Nicole L Spartano1, Asya Lyass2, Martin G Larson3, Tuyen Tran4, Charlotte Andersson5, Susan J Blease6, Dale W Esliger7, Ramachandran S Vasan8, Joanne M Murabito9. 1. Section of Endocrinology, Diabetes, Nutrition, and Weight Management, Boston University School of Medicine, Boston, MA, USA; Framingham Heart Study, Framingham, MA, USA. Electronic address: Spartano@bu.edu. 2. Framingham Heart Study, Framingham, MA, USA; Department of Mathematics and Statistics, Boston University, Boston, MA, USA. 3. Framingham Heart Study, Framingham, MA, USA; Department of Biostatistics, Boston University, Boston, MA, USA. 4. Department of Biostatistics, Boston University, Boston, MA, USA. 5. Framingham Heart Study, Framingham, MA, USA; Department of Cardiology, Herlev and Gentofte Hospital, Gentofte, Denmark. 6. Framingham Heart Study, Framingham, MA, USA. 7. School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK. 8. Framingham Heart Study, Framingham, MA, USA; Sections of Preventive Medicine and Epidemiology, and Cardiovascular Medicine, Department of Medicine, Boston University School of Medicine, Boston, MA, USA. 9. Framingham Heart Study, Framingham, MA, USA; Department of General Internal Medicine, Boston University School of Medicine, Boston, MA, USA.
Abstract
BACKGROUND: Older adults may have difficulty meeting the Physical Activity (PA) Guidelines. A favorable balance between PA and sedentary time (SED) is an important determinant of physical performance in older adults. Our objective was to explore associations of PA/SED with physical performance across mid-older age in adults without overt mobility disability. METHODS: Framingham Offspring Study participants free of mobility disability with accelerometry and physical performance data (gait speed, chair stand time, and handgrip strength), were studied in cross-sectional analysis (n = 1352). We regressed physical performance on PA level, measured using steps, moderate to vigorous (MV)PA and SED. We stratified by age groups, adjusted for covariates, and modelled MVPA and SED separately and together as predictors. RESULTS: Only 38% of adults 50-64 years and 15% of adults ≥75 years met the PA Guidelines (i.e., 150 min MVPA per week). Individuals achieving at least 5 min/day of MVPA had 0.062 ± 0.013 m/s greater gait speed and better chair stands and handgrip strength (in women) than those with <5 min/day of MVPA (p < 0.01) across mid-older age. SED was associated with poorer performance on gait speed and chair stand tests, but results were not significant after adjusting for MVPA (p > 0.05). For adults ≥75 years, every 5000 more steps/day related to ~0.045 m/s greater gait speed (p = 0.006). CONCLUSION: Our cross-sectional study demonstrated that, across mid-older adulthood, MVPA related to better physical performance, but in adults ≥75 years, total steps walked associated with better gait speed. These data warrant future research on the impact of PA on physical performance and health outcomes in older age.
BACKGROUND: Older adults may have difficulty meeting the Physical Activity (PA) Guidelines. A favorable balance between PA and sedentary time (SED) is an important determinant of physical performance in older adults. Our objective was to explore associations of PA/SED with physical performance across mid-older age in adults without overt mobility disability. METHODS: Framingham Offspring Study participants free of mobility disability with accelerometry and physical performance data (gait speed, chair stand time, and handgrip strength), were studied in cross-sectional analysis (n = 1352). We regressed physical performance on PA level, measured using steps, moderate to vigorous (MV)PA and SED. We stratified by age groups, adjusted for covariates, and modelled MVPA and SED separately and together as predictors. RESULTS: Only 38% of adults 50-64 years and 15% of adults ≥75 years met the PA Guidelines (i.e., 150 min MVPA per week). Individuals achieving at least 5 min/day of MVPA had 0.062 ± 0.013 m/s greater gait speed and better chair stands and handgrip strength (in women) than those with <5 min/day of MVPA (p < 0.01) across mid-older age. SED was associated with poorer performance on gait speed and chair stand tests, but results were not significant after adjusting for MVPA (p > 0.05). For adults ≥75 years, every 5000 more steps/day related to ~0.045 m/s greater gait speed (p = 0.006). CONCLUSION: Our cross-sectional study demonstrated that, across mid-older adulthood, MVPA related to better physical performance, but in adults ≥75 years, total steps walked associated with better gait speed. These data warrant future research on the impact of PA on physical performance and health outcomes in older age.
Authors: Nicole L Spartano; Kendra L Davis-Plourde; Jayandra J Himali; Charlotte Andersson; Matthew P Pase; Pauline Maillard; Charles DeCarli; Joanne M Murabito; Alexa S Beiser; Ramachandran S Vasan; Sudha Seshadri Journal: JAMA Netw Open Date: 2019-04-05
Authors: Fernanda M Silva; Pedro Duarte-Mendes; Marcio Cascante Rusenhack; Meirielly Furmann; Paulo Renato Nobre; Miguel Ângelo Fachada; Carlos M Soares; Ana Teixeira; José Pedro Ferreira Journal: Int J Environ Res Public Health Date: 2020-11-21 Impact factor: 3.390
Authors: Jakob Tarp; Morten W Fagerland; Knut Eirik Dalene; Jostein Steene Johannessen; Bjørge H Hansen; Barbara J Jefferis; Peter H Whincup; Keith M Diaz; Steven Hooker; Virginia J Howard; Ariel Chernofsky; Martin G Larson; Nicole L Spartano; Ramachandran S Vasan; Ing-Mari Dohrn; Maria Hagströmer; Charlotte Edwardson; Thomas Yates; Eric J Shiroma; Paddy C Dempsey; Katrien Wijndaele; Sigmund A Anderssen; I-Min Lee; Ulf Ekelund Journal: Br J Sports Med Date: 2021-12-07 Impact factor: 18.473
Authors: Fernanda M Silva; João Petrica; João Serrano; Rui Paulo; André Ramalho; Dineia Lucas; José Pedro Ferreira; Pedro Duarte-Mendes Journal: Int J Environ Res Public Health Date: 2019-10-01 Impact factor: 3.390
Authors: Ulf Ekelund; Jakob Tarp; Morten W Fagerland; Jostein Steene Johannessen; Bjørge H Hansen; Barbara J Jefferis; Peter H Whincup; Keith M Diaz; Steven Hooker; Virginia J Howard; Ariel Chernofsky; Martin G Larson; Nicole Spartano; Ramachandran S Vasan; Ing-Mari Dohrn; Maria Hagströmer; Charlotte Edwardson; Thomas Yates; Eric J Shiroma; Paddy Dempsey; Katrien Wijndaele; Sigmund A Anderssen; I-Min Lee Journal: Br J Sports Med Date: 2020-12 Impact factor: 18.473
Authors: Kelley Pettee Gabriel; Carrie A Karvonen-Gutierrez; Alicia B Colvin; Kelly R Ylitalo; Kara M Whitaker; Brittney S Lange-Maia; Alexander R Lucas; Sheila A Dugan; Carol Derby; Jane A Cauley; Barbara Sternfeld Journal: Prev Med Rep Date: 2021-05-19