High Levels of Moderate-to-vigorous Physical Activity Are Associated With Increased Risk Of Falling In Middle-aged And Older Adults

2016 ◽  
Vol 48 ◽  
pp. 557
Author(s):  
Victor Z. Dourado ◽  
Evandro Sperandio ◽  
Ana Esther Oliveira ◽  
Marcello Romiti ◽  
Antônio Gagliardi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Vigorous Physical Activity ◽  
Risk Of Falling ◽  
Middle Aged ◽  
Increased Risk

How the Daily Smartphone is Associated With Daily Travel, Physical Activity, and Self-Perceived Health: Evidence From 2017 National Household Travel Survey

2020 ◽  
Vol 28 (5) ◽  
pp. 740-748
Author(s):  
Yong Yang ◽  
Sheng Li ◽  
Kai Zhang ◽  
Xiaoling Xiang ◽  
Zhigang Li ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Vigorous Physical Activity ◽  
Middle Aged ◽  
Travel Survey ◽  
Household Travel Survey ◽  
Smartphone Use ◽  
Mean Differences ◽  
Household Travel ◽  
National Household Travel Survey

Knowledge of how smartphone use in daily life, rather than in the context of intervention, may influence people’s behaviors and health is limited and mixed. The 2017 National Household Travel Survey (NHTS) data were used to examine the associations between daily smartphone use and several outcomes, including engaging in vigorous physical activity, self-perceived being healthy, and the adjusted mean differences for total trips and active travels among older adults (≥65 years) as well as among young and middle-aged groups (18–64 years), respectively. The prevalence of daily smartphone use declined with increasing age. Daily smartphone use was associated with increased total trips and active travel, a higher likelihood of engaging in vigorous physical activity, and in self-perceived being healthy status. The associations were stronger among older adults than young and middle-aged adults. More studies are needed to address the complex pathways among daily smartphone use and other outcomes. Daily smartphone use has the potential to address the unmet daily needs of older adults and bridge health disparities for this disadvantaged group.

scholarly journals Diet, Physical Activity, and Disinhibition in Middle-Aged and Older Adults: A UK Biobank Study

Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1607
Author(s):  
Lizanne J. S. Schweren ◽  
Daan van Rooij ◽  
Huiqing Shi ◽  
Henrik Larsson ◽  
Alejandro Arias-Vasquez ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Latent Profile Analysis ◽  
Reference Group ◽  
Vigorous Physical Activity ◽  
Uk Biobank ◽  
Middle Aged ◽  
Dairy Consumption ◽  
Dietary Components ◽  
Prudent Diet

Disinhibition is a prominent feature of multiple psychiatric disorders, and has been associated with poor long-term somatic outcomes. Modifiable lifestyle factors including diet and moderate-to-vigorous physical activity (MVPA) may be associated with disinhibition, but their contributions have not previously been quantified among middle-aged/older adults. Here, among N = 157,354 UK Biobank participants aged 40–69, we extracted a single disinhibition principal component and four dietary components (prudent diet, elimination of wheat/dairy/eggs, meat consumption, full-cream dairy consumption). In addition, latent profile analysis assigned participants to one of five empirical dietary groups: prudent-moderate, unhealthy, restricted, meat-avoiding, low-fat dairy. Disinhibition was regressed on the four dietary components, the dietary grouping variable, and self-reported MVPA. In men and women, disinhibition was negatively associated with prudent diet, and positively associated with wheat/dairy/eggs elimination. In men, disinhibition was also associated with consumption of meat and full-cream dairy products. Comparing groups, disinhibition was lower in the prudent-moderate diet (reference) group compared to all other groups. Absolute βs ranged from 0.02–0.13, indicating very weak effects. Disinhibition was not associated with MVPA. In conclusion, disinhibition is associated with multiple features of diet among middle-aged/older adults. Our findings foster specific hypotheses (e.g., early malnutrition, elevated immune-response) to be tested in alternative study designs.

