abuse is paying attention to the healthy sexual development of children and young people in care. This sounds easy, but it isn’t easy at all. Ideas about relationships, intimacy and healthy sexual development differ between people and countries. It’s a sensitive subject that many professionals working in care find difficult to talk about. As most professionals working in care in Europe graduate from schools of Social Work, social work education should prepare (future) professionals to address this issue. Although some authors have addressed this issue, in general, social work education does not pay sufficient attention to the subject. This project aims to help (future) professionals build competencies on this specific subject by providing the following products:1. An international summer school on the subject of sex and sexuality, for social work students.2. An online course on the subject of sex and sexuality for professionals working in residential care or working with foster parents.3. A website with materials for European lecturers who teach future social workers on the subject of sex and sexuality.4. A reflection instrument as a tool for on-the-job training on the subject.These products are based on a set of practice based core competencies that professionals should develop in order to be able to provide care and upbringing on the theme of sex and sexuality. Next to that five central themes were used to order the development of modules.
