Association of Daily Physical Activity with Disability in Community-Dwelling Older Adults With/Without Chronic Kidney Disease

Chiba, Ippei; Lee, S.; Bae, Sejong; Makino, Keitaro; Katayama, Osamu; Harada, Kenji; Tomida, Kouki; Morikawa, Masanori; Yamashiro, Yukari; Takayanagi, Naoto; Shimada, Hiroyuki

doi:10.1007/s12603-022-1790-z

Cited by 8 publications

(7 citation statements)

References 51 publications

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“…Sarcopenia as a risk factor for subsequent disability is confirmed by the fact that sarcopenia is associated with future disability, even after adjusting for sex, age, and other covariates. Proactively preventing and managing sarcopenia has been shown to effectively reduce the risk of disability ( 32 , 33 ), therefore, it is recommended that sarcopenia should be included when screening for disability. Additionally, our study found that the ORs for increased risk of disability did not progressively increase by severity of sarcopenia.…”

Section: Discussionmentioning

confidence: 99%

The bidirectional relationship between sarcopenia and disability in China: a longitudinal study from CHARLS

Liu,

Zhang,

Shi

et al. 2024

Front. Public Health

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ObjectivesSarcopenia and disability represent significant concerns impacting the health of older people. This study aimed to explore the bidirectional relationship between sarcopenia and disability in Chinese older people.MethodsThis study recruited older people ≥60 years old from the China Health and Retirement Longitudinal Study. In phase I, the study analyzed the relation between disability and subsequent sarcopenia using multinomial logistic regression models. Conversely, in phase II, the study assessed whether sarcopenia was associated with future disability using binary logistic regression models.ResultsIn phase I, 65 (16.80%) new cases of possible sarcopenia, 18 (4.65%) cases of sarcopenia, and 9 (2.33%) cases of severe sarcopenia were observed in the disabled older people and 282 (10.96%) new cases of possible sarcopenia, 97 (3.77%) cases of sarcopenia, 35 (1.36%) cases of severe sarcopenia were observed in the older people without disability. The OR (95% CI) for sarcopenia in older disabled individuals compared to those without disability was 1.61 (1.25–2.07). Adjusting for all covariates in 2011, the OR (95% CI) value for disabled individuals vs. those without disability was 1.35 (1.02–1.79). Subgroup analyses showed that disabled participants aged < 80 years were more likely to have sarcopenia (OR = 1.42, 95% CI: 1.07–1.89), and the risk of sarcopenia did not differ significantly between sex subgroups. In phase II, 114 cases (33.83%) in the possible sarcopenia patients, 85 cases (28.91%) in the sarcopenia patients, 23 cases (35.94%) in the severe sarcopenia patients, and 501 cases (16.10%) in the individuals without sarcopenia showed symptoms of disability. The OR (95% CI) for disability was 2.66 (2.08–3.40) in the possible sarcopenia patients, 2.12 (1.62–2.77) in the sarcopenia patients, and 2.92 (1.74–4.91) in the severe sarcopenia patients compared with the no sarcopenia patients. After adjusting for all covariates in 2011, the OR (95% CI) values were 2.21 (1.70–2.85) in the possible sarcopenia patients, 1.58 (1.14–2.19) in the sarcopenia patients, and 1.99 (1.14–3.49) in the severe sarcopenia patients, as compared to the older people without sarcopenia. Subgroup analyses showed that compared with men, women with possible sarcopenia had a higher risk of disability (OR = 2.80, 95% CI: 1.98–3.97). In addition, participants aged < 80 years with sarcopenia or severe sarcopenia s were more likely to have disability (OR = 2.13, 95% CI: 1.52–2.98; OR = 2.98, 95% CI: 1.60–5.54).ConclusionThe occurrence of disability increase the risk of sarcopenia in the older people, and baseline sarcopenia predicts the future disability in older people.

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Section: Discussionmentioning

confidence: 99%

The bidirectional relationship between sarcopenia and disability in China: a longitudinal study from CHARLS

Liu,

Zhang,

Shi

et al. 2024

Front. Public Health

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“…CKD has a de nitive negative impact on the patient functional status and disability rate the ndings of this study are a rmative of it, and the proportion of CKD-associated disability was higher than the rate reported elsewhere among CKD patients. However, the prevalence of disability associated with CKD varied substantially (23.4-81.7%) across studies [13,17,[28][29][30], because the type of disability differs based on the coexisting conditions in the CKD patients. For instance, arthritis is most often associated with impaired mobility, and a cardiovascular condition affects aerobic capacity.…”

Section: Discussionmentioning

confidence: 99%

“…The socio-demographic, behavioral, comorbid factors, and clinical data were recorded by face-to-face interviews and from the patient medical charts. A semi-structured questionnaire was formed using a literature review [10,11,13,15] and used for recording socio-demographic data such as age, gender, educational attainment, marital status, BMI, and family income (Appendix 1). Behavioral factors like alcohol intake, smoking habits, and physical exercise.…”

