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

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.

Download Full-text

Association between the type of physical activity and metabolic syndrome in middle-aged and older adult residents of a semi-mountainous area in Japan

Environmental Health and Preventive Medicine ◽

10.1186/s12199-021-00949-x ◽

2021 ◽

Vol 26 (1) ◽

Author(s):

Noriko Kudo ◽

Ritsuko Nishide ◽

Mayumi Mizutani ◽

Shota Ogawa ◽

Susumu Tanimura

Keyword(s):

Physical Activity ◽

Metabolic Syndrome ◽

Older Women ◽

Secondary Data ◽

Daily Physical Activity ◽

Mountainous Area ◽

Mountainous Areas ◽

Middle Aged ◽

Type Activity ◽

Specific Health

Abstract Background Physical activity is reported to prevent metabolic syndrome. However, it is unclear whether exercise or daily physical activity is more beneficial for residents of semi-mountainous areas. This study aimed to identify whether daily physical activity is more beneficial than exercise for the prevention of metabolic syndrome among middle-aged and older residents in semi-mountainous areas. Methods We analyzed secondary data of 636 people who underwent a specific health checkup in a semi-mountainous area of Japan. Physical activity was classified into four types: inactivity (I-type; without exercise and without daily physical activity), only exercise (E-type; with exercise and without daily physical activity), only daily physical activity (D-type; without exercise and with daily physical activity), and full physical activity type (F-type; with exercise and with daily physical activity). We compared the means of risk factors for metabolic syndrome by these four types, followed by logistic regression analysis, to identify whether and to what extent the D-type was less likely to have metabolic syndrome than the E-type. Results The prevalence of metabolic syndrome was 28.5% (men 45.7%, women 15.8%). The proportions of men with exercise and daily physical activity were 38.7% and 52.8%, respectively. For women, the proportions were 33.0% and 47.1%, respectively. In women, the D-type had the significantly lowest BMI, smallest waist circumference, highest HDL-C, and lowest prevalence of metabolic syndrome of the four types; the same was not observed in men. Additionally, D-type activity was more strongly associated with a reduced risk of metabolic syndrome than E-type activity in women (adjusted odds ratio 0.24; 95% confidence interval 0.06–0.85, P = 0.028). Conclusions Compared to middle-aged and older women residents with exercise in a semi-mountainous area of Japan, those with daily physical activity may effectively prevent metabolic syndrome.

Download Full-text

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

Download Full-text

Physical Activity Participation by Presence and Type of Functional Deficits in Older Women: The Women's Health and Aging Studies

The Journals of Gerontology Series A ◽

10.1093/gerona/61.11.1171 ◽

2006 ◽

Vol 61 (11) ◽

pp. 1171-1176 ◽

Cited By ~ 17

Author(s):

G. J. Jerome ◽

T. A. Glass ◽

M. Mielke ◽

Q.-L. Xue ◽

R. E. Andersen ◽

...

Keyword(s):

Physical Activity ◽

Women’S Health ◽

Women's Health ◽

Older Women ◽

Physical Activity Participation ◽

Activity Participation ◽

Functional Deficits ◽

Aging Studies

Download Full-text

Aging and Exercise: A Health Perspective

Journal of Aging and Physical Activity ◽

10.1123/japa.2.3.243 ◽

1994 ◽

Vol 2 (3) ◽

pp. 243-260 ◽

Cited By ~ 15

Author(s):

Joanna L. Bokovoy ◽

Steven N. Blair

Keyword(s):

Physical Activity ◽

Older Women ◽

The Elderly ◽

Older Individuals ◽

National Surveys ◽

Fatal Coronary Heart Disease ◽

Habitual Exercise ◽

And Function ◽

Older Men And Women

Habitual exercise provides protection against fatal coronary heart disease, extends longevity, and enhances quality of life. National surveys show less physical activity in older men and women compared with middle-aged and younger persons; older women are particularly sedentary. Although there are still few longitudinal studies on exercise and physical activity in older individuals, the data support a positive relationship between physical activity and health and function in older individuals. The data further show that with regular physical activity, health and physical fitness are maintained or even increased over time in older individuals. Studies on physical activity requirements for beneficial health effects in the elderly are reviewed and presented, and exercise recommendations for older individuals are given.

Download Full-text

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.

Download Full-text