Longitudinal Change in Physical Activity and Disability in Adults

Gretebeck, Randall J.; Ferraro, Kenneth F.; Black, David R.; Holland, Kimberlee; Gretebeck, Kimberlee A.

doi:10.5993/ajhb.36.3.9

Cited by 33 publications

(23 citation statements)

References 35 publications

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“…being physically active, having a healthy diet, and not smoking), also reduce the likelihood of functional limitations and disability[8, 19, 22, 25, 27, 29, 30, 32, 33, 42, 44]. For example, in the National Health and Nutrition Examination Survey I and Epidemiologic Follow-Up Study, increased recreational physical activity (PA) over a period of 10 years resulted in reduced risk of disability, whereas reduced PA increased the risk[14]. Similarly, in a combined analysis of the Health and Retirement Study (HRS) and the Asset and Health Dynamics Among the Oldest Old (AHEAD) cohorts, current smoking was strongly related to impaired mobility[29], and in the Health ABC cohort, adherence to a Mediterranean diet was associated with less decline in walking speeds over 8 years[32].…”

Section: Introductionmentioning

confidence: 99%

“…To date, most of this literature is based on older [19, 25, 44], predominantly white populations[8, 29, 32, 42], focused on single health behaviors[8, 14, 22, 32, 42, 44] and/or reliant on self-reported measures of mostly mobility-related physical function, rather than objectively measured physical performance that includes more integrated measures of function[14, 19, 21, 25, 29]. The aim of the current study is to examine the individual and combined influence of participation in regular physical activity, consumption of a healthy diet, and abstinence from tobacco on subsequent performance-based measures of physical function during midlife, using data from the Study of Women Across the Nation (SWAN).…”

Section: Introductionmentioning

confidence: 99%

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The Effect of a Healthy Lifestyle on Future Physical Functioning in Midlife Women

Sternfeld¹,

Colvin

Stewart

et al. 2017

Medicine &Amp; Science in Sports &Amp; Exercise

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Purpose To examine the prospective association between healthy lifestyle behaviors and objectively measured physical function in midlife women. Methods Participants included 1,769 racially/ethnically diverse women, ages 56-68, from the SWAN (Study of Women's Health Across the Nation) cohort. Physical function was assessed at the 13th follow-up (FU13) visit with the Short Physical Performance Battery (4 meter walk, repeated chair stands, and balance test) and grip strength. A Healthy Lifestyle Score (HLS), which ranged from 0-6, was calculated by averaging as many as three repeated measures of self-reported smoking, physical activity, and diet, all assessed prior to FU13. Multivariable linear and logistic regressions modeled each component of physical performance as a function of HLS and, in separate models, of each lifestyle behavior, adjusted for the other behaviors. Results In multivariable analyses, the time for the 4 M walk was 0.06 secs faster (p=0.001) for every 1 point increase in the HLS. The time for the repeated chair stands was significantly shorter by about 0.20 seconds. Neither grip strength nor balance problems were significantly associated with the HLS (p=.28, p=0.19 respectively). The model examining the individual health behaviors showed that only physical activity was significantly associated with physical performance. Conclusion Regular physical activity in early midlife has the potential to reduce the likelihood of physical functional limitations later in midlife.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Effect of a Healthy Lifestyle on Future Physical Functioning in Midlife Women

Sternfeld¹,

Colvin

Stewart

et al. 2017

Medicine &Amp; Science in Sports &Amp; Exercise

View full text Add to dashboard Cite

show abstract

“…Previous longitudinal studies investigating the effect of changes in physical activity over a lifetime found increased physical activity is associated with reduced risk of disability. (25, 26) The recent LIFE randomized clinical trial demonstrated a structured physical activity intervention reduced mobility disability in older adults who were initially deemed at high risk for mobility disability. Over an average follow-up period of 2.6 years, 30.1% of participants in the intervention group vs 35.5% of controls experienced major mobility disability.…”

Section: Discussionmentioning

confidence: 99%

Do Inactive Older Adults Who Increase Physical Activity Experience Less Disability

