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Inan-Eroglu E, Ahmadi M, Biswas RK, Ding D, Rezende LFM, Lee IM, Giovannucci EL, Stamatakis E. Joint Associations of Diet and Device-Measured Physical Activity with Mortality and Incident CVD and Cancer: A Prospective Analysis of the UK Biobank Study. Cancer Epidemiol Biomarkers Prev 2024; 33:1028-1036. [PMID: 38437645 DOI: 10.1158/1055-9965.epi-23-1185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Revised: 12/22/2023] [Accepted: 02/29/2024] [Indexed: 03/06/2024] Open
Abstract
BACKGROUND We examined the joint associations of diet and device-measured intensity-specific physical activity (PA) with all-cause mortality (ACM), cardiovascular disease (CVD), and cancer incidence. METHODS We used data from 79,988 participants from the UK Biobank, a population-based prospective cohort study. Light PA (LPA), moderate-to-vigorous PA (MVPA), vigorous PA (VPA), and total PA (TPA) were measured using a wrist-worn accelerometer. Diet quality score (DQS) was based on 10 foods and ranged from 0 (unhealthiest) to 100 (healthiest) points. We derived joint PA and diet variables. Outcomes were ACM, CVD, and cancer incidence including PA, diet and adiposity-related (PDAR) cancer. RESULTS During a median follow-up of 8 years, 2,863 deaths occurred, 11,053 participants developed CVD, 7,005 developed cancer, and 3,400 developed PDAR cancer. Compared with the least favorable referent group (bottom PA tertile/low DQS), participants with middle and high (total and intensity specific) PA, except for LPA, had lower ACM risk and incident CVD risk, regardless of DQS. For example, among middle and high VPA and high DQS groups, CVD HR were 0.79 (95% CI, 0.74-0.86) and 0.75 (95% CI, 0.69-0.82), respectively. The pattern of cancer results was less pronounced but in agreement with the ACM and CVD incidence findings (e.g., HR, 0.90, 95% CI, 0.81-0.99; 0.88, 0.79-0.98; and 0.82, 0.74-0.92 among high VPA for low, moderate, and high DQS groups, respectively). CONCLUSIONS Device-measured PA reveals novel joint associations with diet on health outcomes. IMPACT Our results emphasize the crucial role of PA in addition to a healthy diet for reducing chronic diseases and mortality risk.
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Affiliation(s)
- Elif Inan-Eroglu
- Mackenzie Wearables Research Hub, Charles Perkins Centre, The University of Sydney, New South Wales, Australia
- School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia
- Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke (DIfE), Nuthetal, Germany
| | - Matthew Ahmadi
- Mackenzie Wearables Research Hub, Charles Perkins Centre, The University of Sydney, New South Wales, Australia
- School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia
| | - Raaj Kishore Biswas
- Mackenzie Wearables Research Hub, Charles Perkins Centre, The University of Sydney, New South Wales, Australia
- School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia
| | - Ding Ding
- Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia
| | - Leandro F M Rezende
- Department of Preventive Medicine, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil
- Faculty of Health Sciences, Universidad Autónoma de Chile, Providencia, Chile
| | - I-Min Lee
- Division of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts
- Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, Massachusetts
| | - Edward L Giovannucci
- Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, Massachusetts
- Department of Nutrition, Harvard T. H. Chan School of Public Health, Boston, Massachusetts
| | - Emmanuel Stamatakis
- Mackenzie Wearables Research Hub, Charles Perkins Centre, The University of Sydney, New South Wales, Australia
- School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia
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Alwadeai KS. Sociodemographic factors, health behavior, parental or workplace smoking, and adult asthma risk in the United States. Work 2024; 77:1115-1124. [PMID: 38306078 DOI: 10.3233/wor-230026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2024] Open
Abstract
BACKGROUND Although several studies have found a link between parental or workplace smoking and asthma risk, particularly in children and adolescents, only a few studies have found this link in adults. OBJECTIVE This study aimed to investigate the associations of sociodemographic factors, health behavior, and parental or workplace smoking with adult asthma risk in the United States (US). METHODS A secondary data analysis on 874 participants aged 25-45 was performed using data from the 2011-2014 National Survey of Midlife Development in the United States Refresher. Participants were divided into smokers and nonsmokers. Participants were further divided into groups A (a father or mother with a smoking history) and B (others in the house or colleagues in the workplace who had a smoking history). RESULTS Findings from the FREQ procedure revealed that sociodemographic (female, black, school or college education, unmarried/divorced, and employed) and lifestyle (no alcohol intake, physically inactive, and obese) and clinical (diabetes and joint disease) factors were significantly associated with one- or more-fold odds of asthma among adult smokers than nonsmokers. Adult smokers in group A, particularly females, those with a high school or college education, physically inactive, and overweight or obese, had a higher risk of asthma than those in group B. CONCLUSION Adult smokers' risk of developing asthma is increased in the US by having smoked with their parents, being a woman, being black, having a school or college education, being single or divorced, working, not drinking alcohol, being physically inactive, being obese, having diabetes, and having a joint disease.
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Affiliation(s)
- Khalid S Alwadeai
- Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia. E-mail:
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3
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Ye KX, Sun L, Wang L, Khoo ALY, Lim KX, Lu G, Yu L, Li C, Maier AB, Feng L. The role of lifestyle factors in cognitive health and dementia in oldest-old: A systematic review. Neurosci Biobehav Rev 2023; 152:105286. [PMID: 37321363 DOI: 10.1016/j.neubiorev.2023.105286] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Revised: 05/27/2023] [Accepted: 06/11/2023] [Indexed: 06/17/2023]
Abstract
Oldest-old is the fastest growing segment of society. A substantial number of these individuals are cognitively impaired or demented. Given the lack of a cure, attention is directed to lifestyle interventions that could help alleviate the stress in patients, their families, and society. The aim of this review was to identify lifestyle factors with important roles in dementia prevention in oldest-old. Searches were conducted in PubMed, EMBASE, Scopus and Web of Science. We identified 27 observational cohort studies that met the inclusion criteria. Results showed that eating a healthy diet with plenty of fruits and vegetables, and participation in leisure and physical activities may protect against cognitive decline and cognitive impairment among oldest-old regardless of the APOE genotype. Combined lifestyles may generate multiplicative effects than individual factors. This is the first review known to systematically examine the association between lifestyle and cognitive health in oldest-old. Lifestyle interventions for diet, leisure, or a combination of lifestyles could be beneficial for cognitive function in oldest-old. Interventional studies are warranted to strengthen the evidence.
