Journal of Physical Activity Research
ISSN (Print): 2576-1919 ISSN (Online): 2574-4437 Website: Editor-in-chief: Peter Hart
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Journal of Physical Activity Research. 2016, 1(1), 9-14
DOI: 10.12691/jpar-1-1-3
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Physical Activity Measurement in Elderly: The Indian Scenario

Majida Shaheen1, , Seema Puri1 and Nikhil Tandon2

1Department of Food and Nutrition, Institute of Home Economics, University of Delhi, Delhi, India

2Department of Endocrinology and Metabolism, All India Institute of Medical Sciences, New Delhi, India

Pub. Date: July 05, 2016

Cite this paper:
Majida Shaheen, Seema Puri and Nikhil Tandon. Physical Activity Measurement in Elderly: The Indian Scenario. Journal of Physical Activity Research. 2016; 1(1):9-14. doi: 10.12691/jpar-1-1-3


This paper attempts to give an overview of the present condition of the sedentary elderly population in India. India’s elderly has crossed the 100 million mark during 2011. This age group is found to be leading a physically inactive lifestyle not just in developed countries but developing countries as well. Physical activity was recently considered a cornerstone for combating non- communicable diseases by the UN. The elderly face many barriers for being physically active and therefore, the importance of physical activity must be highlighted to them to encourage them to involve in at least some kind of activity. Studies have been carried out in the West to establish standards for the measurement of physical activity in elderly. However, there are no specific techniques for physical activity measurement in the Indian elderly. There are a few questionnaires that are being used in the older population and their use in the Indian setting is still being investigated. The use of accelerometers is becoming fairly common in this age group and further studies are needed to evaluate these as an epidemiological tool.

