Physical Activity Intensity and Biopsychosocial Correlates in Chinese Middle-Aged and Older Adults With Chronic Kidney Disease

2019 ◽  
Vol 27 (6) ◽  
pp. 871-878
Author(s):  
Jieling Chen ◽  
Emily Joy Nicklett ◽  
Yaping He ◽  
Vivian W.Q. Lou
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Urban Areas ◽  
Mobility Limitations ◽  
Physical Activity Intensity ◽  
Middle Aged ◽  
Activity Intensity ◽  
Light Activity

The study aims to characterize physical activity (PA) participation by intensity and examine the biopsychosocial correlates among middle-aged and older adults with chronic kidney disease (CKD) in China. Data were examined from the 2011 China Health and Retirement Longitudinal Study. The percentages of participation in vigorous, moderate, and light activity among participants with CKD were 22.7%, 42.1%, and 76.3%, respectively. The participants were less likely to engage in vigorous and moderate PA if they were 70 years of age or older, were not married/partnered, were unemployed, lived in urban areas, had an advanced stage of disease, had heart disease, and/or experienced mobility limitations. The magnitude of the associations between biophysical factors and PA participation was small for light PA. The higher the intensity of regular PA, the less likely older adults with CKD were to participate. Practitioners could consider the psychosocial characteristics of the older adults with CKD and facilitate their participation in PA.

Accelerometer-measured Physical Activity of Older Adults with Type 2 Diabetes: A scoping review (Preprint)

2021 ◽  
Author(s):  
Ioana A. Moldovan ◽  
Alexa Bragg ◽  
Anna Nidhiry ◽  
Barbara A. De La Cruz ◽  
Suzanne E. Mitchell
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Older Adults ◽  
Scoping Review ◽  
Self Report ◽  
Physical Activity Intensity ◽  
Middle Aged ◽  
Promising Alternative ◽  
Activity Intensity

BACKGROUND Incorporating physical activity in lifestyle routines is recommended for individuals living with type 2 diabetes. Accelerometer devices offer a promising alternative to self-report methods for measuring physical activity performance. However, the extant literature for accelerometer-measured physical activity among middle-aged/older adults with chronic conditions is lacking. OBJECTIVE We conducted a comprehensive scoping review of the literature to capture accelerometry methodologies in older adults with type 2 diabetes, specifically in relation to cutpoints that classify physical activity into intensity categories (sedentary, light, moderate, vigorous, very vigorous). METHODS Applying the Joanna Briggs Institute’s methodology, we searched PubMed, Web of Science, EMBASE, and Engineering Village to identify studies that used research-grade accelerometers to objectively measure physical activity intensity levels of adults with type 2 diabetes using cutpoints in participant samples of mean age 50 years and older. RESULTS We identified 46 studies that met our inclusion criteria. The ActiGraph was the most popular accelerometer among researchers, and the Freedson (1998) and Troiano (2008) cutpoints were favored the most. The Lopes (2009) cutpoints were developed by calibrating the ActiGraph accelerometer in middle-aged and older adults with overweight/ obesity and type 2 diabetes. Several studies noted limitations of accelerometry use that could lead to an underestimation or inaccurate representation of physical activity for our population of interest. Limitations included decreased accuracy due to variation in device placement and underestimation of activity intensity attributed to using cutpoints in older adults with lower fitness levels that were originally validated with younger adults. CONCLUSIONS Considering the high variability among accelerometry methodologies, more work needs to be done to understand activity intensity cut-offs for populations with a high burden of chronic disease, older age, and suboptimal physical functioning.

Active Gaming: It Is Not Just for Young People

2020 ◽  
Vol 28 (5) ◽  
pp. 731-739
Author(s):  
Eric J. Evans ◽  
Keith E. Naugle ◽  
Tyler Owen ◽  
Kelly M. Naugle
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Video Games ◽  
Moderate Intensity ◽  
Physical Activity Intensity ◽  
Younger Adults ◽  
Active Video Games ◽  
Activity Intensity ◽  
Active Gaming ◽  
Active Video

Whether active gaming is an appropriate method to facilitate moderate-intensity physical activity in older adults remains unclear. The purpose of this study was to evaluate the intensity of physical activity and enjoyment while playing three active video games in older adults compared with younger adults. Ten younger and 10 older adults played three active games on separate days. Participants played two 15-min periods per game: one period at a self-selected intensity and one period with structured instructions to maximize the movement. Physical activity intensity and enjoyment were measured during gameplay. The results indicated that older adults played games at significantly higher intensities (5.3 + 1.8 vs. 3.6 + 1.8 metabolic equivalents), spent less time in whole-body sedentary activity, and rated games more enjoyable compared with younger adults. With physical activity intensity being consistent with moderate-to-vigorous intensity for older adults during gameplay, the results suggest that active video games could be used as a cardiovascular tool for older adults.

