Association Between Moderate Physical Activity Level and Subsequent Frailty Incidence Among Community-Dwelling Older Adults: A Population-Based Cohort Study
Abstract Background The evidence concerning longitudinal association between physical activity (PA) and frailty is scarce, and variation in the scales, tools, or modules of PA made it challenging to obtain consistent results. This association among the individules who reached an older age where age-related cumulative chronic diseases and physical function declines were common, was unclear. Our study aimed to demonstrate the association between PA and frailty incidence among Japanese community-dwelling older adults with narrow age range of 70–74 years. Mothods: About 485 participants aged 70–74 years from the Japan Gerontological Evaluation Study were included in this study. Frailty was assessed at baseline and 3 years later by using the Kaigo-Yobo Checklist. PA was assessed using the short-term International Physical Activity Questionnaire. Logistic regression was performed to calculate relative risk (RR) with 95% confidence intervals (CIs) after adjusting for potential confounders. Results After a 3-year follow-up, 46 new frailty cases were recorded. The association of frailty incidence with both PA volume and daily walking time presented a U-shaped curve, albeit statistically insignificant. After adjusting for potential confounders, walking for 0.5–1 h/d displayed a greater association with decreased frailty risk (OR, 0.35; 95% CI, 0.12–0.98) than higher levels of daily walking time. No association between PA volume and subsequent frailty was observed. Conclusions Incorporating moderate regular walking levels of 0.5–1 h/d in older adults may delay the onset of frailty and improve the aging process. Further studies are needed to investigate the effect of higher PA levels on frailty risk.