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Affiliation(s)
- Kaisy Xinhong Ye
- Healthy Longevity Translational Research Program, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Centre for Healthy Longevity, @AgeSingapore, National University Health System, Singapore
| | - Lina Sun
- School of Anesthesiology, Weifang Medical University, Weifang, China
| | - Lingyan Wang
- School of Anesthesiology, Weifang Medical University, Weifang, China
| | - Anderson Li Yang Khoo
- Healthy Longevity Translational Research Program, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Centre for Healthy Longevity, @AgeSingapore, National University Health System, Singapore
| | - Kai Xuan Lim
- Healthy Longevity Translational Research Program, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Centre for Healthy Longevity, @AgeSingapore, National University Health System, Singapore
| | - Guohua Lu
- School of Psychology, Weifang Medical University, Weifang, China
| | - Lirong Yu
- School of Nursing, Weifang Medical University, Weifang, China
| | - Changjiang Li
- School of Psychology, Weifang Medical University, Weifang, China
| | - Andrea Britta Maier
- Healthy Longevity Translational Research Program, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Centre for Healthy Longevity, @AgeSingapore, National University Health System, Singapore; Department of Human Movement Sciences, @AgeAmsterdam, Amsterdam Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Lei Feng
- Healthy Longevity Translational Research Program, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Centre for Healthy Longevity, @AgeSingapore, National University Health System, Singapore.
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4
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Garcia L, Pearce M, Abbas A, Mok A, Strain T, Ali S, Crippa A, Dempsey PC, Golubic R, Kelly P, Laird Y, McNamara E, Moore S, de Sa TH, Smith AD, Wijndaele K, Woodcock J, Brage S. Non-occupational physical activity and risk of cardiovascular disease, cancer and mortality outcomes: a dose-response meta-analysis of large prospective studies. Br J Sports Med 2023; 57:979-989. [PMID: 36854652 PMCID: PMC10423495 DOI: 10.1136/bjsports-2022-105669] [Citation(s) in RCA: 41] [Impact Index Per Article: 41.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/15/2022] [Indexed: 03/02/2023]
Abstract
OBJECTIVE To estimate the dose-response associations between non-occupational physical activity and several chronic disease and mortality outcomes in the general adult population. DESIGN Systematic review and cohort-level dose-response meta-analysis. DATA SOURCES PubMed, Scopus, Web of Science and reference lists of published studies. ELIGIBILITY CRITERIA Prospective cohort studies with (1) general population samples >10 000 adults, (2) ≥3 physical activity categories, and (3) risk measures and CIs for all-cause mortality or incident total cardiovascular disease, coronary heart disease, stroke, heart failure, total cancer and site-specific cancers (head and neck, myeloid leukaemia, myeloma, gastric cardia, lung, liver, endometrium, colon, breast, bladder, rectum, oesophagus, prostate, kidney). RESULTS 196 articles were included, covering 94 cohorts with >30 million participants. The evidence base was largest for all-cause mortality (50 separate results; 163 415 543 person-years, 811 616 events), and incidence of cardiovascular disease (37 results; 28 884 209 person-years, 74 757 events) and cancer (31 results; 35 500 867 person-years, 185 870 events). In general, higher activity levels were associated with lower risk of all outcomes. Differences in risk were greater between 0 and 8.75 marginal metabolic equivalent of task-hours per week (mMET-hours/week) (equivalent to the recommended 150 min/week of moderate-to-vigorous aerobic physical activity), with smaller marginal differences in risk above this level to 17.5 mMET-hours/week, beyond which additional differences were small and uncertain. Associations were stronger for all-cause (relative risk (RR) at 8.75 mMET-hours/week: 0.69, 95% CI 0.65 to 0.73) and cardiovascular disease (RR at 8.75 mMET-hours/week: 0.71, 95% CI 0.66 to 0.77) mortality than for cancer mortality (RR at 8.75 mMET-hours/week: 0.85, 95% CI 0.81 to 0.89). If all insufficiently active individuals had achieved 8.75 mMET-hours/week, 15.7% (95% CI 13.1 to 18.2) of all premature deaths would have been averted. CONCLUSIONS Inverse non-linear dose-response associations suggest substantial protection against a range of chronic disease outcomes from small increases in non-occupational physical activity in inactive adults. PROSPERO registration number CRD42018095481.
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Affiliation(s)
- Leandro Garcia
- MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, UK
- Centre for Public Health, Queen's University Belfast, Belfast, UK
| | - Matthew Pearce
- MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, UK
| | - Ali Abbas
- MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, UK
| | - Alexander Mok
- MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, UK
- Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research, Singapore
| | - Tessa Strain
- MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, UK
| | - Sara Ali
- University of Cambridge School of Clinical Medicine, Cambridge, UK
| | - Alessio Crippa
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
| | - Paddy C Dempsey
- MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, UK
- Diabetes Research Centre, University of Leicester, Leicester, UK
| | - Rajna Golubic
- MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, UK
- Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
| | - Paul Kelly
- Physical Activity for Health Research Centre, University of Edinburgh Institute for Sport, Physical Education and Health Sciences, Edinburgh, UK
| | - Yvonne Laird
- Sydney School of Public Health, Prevention Research Collaboration, The University of Sydney, Sydney, New South Wales, Australia
- Charles Perkins Centre, The University of Sydney, Sydney, New South Wales, Australia
| | - Eoin McNamara
- MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, UK
- Economic and Social Research Institute, Dublin, Ireland
| | - Samuel Moore
- University of Cambridge School of Clinical Medicine, Cambridge, UK
| | - Thiago Herick de Sa
- Center for Epidemiological Research in Nutrition and Health, University of Sao Paulo, Sao Paulo, Brazil
| | - Andrea D Smith
- MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, UK
- Department of Behavioural Science and Health, University College London, London, UK
| | - Katrien Wijndaele
- MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, UK
| | - James Woodcock
- MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, UK
| | - Soren Brage
- MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, UK
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Fessler L, Maltagliati S, Sieber S, Cullati S, Tessitore E, Craviari C, Luthy C, Hanna E, Meyer P, Orsholits D, Sarrazin P, Cheval B. Physical activity matters for everyone's health, but individuals with multimorbidity benefit more. Prev Med Rep 2023; 34:102265. [PMID: 37284656 PMCID: PMC10240419 DOI: 10.1016/j.pmedr.2023.102265] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Revised: 05/25/2023] [Accepted: 05/25/2023] [Indexed: 06/08/2023] Open
Abstract
Multimorbidity, defined as the presence of two or more chronic conditions, is increasingly prevalent and is a major contributor to ill health in old age. Physical activity (PA) is a key protective factor for health and individuals with multimorbidity could particularly benefit from engaging in PA. However, direct evidence that PA has greater health benefits in people with multimorbidity is lacking. The objective of the present study was to investigate whether the associations between PA and health were more pronounced in individuals with (vs. without) multimorbidity. We used data from 121,875 adults aged 50 to 96 years (mean age = 67 ± 10 years, 55% women) enrolled in the Survey of Health, Ageing and Retirement in Europe (SHARE). Multimorbidity and PA were self-reported. Health indicators were assessed using tests and validated scales. Variables were measured up to seven times over a 15-year period. Confounder-adjusted linear mixed-effects models were used to investigate the moderating role of multimorbidity on the associations of PA with the levels and trajectories of health indicators across aging. Results showed that multimorbidity was associated with declines in physical, cognitive, and mental health, as well as poorer general health. Conversely, PA was positively associated with these health indicators. We found a significant interaction between multimorbidity and PA, revealing that positive associations between PA and health indicators were strengthened in people with multimorbidity - although this stronger association became less pronounced in advanced age. These findings suggest that the protective role of PA for multiple health indicators is enhanced in individuals with multimorbidity.
