Longitudinal study of the relationship between physical activity and knee pain and functional limitation in community-dwelling older adults

2020 ◽  
Vol 90 ◽  
pp. 104101
Author(s):  
Saliu Balogun ◽  
David Scott ◽  
Flavia Cicuttini ◽  
Graeme Jones ◽  
Dawn Aitken
Author(s):  
Ngeemasara Thapa ◽  
Boram Kim ◽  
Ja-Gyeong Yang ◽  
Hye-Jin Park ◽  
Minwoo Jang ◽  
...  

Our study examined the association between chronotype, daily physical activity, and the estimated risk of dementia in 170 community-dwelling older adults. Chronotype was assessed with the Horne–Östberg Morningness–Eveningness Questionnaire (MEQ). Daily physical activity (of over 3 METs) was measured with a tri-axial accelerometer. The Korean version of the Mini-Mental State Examination (K-MMSE) was used to measure the estimated risk of dementia. The evening chronotype, low daily physical activity, and dementia were positively associated with each other. The participants with low physical activity alongside evening preference had 3.05 to 3.67 times higher estimated risk of developing dementia, and participants with low physical activity and morning preference had 1.95 to 2.26 times higher estimated risk than those with high physical activity and morning preference. Our study design does not infer causation. Nevertheless, our findings suggest that chronotype and daily physical activity are predictors of the risk of having dementia in older adults aged 70 years and above.


2018 ◽  
Vol 19 (3) ◽  
pp. 158-166 ◽  
Author(s):  
Evi Petersen ◽  
Gerhard Schoen ◽  
Gunnar Liedtke ◽  
Astrid Zech

Purpose Urban green space (UGS) shows to be a sustainable resource stimulating physical activity, health and quality of life in the general population. With regard to an aging European population, the purpose of this paper is to investigate the relationship between UGS, physical activity and health-related quality of life (HRQoL) in community-dwelling older adults. Design/methodology/approach Cross-sectional survey data were provided by a sample from Hamburg (Germany), consisting of 272 adults aged⩾65 years. Respondents answered questions regarding HRQoL (Short Form 12), physical activity (German-PAQ-50+) and exposure to UGS. The authors applied a linear regression to analyse the relationship between weekly duration of exposure to UGS and physical activity. While controlling for confounding factors, the authors used a multivariate linear regression model to detect effects on HRQoL. Findings A significant effect (adjusted R2: 4.3 per cent; p-value⩽0.001) was found for weekly duration of exposure to UGS and weekly physical activity. Multiple linear regression showed significant positive effects of weekly duration of exposure to UGS (p=0.010) and weekly time of physical activity (p=0.017) on HRQoL. Age, sex and feeling of satisfaction were identified as relevant confounding factors. Research limitations/implications Future research should continue to explore the indicators that mediate an increase of physical activity and HRQoL in the heterogeneous age band of older adults. Practical implications Findings suggest that community-dwelling older adults are likely to benefit from higher amounts of time in UGS since it is positively associated with both physical activity and HRQoL. Therefore, urban planners should explicitly consider the demands of community-dwelling older adults towards UGS. Originality/value This study is one of the first to examine the relationship between UGS, physical activity and HRQoL in older adults.


2021 ◽  
Author(s):  
Jeong-Ah Ahn ◽  
Deulle Min

Abstract Purpose: The study aimed to explore the effects of physical activity on indicators for cardiovascular risk in a sample of community-dwelling older adults with hypertension.Methods: This longitudinal study used data collected from the Elderly Cohort Database of the National Health Insurance Service in South Korea between 2002 and 2013. Participants included 10,588 older adults (≥ 60 years) with hypertension. Data assessing self-reported physical activity, blood pressure, fasting blood glucose, body mass index, and total cholesterol levels throughout the 12-year study were extracted from the original database and analyzed. Participants were categorized into 4 groups based on the reported changes in physical activity over time; Group I (totally inactive), II (inactive to active), III (active to inactive), and IV (totally active). Cox proportional hazard model was used to confirm the risk of cardiovascular indicators over time in each group.Results: Participants’ mean age was 64.2 years in the initial year of 2002. The number of participants in Groups I, II, III, and IV was 4032, 2697, 1919, and 1940, respectively. Group IV showed a significant decline in risk for uncontrolled hypertension compared to Group I (HR = 0.87, 95% CI [0.800-0.948]). Group II showed a significant decrease in risk for uncontrolled diabetes compared to Group I (HR = 0.94, 95% CI [0.888-0.999]).Conclusions: Physical activity is an essential non-pharmacological and self-management intervention that can be easily implemented among older adults with hypertension. Healthcare providers should be aware of the importance of older adults’ physical activity and encourage them to perform and maintain it steadily for better long-term cardio-metabolic outcomes.


2021 ◽  
Author(s):  
Aline Martins Alves ◽  
Luiza Alves da Silva ◽  
Tatiana Carvalho Reis Martins ◽  
Bruna Moretti Luchesi

Introduction: The aging process can result in the decline of cognitive function. Some factors may be beneficial for cognitive functioning in aging, such as physical activity. Objective: To analyze the relationship between physical activity and cognitive performance in community-dwelling older adults. Methods: Cross-sectional and quantitative study, carried out in 2018/2019, with 491 older adults (≥60 years), registered in Primary Healthcare Units in Três Lagoas-MS. The older adults were divided into two groups: physically active (>150 minutes of moderate physical activity or >75 minutes of vigorous activity/week - n=320) and inactive (n=171), according to the International Physical Activity Questionnaire. The Mini-Mental State Examination (MMSE) was also applied. T and chi-square tests were used to analyze the relationship between variables. Results: The physically active group were mostly women (60.8%), with an average of 69.7±6.9 years of age and 4.2±3.5 years of schooling. In the inactive group, the majority were women (59.7%), with 71.4±8.2 years of age and 4.0±4.2 of schooling. The groups were similar in terms of sex and education, but the inactive group was older (p=0.029). The active older adults had a mean of 23.7±3.8 points in the MMSE, and the inactive group, 21.9±4.6, with a significant difference (p <0.000), ndicating that the active group had a better cognitive performance. Conclusion: There is a relationship between being physically active and having a better cognitive performance. Physical activity in old age is related to benefits in several areas and must be incorporated into public health promotion and disease prevention policies.


2016 ◽  
Vol 18 (5) ◽  
pp. 549-557 ◽  
Author(s):  
Tzu-Ting Wu ◽  
I-Ju Chen ◽  
Shu-Ling Cho ◽  
Ai-Fu Chiou

Background: Poor health-promoting behaviors increase the risk of chronic disease and disability in older adults. Nevertheless, the predictors of health-promoting behaviors and their relationship with metabolic syndrome have been poorly characterized in older Taiwanese adults. Objective: To explore the determinants of health-promoting behaviors in community-dwelling older adults in Taiwan and the relationship of health-promoting behaviors with metabolic syndrome. Methods: A cross-sectional design was used. A convenience sample of 200 community residents aged 60 years and over was recruited from two large communities in New Taipei City, Taiwan. Data collection included physical examination and a structured questionnaire including measures of health status, health-promoting behaviors, self-efficacy, social support, and metabolic syndrome. Results: Metabolic syndrome was found in 60% of older Taiwanese adults. These participants had higher scores in interpersonal relationships but lower scores in physical activity. Half of the health-promoting behaviors were explained by behavior-specific cognitions and affect, and 44% of behavior-specific cognitions and affect was explained by the health status of the older adult. Conclusions: Physical activity should be promoted in older Taiwanese adults. Positive behavior-specific cognitions and affect and better health status might impact the health-promoting behaviors of these adults.


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