Association between physical function and various patterns of physical activity in older adults: a cross-sectional analysis

Hrubeniuk, Travis J.; Sénéchal, Martin; Mayo, Andrea; B̀ouchard, Danielle R.

doi:10.1007/s40520-019-01288-2

Cited by 12 publications

(35 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…38 Sedentary behavior is one of the most common unhealthy lifestyle habits among older adults. Physical activity directly contributes to the prevention of functional decline 39 and chronic diseases, 34 and it has been associated with reduction of depression in Brazilian men. 40 In the present study, physically active older adults had a lower risk of death compared to those who were sedentary.…”

Section: Discussionmentioning

confidence: 99%

Depressive symptoms as an independent risk factor for mortality

Corrêa

Confortin

d’Orsi

et al. 2021

Braz. J. Psychiatry

View full text Add to dashboard Cite

Objective: To evaluate the relationship between presence of depressive symptoms and risk of death in older adults residing in a municipality in Southern Brazil. Methods: Between 2009 and 2014, 1,391 people participated in the EpiFloripa Aging Cohort Study, a population-based longitudinal study. Depressive symptoms were assessed through the Geriatric Depression Scale. The initial time was considered the age at the first interview, and the end time, the age at the last contact or death. Cox regression models were used to estimate the mortality risk associated with depressive symptoms, adjusted by sex, education, income, paid work, smoking status, alcohol consumption, morbidities, medication use, physical activity, disability, cognitive impairment, and body mass index. Results: The prevalence of depressive symptoms was 23.5% (95%CI 20.4-26.9). On crude analysis, the risk of mortality was 1.86 (95%CI 1.35-2.55) for individuals with depressive symptoms; in adjusted models, the risk of mortality was 1.67 (95%CI 1.15-2.40). Conclusion: Depressive symptoms are an independent risk factor for mortality in older Brazilian adults. Our findings highlight the importance of screening this population for depression and the practice of preventive actions.

show abstract

Section: Discussionmentioning

confidence: 99%

Depressive symptoms as an independent risk factor for mortality

Corrêa

Confortin

d’Orsi

et al. 2021

Braz. J. Psychiatry

View full text Add to dashboard Cite

show abstract

“…Second, most of the existing evidence either provides a limited explanation of the association of PA with physical function owing to the use of self-report data of exposures, outcomes or both, 12 or limited information on overall physical function score. 10 18 Although some studies have objectively assessed PA and physical function in older adults, 18 19 these studies did not adjust for accelerometer wear time, a key confounding factor. 20 21 Concerning accelerometers, factors such as wear time and sedentary time could partly confound the associations between PA and health outcomes.…”

Section: Introductionmentioning

confidence: 99%

Objectively assessed physical activity patterns and physical function in community-dwelling older adults: a cross-sectional study in Taiwan

et al. 2020

View full text Add to dashboard Cite

ObjectivesTo objectively assess light physical activity (PA), moderate-to-vigorous PA (MVPA), step counts and number of 10 min MVPA bouts and their association with physical function among older adults.DesignCross-sectional design.SettingUrban community setting in Taiwan.Participants127 Taiwanese older adults aged over 65 years (mean age=70.8±5.3 years; 72% women).Primary and secondary outcome measuresTriaxial accelerometers were used to measure PA variables for 10 hours/day for seven consecutive days. Then, five physical function components (handgrip strength, single-leg stance, 5-metre walk speed, timed up and go and sit-to-stand test) were measured. Multiple linear regressions were used to perform separate analyses for older men and women.ResultsFor older women, daily MVPA time (β: 0.39, 95% CI: 0.12, 0.64; p=0.004), daily step counts (β: 0.46, 95% CI: 0.12, 0.78; p=0.009) and number of 10 min MVPA bouts (β: 0.27, 95% CI: 0.001, 0.53; p=0.049) were positively associated with handgrip strength after adjusting for accelerometer wear time, sedentary time and other confounders. Furthermore, daily MVPA time was positively associated with a single-leg stance (β: 0.25, 95% CI: 0.02, 0.49; p=0.036) and higher daily step counts were associated with shorter walking speed performance (β: −0.31, 95% CI: −0.57, −0.001; p=0.049). None of the variables of the objectively assessed PA patterns was associated with physical function outcomes among older men due to their small sample size.ConclusionsDaily MVPA, MVPA bouts of at least 10 min and accumulated daily steps are important for improving physical function among older women. Future prospective research should establish causal associations between PA patterns and functional ability among older adults.

show abstract

“…Physical function is of major relevance for older people's quality of life, cognitive state and independence in activities of daily living (ADLs) [1][2][3]. Decline in physical function leads to disability in older adults [4], physical activity is associated with greater physical function [5]. As the percentage of older people in our communities steadily grows, it is becoming increasingly important to understand physical function in a bid to avoid care dependency and disability.…”

Section: Introductionmentioning

confidence: 99%

Minimizing comprehensive geriatric assessment to identify deterioration of physical performance in a healthy community-dwelling older cohort: longitudinal data of the AEQUIPA Versa study

et al. 2020

View full text Add to dashboard Cite

Background It is important to identify the relevant parameters of physical performance to prevent early functional decline and to prolong independent living. The aim of this study is to describe the development of physical performance in a healthy community-dwelling older cohort aged 70+ years using comprehensive assessment over two years and to subsequently identify the most relevant predictive tests for physical decline to minimize assessment. Methods Physical performance was measured by comprehensive geriatric assessment. Predictors for the individual decline of physical performance by Principal Component and k-means Cluster Analysis were developed, and sensitivity and specificity determined accordingly. Results 251 subjects (Ø 75.4 years) participated in the study. Handgrip strength was low in 21.1%. The follow-up results of tests were divergent. Handgrip strength [− 16.95 (SD 11.55)] and the stair climb power test (power) [− 9.15 (SD 16.84)] yielded the highest percentage changes. Four most relevant tests (handgrip strength, stair climb power time, timed up & go and 4-m gait speed) were identified. A predictor based on baseline data was determined (sensitivity 82%, specificity 96%) to identify subjects characterized by a high degree of physical decline within two years. Discussion Although the cohort of older adults is heterogeneous, most of the individuals in the study exhibited high levels of physical performance; only a few subjects suffered a relevant decline within the 2-year follow-up. Four most relevant tests were identified to predict relevant decline of physical function. Conclusion In spite of ceiling effects of the geriatric assessment in high-performers, we assume that it is possible to predict an individual's risk of physical decline within 2 years with four tests of a comprehensive geriatric assessment.

show abstract

Association between physical function and various patterns of physical activity in older adults: a cross-sectional analysis

Cited by 12 publications

References 28 publications

Depressive symptoms as an independent risk factor for mortality

Depressive symptoms as an independent risk factor for mortality

Objectively assessed physical activity patterns and physical function in community-dwelling older adults: a cross-sectional study in Taiwan

Minimizing comprehensive geriatric assessment to identify deterioration of physical performance in a healthy community-dwelling older cohort: longitudinal data of the AEQUIPA Versa study

Contact Info

Product

Resources

About