Physical Activity and Risk of Severe Gastrointestinal Hemorrhage in Older Persons

Pahor, Marco; Guralnik, Jack M.; Salive, Marcel E.; Chrischilles, Elizabeth A.; Brown, Stan; Wallace, Robert B.

doi:10.1001/jama.1994.03520080037040

Cited by 34 publications

(10 citation statements)

References 48 publications

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“…":" Suggested but less well established benefits include amelioration of osteoporosis, improved higher cognitive processes, reduction in gastrointestinal hemorrhage, less depression, and improved sleep, self-confidence, and social life. 13,14 Risks ofexercise, including cardiovascular events, falls, fractures, hypothermia or hyperthermia, and dehydration, are reported, but generally, exercise is considered safeformost olderadults. 6 .…”

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confidence: 99%

Predicting Exercise in Older Americans: Using the Theory of Planned Behavior

Michels

Kugler

1998

Military Medicine

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Introduction: Given the benefits of exercise, and low participation, promoting exercise in older Americans is a national goal. Methods: This study used a survey to military beneficiaries using the theory of planned behavior and measurements of physical activity. Results: The response rate was 81.6%.The percentage of respondents who get regular exercise (61.2%) was not different from that in national samples. Those getting regular exercise were more likely to state that their doctor recommends exercise (p < 0.01). The theory of planned behavior regression model, using variables for attitude, social norm, and perceived behavioral control, is strongly associated with intent to exercise; the addition of habit significantly adds to this model (R2 = 0.468, P < 0.001). Discussion: The theory of planned behavior is a valid model for predicting both the intention to exercise and actual exercise in older adults. This study emphasizes the role of clinicians and this model in promoting exercise in older persons.

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confidence: 99%

Predicting Exercise in Older Americans: Using the Theory of Planned Behavior

Michels

Kugler

1998

Military Medicine

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“…26 In our study, after confounding variables had been controlled for, physical activity was found to be inversely related to the incidence of duodenal, but not gastric, ulcers for men only. This finding may be consistent with other studies if the effect of reduced acid secretion is more important for the duodenum, but this is difficult to determine because most studies combine duodenal and gastric ulcers.…”

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confidence: 44%

Physical activity and peptic ulcers

Cheng

Macera²,

Davis³

et al. 2000

Western Journal of Medicine

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ⅷ Background Although Helicobacter pylori has been identified as a major cause of chronic gastritis, not all infected patients develop ulcers, suggesting that other factors such as lifestyle may be critical to the development of ulcer disease. ⅷ Objective To investigate the role physical activity may play in the incidence of peptic ulcer disease. ⅷ Methods The participants were men (n = 8,529) and women (n = 2,884) who attended the Cooper Institute for Aerobics Research, Dallas, Texas, between 1970 and1990. The presence of gastric or duodenal ulcer disease diagnosed by a physician was determined from a mail survey in 1990. Participants were classified into 3 physical activity groups according to information provided at the baseline clinic visit (before 1990): active, those who walked or ran 10 miles or more a week; moderately active, those who walked or ran less than 10 miles a week or did another regular activity; and the referent group consisting of those who reported no regular physical activity. ⅷ Results With the use of gender-specific proportional hazards regression models that could be adjusted for age, smoking, alcohol use, body mass index, and self-reported tension, active men had a significantly reduced risk for duodenal ulcers (relative hazard [95% confidence interval] for the active group, 0.38 [0.15-0.94], and 0.54 [0.30-0.96] for the moderately active group). No association was found between physical activity and gastric ulcers for men or for either type of ulcer for women. ⅷ Conclusion Physical activity may provide a nonpharmacologic method of reducing the incidence of duodenal ulcers among men.

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“…In addition, most of the comorbid conditions related to UGIB are intractable chronic disease. Therefore, these high-risk subjects should control any modifiable risk factors of UGIB, such as smoking, heavy drinking, and H. pylori infection[27,35]. Also, further prospective studies are needed to address the issue of other lifestyle modification and UGIB prevention.…”

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confidence: 99%

“…In general, UGIB occurs more frequently in the male sex and advancing age[7,8]. Additionally, many underlying diseases, drugs, and unhealthy lifestyle ( e.g ., smoking) are proven risk factors of UGIB[3,8-27]. Also, the increasing trend of NSAIDS-induced UGIB has also led to research focusing on arthritis patients, who are potential long-term consumers of these predisposing drugs[28-31].…”

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confidence: 99%

Prevalence of upper gastrointestinal bleeding risk factors among the general population and osteoarthritis patients

Kim

Yun

Chang

et al. 2016

WJG

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AIMTo assess the prevalence of possible risk factors of upper gastrointestinal bleeding (UGIB) and their age-group specific trend among the general population and osteoarthritis patients.METHODSWe utilized data from the National Health Insurance Service that included claims data and results of the national health check-up program. Comorbid conditions (peptic ulcer, diabetes, liver disease, chronic renal failure, and gastroesophageal reflux disease), concomitant drugs (aspirin, clopidogrel, cilostazol, non-steroidal anti-inflammatory drugs, steroid, anticoagulants, and SSRI), personal habits (smoking, and alcohol consumption) were considered as possible UGIB risk factors. We randomly imputed the prevalence of infection in the data considering the age-specific prevalence of Helicobacter pylori (H. pylori) infection in Korea. The prevalence of various UGIB risk factors and the age-group specific trend of the prevalence were identified. Prevalence was compared between osteoarthritis patients and others.RESULTSA total of 801926 subjects (93855 osteoarthritis patients) aged 20 and above were included. The prevalence of individual and concurrent multiple risk factors became higher as the age increased. The prevalence of each comorbid condition and concomitant drug were higher in osteoarthritis patients. Thirty-five point zero two percent of the overall population and 68.50% of osteoarthritis patients had at least one or more risk factors of UGIB. The prevalence of individual and concurrent multiple risk factors in younger age groups were also substantial. Furthermore, when personal habits (smoking, and alcohol consumption) and H. pylori infection were included, the prevalence of concurrent multiple risk factors increased greatly even in younger age groups.CONCLUSIONPrevalence of UGIB risk factors was high in elderly population, but was also considerable in younger population. Patient with osteoarthritis was at higher UGIB risk than those without osteoarthritis. Physicians should consider individualized risk assessment regardless of age when prescribing drugs or performing procedures that may increase the risk of UGIB, and take necessary measures to reduce modifiable risk factors such as H. pylori eradication or lifestyle counseling.

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Physical Activity and Risk of Severe Gastrointestinal Hemorrhage in Older Persons

Abstract: Regular physical activity is associated with a decreased risk for severe GIH in older persons.

Cited by 34 publications

References 48 publications

Predicting Exercise in Older Americans: Using the Theory of Planned Behavior

Predicting Exercise in Older Americans: Using the Theory of Planned Behavior

Physical activity and peptic ulcers

Prevalence of upper gastrointestinal bleeding risk factors among the general population and osteoarthritis patients

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