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Affiliation(s)
- Layan Fessler
- Univ. Grenoble-Alpes, SENS, F-38000 Grenoble, France
| | | | - Stefan Sieber
- LIVES Centre, Swiss Centre of Expertise in Life Course Research, University of Lausanne, Switzerland
| | - Stéphane Cullati
- Population Health Laboratory (#PopHealthLab), University of Fribourg, Switzerland
- Department of Readaptation and Geriatrics, University of Geneva, Switzerland
| | - Elena Tessitore
- Department of Cardiology and Department of Internal Medicine and Rehabilitation, University Hospital of Geneva, Switzerland
| | - Cecilia Craviari
- Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, Rome, Italy
- Unit of Internal Medicine and Rehabilitation, Department of Rehabilitation and Geriatrics, Geneva University Hospital, Geneva, Switzerland
| | - Christophe Luthy
- Division of General Medical Rehabilitation, University Hospitals of Geneva, Switzerland
| | - Eliana Hanna
- Division of General Medical Rehabilitation, University Hospitals of Geneva, Switzerland
| | - Philippe Meyer
- Cardiology Service, Geneva University Hospitals, Geneva, Switzerland
| | - Dan Orsholits
- Swiss NCCR “LIVES – Overcoming Vulnerability: Life Course Perspectives”, University of Geneva, Geneva, Switzerland
| | | | - Boris Cheval
- Swiss Center for Affective Sciences, University of Geneva, Switzerland
- Laboratory for the Study of Emotion Elicitation and Expression (E3Lab), Department of Psychology, University of Geneva, Switzerland
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6
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Cheval B, Maltagliati S, Saoudi I, Fessler L, Farajzadeh A, Sieber S, Cullati S, Boisgontier MP. Physical activity mediates the effect of education on mental health trajectories in older age. J Affect Disord 2023; 336:64-73. [PMID: 37217099 DOI: 10.1016/j.jad.2023.05.052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Revised: 05/10/2023] [Accepted: 05/16/2023] [Indexed: 05/24/2023]
Abstract
OBJECTIVE Why people with lower levels of educational attainment have poorer mental health than people with higher levels can partly be explained by financial circumstances. However, whether behavioral factors can further explain this association remains unclear. Here, we examined the extent to which physical activity mediates the effect of education on mental health trajectories in later life. METHODS Data from 54,818 adults 50 years of age or older (55 % women) included in the Survey of Health, Aging and Retirement in Europe (SHARE) were analyzed using longitudinal mediation and growth curve models to estimate the mediating role of physical activity (baseline and change) in the association between education and mental health trajectories. Education and physical activity were self-reported. Mental health was derived from depressive symptoms and well-being, which were measured by validated scales. RESULTS Lower education was associated with lower levels and steeper declines in physical activity over time, which predicted greater increases in depressive symptoms and greater decreases in well-being. In other words, education affected mental health through both levels and trajectories of physical activity. Physical activity explained 26.8 % of the variance in depressive symptoms and 24.4 % in well-being, controlling for the socioeconomic path (i.e., wealth and occupation). CONCLUSIONS These results suggest that physical activity is an important factor in explaining the association between low educational attainment and poor mental health trajectories in adults aged 50 years and older.
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Affiliation(s)
- Boris Cheval
- Swiss Center for Affective Sciences, University of Geneva, Switzerland; Laboratory for the Study of Emotion Elicitation and Expression (E3Lab), Department of Psychology, University of Geneva, Switzerland.
| | | | - Ilyes Saoudi
- Univ. Grenoble Alpes, SENS, F-38000 Grenoble, France
| | - Layan Fessler
- Univ. Grenoble Alpes, SENS, F-38000 Grenoble, France
| | - Ata Farajzadeh
- School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Canada; Bruyère Research Institute, Ottawa, Canada
| | - Stefan Sieber
- LIVES Centre, Swiss Centre of Expertise in Life Course Research, University of Lausanne, Switzerland
| | - Stéphane Cullati
- Population Health Laboratory, University of Fribourg, Switzerland; Department of Readaptation and Geriatrics, University of Geneva, Switzerland
| | - Matthieu P Boisgontier
- School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Canada; Bruyère Research Institute, Ottawa, Canada
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Li C, Shang S, Liang W. Physical Activity Types, Physical Activity Levels and Risk of Diabetes in General Adults: The NHANES 2007-2018. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1398. [PMID: 36674154 PMCID: PMC9858810 DOI: 10.3390/ijerph20021398] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Revised: 12/23/2022] [Accepted: 01/04/2023] [Indexed: 06/17/2023]
Abstract
BACKGROUND Recreational activities show benefits for diabetes prevention, but work-related activity and the total amount of individual physical activity is rarely discussed. PURPOSE The purpose of this study was to evaluate the participation in five typical physical activities (vigorous work activity, vigorous recreational activities, moderate work activity, moderate recreational activities, and walk/bicycle for transportation), as well as the weekly distribution of total physical activity intensity, and to explore the relationships between physical activity types, physical activity levels, and risk of diabetes. STUDY DESIGN Cross-sectional study. METHODS The self-reported physical activity data on specific domains of physical activity were acquired from individuals in the 2007-2018 National Health and Nutrition Examination Survey (NHANES) using the Physical Activity Questionnaire (PAQ). Diabetes status was assessed by self-reported medical diagnosis or medication usage, or a fasting glucose concentration ≥ 126 mg/dL (fasting is defined as no caloric intake for at least 8 h) or HbA1c ≥ 6.5%. Weighted logistic regression was used to investigate the associations between physical activity types, physical activity levels, and risk of diabetes. RESULTS Diabetes was less prevalent in people who participated in physical activity and the risk of diabetes reduced progressively as total physical activity levels increased. Younger adults (20-44 years) and males reported a higher proportion of high-intensity physical activity participation. CONCLUSIONS Our findings highlight the importance of a physically active lifestyle for preventing diabetes. Distinct types of physical activity had different effects on the risk of diabetes. A greater total physical activity level was related to a substantial reduction in diabetes risk.
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Affiliation(s)
- Chunnan Li
- Vanke School of Public Health, Tsinghua University, Beijing 100084, China
- Institute for Healthy China, Tsinghua University, Beijing 100084, China
- School of Nursing, Peking University, Beijing 100191, China
| | - Shaomei Shang
- School of Nursing, Peking University, Beijing 100191, China
| | - Wannian Liang
- Vanke School of Public Health, Tsinghua University, Beijing 100084, China
- Institute for Healthy China, Tsinghua University, Beijing 100084, China
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8
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Ihle A, Gouveia ÉR, Gouveia BR, Marques A, Marconcin P, Nascimento MDM, Haas M, Jurema J, Tinôco MA, Kliegel M. The Relation of Having Experienced a Fall in the Past to Lower Cognitive Functioning in Old Age Is Mediated via Less Physical Activity Engagement as Cognitive Reserve Contributor. BIOLOGY 2022; 11:biology11121754. [PMID: 36552264 PMCID: PMC9775010 DOI: 10.3390/biology11121754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 11/26/2022] [Accepted: 11/30/2022] [Indexed: 12/04/2022]
Abstract
Physical activity and exercise contribute to the accumulation of cognitive reserve, which is instrumental for preserving cognitive health in old age. In a large sample of 701 older adults (mean age = 70.36 years), we investigated whether the relationship between having experienced a fall in the past and lower performance in cognitive functioning was mediated via less physical activity engagement as a cognitive reserve contributor. General cognition was assessed using the mini-mental state examination (MMSE), long-term memory using a word-pair delayed recall test and working memory using a backward digit-span test. In face-to-face interviews, individuals reported information on falls during the past 12 months and their habitual physical activity engagement. Our analyses demonstrated that the relationship between having experienced a fall in the past and lower performance in the cognitive functioning measures was partly mediated (by 16.3% for general cognition, 30.6% for long-term memory, and 33.1% for working memory, respectively) via less physical activity engagement. In conclusion, we suggest as a core bio-psychological mechanism that experiencing a fall at an older age is a critical life event that hinders sufficient physical activity engagement and thereby impedes cognitive reserve build-up, resulting in lower cognitive functioning outcomes.
