Factors Associated with Moderate Physical Activity Among Older Adults with Atrial Fibrillation

Objective: Guidelines encourage patients with atrial fibrillation (AF) to engage in moderate-intensity physical activity. We examined the sociodemographic, geriatric, and clinical factors associated with engagement in moderate-intensity physical activity among older adults with AF. Methods: Patients aged 65 years and older, diagnosed with AF, and having a CHA 2 DS 2 -VASc ≥ 2 were recruited from multiple clinics in Massachusetts and Georgia between 2015 and 2018. We utilized The Minnesota Leisure Time Physical Activity questionnaire to assess whether participants reported being engaged in moderate physical exercise. We examined the association between sociodemographic, clinical, geriatric elements and engaging in moderate-intensity physical activity using multiple logistic regression modelling. Results: The mean age of participants was 76 years and 52% were men. Approximately one-half (52%) of participants met the recommended levels of physical activity. Participants who were cognitively impaired (adjusted OR [aOR]=0.74; 95% CI= 0.56-0.97 ) , morbidly obese (aOR= 0.40; 95% CI= 0.22-0.72), socially isolated (aOR= 0.58; 95% CI= 0.40-0.84), and had a slow gait speed (aOR= 0.44; 95% CI= 0.32-0.60) were less likely, while those with higher AF related quality of life score (aOR=1.66; 95% CI=1.26-2.18) more likely, to engage in moderate physical activity. Conclusions: A considerable proportion of older adults with AF did not engage in moderate physical activity. Cognitive impairment, morbid obesity, social isolation, and slow gait speed were associated with not engaging in moderate exercise. Health care providers should identify patients with AF who are sedentary, promote engagement, and tailor interventions to address obstacles in engagement in physical activity.

Download Full-text

Impact of Social Isolation on Physical Activity and Factors Associated With Sedentary Behavior in Older Adults During the COVID-19 Pandemic

Journal of Aging and Physical Activity ◽

10.1123/japa.2020-0456 ◽

2021 ◽

pp. 1-5

Author(s):

Giovana Z. Mazo ◽

Felipe Fank ◽

Pedro S. Franco ◽

Bruna da Silva Vieira Capanema ◽

Franciele da Silva Pereira

Keyword(s):

Physical Activity ◽

Older Adults ◽

Sedentary Behavior ◽

Social Isolation ◽

Low Income ◽

Low Income Countries ◽

Moderate Physical Activity ◽

Cross Sectional ◽

Factors Associated ◽

The Impact

The objective was to analyze the impact of social isolation on moderate physical activity and factors associated with sedentary behavior of older adults during the COVID-19 pandemic. This was a cross-sectional study involving 111 older adults (aged 71.0 ± 6.87 years). The data were collected at two time points: in November 2019 and in June 2020. There was a decline in moderate physical activity when the minutes/week were compared before and during social isolation (p < .001). Sedentary behavior was associated with the condition of living alone. Older adults who lived alone were 3.29 times more likely to spend 4 hr or more in sedentary behavior than those who lived with a partner (95% confidence interval [1.01, 10.74]). Government agencies must establish PA-related health promotion strategies, especially in developing and low-income countries. Therefore, home exercises need to be encouraged to prevent the consequences of this pandemic period.

Download Full-text

Sociodemographic, Anthropometric, Functional and Psychosocial Factors Associated with Physical Activity in Older Adults

Ageing International ◽

10.1007/s12126-021-09450-w ◽

2021 ◽

Author(s):

Bianca Andrade de Sousa ◽

Franciele Cascaes da Silva ◽

Ítalo Lemes Ribeiro ◽

David Braga de Lima ◽

Rudney da Silva

Keyword(s):

Physical Activity ◽

Older Adults ◽

Psychosocial Factors ◽

Factors Associated

Download Full-text

Letter by Mont et al Regarding Article, “Physical Activity and Incidence of Atrial Fibrillation in Older Adults: The Cardiovascular Health Study”

Circulation ◽

10.1161/circulationaha.108.821926 ◽

2009 ◽

Vol 119 (5) ◽

Cited By ~ 2

Author(s):

Lluís Mont ◽

Josep Brugada ◽

Roberto Elosua

Keyword(s):

Physical Activity ◽

Atrial Fibrillation ◽

Older Adults ◽

Cardiovascular Health ◽

Health Study ◽

Cardiovascular Health Study

Download Full-text

Regular Practice of Moderate Physical Activity by Older Adults Ameliorates Their Anti-Inflammatory Status

Nutrients ◽

10.3390/nu10111780 ◽

2018 ◽

Vol 10 (11) ◽

pp. 1780 ◽

Cited By ~ 9

Author(s):

Miguel Ferrer ◽

Xavier Capó ◽

Miquel Martorell ◽

Carla Busquets-Cortés ◽

Cristina Bouzas ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Body Composition ◽

Healthy Aging ◽

The Body ◽

Moderate Physical Activity ◽

Metabolic Equivalents ◽

Inflammatory Status ◽

Anti Inflammatory ◽

Regular Practice

A chronic inflammatory state is a major characteristic of the aging process, and physical activity is proposed as a key component for healthy aging. Our aim was to evaluate the body composition, hypertension, lipid profile, and inflammatory status of older adults, and these factors’ association with physical activity. A total of 116 elderly volunteers were categorized into terciles of quantitative metabolic equivalents of task (MET). Subjects in the first and third terciles were defined as sedentary and active subjects, respectively. Anthropometric and biochemical parameters, hemograms, and inflammatory markers were measured in plasma or peripheral mononuclear blood cells (PBMCs). The active groups exercised more than their sedentary counterparts. The practice of physical activity was accompanied by lower weight, fat mass, body mass index, and diastolic blood pressure when compared to a more sedentary life-style. Physical activity also lowered the haematocrit and total leukocyte, neutrophil, and lymphocyte counts. The practice of exercise induced a decrease in the IL-6 circulating levels and the TLR2 protein levels in PBMCs, while the expression of the anti-inflammatory IL-10 was activated in active subjects. The regular practice of physical activity exerts beneficial effects on body composition and the anti-inflammatory status of old people.