scholarly journals Substitutions of physical activity, sedentary behaviour and sleep: associations with mental health in middle-aged and elderly persons

2021 ◽  
pp. jech-2020-215883
Author(s):  
Amy Hofman ◽  
Trudy Voortman ◽  
M. Arfan Ikram ◽  
Annemarie I Luik
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Sedentary Behaviour ◽  
Vigorous Physical Activity ◽  
Population Based ◽  
Elderly Persons ◽  
Accelerometer Data ◽  
Middle Aged

BackgroundPhysical activity, sedentary behaviour and sleep are potential risk factors of mental health disorders, but previous studies have not considered the dependency between these activity domains. Therefore, we examined the associations of reallocations of time among older adults’ physical activity, sedentary behaviour and sleep with depressive and anxiety symptoms using compositional isotemporal substitution analyses.MethodsWe included 1943 participants (mean age 71 years, SD: 9; 52% women) from the population-based Rotterdam Study. Between 2011 and 2016, we collected accelerometer data (mean duration 5.8 days, SD: 0.4) on physical activity, sedentary behaviour and sleep and self-reported data on depressive symptoms and anxiety.ResultsA reallocation of 30 min more moderate-to-vigorous physical activity was associated with a −0.55 (95% CI −1.04 to −0.06) points lower depressive symptoms score when replacing sleep and a −0.59 (95% CI −1.06 to −0.12) points lower score when replacing sedentary behaviour, but not when replacing light physical activity (−0.70, 95% CI −1.63 to 0.24). No associations were found for anxiety.ConclusionReplacing sedentary behaviour or sleep with more moderate-to-vigorous physical activity was associated with less depressive symptoms, suggesting that mainly intensive types of physical activity are important for middle-aged and older adults in relation to depressive symptoms.

scholarly journals The association between physical activity, sedentary behavior and the occurrence of falls in asymptomatic adults over 40 years old

2019 ◽  
Vol 32 ◽  
Author(s):  
Ana Esther Pereira de Oliveira ◽  
Thatiane Lopes Valentim Di Paschoale Ostolin ◽  
Wesley de Oliveira Vieira ◽  
Rodolfo Leite Arantes ◽  
Antônio Ricardo de Toledo Gagliardi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Older Adults ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Sedentary Behavior ◽  
Vigorous Physical Activity ◽  
Knee Extension ◽  
Self Report ◽  
Middle Aged

Abstract Introduction: Sedentary behavior (SB) has been described as an independent risk factor for health, regardless of the recommended amount of moderate-to-vigorous physical activity (MVPA). However, SB and MVPA as predictors of falls have been poorly investigated. Objective: To compare the associations between SB and MVPA and the occurrence of falls in middle-aged and older adults. Method: The participants wore a triaxial accelerometer over the dominant hip for seven days to measure SB and MVPA. The occurrence of falls and cardiovascular risk factors were assessed by self-report. Isokinetic peak torque (PT) of knee extension, peak oxygen uptake (V’O2) in a ramp treadmill protocol, and lean (LBM) body mass and body fat (BFM) (bioelectrical impedance) were also assessed. The critical roles of SB and MVPA on the occurrence of falls were compared by multiple logistic regression adjusted for age, sex, cardiovascular risk factors, LBM, peak V’O2, and PT of knee extension. Results: 379 participants were evaluated, aged 40-80 years. Forty-eight participants reported at least one fall in the previous 12 months (14.5%). Fallers presented lower SB and higher MVPA. They were predominantly women and older adults with lower physical fitness. After multivariate analysis, MVPA, but not SB, was selected as an independent predictor of falls, increasing the odds ratio of having a fall (1.184, 95% confidence interval, 1.016 - 1.378). Conclusion: Episodes of falls in predominantly middle-aged and women subjects were associated with a higher amount of MVPA, not the opposite, indicating an adverse effect of MVPA in these subjects.