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Affiliation(s)
- Andreas Ihle
- Department of Psychology, University of Geneva, 1205 Geneva, Switzerland
- Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland
- Swiss National Centre of Competence in Research LIVES—Overcoming Vulnerability: Life Course Perspectives, 1015 Lausanne, Switzerland
- Correspondence:
| | - Élvio R. Gouveia
- Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland
- Department of Physical Education and Sport, University of Madeira, 9020-105 Funchal, Portugal
- Laboratory of Robotics and Engineering Systems (LARSYS), Interactive Technologies Institute, 9020-105 Funchal, Portugal
| | - Bruna R. Gouveia
- Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland
- Laboratory of Robotics and Engineering Systems (LARSYS), Interactive Technologies Institute, 9020-105 Funchal, Portugal
- Regional Directorate of Health, Secretary of Health of the Autonomous Region of Madeira, 9004-515 Funchal, Portugal
- Saint Joseph of Cluny Higher School of Nursing, 9050-535 Funchal, Portugal
| | - Adilson Marques
- Centre for the Study of Human Performance (CIPER), Faculty of Human Kinetics, University of Lisbon, 1495-751 Lisbon, Portugal
- Instituto de Saúde Ambiental (ISAMB), Faculty of Medicine, University of Lisbon, 1649-020 Lisbon, Portugal
| | - Priscila Marconcin
- Faculty of Human Kinetics, University of Lisbon, 1495-751 Lisbon, Portugal
- KinesioLab, Research Unit in Human Movement Analysis, Piaget Institute, 2805-059 Almada, Portugal
| | - Marcelo de Maio Nascimento
- Department of Physical Education, Federal University of Vale do São Francisco, 56304-917 Petrolina, Brazil
| | - Maximilian Haas
- Department of Psychology, University of Geneva, 1205 Geneva, Switzerland
- Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland
| | - Jefferson Jurema
- Higher School of Health Sciences, Amazonas State University, 69065-001 Manaus, Brazil
| | - Maria A. Tinôco
- Coordination of Physical Education and Sport, Federal Institute of Science and Technology Education of Amazonas, 69020-120 Manaus, Brazil
| | - Matthias Kliegel
- Department of Psychology, University of Geneva, 1205 Geneva, Switzerland
- Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland
- Swiss National Centre of Competence in Research LIVES—Overcoming Vulnerability: Life Course Perspectives, 1015 Lausanne, Switzerland
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9
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Women carry the weight of deprivation on physical inactivity: Moderated mediation analyses in a European sample of adults over 50 Years of age. SSM Popul Health 2022; 20:101272. [PMID: 36387017 PMCID: PMC9641026 DOI: 10.1016/j.ssmph.2022.101272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Revised: 10/17/2022] [Accepted: 10/18/2022] [Indexed: 11/06/2022] Open
Abstract
Deprived people are less physically active than privileged individuals. However, pathways underlying the association between deprivation and physical activity remain overlooked. We examined whether the association between deprivation and physical activity was mediated by body mass index (BMI). Consistent with an intersectional perspective (how the combination of belongingness to vulnerable social categories widens inequalities), we tested whether gender moderated this mediating pathway and hypothesized that the mediating effect of BMI would be stronger among women (vs men). Large-scale longitudinal data from 20,961 adults 50 years of age or older (57% women) from the Survey of Health, Ageing and Retirement in Europe were used. Social and material deprivation were measured by questionnaire, BMI and physical activity were reported from two to six years later. Simple mediation models showed that BMI partly mediated the association of material (total effect c = -0.14, proportion of mediated effect = 8%) and of social deprivation (c = -0.24, proportion of mediated effect = 4%) with physical activity. Moderated mediation models revealed that this mediating pathway was moderated by gender. The effect of deprivation on BMI was stronger among women (vs men), with BMI mediating 18% and 7% of the association of material and social deprivation with physical activity among women (vs 4% and 2% among men). Lower levels of physical activity observed among deprived older adults could be partly attributed to a higher BMI. Critically, this mechanism was exacerbated among women, reinforcing the need to understand how deprivation and gender interact to predict health behaviors. Body mass index mediates the association of material and social deprivation with physical activity. This mediating pattern is more pronounced among women, relative to men. The association between deprivation and a higher body mass index is exacerbated among women, compared to men.
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Physical inactivity amplifies the negative association between sleep quality and depressive symptoms. Prev Med 2022; 164:107233. [PMID: 36067805 DOI: 10.1016/j.ypmed.2022.107233] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Revised: 08/22/2022] [Accepted: 08/28/2022] [Indexed: 11/23/2022]
Abstract
Poor sleep quality and physical inactivity are known risk factors for depressive symptoms. Yet, whether these factors differently contribute to depressive symptoms and whether they interact with one another remains unclear. Here, we examined how sleep quality and physical activity influence depressive symptoms in 79,274 adults 50 years of age or older (52.4% women) from the Survey of Health, Aging and Retirement in Europe (SHARE) study. Sleep quality (poor vs. good), physical activity (inactive vs. active), and depressive symptoms (0 to 12 score) were repeatedly collected (7 waves of data collection) between 2004 and 2017. Results showed that sleep quality and physical activity were associated with depressive symptoms. Specifically, participants with poorer sleep quality reported more depressive symptoms than participants with better sleep quality (b = 1.85, 95% CI = 1.83-1.86, p < .001). Likewise, compared to physically active participants, physically inactive participants reported more depressive symptoms (b = 0.44, 95% CI = 0.42-0.45, p < .001). Moreover, sleep quality and physical activity showed an interactive association with depressive symptoms (b = 0.17, 95% CI = 0.13-0.20, p < .001). The negative association between poor sleep quality and higher depressive symptoms was stronger in physically inactive than active participants. These findings suggest that, in adults 50 years of age or older, both poor sleep quality and physical inactivity are related to an increase in depressive symptoms. Moreover, the detrimental association between poor sleep quality and depressive symptoms is amplified in physically inactive individuals.
