Objective physical activity and physical performance in middle-aged and older adults
Older adults may have difficulty meeting the Physical Activity (PA) Guidelines. A favorable balance between PA and sedentary time (SED) is an important determinant of physical performance in older adults. Our objective was to explore associations of PA/SED with physical performance across mid-older...
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| Vydáno v: | Experimental gerontology Ročník 119; s. 203 - 211 |
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| Médium: | Journal Article |
| Jazyk: | angličtina |
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Elsevier Inc
01.05.2019
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| ISSN: | 0531-5565, 1873-6815, 1873-6815 |
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| Abstract | Older adults may have difficulty meeting the Physical Activity (PA) Guidelines. A favorable balance between PA and sedentary time (SED) is an important determinant of physical performance in older adults. Our objective was to explore associations of PA/SED with physical performance across mid-older age in adults without overt mobility disability.
Framingham Offspring Study participants free of mobility disability with accelerometry and physical performance data (gait speed, chair stand time, and handgrip strength), were studied in cross-sectional analysis (n = 1352). We regressed physical performance on PA level, measured using steps, moderate to vigorous (MV)PA and SED. We stratified by age groups, adjusted for covariates, and modelled MVPA and SED separately and together as predictors.
Only 38% of adults 50–64 years and 15% of adults ≥75 years met the PA Guidelines (i.e., 150 min MVPA per week). Individuals achieving at least 5 min/day of MVPA had 0.062 ± 0.013 m/s greater gait speed and better chair stands and handgrip strength (in women) than those with <5 min/day of MVPA (p < 0.01) across mid-older age. SED was associated with poorer performance on gait speed and chair stand tests, but results were not significant after adjusting for MVPA (p > 0.05). For adults ≥75 years, every 5000 more steps/day related to ~0.045 m/s greater gait speed (p = 0.006).
Our cross-sectional study demonstrated that, across mid-older adulthood, MVPA related to better physical performance, but in adults ≥75 years, total steps walked associated with better gait speed. These data warrant future research on the impact of PA on physical performance and health outcomes in older age.
•Achieving at least 5 min/day of MVPA related to better physical function.•Accumulating more steps/day related to greater gait speed in adults ≥75 years.•Only 15% of adults ≥75 years met the Physical Activity Guidelines for Americans. |
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| AbstractList | Older adults may have difficulty meeting the Physical Activity (PA) Guidelines. A favorable balance between PA and sedentary time (SED) is an important determinant of physical performance in older adults. Our objective was to explore associations of PA/SED with physical performance across mid-older age in adults without overt mobility disability.
Framingham Offspring Study participants free of mobility disability with accelerometry and physical performance data (gait speed, chair stand time, and handgrip strength), were studied in cross-sectional analysis (n = 1352). We regressed physical performance on PA level, measured using steps, moderate to vigorous (MV)PA and SED. We stratified by age groups, adjusted for covariates, and modelled MVPA and SED separately and together as predictors.
Only 38% of adults 50–64 years and 15% of adults ≥75 years met the PA Guidelines (i.e., 150 min MVPA per week). Individuals achieving at least 5 min/day of MVPA had 0.062 ± 0.013 m/s greater gait speed and better chair stands and handgrip strength (in women) than those with <5 min/day of MVPA (p < 0.01) across mid-older age. SED was associated with poorer performance on gait speed and chair stand tests, but results were not significant after adjusting for MVPA (p > 0.05). For adults ≥75 years, every 5000 more steps/day related to ~0.045 m/s greater gait speed (p = 0.006).
Our cross-sectional study demonstrated that, across mid-older adulthood, MVPA related to better physical performance, but in adults ≥75 years, total steps walked associated with better gait speed. These data warrant future research on the impact of PA on physical performance and health outcomes in older age.