scholarly journals 79 Physical Activity Promotion Using mHealth: A Systematic Review and Meta-synthesis of Adults’ Experiences

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii1-iii16
Author(s):  
Daniel Carter ◽  
Katie Robinson ◽  
John Forbes ◽  
Sara Hayes
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Vigorous Physical Activity ◽  
Physical Activity Promotion ◽  
Evidence Base ◽  
Qualitative Studies ◽  
Battery Life ◽  
Smartphone Applications ◽  
Middle Aged ◽  
Activity Promotion

Abstract Background Well-documented health benefits are associated with 150 min/week of moderate-to-vigorous physical activity (PA). However, a majority of older adults do not follow this guideline and calls to address this disparity with technology have been made (1). Recommendations from the wider PA literature suggest the incorporation of mobile and wireless technology, i.e. mobile health (mHealth), into PA interventions (2). This study aims to identify and synthesise the evidence base on the experiences of adults using smartphone applications for the promotion of PA. Methods A systematic search of CINAHL, Embase, ERIC, Medline and PsycINFO was conducted in October 2017. Primary qualitative studies with extractable data on the experiences of adults using mHealth for the promotion of PA were included. Data were analysed in NVivo using a meta-ethnographic approach. Results The initial search yielded 4,420 articles. After screening, fifteen articles were included, of which three included young adults, two included young and middle-aged adults, six included middle-aged and older adults and three included young, middle-aged and older adults, while one study did not report age. Because findings were not stratified by age, data were analysed collectively. Our inductive findings included the idea that end-users value the experience of personalisation offered by smartphone applications. Furthermore, mHealth raised awareness of individuals’ PA level, supporting them to strategise ways of incorporating PA into their routines. Finally, negative experiences were not uncommon, though were largely caused by poor design and technical faults (e.g. battery life/ inaccurate data). Conclusion Our review provides evidence of the paucity of studies focused on the experiences of older adults using mHealth for the promotion of PA. Given recommendations for PA interventions to be tailored, particularly across the lifespan (2), and the positive findings noted in the current study, further primary qualitative studies exploring the perspectives of older adults are warranted.

scholarly journals Diet, physical activity and behavioural disinhibition in middle-aged and older adults: a UK Biobank study

2020 ◽  
Author(s):  
Lizanne JS Schweren ◽  
Daan van Rooij ◽  
Huiqing Shi ◽  
Alejandro Arias-Vasquez ◽  
Lin Li ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Latent Profile Analysis ◽  
Reference Group ◽  
Vigorous Physical Activity ◽  
Uk Biobank ◽  
Middle Aged ◽  
Dairy Consumption ◽  
Behavioural Disinhibition ◽  
Prudent Diet

AbstractBackground and aimsBehavioural disinhibition is a prominent feature of multiple psychiatric disorders, and has been associated with poor long-term somatic health outcomes. Modifiable lifestyle factors including diet and moderate-to-vigorous physical activity (MVPA) may be associated with behavioural disinhibition, but their shared and unique contributions have not previously been quantified.MethodsN=157,354 UK Biobank participants who completed the online mental health assessment were included (age 40-69, 2006-2010). Using principal component analyses, we extracted a single disinhibition score and four dietary component scores (prudent diet, elimination of wheat/dairy/eggs, meat consumption, full-cream dairy consumption). In addition, latent profile analysis assigned participants to one of five empirical dietary groups: moderate-healthy, unhealthy, restricted, meat-avoiding, low-fat dairy. Participants self-reported MVPA in minutes/week. Disinhibition was regressed on the four dietary components, the dietary grouping variable and MVPA.Resultsin men and women, behavioural disinhibition was negatively associated with prudent diet scores, and positively associated with wheat/dairy/eggs elimination. In men only, disinhibition was associated with consumption of meat and full-cream dairy products. Comparing groups, disinhibition was lower in the moderate-and-prudent diet (reference) group compared to all other groups. Absolute βs ranged from 0.02-0.13 indicating very weak effects. Disinhibition was not associated with MVPA.ConclusionsAmong middle-aged and older adults, behavioural disinhibition is associated with multiple features of diet. While the observational nature of UK Biobank does not allow causal inference, our findings foster specific hypotheses (e.g. early malnutrition, elevated immune-response, dietary restraint) to be tested in alternative study designs.