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11
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Csajbók Z, Sieber S, Cullati S, Cermakova P, Cheval B. Physical activity partly mediates the association between cognitive function and depressive symptoms. Transl Psychiatry 2022; 12:414. [PMID: 36167692 PMCID: PMC9515096 DOI: 10.1038/s41398-022-02191-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2022] [Revised: 09/08/2022] [Accepted: 09/16/2022] [Indexed: 11/09/2022] Open
Abstract
Cognitive function, physical activity, and depressive symptoms are intertwined in later life. Yet, the nature of the relationship between these three variables is unclear. Here, we aimed to determine which of physical activity or cognitive function mediated this relationship. We used large-scale longitudinal data from 51,191 adults 50 years of age or older (mean: 64.8 years, 54.7% women) from the Survey of Health, Ageing and Retirement in Europe (SHARE). Results of the longitudinal mediation analyses combined with autoregressive cross-lagged panel models showed that the model with physical activity as a mediator better fitted the data than the model with cognitive function as a mediator. Moreover, the mediating effect of physical activity was 8-9% of the total effect of cognitive function on depressive symptoms. Our findings suggest that higher cognitive resources favor the engagement in physical activity, which contributes to reduced depressive symptoms.
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Affiliation(s)
- Zsófia Csajbók
- Faculty of Humanities, Charles University, Prague, Czech Republic.
| | - Stefan Sieber
- LIVES Centre, Swiss Centre of Expertise in Life Course Research, Lausanne, Switzerland ,grid.8591.50000 0001 2322 4988Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, Geneva, Switzerland
| | - Stéphane Cullati
- grid.8534.a0000 0004 0478 1713Population Health Laboratory, University of Fribourg, Fribourg, Switzerland ,grid.8591.50000 0001 2322 4988Department of Readaptation and Geriatrics, University of Geneva, Geneva, Switzerland
| | - Pavla Cermakova
- grid.4491.80000 0004 1937 116XSecond Faculty of Medicine, Charles University, Prague, Czech Republic ,grid.447902.cNational Institute of Mental Health, Klecany, Czech Republic
| | - Boris Cheval
- Swiss Center for Affective Sciences, University of Geneva, Geneva, Switzerland. .,Laboratory for the Study of Emotion Elicitation and Expression (E3Lab), Department of Psychology, University of Geneva, Geneva, Switzerland.
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Cheval B, Boisgontier MP, Sieber S, Ihle A, Orsholits D, Forestier C, Sander D, Chalabaev A. Cognitive functions and physical activity in aging when energy is lacking. Eur J Ageing 2022; 19:533-544. [PMID: 36052203 PMCID: PMC9424387 DOI: 10.1007/s10433-021-00654-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/16/2021] [Indexed: 10/20/2022] Open
Abstract
Declines in subjective energy availability and cognitive functions could explain the decrease in physical activity observed across aging. However, how these factors interact remains unknown. Based on the theory of effort minimization in physical activity (TEMPA), we hypothesized that cognitive functions may help older adults to maintain physical activity even when energy availability is perceived as insufficient. This study used data of 104,590 adults from 21 European countries, from the Survey of Health, Ageing and Retirement in Europe (SHARE), including 7 measurement occasions between 2004 and 2017. Cognitive functions were assessed with verbal fluency and delayed recall, using the verbal fluency test and the 10-word delayed recall test. Physical activity and subjective energy availability were self-reported. Results of linear mixed-effects models revealed that cognitive functions moderated the associations between subjective energy availability and physical activity. Moreover, as adults get older, cognitive functions became critical to engage in physical activity regardless the availability of perceived energy. Sensitivity and robustness analyses were consistent with the main results. These results suggest that cognitive functions may help older adults to maintain regular physical activity even when energy for goal pursuit becomes insufficient, but that the protective role of cognitive functions becomes critical at older age, irrespective of the state of perceived energy. Supplementary Information The online version contains supplementary material available at 10.1007/s10433-021-00654-2.
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Affiliation(s)
- Boris Cheval
- Swiss Center for Affective Sciences, University of Geneva, Geneva, Switzerland
- Laboratory for the Study of Emotion Elicitation and Expression (E3Lab), Department of Psychology, University of Geneva, Geneva, Switzerland
| | - Matthieu P. Boisgontier
- School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
- Bruyère Research Institute, Ottawa, Canada
| | - Stefan Sieber
- LIVES Centre, Swiss Centre of Expertise in Life Course Research, University of Lausanne, Lausanne, Switzerland
| | - Andreas Ihle
- Swiss NCCR “LIVES - Overcoming Vulnerability: Life Course Perspectives”, University of Geneva, Geneva, Switzerland
- Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, Geneva, Switzerland
- Cognitive Aging Lab, Department of Psychology, University of Geneva, Geneva, Switzerland
| | - Dan Orsholits
- Swiss NCCR “LIVES - Overcoming Vulnerability: Life Course Perspectives”, University of Geneva, Geneva, Switzerland
| | - Cyril Forestier
- Laboratoire Motricité, Interactions, Performance, MIP - EA4334, Le Mans Université, Le Mans, France
| | - David Sander
- Swiss Center for Affective Sciences, University of Geneva, Geneva, Switzerland
- Laboratory for the Study of Emotion Elicitation and Expression (E3Lab), Department of Psychology, University of Geneva, Geneva, Switzerland
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13
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van der Valk AM, Theou O, Wallace LM, Andrew MK, Godin J. Physical demands at work and physical activity are associated with frailty in retirement. Work 2022; 73:695-705. [DOI: 10.3233/wor-210859] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: The relationship between occupational physical activity and frailty is complex and understudied. OBJECTIVE: We explore whether moderate-vigorous physical activity (MVPA) in retirement and main lifetime occupation physical demands (OPD) are associated with frailty in retirement. METHODS: Retired adults aged 50 + who participated in waves 3-4 of the Survey of Health, Ageing and Retirement in Europe were included. We constructed a 65-item frailty index (FI; Wave 4). Linear regressions tested the independent associations between OPD (Wave 3) and retirement MVPA (Wave 4) with FI (B: 95% CI) controlling for occupation characteristics (Wave 3) and demographics (Wave 4). These models were repeated across country groups (Nordic; Mediterranean; Continental) and sexes. RESULTS: We included 8,411 adults (51.1% male) aged 72.4 years (SD 8.0). Frequent MVPA was consistently associated with lower FI (-0.09 : 0.10–-0.08, p < .001) while OPD was associated with higher FI (0.02 : 0.01-0.03, p < .001). The MVPA*OPD interaction (-0.02: -0.04–-0.00, p = .043) was weakly associated with FI, but did not explain additional model variance or was significant among any country group or sex. CONCLUSIONS: For a sample of European community-dwelling retirees, a physically demanding main lifetime occupation independently predicts worse frailty, even in individuals who are physically active in retirement.