•Achieving at least 5 min/day of MVPA related to better physical function.•Accumulating more steps/day related to greater gait speed in adults ≥75 years.•Only 15% of adults ≥75 years met the Physical Activity Guidelines for Americans. Older adults may have difficulty meeting the Physical Activity (PA) Guidelines. A favorable balance between PA and sedentary time (SED) is an important determinant of physical performance in older adults. Our objective was to explore associations of PA/SED with physical performance across mid-older age in adults without overt mobility disability. Framingham Offspring Study participants free of mobility disability with accelerometry and physical performance data (gait speed, chair stand time, and handgrip strength), were studied in cross-sectional analysis (n = 1352). We regressed physical performance on PA level, measured using steps, moderate to vigorous (MV)PA and SED. We stratified by age groups, adjusted for covariates, and modelled MVPA and SED separately and together as predictors. Only 38% of adults 50-64 years and 15% of adults ≥75 years met the PA Guidelines (i.e., 150 min MVPA per week). Individuals achieving at least 5 min/day of MVPA had 0.062 ± 0.013 m/s greater gait speed and better chair stands and handgrip strength (in women) than those with <5 min/day of MVPA (p < 0.01) across mid-older age. SED was associated with poorer performance on gait speed and chair stand tests, but results were not significant after adjusting for MVPA (p > 0.05). For adults ≥75 years, every 5000 more steps/day related to ~0.045 m/s greater gait speed (p = 0.006). Our cross-sectional study demonstrated that, across mid-older adulthood, MVPA related to better physical performance, but in adults ≥75 years, total steps walked associated with better gait speed. These data warrant future research on the impact of PA on physical performance and health outcomes in older age. Older adults may have difficulty meeting the Physical Activity (PA) Guidelines. A favorable balance between PA and sedentary time (SED) is an important determinant of physical performance in older adults. Our objective was to explore associations of PA/SED with physical performance across mid-older age in adults without overt mobility disability.BACKGROUNDOlder adults may have difficulty meeting the Physical Activity (PA) Guidelines. A favorable balance between PA and sedentary time (SED) is an important determinant of physical performance in older adults. Our objective was to explore associations of PA/SED with physical performance across mid-older age in adults without overt mobility disability.Framingham Offspring Study participants free of mobility disability with accelerometry and physical performance data (gait speed, chair stand time, and handgrip strength), were studied in cross-sectional analysis (n = 1352). We regressed physical performance on PA level, measured using steps, moderate to vigorous (MV)PA and SED. We stratified by age groups, adjusted for covariates, and modelled MVPA and SED separately and together as predictors.METHODSFramingham Offspring Study participants free of mobility disability with accelerometry and physical performance data (gait speed, chair stand time, and handgrip strength), were studied in cross-sectional analysis (n = 1352). We regressed physical performance on PA level, measured using steps, moderate to vigorous (MV)PA and SED. We stratified by age groups, adjusted for covariates, and modelled MVPA and SED separately and together as predictors.Only 38% of adults 50-64 years and 15% of adults ≥75 years met the PA Guidelines (i.e., 150 min MVPA per week). Individuals achieving at least 5 min/day of MVPA had 0.062 ± 0.013 m/s greater gait speed and better chair stands and handgrip strength (in women) than those with <5 min/day of MVPA (p < 0.01) across mid-older age. SED was associated with poorer performance on gait speed and chair stand tests, but results were not significant after adjusting for MVPA (p > 0.05). For adults ≥75 years, every 5000 more steps/day related to ~0.045 m/s greater gait speed (p = 0.006).RESULTSOnly 38% of adults 50-64 years and 15% of adults ≥75 years met the PA Guidelines (i.e., 150 min MVPA per week). Individuals achieving at least 5 min/day of MVPA had 0.062 ± 0.013 m/s greater gait speed and better chair stands and handgrip strength (in women) than those with <5 min/day of MVPA (p < 0.01) across mid-older age. SED was associated with poorer performance on gait speed and chair stand tests, but results were not significant after adjusting for MVPA (p > 0.05). For adults ≥75 