physical activity elderly sedentary accelerometry

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[1]  Census of India, Ministry of Home Affairs, 2012.
[2]  Agewell foundation. “Older Women in India”. 2012.
[3]  Australian Institute of Health and Welfare, Older Australia at a glance: 4th edition. 2007, AIHW: Cat. no. AGE 52. Canberra.
[4]  World Health Organisation, Keep fit for life: Meeting the nutritional needs of older persons. 2002: Geneva: WHO.
[5]  Arokiasamy P, Parasuraman S, Sekher TV, Lhungdim H. Study on global AGEing and adult health (SAGE) Wave 1: India National Report. International Institute for Population Sciences. September 2013.
[6]  Cramm and Lee. BMC Public Health 2014, 14:526 (
[7]  Schutzer KA and Graves BS. “Barriers and Motivations to exercise in older adults”. Preventative Medicine 2004; 39: 1056-1061.
[8]  Brawley LR, Rejesky WJ and King AC. “Promoting physical activity for older adults: The challenges for changing behaviour”. Am J Preventative Med. 2003; 25 (3Sii): 172-183.
[9]  Chao D, Foy CG and Farmer D. “Exercise adherence among older adults: Challenges and Strategies”. Control Clinical Trials 2000; 21 (Suppl.): 212S-217S.
[10]  Sims J, Hill K, Hunt S, Haralambous B, Brown A, Engel L, Huang N, Kerse N, and Ory M. 2006. National physical activity recommendations for older Australians: Discussion document. Canberra:Australian Government Department of Health and Ageing.
[11]  Diehr P and Hirsch CH. Health Benefits of Increased Walking for Sedentary, Generally Healthy Older Adults: Using Longitudinal Data to Approximate an Intervention Trial. J Gerontol A BiolSci Med Sci. 2010 Sep; 65A(9): 982-989.
[12]  Hirsch CH, Diehr P, Newman AB, Gerrior SA, Pratt C, Lebowitz MD and Jackson SA. Physical Activity and Years of Healthy Life in Older Adults: Results From the Cardiovascular Health Study. J Aging Phys Act. 2010 Jul; 18(3): 313-334.
[13]  Chaudhry SI, McAvay G, Ning Y, Allore HG, Newman AB and Gill TM. Geriatric Impairments and Disability: The Cardiovascular Health Study. J Am Geriatr Soc. 2010 Sep; 58(9): 1686-1692.
[14]  Andrews AW, Chinworth SA, Bourassa M, Garvin M, Benton D, Tanner S. Update on distance and velocity requirements for community ambulation. J Geriatr Phys Ther. Jul-Sep 2010; 33(3): 128-134.
[15]  Fabel K, Kempermann G. Physical activity and the regulation of neurogenesis in the adult and aging brain. Neuromolecular Med. 2008; 10(2): 59-66.
[16]  Rosano C, Brach J, Longstreth Jr WT, Newman AB. Quantitative measures of gait characteristics indicate prevalence of underlying subclinical structural brain abnormalities in high-functioning older adults. Neuroepidemiology. 2006; 26(1):52-60.
[17]  Camicioli, R., Moore MM, Sexton G, Howieson DB, Kaye JA. Age-related brain changes associated with motor function in healthy older people. J Am Geriatr Soc. 1999. 47(3): p. 330-4.
[18]  Hicks GE, Shardell M, Alley DE, Miller RR, Bandinelli S, Guralnik J, Lauretani F, Simonsick EM, Ferrucci L. Absolute Strength and Loss of Strength as Predictors of Mobility Decline in Older Adults: The InCHIANTI Study. J Gerontol A BiolSci Med Sci. May 5 2011.
[19]  Gill TM, Robison JT, Tinetti ME. Difficulty and dependence: two components of the disability continuum among community-living older persons. Ann Intern Med. Jan 15 1998; 128(2): 96-101.
[20]  Clark RD, Lord SR, Webster IW. Clinical parameters associated with falls in an elderly population. Gerontology. 1993; 39(2):117-123.
[21]  Binder EF, Yarasheski KE, Steger-May K, Sinacore DR, Brown M, Schechtman KB, Holloszy JO. Effects of progressive resistance training on body composition in frail older adults: results of a randomized, controlled trial. J Gerontol A BiolSci Med Sci. Nov 2005; 60(11): 1425-1431.
[22]  Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA, Nathan DM; Diabetes Prevention Program Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. Feb 7 2002; 346(6): 393-403.
[23]  Taaffe DR, Irie F, Masaki KH, Abbott RD, Petrovitch H, Ross GW, White LR. Physical activity, physical function, and incident dementia in elderly men: the Honolulu-Asia Aging Study. J Gerontol A BiolSci Med Sci. May 2008; 63(5): 529-535.
[24]  Larson EB, Wang L, Bowen JD, McCormick WC, Teri L, Crane P, Kukull W. Exercise is associated with reduced risk for incident dementia among persons 65 years of age and older. Ann Intern Med. Jan 17 2006;144(2):73-81.