scholarly journals Prevención del riesgo de caída en adultos mayores con programa Kunte durante confinamiento por COVID-19 (Prevention older adults fall risk with Kunte program during COVID-19 confinement)

Retos ◽  
2021 ◽  
Vol 42 ◽  
pp. 236-243
Author(s):  
Manuel Villarroel Cerda ◽  
Matías Pozo Núñez ◽  
Cristián Díaz Escobar ◽  
Víctor Patricio Díaz Narváez
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Fall Risk ◽  
Sedentary Behaviors ◽  
Risk Of Falling ◽  
Timed Up And Go ◽  
Body Balance ◽  
Increased Risk ◽  
Before And After ◽  
Quasi Experimental

  Introducción: La falta de actividad física e incremento de conductas sedentarias durante el confinamiento domiciliario de adultos mayores, debido al COVID-19, tendría como consecuencia, con el tiempo, un aumento del riesgo de caída en esta población. Objetivo: Disminuir el riesgo de caída en un grupo de adultos mayores con confinamiento domiciliario aplicando el programa de actividad física Kunte, concerniente en secuencias de movimientos de tipo oriental estructurados de acuerdo a fundamentos teórico-prácticos de la terapia física y metodológico-pedagógicos de la Educación Física. Métodos: Estudio de diseño exploratorio y cuasi experimental; aplicado en 35 adultos mayores (19 mujeres – 16 hombres), pertenecientes a la comuna de Maipú, Santiago, Chile. Durante un periodo de 3 meses, utilizando el Timed Up and Go y Prueba de Tinetti antes y después de la intervención con el programa Kunte. Resultados: Los estadísticos descriptivos determinaron en un antes y después de aplicado el programa Kunte diferencias significativas (p<0,05) y altamente significativas (p<0,005) para la prueba Tinetti y Timed Up and Go Test respectivamente, tanto en hombres como mujeres, en la valoración del riesgo de caída de adultos mayores; disminuyendo significativamente este riesgo en cuanto a su relación con el equilibrio corporal dinámico y la marcha. Conclusión: La aplicación del programa Kunte presentó resultados significativamente positivos al valorar el equilibrio corporal dinámico y la marcha, mediante pruebas funcionales relacionadas con el riesgo de caída en adultos mayores, en este caso con confinamiento domiciliario durante la pandemia por COVID-19. Abstract: Introduction: Lack of physical activity and increased sedentary behaviors during home confinement of older adults, due to COVID-19, would result, over time, in an increased risk of falling in this population. Objective: To reduce the risk of falling in a group of older adults in home confinement by applying the Kunte physical activity program, based on sequences of oriental-type movements structured according to the theoretical-practical foundations of physical therapy and the methodological-pedagogical principles of Physical Education. Methods: Exploratory and quasi-experimental design study; applied in 35 older adults (19 women - 16 men), belonging to the commune of Maipú, Santiago, Chile. During a period of 3 months, using the Timed Up and Go and Tinetti's Test before and after the intervention with the Kunte program. Results: Descriptive statistics determined significant (p<0.05) and highly significant (p<0.005) differences for the Tinetti and Timed Up and Go Test respectively, in both men and women, in the assessment of the risk of falling of older adults; significantly decreasing this risk in terms of its relationship with dynamic body balance and walking. Conclusion: The application of the Kunte program showed significantly positive results when assessing dynamic body balance and gait, through functional tests related to fall risk in older adults, in this case with home confinement during the COVID-19 pandemic.