scholarly journals Physical Activity Intensity Cut-Points for Wrist-Worn GENEActiv in Older Adults

2021 ◽  
Vol 2 ◽  
Author(s):  
François Fraysse ◽  
Dannielle Post ◽  
Roger Eston ◽  
Daiki Kasai ◽  
Alex V. Rowlands ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Classification Accuracy ◽  
Operating Characteristic ◽  
Sedentary Time ◽  
Vigorous Physical Activity ◽  
Physical Activity Intensity ◽  
Characteristic Analysis ◽  
Free Living ◽  
Activity Intensity

Purpose: This study aims to (1) establish GENEActiv intensity cutpoints in older adults and (2) compare the classification accuracy between dominant (D) or non-dominant (ND) wrist, using both laboratory and free-living data.Methods: Thirty-one older adults participated in the study. They wore a GENEActiv Original on each wrist and performed nine activities of daily living. A portable gas analyzer was used to measure energy expenditure for each task. Testing was performed on two occasions separated by at least 8 days. Some of the same participants (n = 13) also wore one device on each wrist during 3 days of free-living. Receiver operating characteristic analysis was performed to establish the optimal cutpoints.Results: For sedentary time, both dominant and non-dominant wrist had excellent classification accuracy (sensitivity 0.99 and 0.97, respectively; specificity 0.91 and 0.86, respectively). For Moderate to Vigorous Physical Activity (MVPA), the non-dominant wrist device had better accuracy (ND sensitivity: 0.90, specificity 0.79; D sensitivity: 0.90, specificity 0.64). The corresponding cutpoints for sedentary-to-light were 255 and 375 g · min (epoch independent: 42.5 and 62.5 mg), and those for the light-to-moderate were 588 and 555 g · min (epoch-independent: 98.0 and 92.5 mg) for the non-dominant and dominant wrist, respectively. For free-living data, the dominant wrist device resulted in significantly more sedentary time and significantly less light and MVPA time compared to the non-dominant wrist.

Higher Cardiorespiratory Fitness Is Associated With Better Verbal Generativity in Community-Dwelling Older Adults

2019 ◽  
Vol 27 (5) ◽  
pp. 703-710 ◽  
Author(s):  
Natalie Frost ◽  
Michael Weinborn ◽  
Gilles E. Gignac ◽  
Shaun Markovic ◽  
Stephanie R. Rainey-Smith ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Executive Function ◽  
Cardiorespiratory Fitness ◽  
Community Dwelling ◽  
Physical Activity Intensity ◽  
Maximal Aerobic Capacity ◽  
Activity Intensity ◽  
Activity Duration ◽  
Physical Activity Duration

Objectives: To examine the associations between physical activity duration and intensity, cardiorespiratory fitness, and executive function in older adults. Methods: Data from 99 cognitively normal adults (age = 69.10 ± 5.1 years; n = 54 females) were used in the current study. Physical activity (intensity and duration) was measured with the International Physical Activity Questionnaire, and fitness was measured by analysis of maximal aerobic capacity, VO2peak. Executive function was measured comprehensively, including measures of Shifting, Updating, Inhibition, Generativity, and Nonverbal Reasoning. Results: Higher levels of cardiorespiratory fitness were associated with better performance on Generativity (B = .55; 95% confidence interval [.15, .97]). No significant associations were found between self-reported physical activity intensity/duration and executive functions. Discussion: To our knowledge, this study is the first to identify an association between fitness and Generativity. Associations between physical activity duration and intensity and executive function requires further study, using objective physical activity measures and longitudinal observations.

scholarly journals Youth and Adult Visitation and Physical Activity Intensity at Rural and Urban Parks

2018 ◽  
Vol 15 (8) ◽  
pp. 1760 ◽  
Author(s):  
James Roemmich ◽  
LuAnn Johnson ◽  
Grace Oberg ◽  
Joley Beeler ◽  
Kelsey Ufholz
Keyword(s):  
Physical Activity ◽  
Urban Areas ◽  
Urban Parks ◽  
Moderate Intensity ◽  
Rural Children ◽  
Community Resources ◽  
Physical Activity Intensity ◽  
Activity Intensity ◽  
Rural And Urban ◽  
Study Results