[25]  Podewils LJ, Guallar E, Kuller LH, Fried LP, Lopez OL, Carlson M, Lyketsos CG. Physical activity, APOE genotype, and dementia risk: findings from the Cardiovascular Health Cognition Study. Am J Epidemiol. Apr 1 2005;161(7):639-651.
[26]  Madden DJ, Spaniol J, Costello MC,Bucur B, White LE, Cabeza R, Davis SW, Dennis NA, Provenzale JM, Huettel SA. Cerebral white matter integrity mediates adult age differences in cognitive performance. J CognNeurosci. Feb 2009;21(2):289-302.
[27]  Wolfson L, Wei X, Hall CB, Panzer V, Wakefield D, Benson RR, Schmidt JA, Warfield SK, Guttmann CR. Accrual of MRI white matter abnormalities in elderly with normal and impaired mobility. J Neurol Sci. May 15 2005;232(1-2):23-27.
[28]  Morris JN, Heady JA, Raffle PA, Roberts CG, Parks JW. Coronary heart-disease and physical activity of work. Lancet 1953; 262: 1111–20 and 1053–57.
[29]  UN. High level meeting on prevention and control of non-communicable diseases. General Assembly. New York, NY: United Nations, 2011
[30]  WHO. Physical inactivity: a global public health problem. Geneva: World Health Organization, 2011.
[31]  Schoeller D and Santen EV. Measurement of energy expenditure in humans by doubly labelled water method. Journal of Applied Physiology. 1982: 52, 955-959.
[32]  Matthews CE, Welk GJ: Use of Self-Report Instruments to Assess Physical Activity. In Physical Activity Assessments for Health-Related Research. Edited by: Welk GJ. Champaign, IL: Human Kinetics; 2002:107-121.
[33]  Welk GJ. Physical activity assessments for health-related research. Human Kinetics Publishers Inc. 2002
[34]  Washburn RA, Smith KW, Jette AM and Janney CA. The physical activity scale for the elderly (PASE): Development and evaluation. Journal of Clinical Epidemiology. 1993 46, 153-162.
[35]  Bull FC, Maslin TS, Armstrong T. Global physical activity questionnaire (GPAQ): nine country reliability and validity study. J Phys Act Health. 2009 Nov;6(6):790-804.
[36]  International Physical Activity Questionnaire. 2005 [updated Nov 2005; cited May 17, 2005]; Available from:
[37]  Deng HB, Macfarlane DJ, Thomas GN, Lao XQ, Jiang CQ, Cheng KK, Lam TH. Reliability and validity of the IPAQ-Chinese: The Guangzhou Biobank cohort study. Med Sci Sports Exerc. 2008;40(20):303-307.
[38]  Macfarlane DJ, Lee CCY, Ho EYK, Chan KL, Chan DTS. Reliability and validity of the Chinese version of IPAQ (short, last 7 days). J Sci Med Sport. 2007;10(1):45-51.
[39]  Hagstromer M, Oja P, Sjostrom M. The International Physical Activity Questionnaire (IPAQ): a study of concurrent and construct validity. Public Health Nutr. 2006;9(6):755-762.
[40]  International Physical Activity Questionnaire. 2002 [updated Nov 2002; cited March 11, 2009]; Available from:
[41]  Milanović Z, Pantelić S, Trajković N, Sporiš G, Kostić R, and James N. Age-related decrease in physical activity and functional fitness among elderly men and women. ClinInterv Aging. 2013; 8: 549-556.
[42]  Pantelić S, Ranđelović N , Milanović Z, Trajković N, Sporiš G, Kostić R. Physical Activity Of Elderly Women In Terms Of Age. Physical Education and Sport. Vol. 10, No 4, Special Issue, 2012, pp. 289-296
[43]  Tomioka K, Iwamoto J, Saeki K and Okamoto N. Reliability and Validity of the International Physical Activity Questionnaire (IPAQ) in Elderly Adults: The Fujiwara-kyo Study. J Epidemiol. 2011; 21(6): 459-465.
[44]  Benedetti TRB, de CesaroAntunes P, Rodriguez-Añez CR, Mazo GZ and Petroski EL. Reproducibility and validity of the International Physical Activity Questionnaire (IPAQ) in elderly men. Rev Bras Med Esporte Vol. 13, Nº 1 – Jan/Fev, 2007
[45]  Taylor HL, Jacobs DR Jr., Schucker B, Knudsen J, Leon AS, and Debacker G. A questionnaire for the assessment of leisure time physical activities. J. Chronic Dis. 31:741-755, 1978.
[46]  Ainsworth BE, Haskell WL, Leon AS, Jacobs DR Jr, Montoye HJ, Sallis JF, Paffenbarger RS Jr. Compendium of physical activities: classification of energy costs of human physical activities. Med Sci Sports Exerc. 1993; 25: 71-80.
[47]  Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, O'Brien WL, Bassett DR Jr, Schmitz KH, Emplaincourt PO, Jacobs DR Jr, Leon AS. Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc. 2000; 32: S498-S504.
[48]  Khandelwal D, Goel A, Kumar U, Gulati V, Narang R and Dey AB. Frailty is associated with longer hospital stay and increased mortality in hospitalized older patients. J Nutr Health Aging. 2012 Aug;16(8):732-5.
[49]  Godin G. Psychosocial factors influencing intentions to exercise of young students. 1983, Graduate Department of Community Health. University of Toronto, Toronto.