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Affiliation(s)
| | - Olga Theou
- Geriatric Medicine Research, Nova Scotia Health Authority, Halifax, NS, Canada
- Department of Medicine (Geriatrics), Dalhousie University, Halifax, NS, Canada
- Physiotherapy, Dalhousie University, Halifax, NS, Canada
| | - Lindsay M.K. Wallace
- Geriatric Medicine Research, Nova Scotia Health Authority, Halifax, NS, Canada
- Department of Medicine (Geriatrics), Dalhousie University, Halifax, NS, Canada
| | - Melissa K. Andrew
- Geriatric Medicine Research, Nova Scotia Health Authority, Halifax, NS, Canada
- Department of Medicine (Geriatrics), Dalhousie University, Halifax, NS, Canada
| | - Judith Godin
- Geriatric Medicine Research, Nova Scotia Health Authority, Halifax, NS, Canada
- Department of Medicine (Geriatrics), Dalhousie University, Halifax, NS, Canada
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Alhammad SA, Alwadeai KS. All Types Obesity and Physical Inactivity Associated with the Risk of Activity of Daily Living Limitations Among People with Asthma. J Multidiscip Healthc 2022; 15:1573-1583. [PMID: 35909421 PMCID: PMC9326037 DOI: 10.2147/jmdh.s368660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Accepted: 07/05/2022] [Indexed: 11/23/2022] Open
Abstract
Purpose To examine the association between all types of obesity, physical inactivity, and the risk of activity of daily living limitations in people with asthma. Patients and Methods In this cross-sectional study, data from 2555 people aged between 25 and 74 years were acquired from the National Survey of Midlife Development in the United States Refresher conducted between 2011 and 2014. Self-reported questions were used to specify the presence or absence of asthma and physical inactivity. All participants were categorized as having no asthma or asthma. Obesity was defined based on three distinctive indicators: body mass index, waist circumference, and waist-to-hip ratio. Results Logistic regression analysis showed that people with asthma who had all types of obesity alone or both all types of obesity and physical inactivity were significantly (P <0.0001) almost more than three times more likely to have limitations in the activity of daily living than those without this condition, even after adjusting for all covariates. Moreover, the odds of activity of daily living limitations were 1.69 times increased in asthma patients with physical inactivity alone, but this increase in risk was not significant (P =0.465). In addition, the odds of activity of daily living limitations were significantly (P <0.0001) more than twice independently in people with asthma aged between 60 and 74 years, female, undergraduate level of education, smoking, and having joint/bone underlying diseases. Conclusion The results demonstrated that the presence of all types of obesity is related to a higher risk of activity of daily living limitations in people with asthma than in those without asthma. Having both all types of obesity and physical inactivity are also linked to a greater risk of activity of daily living limitations in these patients.
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Affiliation(s)
- Saad A Alhammad
- Department of Rehabilitation Science, College of Applied Medical Sciences, King Saud University, Riyadh, Kingdom of Saudi Arabia
| | - Khalid S Alwadeai
- Department of Rehabilitation Science, College of Applied Medical Sciences, King Saud University, Riyadh, Kingdom of Saudi Arabia
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15
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Cheval B, Maltagliati S, Sieber S, Cullati S, Zou L, Ihle A, Kramer AF, Yu Q, Sander D, Boisgontier MP. Better Subjective Sleep Quality Partly Explains the Association Between Self-Reported Physical Activity and Better Cognitive Function. J Alzheimers Dis 2022; 87:919-931. [DOI: 10.3233/jad-215484] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
Background: Physical activity has been associated with better cognitive function and better sleep quality. Yet, whether the beneficial effect of physical activity on cognitive function can be explained by an indirect pathway involving better sleep quality is unclear. Objective: To investigate whether sleep quality mediates the association between physical activity and cognitive function in adults 50 years of age or older. Methods: 86,541 community-dwelling European adults were included in the study. Physical activity and sleep quality were self-reported. Indicators of cognitive function (immediate recall, delayed recall, verbal fluency) were assessed using objective tests. All measures were collected six times between 2004 and 2017. The mediation was tested using multilevel mediation analyses. Results: Results showed that self-reported physical activity was associated with better self-reported sleep quality, which was associated with better performance in all three indicators of cognitive function, demonstrating an indirect effect of physical activity on cognitive function through sleep quality. The mediating effect of sleep quality accounted for 0.41%, 1.46%, and 8.88% of the total association of physical activity with verbal fluency, immediate recall, and delayed recall, respectively. Conclusion: These findings suggest that self-reported sleep quality partly mediates the association between self-reported physical activity and cognitive function. These results need to be confirmed by device-based data of physical activity and sleep quality.
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Affiliation(s)
- Boris Cheval
- Swiss Center for Affective Sciences, University of Geneva, Switzerland
- Laboratory for the Study of Emotion Elicitation and Expression (E3Lab), Department of Psychology, University of Geneva, Switzerland
| | | | - Stefan Sieber
- Swiss NCCR “LIVES – Overcoming Vulnerability: Life Course Perspectives”, University of Geneva, Switzerland
- Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, Switzerland
| | - Stéphane Cullati
- Population Health Laboratory, University of Fribourg, Switzerland
- Department of Readaptation and Geriatrics, University of Geneva, Switzerland
| | - Liye Zou
- Institute of KEEP Collaborative Innovation, Shenzhen University, China
- Exercise Psychophysiology Laboratory, School of Psychology, Shenzhen University, China
| | - Andreas Ihle
- Swiss NCCR “LIVES – Overcoming Vulnerability: Life Course Perspectives”, University of Geneva, Switzerland
- Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, Switzerland
- Cognitive Aging Lab, Department of Psychology, University of Geneva, Geneva, Switzerland
| | - Arthur F. Kramer
- Center for Cognitive and Brain Health, Department of Psychology, Northeastern University, Boston, MA, USA
- Beckman Institute, University of Illinois at Urbana-Champaign, Champaign, IL, USA
| | - Qian Yu
- Institute of KEEP Collaborative Innovation, Shenzhen University, China
- Exercise Psychophysiology Laboratory, School of Psychology, Shenzhen University, China
| | - David Sander
- Swiss Center for Affective Sciences, University of Geneva, Switzerland
- Laboratory for the Study of Emotion Elicitation and Expression (E3Lab), Department of Psychology, University of Geneva, Switzerland
| | - Matthieu P. Boisgontier
- School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Canada
- Bruyère Research Institute, Ottawa, Canada
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16
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Kumar M, Srivastava S, Muhammad T. Relationship between physical activity and cognitive functioning among older Indian adults. Sci Rep 2022; 12:2725. [PMID: 35177736 PMCID: PMC8854730 DOI: 10.1038/s41598-022-06725-3] [Citation(s) in RCA: 19] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2021] [Accepted: 01/28/2022] [Indexed: 12/11/2022] Open
Abstract
In a culturally different and low-resource setting, where lifestyle habits, including dietary pattern and physical activities differ from those in high-income countries, the association between physical activity and cognition is expected to differ. We aimed to investigate the association between physical activity and cognitive functioning after controlling for potential confounders among older adults in India. Furthermore, gender differences in this relationship were analyzed. Using a national-level data from the Longitudinal Ageing Study in India (2017-2018), this paper employed propensity score matching (PSM) approach to examine the association between physical activities and cognitive functioning among Indian older adults. Cognitive impairment was measured through five broad domains (memory, orientation, arithmetic function, executive function, and object naming). We limit our sample to older adults aged 60 + years, and our final dataset contains 31,464 participants (men = 16,366, and women = 15,098). The results indicated that older adults who engaged in frequent physical activity have greater cognitive functioning than older adults without physical activity after adjusting for various individual, health, lifestyle, and household factors. This association holds true for both older men and older women. The results from the PSM revealed that the cognitive function score was increased by 0.98 and 1.32 points for the frequently physically active older men and women population, respectively. The results demonstrate the possible beneficial effects of frequent physical activity on cognitive functioning among older adults. Thus, regular physical activity can be considered as an effective lifestyle factor to promote healthy cognitive aging.
