Even modest rates of physical activity can improve the functioning of middle-age adults with arthritis

BackgroundThere is limited information about the association between long-term leisure time physical activity (LTPA) participation and healthcare costs. The purpose of this study was to investigate the association between LTPA over adulthood with later life healthcare costs in the USA.MethodsUsing Medicare claims data (between 1999 and 2008) linked to the National Institutes of Health-American Association of Retired Persons (NIH-AARP) Diet and Health Study, we examined associations between nine trajectories of physical activity participation throughout adulthood with Medicare costs.ResultsCompared with adults who were consistently inactive from adolescence into middle age, average annual healthcare costs were significantly lower for maintainers, adults who maintained moderate (–US$1350 (95% CI: –US$2009 to –US$690) or −15.9% (95% CI: −23.6% to −8.1%)) or high physical activity levels (–US$1200 (95% CI: –US$1777 to –US$622) or −14.1% (95% CI: −20.9% to −7.3%)) and increasers, adults who increased physical activity levels in early adulthood (–US$1874 (95% CI: US$2691 to –US$1057) or −22.0% (95% CI: −31.6% to −12.4%)) or in middle age (–US$824 (95% CI: –US$1580 to –US$69 or −9.7% (95% CI −18.6% to −0.8%)). For the four trajectories where physical activity decreased, the only significant difference was for adults who increased physical activity levels during early adulthood with a decline in middle age (–US$861 (95% CI:–US$1678 to –US$45) or −10.1% (95% CI: −19.7% to −0.5%)).ConclusionOur analyses suggest the healthcare cost burden in later life could be reduced through promotion efforts supporting physical activity participation throughout adulthood.

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A Study on the Relationship of Back Pain Prevalence, Physical Activity Type and Exercise Type in Middle-Age Korean Women

Medicine & Science in Sports & Exercise ◽

10.1249/01.mss.0000401586.51831.26 ◽

2011 ◽

Vol 43 (Suppl 1) ◽

pp. 575

Author(s):

Soung-Yob Rhi ◽

Hak-Mo Ku ◽

Hyun-Jin Kwon ◽

Yeon-Soo Kim ◽

Jae-Soon Chung ◽

...

Keyword(s):

Physical Activity ◽

Back Pain ◽

Middle Age ◽

Korean Women ◽

Activity Type ◽

Pain Prevalence ◽

Exercise Type ◽

Relationship Of ◽

The Relationship

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Study Design and Protocol for a RE-AIM Evaluation of a National Walking Netball Programme for Middle Age and Older Women

10.31219/osf.io/dcekz ◽

2018 ◽

Author(s):

Andrew Brinkley ◽

Florence Kinnafick ◽

Emma Adams ◽

Stephen Bailey

Keyword(s):

Physical Activity ◽

Health Outcomes ◽

Study Design ◽

Middle Age ◽

Communicable Disease ◽

Effective Means ◽

Community Setting ◽

Physical Activity Behaviour ◽

Poor Mental Health ◽

Older Age

BackgroundPhysical activity (PA) is a modifiable risk factor for non-communicable disease morbidity and all-cause mortality in middle age and older age adults. Moreover, aging is accompanied by an increased incidence of loneliness, social isolation and low quality of life, and issues associated with poor mental health and psychological wellbeing. Using community settings to deliver sports-based programmes may prove an effective means to increase PA and thus improve individual health and wellbeing whilst promoting social capital. This paper describes the study design and protocol for the evaluation of a Walking Netball programme for middle and older age women. MethodsA mixed methods approach will be used to investigate the Walking Netball programme. This approach is underpinned by the RE-AIM framework. A multiple baseline study with six phases will be implemented during the programme to investigate potential changes physical activity behaviour and health outcomes. Data will be collected at 3-months pre-baseline, at baseline, and 3-months, 6-months and 12-months post baseline. A sub-study will be conducted using a quasi-experimental design to examine the effectiveness of the programme on physiological health over the medium-term. Finally, a series of qualitative studies (i.e., interviews and focus groups) will explore the acceptability and feasibility of the programme with participants and stakeholders (England Netball coaches, Walking Netball hosts). Discussion This study will be the first longitudinal evaluation to investigate the acceptability, feasibility and effectiveness of providing walking netball within a community setting on physical activity participation and health outcomes. The results of this study will provide insight for future researchers and stakeholders providing sports-based health interventions to middle and older age women. Further, the study will raise awareness of the behavioural and organizational process underpinning sustainable participation.

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Abstract 047: Trajectories of Maintaining Recommended Amounts of Physical Activity in Young Adulthood and Associations with Abdominal Adiposity in Middle Age: The Cardia Study

Circulation ◽

10.1161/circ.127.suppl_12.a047 ◽

2013 ◽

Vol 127 (suppl_12) ◽

Author(s):

Christina M Shay ◽

Laura Colangelo ◽

Mercedes R Carnethon ◽

Kiang Liu ◽

Norrina B Allen ◽

...