[50]  Croteau KA, Richeson NE, Farmer BCand Jones DB. Effect of a pedometer-based intervention on daily step counts of communitydwelling older adults. Research Quarterly for Exercise & Sport.2007; 78(5), 401- 406.
[51]  Ewald B, McEvoy M and Attia J. Step counts superior to physical activity scale for identifying health markers in older adults. British Journal of Sports Medicine. 2008.
[52]  Sugden JA, Sniehotta FF, Donnan PT, Boyle P, Johnston DW and McMurdo ME. The feasibility of using pedometers and brief advice to increase activity in sedentary older women - a pilot study. BMC Health Services Research.2008; 8, 169.
[53]  Cyarto EV, Myers AM and Tudor-Locke C. Pedometer accuracy in nursing home and community-dwelling older adults. Medicine & Science in Sports & Exercise. 2004; 36(2), 205-209.
[54]  Melanson EL, Knoll JR, Bell ML, Donahoo WT, HillJO, Nysse LJ, Lanningham-Foster L, Peters JC, Levine JA. Commercially available pedometers: considerations for accurate step counting. Preventive Medicine. 2004; 39(2), 361-368.
[55]  Storti KL, Pettee KK, Brach JS, Talkowski, JB, Richardson CR and Kriska, AM. Gait speed and step-count monitor accuracy in community-dwelling older adults. Medicine& Science in Sports & Exercise. 2008; 40(1), 59-64.
[56]  Bharathi AV, Kuriyan R, Kurpad AV, Thomas T, Ebrahim S, Kinra S, Lyngdoh T, Reddy SK, Dorairaj P, Vaz M; Indian Migrants Study Group. Assessment of physical activity using accelerometry, an activity diary, the heart rate method and the Indian migration study questionnaire in south Indian adults. Public Health Nutr. 2010 Jan;13(1):47-53.
[57]  Krishnaveni GV, Veena SR, Kuriyan R, Kishore RP, Wills AK, Nalinakshi M, Kehoe S, Fall CH, Kurpad AV. Relationship between physical activity measured using accelerometers and energy expenditure measured using doubly labelled water in Indian children. Eur J ClinNutr. 2009 Nov; 63(11):1313-9.
[58]  Anjana RM, Sudha V, Lakshmipriya N, Subhashini S, Pradeepa R, Geetha L, Bai MR, Gayathri R, Deepa M, Unnikrishnan R, Binu VS, Kurpad AV, Mohan V. Reliability and validity of a new physical activity questionnaire for India. Int J BehavNutr Phys Act. 2015 Mar 18;12(1):40. [Epub ahead of print].
[59]  Sundari G and Ilanchezhiapandian G. A Posture Recognition-Based Fall Detection System for Monitoring an Elderly Person in a Smart Home Environment. IJREAT International Journal of Research in Engineering & Advanced Technology, Volume 2, Issue 2, Apr-May, 2014.
[60]  Kushbu,Chandrashekhar MC, Kurian MZ. Design and Implementation of Child Activity Recognition Using Accelerometer And RFID Cards. International Journal of Advanced Research in Computer Engineering & Technology (IJARCET) Volume 3 Issue 4, April 2014.
[61]  Chen KY, Bassett DR. The technology of accelerometry-based activity monitors: current and future. Med Sci Sports Exerc. 2005; 37: S490-500.
[62]  Hagstromer M, Oja P, Sjostrom M. Physical activity and inactivity in an adult population assessed by accelerometry. Med Sci Sports Exerc. 2007;39:1502-08.
[63]  Healy GN, Wijndaele K, Dunstan DW Shaw JE, Salmon J, Zimmet PZ, Owen N. Objectively measured sedentary time, physical activity, and metabolic risk: the Australian Diabetes, Obesity and Lifestyle Study (AusDiab). Diabetes Care 2008;31:369-71.
[64]  King AC, Parkinson KN, Adamson AJ, Murray L, Besson H, Reilly JJ, Basterfield L; Gateshead Millennium Study Core Team. Correlates of objectively measured physical activity and sedentary behaviour in English children. Eur J Public Health. 2011; 21: 424-31.
[65]  Vale S, Silva P, Santos R, Soares-Miranda L, Mota J. Compliance with physical activity guidelines in preschool children. J Sports Sci. 2010;28:603-08.
[66]  Matthews CE, Ainsworth BE, Thompson RW, Bassett DR. Sources of variance in daily physical activity levels as measured by an accelerometer. Med Sci Sports Exerc. 2002; 34:1376-81.
[67]  Hart TL, Swartz AM, Cashin SE, Strath SJ. How many days of monitoring predict physical activity and sedentary behaviour in older adults? Int J BehavNutr Phys Act. 2011; 8:62.
[68]  Clemes SA, David BM, Zhao Y, Han X, Brown WJ. Validity of two self-report measures of sitting time. J Phys Act Health. 2012;9:533-39.
[69]  Hart TL, Ainsworth BE, Tudor-Locke C. Objective and subjective measures of sedentary behavior and physical activity. Med Sci Sports Exerc. 2011;43:449-56.
[70]  McMahon GC, Brychta RJ, Chen KY. Validation of the ActiGraph (GT3X) inclinometer function. Med Sci Sports Exerc. 2010; 42:489.