Relationship Between Midlife Cardiovascular Health and Late‐Life Physical Performance: The ARIC Study
Objectives To examine the association between midlife cardiovascular health and physical performance 25 years later. Design Cohort study (Atherosclerosis Risk in Communities Study); multinomial logistic and logistic regression adjusted for demographic characteristics and clinical measures. Setting F...
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| Vydané v: | Journal of the American Geriatrics Society (JAGS) Ročník 65; číslo 5; s. 1012 - 1018 |
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| Hlavní autori: | , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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United States
01.05.2017
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| ISSN: | 0002-8614, 1532-5415 |
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| Abstract | Objectives
To examine the association between midlife cardiovascular health and physical performance 25 years later.
Design
Cohort study (Atherosclerosis Risk in Communities Study); multinomial logistic and logistic regression adjusted for demographic characteristics and clinical measures.
Setting
Four U.S. communities: Forsyth County, North Carolina; Washington County, Maryland; Minneapolis, Minnesota; and Jackson, Mississippi.
Participants: Individuals aged 54.2 ± 5.8 at baseline (N = 15,744; 55% female, 27% black).
Measurements
Cardiovascular health was measured at baseline using the American Heart Association's Life's Simple 7 (LS7) score (0–14) and LS7 component categories (poor, intermediate, ideal) for each risk factor. The Short Physical Performance Battery (SPPB) was used to quantify physical function as ordinal (0–12) and categorical (low (0–6), fair (7–9), good (10–12) outcomes.
Results
Mean baseline LS7 score was 7.9 ± 2.4; 6,144 (39%) individuals returned 25 years later for the fifth ARIC examination, at which point the SPPB was administered. Of 5,916 individuals who completed the SPPB, 3,288 (50%) had good physical performance. Each 1‐unit increase in LS7 score was associated with a 17% higher SPPB score (rate ratio (RR) = 1.17, 95% confidence interval (CI) = 1.15–1.19) and a 29% greater chance of having a late‐life SPPB score of 10 or greater compared to SPPB score of less than 10 (RR = 1.29, 95% CI = 1.25–1.34). Ideal baseline glucose (RR = 2.53, 95% CI = 2.24–2.87), smoking (RR = 1.97, 95% CI = 1.81–2.15), blood pressure (RR = 1.70, 95% CI = 1.54–1.88), body mass index (RR = 1.51, 95% CI = 1.37–1.66), and physical activity (RR = 1.31, 95% CI = 1.20–1.43) had the strongest associations with late‐life SPPB score, adjusting for other LS7 components.
Conclusion
Better cardiovascular health during midlife may lead better physical functioning in older age. |
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| AbstractList | To examine the association between midlife cardiovascular health and physical performance 25 years later.
Cohort study (Atherosclerosis Risk in Communities Study); multinomial logistic and logistic regression adjusted for demographic characteristics and clinical measures.
Four U.S. communities: Forsyth County, North Carolina; Washington County, Maryland; Minneapolis, Minnesota; and Jackson, Mississippi.
Individuals aged 54.2 ± 5.8 at baseline (N = 15,744; 55% female, 27% black).
Cardiovascular health was measured at baseline using the American Heart Association's Life's Simple 7 (LS7) score (0-14) and LS7 component categories (poor, intermediate, ideal) for each risk factor. The Short Physical Performance Battery (SPPB) was used to quantify physical function as ordinal (0-12) and categorical (low (0-6), fair (7-9), good (10-12) outcomes.
Mean baseline LS7 score was 7.9 ± 2.4; 6,144 (39%) individuals returned 25 years later for the fifth ARIC examination, at which point the SPPB was administered. Of 5,916 individuals who completed the SPPB, 3,288 (50%) had good physical performance. Each 1-unit increase in LS7 score was associated with a 17% higher SPPB score (rate ratio (RR) = 1.17, 95% confidence interval (CI) = 1.15-1.19) and a 29% greater chance of having a late-life SPPB score of 10 or greater compared to SPPB score of less than 10 (RR = 1.29, 95% CI = 1.25-1.34). Ideal baseline glucose (RR = 2.53, 95% CI = 2.24-2.87), smoking (RR = 1.97, 95% CI = 1.81-2.15), blood pressure (RR = 1.70, 95% CI = 1.54-1.88), body mass index (RR = 1.51, 95% CI = 1.37-1.66), and physical activity (RR = 1.31, 95% CI = 1.20-1.43) had the strongest associations with late-life SPPB score, adjusting for other LS7 components.