scholarly journals The Association of Light Physical Activity With Health Indicators Among Middle-Aged and Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 190-190
Author(s):  
Kristen Moore ◽  
Kaigang Li ◽  
Manfred Diehl ◽  
Katherine Thompson ◽  
Abigail Nehrkorn-Bailey
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Physical Health ◽  
Grip Strength ◽  
Vigorous Physical Activity ◽  
Experimental Studies ◽  
Health Indicators ◽  
Middle Aged ◽  
Light Physical Activity ◽  
And Performance

Abstract Physical Activity (PA) Guidelines for Americans recommend engagement in moderate or moderate-to-vigorous physical activity (MVPA) for middle-aged and older adults. Although these guidelines encourage adults to “move more and sit less,” there are no explicit recommendations for engaging in Light PA (LPA). The purpose of this study was to examine the association between LPA and health Indicators among middle-aged and older adults, in the context of sedentary time (ST) and MVPA. We used baseline data from 171 individuals (Mean age: 59.3±8.51 years), participating in Colorado State University’s AgingPlus program. Selected health Indicators included Body Mass Index (BMI), waist circumference (WC in cm), mean arterial pressure (MAP in mmHg), grip strength (GS in lbs), and indirect VO2max (ml/kg/min). ST and PA were measured using Actigraph accelerometers worn for 7 days (excluding wear time &lt;500 mins/day). Linear regression analyses, controlling for sex, age group, and race, indicated that more ST was associated with greater BMI (B=3.33), greater WC (B=3.35), and lower VO2max (B=-3.09). More LPA was associated with lower BMI (B=-4.47), lower WC (B=-5.0), lower MAP (B=-2.81), and higher VO2max (B=4.64). MVPA was associated with lower BMI (B=-3.04), lower WC (B=-4.21), higher VO2max (B=4.74), and higher grip strength (B=2.33). In conclusion, more ST was associated with indicators of poorer physical health. LPA, similar to MVPA, was associated with indicators of better physical health and performance. Future longitudinal and experimental studies examining the causal relationship between LPA and physical health and performance are warranted.

scholarly journals Changes in Health Behaviors, Mental and Physical Health among Older Adults under Severe Lockdown Restrictions during the COVID-19 Pandemic in Spain

2021 ◽  
Vol 18 (13) ◽  
pp. 7067
Author(s):  
Esther García-Esquinas ◽  
Rosario Ortolá ◽  
Iago Gine-Vázquez ◽  
José A. Carnicero ◽  
Asier Mañas ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Older Adults ◽  
Social Isolation ◽  
Community Dwelling ◽  
Housing Conditions ◽  
Older Individuals ◽  
Lifestyle Risk Factors ◽  
Increased Risk ◽  
Lifestyle Risk

We used data from 3041 participants in four cohorts of community-dwelling individuals aged ≥65 years in Spain collected through a pre-pandemic face-to-face interview and a telephone interview conducted between weeks 7 to 15 after the beginning of the COVID-19 lockdown. On average, the confinement was not associated with a deterioration in lifestyle risk factors (smoking, alcohol intake, diet, or weight), except for a decreased physical activity and increased sedentary time, which reversed with the end of confinement. However, chronic pain worsened, and moderate declines in mental health, that did not seem to reverse after restrictions were lifted, were observed. Males, older adults with greater social isolation or greater feelings of loneliness, those with poorer housing conditions, as well as those with a higher prevalence of chronic morbidities were at increased risk of developing unhealthier lifestyles or mental health declines with confinement. On the other hand, previously having a greater adherence to the Mediterranean diet and doing more physical activity protected older adults from developing unhealthier lifestyles with confinement. If another lockdown were imposed during this or future pandemics, public health programs should specially address the needs of older individuals with male sex, greater social isolation, sub-optimal housing conditions, and chronic morbidities because of their greater vulnerability to the enacted movement restrictions.

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