Download Full-text

Impact of first and second eye cataract surgery on physical activity: a prospective study

BMJ Open ◽

10.1136/bmjopen-2018-024491 ◽

2019 ◽

Vol 9 (3) ◽

pp. e024491 ◽

Cited By ~ 2

Author(s):

Lynn B Meuleners ◽

Ying Ru Feng ◽

Michelle Fraser ◽

Kate Brameld ◽

Kyle Chow

Keyword(s):

Physical Activity ◽

Older Adults ◽

Cataract Surgery ◽

Leisure Time ◽

Leisure Time Physical Activity ◽

Vigorous Physical Activity ◽

Moderate Physical Activity ◽

Bilateral Cataract ◽

Eye Surgery ◽

The Impact

ObjectivesTo investigate the impact of first eye and second eye cataract surgery on the level of physical activity undertaken by older adults with bilateral cataract.DesignProspective cohort study.SettingThree public ophthalmology clinics in Western Australia.ParticipantsFifty-five older adults with bilateral cataract aged 55+ years, awaiting first eye cataract surgery.Outcome measuresThe primary outcome measure was participation in moderate leisure-time physical activity. The secondary outcomes were participation in walking, gardening and vigorous leisure-time physical activity. Participants completed a researcher-administered questionnaire, containing the Active Australia Survey and visual tests before first eye cataract surgery, after first eye surgery and after second eye surgery. A Generalised Estimating Equation linear regression model was undertaken to analyse the change in moderate leisure-time physical activity participation before first eye surgery, after first eye surgery and after second eye surgery, after accounting for relevant confounders.ResultsParticipants spent significantly less time per week (20 min) on moderate leisure-time physical activity before first eye cataract surgery compared with after first eye surgery (p=0.04) after accounting for confounders. After second eye cataract surgery, participants spent significantly more time per week (32 min) on moderate physical activity compared with after first eye surgery (p=0.02). There were no significant changes in walking, gardening and vigorous physical activity throughout the cataract surgery process.ConclusionFirst and second eye cataract surgery each independently increased participation in moderate leisure-time physical activity. This provides a rationale for timely first and second eye cataract surgery for bilateral cataract patients, even when they have relatively good vision.

Download Full-text

Exploring Factors Associated With Physical Activity in Older Adults: An Ecological Approach

Journal of Aging and Physical Activity ◽

10.1123/japa.2018-0148 ◽

2019 ◽

Vol 27 (3) ◽

pp. 343-353 ◽

Cited By ~ 2

Author(s):

Rajni Rai ◽

Michelle I. Jongenelis ◽

Ben Jackson ◽

Robert U. Newton ◽

Simone Pettigrew

Keyword(s):

Physical Activity ◽

Older Adults ◽

Ecological Approach ◽

Factors Associated

Download Full-text

Concurrent Validity Between Electronically Administered Physical Activity Questionnaires and Objectively Measured Physical Activity in Danish Community-Dwelling Older Adults

Journal of Aging and Physical Activity ◽

10.1123/japa.2020-0214 ◽

2020 ◽

pp. 1-9

Author(s):

Rasmus T. Larsen ◽

Christoffer B. Korfitsen ◽

Carsten B. Juhl ◽

Henning Boje Andersen ◽

Henning Langberg ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Concurrent Validity ◽

Short Form ◽

Community Dwelling ◽

World Health ◽

Moderate Physical Activity ◽

Physical Activity Questionnaire ◽

Objectively Measured ◽

Activity Questionnaire

Aim: To investigate the concurrent validity of the International Physical Activity Questionnaire-short form (IPAQ-SF) and the Nordic Physical Activity Questionnaire-short (NPAQ-short) when compared with objectively measured daily steps among older adults. Methods: Spearman’s ρ between IPAQ-SF and NPAQ-short and objectively measured steps using Garmin Vivofit 3 physical activity monitors. Results: A total of 54 participants were included. The IPAQ-SF subscales’ moderate physical activity (PA), moderate to vigorous PA (MVPA), and sedentary time showed little or no correlation with daily steps. The NPAQ-short subscales’ vigorous PA, moderate PA, and MVPA showed little or no correlation. The IPAQ-SF subscales’ vigorous PA and walking showed fair correlation. Only the IPAQ-SF metabolic equivalent of task minutes showed moderate to good correlation with daily steps. The IPAQ-SF categories and NPAQ-short categorization of World Health Organization compliance were significantly different, but the magnitudes were small and distributions indicated problems with the categorization. Conclusion: The concurrent validity is low, as the scores did not reflect objectively measured daily steps.

Download Full-text