Better cardiovascular health during midlife may lead better physical functioning in older age. OBJECTIVESTo examine the association between midlife cardiovascular health and physical performance 25 years later.DESIGNCohort study (Atherosclerosis Risk in Communities Study); multinomial logistic and logistic regression adjusted for demographic characteristics and clinical measures.SETTINGFour U.S. communities: Forsyth County, North Carolina; Washington County, Maryland; Minneapolis, Minnesota; and Jackson, Mississippi.PARTICIPANTSIndividuals aged 54.2 ± 5.8 at baseline (N = 15,744; 55% female, 27% black).MEASUREMENTSCardiovascular health was measured at baseline using the American Heart Association's Life's Simple 7 (LS7) score (0-14) and LS7 component categories (poor, intermediate, ideal) for each risk factor. The Short Physical Performance Battery (SPPB) was used to quantify physical function as ordinal (0-12) and categorical (low (0-6), fair (7-9), good (10-12) outcomes.RESULTSMean baseline LS7 score was 7.9 ± 2.4; 6,144 (39%) individuals returned 25 years later for the fifth ARIC examination, at which point the SPPB was administered. Of 5,916 individuals who completed the SPPB, 3,288 (50%) had good physical performance. Each 1-unit increase in LS7 score was associated with a 17% higher SPPB score (rate ratio (RR) = 1.17, 95% confidence interval (CI) = 1.15-1.19) and a 29% greater chance of having a late-life SPPB score of 10 or greater compared to SPPB score of less than 10 (RR = 1.29, 95% CI = 1.25-1.34). Ideal baseline glucose (RR = 2.53, 95% CI = 2.24-2.87), smoking (RR = 1.97, 95% CI = 1.81-2.15), blood pressure (RR = 1.70, 95% CI = 1.54-1.88), body mass index (RR = 1.51, 95% CI = 1.37-1.66), and physical activity (RR = 1.31, 95% CI = 1.20-1.43) had the strongest associations with late-life SPPB score, adjusting for other LS7 components.CONCLUSIONBetter cardiovascular health during midlife may lead better physical functioning in older age. Objectives To examine the association between midlife cardiovascular health and physical performance 25 years later. Design Cohort study (Atherosclerosis Risk in Communities Study); multinomial logistic and logistic regression adjusted for demographic characteristics and clinical measures. Setting Four U.S. communities: Forsyth County, North Carolina; Washington County, Maryland; Minneapolis, Minnesota; and Jackson, Mississippi. Participants: Individuals aged 54.2 ± 5.8 at baseline (N = 15,744; 55% female, 27% black). Measurements Cardiovascular health was measured at baseline using the American Heart Association's Life's Simple 7 (LS7) score (0–14) and LS7 component categories (poor, intermediate, ideal) for each risk factor. The Short Physical Performance Battery (SPPB) was used to quantify physical function as ordinal (0–12) and categorical (low (0–6), fair (7–9), good (10–12) outcomes. Results Mean baseline LS7 score was 7.9 ± 2.4; 6,144 (39%) individuals returned 25 years later for the fifth ARIC examination, at which point the SPPB was administered. Of 5,916 individuals who completed the SPPB, 3,288 (50%) had good physical performance. Each 1‐unit increase in LS7 score was associated with a 17% higher SPPB score (rate ratio (RR) = 1.17, 95% confidence interval (CI) = 1.15–1.19) and a 29% greater chance of having a late‐life SPPB score of 10 or greater compared to SPPB score of less than 10 (RR = 1.29, 95% CI = 1.25–1.34). Ideal baseline glucose (RR = 2.53, 95% CI = 2.24–2.87), smoking (RR = 1.97, 95% CI = 1.81–2.15), blood pressure (RR = 1.70, 95% CI = 1.54–1.88), body mass index (RR = 1.51, 95% CI = 1.37–1.66), and physical activity (RR = 1.31, 95% CI = 1.20–1.43) had the strongest associations with late‐life SPPB score, adjusting for other LS7 components. Conclusion Better cardiovascular health during midlife may lead better physical functioning in older age. |
| Author | Windham, B. Gwen Steffen, Lyn M. Mosley, Thomas H. Pompeii, Lisa A. Koton, Silvia Griswold, Michael E. Lutsey, Pamela L. Gabriel, Kelley P. Harrison, Kimystian L. Lirette, Seth T. |
| Author_xml | – sequence: 1 givenname: B. Gwen surname: Windham fullname: Windham, B. Gwen email: gwindham@umc.edu organization: University of Mississippi Medical Center – sequence: 2 givenname: Kimystian L. surname: Harrison fullname: Harrison, Kimystian L. organization: University of Mississippi Medical Center – sequence: 3 givenname: Seth T. surname: Lirette fullname: Lirette, Seth T. organization: University of Mississippi Medical Center – sequence: 4 givenname: Pamela L. surname: Lutsey fullname: Lutsey, Pamela L. organization: University of Minnesota – sequence: 5 givenname: Lisa A. surname: Pompeii fullname: Pompeii, Lisa A. organization: Department of Epidemiology – sequence: 6 givenname: Kelley P. surname: Gabriel fullname: Gabriel, Kelley P. organization: Department of Epidemiology – sequence: 7 givenname: Silvia surname: Koton fullname: Koton, Silvia organization: Department of Epidemiology – sequence: 8 givenname: Lyn M. surname: Steffen fullname: Steffen, Lyn M. organization: University of Minnesota – sequence: 9 givenname: Michael E. surname: Griswold fullname: Griswold, Michael E. organization: University of Mississippi Medical Center – sequence: 10 givenname: Thomas H. surname: Mosley fullname: Mosley, Thomas H. organization: University of Mississippi Medical Center |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28165626$$D View this record in MEDLINE/PubMed |
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To examine the association between midlife cardiovascular health and physical performance 25 years later.
Design
Cohort study (Atherosclerosis Risk... To examine the association between midlife cardiovascular health and physical performance 25 years later. Cohort study (Atherosclerosis Risk in Communities... OBJECTIVESTo examine the association between midlife cardiovascular health and physical performance 25 years later.DESIGNCohort study (Atherosclerosis Risk in... |
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| SubjectTerms | Age Factors Black People - statistics & numerical data cardiovascular Cardiovascular Diseases - ethnology Cardiovascular Diseases - prevention & control Exercise Female Humans Male Middle Aged midlife physical performance Prospective Studies Risk Factors White People - statistics & numerical data |
| Title | Relationship Between Midlife Cardiovascular Health and Late‐Life Physical Performance: The ARIC Study |
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