Less physical activity among rural residents may contribute to rural-urban health disparities. Parks can be ideal community resources for promoting physical activity. This study compared park visitation and activity intensity at 15 urban and 15 rural parks matched for acreage and amenities. Parks were observed in the morning, afternoon, and evening on 4 days to determine number of visitors, activity intensity, and amenity use. A total of 5486 visitors were observed with no differences in percentages of males (55.5% vs. 53.9%) and females (44.5% vs. 46.1%) or percentages of weekday (82.4% vs. 81.9%) and weekend (17.6% vs. 18.1%) visitors. The probability of visitors sitting was greater and in moderate intensity activity lower at rural parks. A greater proportion of children (25.0% vs. 14.5%) in rural parks, and teens in urban parks (8.0% vs. 69.6%), were observed on sport fields. A greater proportion of adults in urban areas (12.5% vs. 46.0%) were observed spectating sports. Greater proportions of rural children (10.9% vs. 3.5%), teens (34.1% vs. 12.4%), and adults (38.9% vs. 10.1%) were observed using shelters. Thus, when similar amenities are available, rural and urban parks are used differently, especially by youth. The urban park study results cannot be wholly applied to rural parks.

Sedentary behavior and estimated nephron number in middle-aged and older adults with or without chronic kidney disease

2021 ◽  
Vol 154 ◽  
pp. 111531
Author(s):  
Keisei Kosaki ◽  
Kanako Takahashi ◽  
Masahiro Matsui ◽  
Masaki Yoshioka ◽  
Shoya Mori ◽  
...  
Keyword(s):  
Older Adults ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Sedentary Behavior ◽  
Nephron Number ◽  
Middle Aged

The Association of Natural Elements With Physical Activity Intensity During Trail Use by Older Adults

2012 ◽  
Vol 9 (5) ◽  
pp. 718-723 ◽  
Author(s):  
Anna Elizabeth Price ◽  
Julian A. Reed ◽  
Savannah Long ◽  
Andrea L. Maslow ◽  
Steven P. Hooker
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
South Carolina ◽  
Effective Strategy ◽  
Activity Type ◽  
Physical Activity Intensity ◽  
Trail Use ◽  
Activity Intensity ◽  
Natural Element ◽  
Sunny Weather

Background:Public health efforts to promote trail use among older adults could be an effective strategy for increasing physical activity among older adults. However, research is needed to better understand factors that influence older adults’ use of trails.Purpose:To examine the association between variations in natural elements (ie, season, weather, temperature) and older adults’ overall trail use and physical activity intensity during trail use.Methods:A rail-trail in South Carolina was systematically evaluated (2006–2009) using The System for Observing Play and Recreation in Communities.Results:The majority (74.2%) of the 1053 older trail users observed were walking; 25.9% were observed in vigorous activity. Older adults were most often observed using the trail in the spring (40.1%), sunny weather (76.8%), and moderate temperatures (56.2%). Significant differences in activity type by natural element variables were identified.Conclusions:When promoting trail use among older adults, natural elements should be considered.

scholarly journals CHRONIC KIDNEY DISEASE, MUSCLE WEAKNESS, AND MOBILITY LIMITATION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S523-S523
Author(s):  
Kenzie Latham-Mintus ◽  
Simit Doshi ◽  
Ranjani Moorthi
Keyword(s):  
Older Adults ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Muscle Strength ◽  
Muscle Weakness ◽  
Physical Functioning ◽  
Demographic Characteristics ◽  
Mobility Limitations ◽  
Nationally Representative ◽  
Walking Speeds

Abstract Objectives: Chronic kidney disease (CKD) is associated with increased mobility limitation. Prior research has documented that peripheral nerve abnormalities occur early in CKD and progressively worsen. Loss of balance, impaired muscle strength, and slow gait predispose older adults to falls and frailty. However, the current literature is limited by a lack of nationally representative data that includes objective measures of kidney disease and physical functioning. Thus, this research examines whether CKD is associated with muscle strength, balance, gait, and self-reported mobility limitations. Methods: Data come from the 2016 Health and Retirement Study (HRS). Estimated GFR, a measure of kidney functioning derived from creatinine levels in the blood, was used to classify CKD (i.e, eGFR<45 or Stage 3b CKD). Logistic and linear regression models were generated to examine the association of CKD with physical functioning, net of demographic characteristics (i.e., age, sex, race, and education) and comorbidities (i.e., obesity, pain, and number of diagnosed medical conditions). Results: In unadjusted models, CKD was significantly associated (p<0.05) with more mobility limitations, slower walking speeds, stronger grip strengths, and non-participation in balance tests. After adjusting for covariates, CKD (β=-1.43, p=0.01) was negatively associated with grip strength. In sex-stratified models, CKD was associated with slower walking speeds among men, whereas CKD was associated with more mobility limitations among women. Discussion: In a nationally representative sample of older adults, CKD was associated with poorer physical functioning on multiple measures. After adjusting for demographic characteristics and comorbidities, CKD was associated with increased muscle weakness.

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