Maria Michalopoulou, Department of Physical Education and Sport Science, Democritus University of Thrace, Vassiliki Zisi, Department of Physical Education and Sport Science, University of Thessaly, Stavroula Stani, Christina Kiriazi and Efthimis Kioumourtzoglou, Department of Physical Education and Sport Science, Democritus University of Thrace


Physical activity (PA) levels of community-dwelling adults aged 60 and over were
assessed in Greece, in order to determine age and gender effects. PA was assessed using the PA
Scale for the Elderly in 591 persons (287 males and 304 females), (Ì=74.04, SD=5.46).
Participants were assigned into two age groups: A=65-75 and B=76-86 years. According to two
way ANOVA, no significant differences were reported in total PA between men and women
(p>.05) even though a significant age effect was reported with participants in Group A having
higher scores than participants in Group B (p<.001). Men reported greater participation in
recreational activities of moderate intensity (p<.001) and in exercises for muscular strength and
endurance (p<.05). Women were more active in PA related to household (p<.001). Age effects
resulted in favor of older adults in Group A 61-70 years when compared to older adults in Group B
for walking, for recreational activities and for housework (p<.001). In conclusion, both gender
and age affect PA participation of older adults in Greece.

Keywords: elderly, older adults, PASE, PA levels, age and gender effects


Alexandris, K., & Carroll, B. (1998). The relationship between selected demographic variables
and recreational sport participation in Greece. International Review for the Sociology of
Sport, 33, 291-298.
Avlund, K., Sakari-Rantala, R., Rantanen, T., Pedersen, A. N., Frandin, K., & Schroll, M.
(2004). Tiredness and onset of walking limitations in older adults. Journal of the
American Geriatrics Society, 52, 1963-1965.
Bijnen, F. C., Caspersen, C. J., Mosterd, W. L. (1994). Physical inactivity as a risk for coronary
heart disease: a WHO and International Society and Federation of Cardiology position
statement. Bulletin of the World Health Organization, 72(1), 1- 4.
Blair, S. N., Kohl, H. W., & Barlow, C. E. (1993). Physical activity, physical fitness, and allcause
mortality in women: do women need to be active? Journal of the American
College of Nutrition, 12(4), 368-371.
Centers for Disease Control and Prevention. (2002). Promoting Active lifestyles among older
adults. Atlanta: National Center for Chronic Disease Prevention and Health Promotion,
Division of Nutrition and Physical Activity.
Craig, C. L., & Cameron, C. (2002). Increasing physical activity. Assessing Trends 1998-2003.
Physical Activity Monitor. Canadian Fitness and Lifestyle Research Institute Canada.
Craig, C. L., Russell, S. J., Cameron, C., & Beaulieu, A. (1997). Foundation for Joint Action.
Reducing Inactivity Report. Canadian Fitness and Lifestyle Research Institute.
Crespo, C. J., Keteyian, S. J., Heath, G. W., & Sempos, C. T. (1996). Leisure-time physical
activity among US adults. Results from the Third National Health and Nutrition
Examination Survey. Archives of Internal Medicine, 156, 93-98.
Dallosso, H. M., Morgan, K., Bassey, E. J., Ebrahim, S. B., Fentem, P. H., & Arie, T. H. (1988).
Levels of customary physical activity among the old and the very old living at home.
Journal of Epidemiology and Community Health, 42, 121-127.
Dishman, R. K., Washburn, R. A., & Heath, G. W. (2004). Physical activity and diabetes. In
Dishman, RK., Washburn, RA., & Heath, GW. (Eds.), Physical Activity Epidemiology
(pp 191-207). Champaign IL: Human Kinetics.
Fagard, R. H. (2001). Exercise characteristics and the blood pressure response to dynamic
physical training. Medicine & Science in Sport & Exercise, 33(6 Suppl), S484-92.
Fletcher, G. F. et al. (1996). Statement on exercise: Benefits and recommendations for physical
activity programs for all Americans. A statement for health professionals by the
Committee on Exercise and Cardiac Rehabilitation of the Council on Clinical
Cardiology. American Heart Association. Circulation, 94(4), 857-862.
M. Michalopoulou et al.
Folsom, A. R., Arnett, D. K., Hutchinson, R. G., Liao, F., Clegg, L. X., & Cooper, L. S. (1997).
Physical activity and incidence of coronary heart disease in middle-aged women and
men. Medicine & Science in Sport & Exercise, 29(7), 901-909.
Guralnik, J. M., Ferrucci, L., Simonsick, E. M., Salive, M. E., & Wallace, R. B. (1995). Lowerextremity
function in persons over the age of 70 years as predictor of subsequent
disability. The New England Journal of Medicine, 332(9), 556-561.
Haapanen, N., Miilunpalo, S., Vuori, I., Oja, P., & Pasanen, M. (1997). Association of leisure
time physical activity with the risk of coronary heart disease, hypertension and diabetes
in middle-aged men and women. International Journal of Epidemiology, 26(4), 739-747.