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Affiliation(s)
- Manish Kumar
- International Institute for Population Sciences, Mumbai, Maharashtra, India, 400088
| | - Shobhit Srivastava
- International Institute for Population Sciences, Mumbai, Maharashtra, India, 400088
| | - T Muhammad
- International Institute for Population Sciences, Mumbai, Maharashtra, India, 400088.
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Chalabaev A, Sieber S, Sander D, Cullati S, Maltagliati S, Sarrazin P, Boisgontier MP, Cheval B. Early-Life Socioeconomic Circumstances and Physical Activity in Older Age: Women Pay the Price. Psychol Sci 2022; 33:212-223. [PMID: 35112576 PMCID: PMC9096459 DOI: 10.1177/09567976211036061] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Health in older age is shaped by early-life socioeconomic circumstances (SECs) and sex. However, whether and why these factors interact is unclear. We examined a cultural explanation of this interaction by distinguishing cultural and material aspects of SECs in the context of physical activity-a major determinant of health. We used data from 56,331 adults between 50 and 96 years old from the Survey of Health, Ageing and Retirement in Europe (SHARE), a 13-year, large-scale, population-based cohort. Confounder-adjusted logistic linear mixed-effects models showed an association between the cultural aspects of early-life SEC disadvantage and physical activity among women, but it was not consistently observed in men. Furthermore, these associations were compensated for only partially by adult-life socioeconomic trajectories. The material aspects of early-life SECs were not associated with adult-life physical activity. These findings highlight the need to distinguish different aspects of SECs because they may relate to health behaviors in diverse ways.
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Affiliation(s)
- Aïna Chalabaev
- Laboratoire Sport et Environnement
Social (SENS), Université Grenoble Alpes,Aïna Chalabaev, Université Grenoble Alpes,
Laboratoire Sport et Environnement Social (SENS)
| | - Stefan Sieber
- Swiss National Centre of Competence in
Research “LIVES - Overcoming Vulnerability: Life Course Perspectives,” University of
Geneva
| | - David Sander
- Swiss Center for Affective Sciences,
University of Geneva,Laboratory for the Study of Emotion
Elicitation and Expression, Department of Psychology, University of Geneva
| | | | - Silvio Maltagliati
- Laboratoire Sport et Environnement
Social (SENS), Université Grenoble Alpes
| | - Philippe Sarrazin
- Laboratoire Sport et Environnement
Social (SENS), Université Grenoble Alpes
| | - Matthieu P. Boisgontier
- School of Rehabilitation Sciences,
Faculty of Health Sciences, University of Ottawa,Bruyère Research Institute, Ottawa,
Canada
| | - Boris Cheval
- Swiss Center for Affective Sciences,
University of Geneva,Laboratory for the Study of Emotion
Elicitation and Expression, Department of Psychology, University of Geneva
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Du S, Su Y, Zhang D, Wu J, Zheng H, Wang X. Joint effects of self-reported sleep and modifiable physical activity on risk of dyslipidaemia in women aged 45-55 years: a cross-sectional study. BMJ Open 2022; 12:e049351. [PMID: 34996783 PMCID: PMC8744097 DOI: 10.1136/bmjopen-2021-049351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVES Modifiable physical activity (PA) plays an important role in dyslipidaemia risk in middle-aged women with sleep problems, especially perimenopausal women. We aimed to explore the joint effects of sleep and PA on the risk of dyslipidaemia in women aged 45-55 years, and the extent to which PA moderated the effect of sleep on the risk of dyslipidaemia. DESIGN A cross-sectional study. SETTING This study was based on the survey of Chronic Disease and Nutrition Monitoring in Adults in Inner Mongolia in 2015. PARTICIPANTS 721 women aged 45-55 years were included. OUTCOME MEASUREMENT PA was measured by the Global Physical Activity Questionnaire. Sleep was measured by questionnaire formulated by the Chinese Center for Disease Control and Prevention. Multivariate logistic regression analyses were performed to determine the joint effects of sleep and PA on dyslipidaemia risk. OR and 95% CI were reported. RESULTS Among all participants, 60.6% had sleep problems, 29.0% had low PA and 41.1% had dyslipidaemia. Women with sleep problems had higher dyslipidaemia risk than women without sleep problems, irrespective of low, moderate or high PA, with OR (95% CI) of 4.24 (2.40 to 7.49), 3.14 (1.80 to 5.49) and 2.04 (1.20 to 3.48), respectively. PA could not completely attenuate the negative association between sleep and dyslipidaemia risk. With PA increased from low to high, the OR of dyslipidaemia decreased by 2.20. Women with sleep problems and low PA had higher risks of high total cholesterol, high triglyceride, low high-density lipoprotein cholesterol and high low-density lipoprotein cholesterol than women without sleep problems and high PA, with OR (95% CI) of 2.51 (1.18 to 5.35), 2.42 (1.23 to 4.74), 2.88 (1.44 to 5.74) and 2.52 (1.12 to 5.70), respectively. CONCLUSIONS Among women aged 45-55 years, the joint effects of self-reported sleep and PA on dyslipidaemia risk were more marked for sleep than for PA. Modifiable PA is a widely accessible and effective intervention to reduce the dyslipidaemia risk in women with sleep problems, particularly among perimenopausal women.
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Affiliation(s)
- Sha Du
- Department of Health Statistics, School of Public Health, Inner Mongolia Medical University, Hohhot, China
| | - Yuenan Su
- Department of Health Statistics, School of Public Health, Inner Mongolia Medical University, Hohhot, China
| | - Dongxue Zhang
- Department of Health Statistics, School of Public Health, Inner Mongolia Medical University, Hohhot, China
| | - Jing Wu
- National Institute for Chronic and Non-Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Huiqiu Zheng
- Department of Child and Adolescent Health and Health Education, School of Public Health, Inner Mongolia Medical University, Hohhot, China
| | - Xuemei Wang
- Department of Health Statistics, School of Public Health, Inner Mongolia Medical University, Hohhot, China
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de Souto Barreto P. Editorial: Poor Appetite and Aging: The Role of Physical Activity under a Geroscience Perspective. J Nutr Health Aging 2022; 26:907-908. [PMID: 36259578 DOI: 10.1007/s12603-022-1849-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/10/2022]
Affiliation(s)
- P de Souto Barreto
- Philipe de Souto Barreto, Gérontopôle de Toulouse, Institut du Vieillissement, 37 Allées Jules Guesde, 31000 Toulouse, France, +33 561 145 636,
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20
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Buková A, Chovanová E, Küchelová Z, Junger J, Horbacz A, Majherová M, Duranková S. Association between Educational Level and Physical Activity in Chronic Disease Patients of Eastern Slovakia. Healthcare (Basel) 2021; 9:healthcare9111447. [PMID: 34828493 PMCID: PMC8619688 DOI: 10.3390/healthcare9111447] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Revised: 10/06/2021] [Accepted: 10/18/2021] [Indexed: 01/05/2023] Open
Abstract
Aims: This study aimed to investigate selected chronic diseases patients with different educational attainment regarding their awareness of and compliance with recommended physical activity. Method: This cross-sectional study was conducted from October 2018 to February 2019 in cooperation with chronic diseases clinics in eastern Slovakia. The study involved 893 patients. Results: People with higher education apparently recognise to a greater extent the importance of nutrition, diet, and the role of physical activity in treating their disease. Moreover, they have knowledge of physical exercises appropriate for their disease. Conversely, a noticeably higher number of less educated patients reported receiving general, respectively detailed information about the importance of physical activity in treating their disease. Differences in awareness of appropriate exercises and their implementation were not statistically significant. Conclusions: The results fail to prove educational attainment being a key determinant of chronic diseases. However, it can be reasonably argued that lower educational attainment may be a reliable risk signal of chronic diseases in later life.
