Factors associated with physical activity levels among older adults in selected institutions in Rwanda

  • Maurice Kanyoni
  • Julie Phillips


The size of the elderly population both in numbers and proportions of the whole world is increasing rapidly. The increase in the number of elderly people in the world will exert a big impact on health and social services. It is established that physical activity is one way of limiting age related disabilities.

This study aims to asses the levels of physical activity and the factors associated with it among older adults in selected institutions for the elderly in the Southern Province of Rwanda.

A cross-sectional descriptive study was conducted at 2 institutions for older adults in Rwanda. An interview questionnaire with closed-ended questions was used to collect data.

More than one-third of the study sample was categorized as sedentary. Physical activity levels decrease with age.
Females reported higher prevalence of physical activity than males.

Older adults should be encouraged to engage in physical activity to gain the physical and mental health benefits associated with it.


American College of Sports Medicine Position Stand.(2000). The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults. Medicine Science Sports Exercise, 30: 975-991

Amosun, S.L. & Reddy, P. (1997). Healthy Aging individuals and Health for all. World Health Forum, 10:307-308.

Armstrong, T., Bauman, A. & Davies, J. (2000). Physical activity patterns of Australian adults. Results of the 1999 National Physical Activity Survey. Canberra: Australian Institute of Health and Welfare, 127-132.

Booth, M. (2000). Assessment of physical activity: An international perspective. Research Quarterly for Exercise and Sport, 71: 114-120.

Droomers, M., Schrijvers, C.T., Van de Mheen, H. & Mackenbach, J.P. (1998). Educational differences in leisure-time physical inactivity: a descriptive and explanatory study. Social

Science Medicine, 47:1665-1676.

Eyler, A.E., Wilcox, S., Koffman, D.M., Everson, K.R.,

Wilbur, J., Young, D.R. & Thomson, B.S.T. (2002). Correlates of physical activity among women from diverse racial/ethnic groups. Journal of Women's Health and Gender-based Medicine, 11: 1-16.

Flint, G.N. (2003). Fear of falling in the elderly. Geriatrics and Aging, 6: 15-17.

Hill, K., Schwarz, J., Kalogeropoulos, A. & Gibson, S. (1996). Fear of falling revisited. Archives of Physical Medicine and Rehabilitation, 77: 1025-1029.

Hill, D.A. (1995). Healthy Ageing and the quality of life.

World Health Forum, 16:335-341.

Kagaba, S., Nsanzabaganwa, S. & Mpyisi, E. (2003).

Regional workshop on Ageing and poverty. Dar-es- Salaam, Tanzania: Rwanda Country Position Paper.

Kagwiza, J.N., Phillips, J.S. & Struthers, P. (2005).

Physical activity profile of urbanized Rwandan women. African Journal for Physical, Health Education, Recreation and Dance, 11: 59-67.

Kaplan, S., Newsom, T., McFarland, & Lu, L. (2001) Demographic and psychosocial correlates of physical activity in late life. American Journal of Preventive Medicine, 21: 306-312.

King, A.C., Castro, C., Wilcox, S., Eyler, A.A., Sallis, J.F.

& Brownson, R.C. (2004). Personal and environmental factors associated with physical inactivity among different racial-ethnic groups of U.S. middle-aged and older-aged women. Health Psychology, 4:354-64.

Kwok-Ho Hui, E. & Rubenstein, L.Z (2006). Promoting physical activity and exercise in older adults. Journal of American Medical Directors Association, 7: 310-314.

Lim, K., & Taylor, L. (2005). Factors associated with physical activity among older people - a population -based study. Preventive Medicine, 40: 35-38.

Malambo, P. (2005). The physical needs of the elderly with regard to physiotherapy services in the Livingstone district, Zambia. Unpublished Masters Thesis, University of the Western Cape: Cape Town, South Africa.

Marcus BC, Forsyth LH, Stone EJ, Dubbert, P.M., McKenzie, T.L., Dunn, A.L. & Blair, S.N. (2000). Physical activity behavior change: issues in adoption and maintenance. Health sychology,


Marks, N.F., Lambert, J.D., Jun, H. & Song, J. (2008).

Psychosocial moderators of the effects of transitioning into filial caregiving on mental and physical health. Research on Aging, 30: 348-350.

Moriarty, D.G., Kobau, R., Zack, M.M. & Zahran, H.S. (2005). Preventing chronic diseases: Tracking healthy 13JCHS Volume 4 No. 1 2009

days - A window on the health of older adults. Public

Health Research Practice and Policy, 2: 520-526.

Murenzi, J.G. (2001). Habitual activity patterns among adolescent learners in two urban areas in Rwanda. Unpublished Masters Thesis, University of the Western Cape: Cape Town, South Africa.

Netz, Y., Wu, M., Becker, B.J. & Tenenbaum, G. (2005).

Physical activity and psychological well-being in advance age: A meta-analysis of intervention studies. Psychology and Aging, 20: 272-284.

Rwanda Census of Population and Housing. (2002).

Available on http://www.statisticsrwanda.gov.rw/IntroductionToThe 2002CensusE.htm. Retrieved April 28, 2007.

Rwanda Poverty Reduction Strategy Report. (2005).

Available on: http://www.imf.org. Retrieved April 28, 2007.

Sekabaraga, C. (2001). Block Granting, Performance based incentives and the fiscal space issue: The new generation of HRH reforms in Rwanda. Available at:http://www.who.int/workforcealliance/forum/presentations/Claude_Sekabaraga.pdf. Retrieved August 4,2008.

Stewart, A.L. & King, A.C (1997). CHAMPS physical activity questionnaire for older adults: Outcomes for interventions. Medicine and Science in Sports and Exercise, 33: 1126-1141.

Stone, G., Strikwerda-Brown, J., & Gregg, C. (2002).Physical activity levels, sporting, recreational and cultural preferences of students and staff at a regional University campus., 49: 39-43.

Australian Health Council, Physical Education, Recreation

and Healthy Lifestyles Journal

Strawbridge, W.J., Deleger, S., Roberts, R. & Kaplan,

G.A. (2002). Physical activity reduces the risk of subsequent depression for older adults. American Journal of Epidemiology, 156: 328-334.

Tinetti, M.E., Richman, D., & Powel, L.E. (1990). Falls efficacy as a measure of fear of falling.Journal of Gerontology, 45: 239-243.

Tumusiime, D.K. & Frantz, J.M. (2006). Influences of previous participation in physical activity on its perceptions among tertiary institution students. African Journal for Physical, Health

Education, Recreation and Dance, 12: 287-297.

Velkof, A.V. & Kowal, P.R. (2007). Population Aging in Sub-Saharan Africa: Demographic Dimension 2006.

International Population Reports, USDHHS, National Institute of Health and National Institute of Aging, 117.

World Health Organisation. (2002). Impact of AIDS on older people in Africa.

Zimbabwe case study: Non- communicable diseases and mental health prevention

and health promotion, Ageing and Life Course, 59.