Hachisuka, K., Tsutsui, Y., Furusawa, K., & Ogata, H. (1999). Gender differences in disability
and lifestyle among community-dwelling elderly stroke patients in Kitakyushu, Japan.
Archives of Physical Medicine and Rehabilitation, 79, 998-1002.
Harahousou, Y. S., & Kabitsis, C. N. (1993). Important reasons that motivate Greek women into
participation in physical recreation. In: Bell, F. I., Van Gyn, G. H. (Eds), Proceedings for
the 10th Commonwealth & International scientific congress: access to active living (pp.
113 118). Victoria BC: University of Victoria.
Hirvensalo, M., Rantanen, T., & Heikkinen, E. (2000). Mobility difficulties and physical activity
as predictors of mortality and loss of independence in the community-living older
population. Journal of the American Geriatrics Society, 48(5), 493-498.
Horgas, A. L., Wilms, H. U., & Bates, M. M. (1998). Daily life in very old age: everyday
activities as expression of successful living. The Gerontologist, 38(5), 556-568.
Jack, M. G., & Luigi, F. (2003). Assessing the building blocks of function: Utilizing measures of
functional limitation. American Journal of Preventive Medicine, 25(3), 112-121.
Jones, D. A., Ainsworth, B. E., Croft, J. B., Macera, C. A., Lloyd, E. E., & Yusuf, H. R. (1998).
Moderate leisure-time physical activity: who is meeting the public health
recommendations? A national cross-sectional study. Archives of Family Medicine, 7(3),
Kamimoto, L. A., Easton, A. N., Maurice, E., Husten, C. G., & Macera, C. A. (1999).
Surveillance for five health risks among older adults-United States, 1993-1997.
Morbidity and Mortality Weekly Report, 48(8), 89-156.
Kinsella, K., & Velkoff, V. A. (2001). An aging world: 2001 (U.S. Census Bureau Series
P95/01-1). Washington, DC: US Government Printing Office.
Lakka, T. A., Venäläinen, J. M., Rauramaa, R., Salonen, R., Tuomilehto, J., & Salonen, J. T.
(1994). Relation of leisure-time physical activity and cardio respiratory fitness to the risk
of acute myocardial infraction in men. The New England Journal of Medicine, 330, 1549-
Lee, I. M., Hsieh, C. C., & Paffenbarger, R. S. (1995). Exercise intensity and longevity in men:
the Harvard alumni health study. The Journal of the American Medical Association, 273,
1179 – 1184.
McTierman, A., et al. (2003). Recreational physical activity and the risk of breast cancer in
postmenopausal women: the Women’s Health Initiative Cohort Study. The Journal of the
American Medical Association, 290(10), 1331-1336.
Mensink, G. B., Deketh, M., Mul, M. D., Schuit, A. J., & Hoffmeister, H. (1996). Physical
activity and its association with cardiovascular risk factors and mortality. Epidemiology,
7(4), 391- 397.
Physical activity of Greek older adults
Michalopoulos, M., Zisi, V., Malliou, P., & Godolias, G. (2004). Habitual activity and motor
function in an urban Greek Elderly Population. Journal of Human Movement Studies, 46,
Michalopoulou, M., Aggelousis, N., Zisi, V., Ventouri, M., Kourtessis, T., & Malliou, R. (2006).
Physical Activity Patterns of Greek Adults Aged 60 – 90 years: Age and Gender Effects.
Inquiries in Sport & Physical Education, 4(1), 87 – 96.
Morris, J. N., Clayton, D. G., Everitt, M. G., Semmence, A. M., & Burgess, E. H. (1990).
Exercise in leisure-time: coronary attack and death rates. British Heart Journal, 63, 352-
Paffenbarger, R. S., Hyde, R. T., Wing, A. L., & Hsieh, C. C. (1986). Physical activity, all-cause
mortality, and longevity of college alumni. The New England Journal of Medicine,
314(10), 605-613.
Paffenbarger, R. S., Hyde, R. T., Wing, A. L., Lee, I. M., Jung, D. L., & Kampert, J. B. (1993).
The association of changes in physical-activity level and other lifestyle characteristics
with mortality among men. The New England Journal of Medicine, 328(8), 538-545.
Sesso, H. D., Paffenbarger, R. S., Ha, T., & Lee, I. M. (1999). Physical activity and
cardiovascular disease risk in middle-aged and older women. American Journal of
Epidemiology, 150(4), 408-416.
Schuit, A. J., Schouten, E. G., Westerterp, K. R., & Saris, W. H. (1997). Validity of the physical
activity scale for the elderly (PASE): According to energy expenditure assessed by the
doubly labeled water method. Journal of Clinical Epidemiology, 50(5), 541-546.
Shephard, J. R. (2002). Gender, physical activity and aging. CRC Press NY.
U.S. Department of Health and Human Services. (1999). Health and aging chart book. DHHS
Publication number (PHS), 99, 1232-1241.
Washburn, R. A., & Ficker, J. L. (1999). Physical Activity Scale for the Elderly (PASE): the
relationship with activity measured by a portable accelerometer. Journal of Sports
Medicine and Physical Fitness, 39, 336-340.
Washburn, R. A., Smith, K. W., Jette, A. M., & Janney, C. A. (1993). The Physical Activity
Scale for the Elderly (PASE): development and evaluation. Journal of Clinical
Epidemiology, 46, 153-162.
Yusuf, H. R. et al. (1996). Leisure-time physical activity among older adults. Archives of
Internal Medicine, 156(12), 1321-1326.