years, every 5000 more steps/day related to ~0.045 m/s greater gait speed (p = 0.006).Our cross-sectional study demonstrated that, across mid-older adulthood, MVPA related to better physical performance, but in adults ≥75 years, total steps walked associated with better gait speed. These data warrant future research on the impact of PA on physical performance and health outcomes in older age.CONCLUSIONOur cross-sectional study demonstrated that, across mid-older adulthood, MVPA related to better physical performance, but in adults ≥75 years, total steps walked associated with better gait speed. These data warrant future research on the impact of PA on physical performance and health outcomes in older age. |
| Author | Tran, Tuyen Andersson, Charlotte Vasan, Ramachandran S. Spartano, Nicole L. Lyass, Asya Larson, Martin G. Blease, Susan J. Esliger, Dale W. Murabito, Joanne M. |
| AuthorAffiliation | b Framingham Heart Study, Framingham, MA, USA f School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK e Department of Cardiology, Herlev and Gentofte Hospital, Gentofte, Denmark g Sections of Preventive Medicine and Epidemiology, and Cardiovascular Medicine, Department of Medicine, Boston University School of Medicine, Boston, MA, USA c Department of Mathematics and Statistics, Boston University, Boston, MA, USA h Department of General Internal Medicine, Boston University School of Medicine, Boston, MA, USA a Section of Endocrinology, Diabetes, Nutrition, and Weight Management, Boston University School of Medicine, Boston, MA, USA d Department of Biostatistics, Boston University, Boston, MA, USA |
| AuthorAffiliation_xml | – name: f School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK – name: d Department of Biostatistics, Boston University, Boston, MA, USA – name: e Department of Cardiology, Herlev and Gentofte Hospital, Gentofte, Denmark – name: b Framingham Heart Study, Framingham, MA, USA – name: h Department of General Internal Medicine, Boston University School of Medicine, Boston, MA, USA – name: g Sections of Preventive Medicine and Epidemiology, and Cardiovascular Medicine, Department of Medicine, Boston University School of Medicine, Boston, MA, USA – name: a Section of Endocrinology, Diabetes, Nutrition, and Weight Management, Boston University School of Medicine, Boston, MA, USA – name: c Department of Mathematics and Statistics, Boston University, Boston, MA, USA |
| Author_xml | – sequence: 1 givenname: Nicole L. surname: Spartano fullname: Spartano, Nicole L. email: Spartano@bu.edu organization: Section of Endocrinology, Diabetes, Nutrition, and Weight Management, Boston University School of Medicine, Boston, MA, USA – sequence: 2 givenname: Asya surname: Lyass fullname: Lyass, Asya organization: Framingham Heart Study, Framingham, MA, USA – sequence: 3 givenname: Martin G. surname: Larson fullname: Larson, Martin G. organization: Framingham Heart Study, Framingham, MA, USA – sequence: 4 givenname: Tuyen surname: Tran fullname: Tran, Tuyen organization: Department of Biostatistics, Boston University, Boston, MA, USA – sequence: 5 givenname: Charlotte orcidid: 0000-0001-6019-8627 surname: Andersson fullname: Andersson, Charlotte organization: Framingham Heart Study, Framingham, MA, USA – sequence: 6 givenname: Susan J. surname: Blease fullname: Blease, Susan J. organization: Framingham Heart Study, Framingham, MA, USA – sequence: 7 givenname: Dale W. surname: Esliger fullname: Esliger, Dale W. organization: School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK – sequence: 8 givenname: Ramachandran S. surname: Vasan fullname: Vasan, Ramachandran S. organization: Framingham Heart Study, Framingham, MA, USA – sequence: 9 givenname: Joanne M. surname: Murabito fullname: Murabito, Joanne M. organization: Framingham Heart Study, Framingham, MA, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/30771463$$D View this record in MEDLINE/PubMed |
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| Keywords | Epidemiology CVD PA Gait speed min SED METs NHANES kg Sedentary MVPA Physical function Accelerometry BMI |
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| SubjectTerms | Accelerometry Aged Aged, 80 and over Cross-Sectional Studies Epidemiology Exercise Female Gait speed Geriatric Assessment Hand Strength - physiology Humans Linear Models Male Middle Aged Physical function Physical Functional Performance Sedentary Sedentary Behavior Walking Speed |
| Title | Objective physical activity and physical performance in middle-aged and older adults |
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