Keyword(s):

Physical Activity ◽

Adipose Tissue ◽

Young Adulthood ◽

Middle Age ◽

White Men ◽

Abdominal Adiposity ◽

Men And Women ◽

Highly Active ◽

Active Adults ◽

Modest Activity

Background: Greater abdominal adiposity is associated with insulin resistance and obesity-related vascular disease. Physical activity (PA) is inversely associated with abdominal adiposity yet associations between trends in adherence to PA recommendations through young adulthood and abdominal adiposity in middle age is unclear. Objective: To identify common trajectories of maintaining recommended levels of PA through young adulthood and to examine associations between trajectories and abdominal adiposity at middle age. Methods: The Coronary Artery Risk Development in Young Adults (CARDIA) study is a population-based, prospective, observational study of black and white men and women. PA was assessed at 8 exams across 25 years of follow-up. PA trajectories were identified by group-based modeling (PROC TRAJ) based on likelihood of maintaining recommended PA levels across exams. Visceral, subcutaneous, and abdominal intermuscular adipose tissue volumes (cm3) were assessed by computed tomography at the year 25 exam (43-55 yrs, n=3180). Results: Four major PA trajectories were identified: highly active (27.3%), declining activity (18.2%), modestly active (20.7%) and always sedentary (33.8%). Abdominal adipose tissue volumes by PA trajectory, race, and sex are displayed in Figure 1. Among white men and women, abdominal adiposity was lowest in always active adults and highest in those always sedentary; higher abdominal adiposity was observed with declining activity compared to modest activity. In black women, highest levels of abdominal adiposity were observed with declining activity. Black men exhibited no differences in abdominal adiposity across PA trajectory groups. Conclusions: Maintaining recommended physical activity levels through young adulthood is associated with lower abdominal adiposity at middle age. Highly active adults who exhibit declining physical activity towards middle age exhibit higher abdominal adiposity compared to adults with consistent modest activity throughout adulthood.

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Higher physical activity during middle age is associated with increased odds of survival without cognitive or physical impairments in older women

Evidence-Based Nursing ◽

10.1136/ebn.13.3.85 ◽

2010 ◽

Vol 13 (3) ◽

pp. 85-86

Author(s):

C. Hirsch

Keyword(s):

Physical Activity ◽

Older Women ◽

Middle Age ◽

Physical Impairments

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Dose-response relation of self-reported and accelerometer-measured physical activity to perceived health in middle age—the Northern Finland Birth Cohort 1966 Study

BMC Public Health ◽

10.1186/s12889-018-6359-8 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 8

Author(s):

Maisa S. Niemelä ◽

Maarit Kangas ◽

Riikka J. Ahola ◽

Juha P. Auvinen ◽

Anna-Maiju Leinonen ◽

...

Keyword(s):

Physical Activity ◽

Birth Cohort ◽

Dose Response ◽

Middle Age ◽

Perceived Health

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Education and Cognition in Middle Age and Later Life: The Mediating Role of Physical and Cognitive Activity

The Journals of Gerontology Series B ◽

10.1093/geronb/gbz020 ◽

2019 ◽

Vol 75 (7) ◽

pp. e93-e104 ◽

Cited By ~ 1

Author(s):

Yujun Liu ◽

Margie E Lachman

Keyword(s):

Physical Activity ◽

Cognitive Function ◽

Educational Attainment ◽

Middle Age ◽

Cognitive Activity ◽

Later Life ◽

The United States ◽

Mediating Role ◽

Behavioral Variables ◽

Cognitive Activities

Abstract Objectives Although educational attainment is related to cognitive function in later life, little is known about the mechanisms involved. This study assessed the independent mediating effects of two behavioral variables, physical and cognitive activity, on the association between educational attainment and cognitive function and change. Methods Data were derived from the three waves of the Midlife in the United States (MIDUS) study. Predictors (educational attainment) were from the 1995 baseline, mediators (physical and cognitive activities) were from the 2004 wave, and outcomes (cognitive function) were from the 2004 and 2013 waves. Conditional process modeling was applied using PROCESS in SPSS. Results There were both direct and indirect effects of educational attainment on level and change of executive function (EF) and episodic memory (EM). Physical activity and cognitive activity were both significant mediators for cognitive level. For mediators of change, however, cognitive activity was significant for EF and physical activity was significant for EM. Discussion Physical and cognitive activity are discussed as possible factors for protecting against cognitive decline in later life. The findings have implications for advancing supportive policies and practices related to maximizing the benefits of education and physical and cognitive activities for cognition in middle age and later life.

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