Song¹,

Gilbert²,

Chang³

et al. 2017

J Clin Rheumatol

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Background Physical inactivity is a leading risk factor for developing disability. Although randomized clinical trials have demonstrated improving physical activity can reduce this risk in older adults with arthritis, these studies did not specifically evaluate inactive adults. Objectives To evaluate the relationship of changes in physical activity with disability changes among initially inactive adults with or at high risk of knee OA from Osteoarthritis Initiative. Methods Inactive persons were identified at baseline based on the U.S. Department of Health and Human Services classification (no [zero] 10-minute session of moderate-to-vigorous activity over one week) from objective accelerometer monitoring. Two years later physical activity change status was classified as: (1) met Federal physical activity guidelines (≥150 moderate-to-vigorous minutes/week acquired in bouts ≥10 minutes), (2) insufficiently increased activity (some but <150 moderate-to-vigorous bout minutes/week) or (3) remained inactive. Disability at baseline and two years was assessed by Late Life Disability Instrument (LLDI) limitation and frequency scores. Multiple regression evaluated the relationship of physical activity change status with baseline-to-2 year changes in disability scores adjusting for socioeconomics, health factors, and baseline disability score. Results Increased physical activity showed a graded relationship with improved disability scores in LLDI limitation (P<0.001) and frequency scores (P=0.027). While increasing moderate-to-vigorous activity to guideline levels showed the greatest reduction, even insufficiently increased physical activity was related to reduced disability. Conclusions Findings support advice to increase moderate-to-vigorous physical activity to reduce disability among inactive adults with or at high risk for knee osteoarthritis, even when guidelines are not met.

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“…La tabla 1 describe detalladamente para cada participante los datos demográficos, tipo de discapacidad física, grado de independencia (información del servicio de medicina y fisioterapia del CRE) y nivel de actividad física, el cual se obtuvo preguntando: "en tu día habitual, aparte de la recreación, ¿eres físicamente muy activo, moderadamente activo o sedentario?" (Gretebeck, Ferraro, Black, Holland, y Gretebeck, 2012). La edad media (desviación estándar) de 52.6 (7.7) años superaba el punto de corte de 45 años planteado por Alcedo, Aguado, Arias, González, y Rozada (2008) como indicador de envejecimiento en sujetos con discapacidad.…”

Section: Participantesunclassified

Bienestar subjetivo, percepción de esfuerzo, aprendizaje y diversión en el esquí náutico inclusivo

Suárez-Iglesias

Villa-Vicente

2017

PSYE

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Este estudio investigó la percepción de bienestar subjetivo (BS), aprendizaje, diversión y esfuerzo en un curso de esquí náutico inclusivo. Cinco adultos con discapacidades físicas con edades comprendidas entre 45 y 63 años (M = 52.6, DE = 7.7), procedentes de un Centro de Referencia Estatal de Discapacidad y Dependencia, participaron en un curso de seis sesiones de esquí náutico inclusivo (ENI) en el medio natural de un embalse. La metodología del curso siguió un enfoque basado en capacidades, en torno a un espectro de inclusión aplicado al esquí náutico (Suárez-Iglesias y Suárez-García, 2016). El BS de los participantes se midió antes y después del curso con el cuestionario Well-being Index (WHO-5) (WHO, 1998). En cada sesión, la percepción de aprendizaje y diversión se valoró con el instrumento del “semáforo”, elaborado por Palao y Hernández (2012), mientras que la intensidad se evaluó a través de la escala de percepción subjetiva del esfuerzo de Borg (1982). Los resultados muestran que el BS aumentó tras la realización del curso, y en la mayoría de sesiones los participantes consideraron haber aprendido y haberse divertido mucho, percibiendo generalmente el esfuerzo entre “bastante ligero” y “algo duro”. En definitiva, la práctica de ENI por parte de adultos institucionalizados que envecejen con discapacidades podría promover su BS y servir como una actividad física de tiempo libre que disfrutan, donde aprenden y que no requiere gran esfuerzo.

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Longitudinal Change in Physical Activity and Disability in Adults

Cited by 33 publications

References 35 publications

The Effect of a Healthy Lifestyle on Future Physical Functioning in Midlife Women

The Effect of a Healthy Lifestyle on Future Physical Functioning in Midlife Women

Do Inactive Older Adults Who Increase Physical Activity Experience Less Disability

Bienestar subjetivo, percepción de esfuerzo, aprendizaje y diversión en el esquí náutico inclusivo

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