Section: Data Collection Tools and Proceduresmentioning

confidence: 99%

Predictors of functional status and disability among patients living with chronic kidney diseases at St Paul’s hospital millennium Medical College, Ethiopia; findings from a cross-sectional study

Deme,

Janakiraman,

Alamer

et al. 2023

Preprint

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Background The rise in risk factors like obesity, hypertension, and diabetes mellitus has partly led to the increase in the number of patients affected by chronic kidney disease, affecting an estimated 843 million people which is near about 10% of the general population worldwide in 2017. Patients with CKD have an increased risk of functional difficulties and disability. This study aimed to assess the level of functional status and disability and its associated factors among patients with chronic kidney attending Saint Paul Hospital, Millennium Medical College, Addis Ababa, Ethiopia. Methods An institution-based cross-sectional study was conducted with 302 enrolled study participants through systematic random sampling techniques. Face-to-face interviews and chart reviews were used to collect data using a semi-structured questionnaire adapted from works of literature. The Health Assessment Questionnaire Disability Index (HAQ-DI) was used to assess the functional status and disability of the participants. Data was entered into EPI info version 7 and exported to SPSS version 23 for analysis. Bivariate logistic regression analysis was employed with a p-value less than 0.25. Finally, those variables having a p-value less than 0.05 with 95% CI in multivariate analysis were taken as statistically significant. Results A total of 219 (72.5%) CKD patients had moderate to severe functional limitation and disability (HAQ-Di > 0.5-3). Age > 50 years [AOR = 1.65; 95% CI (1.23, 3.15)], being at stage 2 and 3 CKD [AOR = 4.05; 95% CI (1.82, 9.21), being at stage 4 and 5 CKD [AOR = 2.47; 95% CI (1.87, 4.72)], and having MSK manifestations [AOR = 2.97; 95% CI (1.61, 5.55)] were significantly associated with functional status and disability. Conclusion The findings of this study suggest that CKD-associated functional disabilities are common. The advanced stage of CKD, higher age, and presence of musculoskeletal manifestations appear to be important variables predicting self-reported functional status. Healthcare professionals treating CKD shall be vigilant about the CKD-associated disability, the modifiable predictors, and interventions to limit the CKD-related disability.

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“…Various strategies exist for mitigating cognitive decline in the older adults, and increasing physical activity and physical fitness has been identified as particularly beneficial for older adults, whether they have disabilities or not. A 10-min increase in moderate to vigorous physical activity (MVPA) has been shown to correlate with lower rates of disability, indicating that higher MVPA levels can help reduce the incidence of disability in older populations ( 8 ). Individuals engaging in physical activity at a rate of 18.1 metabolic equivalent (MET)-hour/week or higher were found to have a 52% reduced risk of being classified as having a disability related to dementia or requiring care when compared to inactive individuals ( 9 ).…”

Section: Introductionmentioning

confidence: 99%

Effects of physical activity participation on cognitive impairment in older adults population with disabilities

Lim,

Kwak,

Kang

et al. 2024

Front. Public Health

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BackgroundExisting research on the association between cognitive function and physical activity in the older adults population with disabilities is limited. Additionally, there is a need to explore avenues for enhancing the longevity and quality of life among these individuals.ObjectiveThis study aimed to investigate the independent and joint associations between cognitive function and levels of physical activity in the older adults population with disabilities.MethodsA total of 315 older adults adults (men = 182, women = 133), identified with disabilities based on medical evaluation, were recruited from the first survey of the Korean Longitudinal Study of Aging (KLoSA). Participants underwent assessments for cognitive function, physical activity (PA), activities of daily living (ADLs), instrumental activities of daily living (IADLs), and grip strength.ResultsADLs (p < 0.001) and IADLs (p < 0.001) scores were significantly higher in the male normal cognitive group compared to both the male and female cognitive impairment groups. In an unadjusted model, disabled older adults individuals who did not meet the recommended PA guidelines showed an increased odds ratio for cognitive dysfunction (OR = 2.29, 95% CI = 1.32–3.97). Those participating in PA at least 1 day per week also demonstrated an elevated odds ratio (OR = 1.22, 95% CI = 1.08–1.38) for cognitive dysfunction compared to those who engaged in regular PA. A negative correlation was observed between K-MMSE scores and grip strength (r = 0.448, p < 0.001).ConclusionThis study provides robust evidence that disabled older adults individuals who do not meet the recommended guidelines for PA or who do not participate in PA at least once a week have an increased likelihood of cognitive impairment compared to those who are regularly active.

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Association of Daily Physical Activity with Disability in Community-Dwelling Older Adults With/Without Chronic Kidney Disease

Cited by 8 publications

References 51 publications

The bidirectional relationship between sarcopenia and disability in China: a longitudinal study from CHARLS

The bidirectional relationship between sarcopenia and disability in China: a longitudinal study from CHARLS

Predictors of functional status and disability among patients living with chronic kidney diseases at St Paul’s hospital millennium Medical College, Ethiopia; findings from a cross-sectional study

Effects of physical activity participation on cognitive impairment in older adults population with disabilities

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