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Affiliation(s)
- Alena Buková
- Institute of Physical Education and Sport, Pavol Jozef Šafárik University, 040 11 Košice, Slovakia; (Z.K.); (J.J.); (A.H.)
- Correspondence: ; Tel.: +421-552341624
| | - Erika Chovanová
- Faculty of Sport, University of Prešov, 080 01 Prešov, Slovakia;
| | - Zuzana Küchelová
- Institute of Physical Education and Sport, Pavol Jozef Šafárik University, 040 11 Košice, Slovakia; (Z.K.); (J.J.); (A.H.)
| | - Jan Junger
- Institute of Physical Education and Sport, Pavol Jozef Šafárik University, 040 11 Košice, Slovakia; (Z.K.); (J.J.); (A.H.)
| | - Agata Horbacz
- Institute of Physical Education and Sport, Pavol Jozef Šafárik University, 040 11 Košice, Slovakia; (Z.K.); (J.J.); (A.H.)
| | - Mária Majherová
- Faculty of Humanities and Natural Sciences, University of Prešov, 080 01 Prešov, Slovakia; (M.M.); (S.D.)
| | - Silvia Duranková
- Faculty of Humanities and Natural Sciences, University of Prešov, 080 01 Prešov, Slovakia; (M.M.); (S.D.)
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21
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Qiao X, Wang B, Guo H. Chronic Diseases and Labor Force Participation Among Presenile and Senile Chinese. Front Public Health 2021; 9:675927. [PMID: 34604151 PMCID: PMC8483147 DOI: 10.3389/fpubh.2021.675927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2021] [Accepted: 08/12/2021] [Indexed: 11/13/2022] Open
Abstract
Background: The incidence of chronic diseases has increased dramatically due to rapid aging and lifestyle changes of China in recent decades. The population aged more than 45 years is an important participant in the labor force market, and the health status directly affects their labor force participation decision. This study aims to explore the relationship between chronic diseases and the labor force participation among the elderly Chinese population aged more than 45 years. Method: We employ a multivariate probit (MVP) model to construct five structural equations for an analysis. The advantage of this model is that it can deal with the endogeneity of chronic diseases. Results: Firstly, compared with the elderly, younger people are more likely to participate in the labor force market; the influence of chronic diseases is the largest for presenile women in the decision-making of labor force participation; the impact of psychological problems on labor force participation cannot be ignored, especially for men aged more than 45 years. In addition, sociodemographic factors such as geographical location and marital status also have direct effects on the probability of labor force participation while the impact of both family wealth and family number is much smaller. Finally, unhealthy lifestyles through chronic diseases have negative and indirect marginal effects on labor force participation. Conclusions: This article proves that chronic diseases have a negative impact on the labor force participation for Chinese aged more than 45 years. The public should give more tolerance and opportunities to these groups. The population aged more than 45 years are more vulnerable and face more psychological problems, which will lead to a decline in labor force participation. Psychological health counseling and services are urgently needed. As the urban areas enjoy more social welfare, Chinese welfare policy needs to be tilted toward the rural elderly. For individuals, maintaining healthy lifestyles can help you stay away from chronic diseases and stay in the labor force market.
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Affiliation(s)
- Xiaotuo Qiao
- Finance, School of Management, Harbin Institute of Technology, Harbin, China
| | - Bo Wang
- Economics, School of Humanities, Social Science and Law, Harbin Institute of Technology, Harbin, China
| | - Haifeng Guo
- Finance, School of Management, Harbin Institute of Technology, Harbin, China
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22
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Maltagliati S, Sieber S, Sarrazin P, Cullati S, Chalabaev A, Millet GP, Boisgontier MP, Cheval B. Muscle strength explains the protective effect of physical activity against COVID-19 hospitalization among adults aged 50 years and older. J Sports Sci 2021; 39:2796-2803. [PMID: 34376100 DOI: 10.1080/02640414.2021.1964721] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Physical activity has been proposed as a protective factor for COVID-19 hospitalisation. However, the mechanisms underlying this association are unclear. We examined the association between physical activity and COVID-19 hospitalisation and whether this relationship was explained by risk factors (chronic conditions, weak muscle strength). We used data from adults over 50 years from the Survey of Health, Ageing and Retirement in Europe. The outcome was self-reported hospitalisation due to COVID-19, before August 2020. The main exposure was physical activity, self-reported between 2004 and 2017. Among the 3139 participants included (69.3 ± 8.5 years, 1763 women), 266 were tested positive for COVID-19, 66 were hospitalised. Logistic regression models showed that individuals who engaged in physical activity more than once a week had lower odds of COVID-19 hospitalisation than individuals who hardly ever or never engaged in physical activity (odds ratios = 0.41, 95% confidence interval = 0.22-0.74, p = .004). This association between physical activity and COVID-19 hospitalisation was explained by muscle strength, but not by other risk factors. These findings suggest that, after 50 years, engaging in physical activity is associated with lower odds of COVID-19 hospitalisation. This protective effect of physical activity may be explained by muscle strength.
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Affiliation(s)
| | - Stefan Sieber
- Swiss NCCR "Lives-overcoming Vulnerability: Life Course Perspectives",University of Geneva, Geneva, Switzerland
| | | | - Stéphane Cullati
- Population Health Laboratory (#pophealthlab), University of Fribourg, Fribourg, Switzerland.,Department of Readaptation and Geriatrics, University of Geneva, Geneva, Switzerland
| | | | - Grégoire P Millet
- Institute of Sport Sciences, University of Lausanne, Lausanne, Switzerland
| | - Matthieu P Boisgontier
- School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.,Bruyère Research Institute, Ottawa, ON, Canada
| | - Boris Cheval
- Swiss Center for Affective Sciences, University of Geneva, Geneva, Switzerland.,Laboratory for the Study of Emotion Elicitation and Expression (E3lab), Department of Psychology, University of Geneva, Geneva, Switzerland
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23
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Stiglic G, Wang F, Sheikh A, Cilar L. Development and validation of the type 2 diabetes mellitus 10-year risk score prediction models from survey data. Prim Care Diabetes 2021; 15:699-705. [PMID: 33896755 DOI: 10.1016/j.pcd.2021.04.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/20/2020] [Accepted: 04/13/2021] [Indexed: 12/23/2022]
Abstract
AIMS In this paper, we demonstrate the development and validation of the 10-years type 2 diabetes mellitus (T2DM) risk prediction models based on large survey data. METHODS The Survey of Health, Ageing and Retirement in Europe (SHARE) data collected in 12 European countries using 53 variables representing behavioural as well as physical and mental health characteristics of the participants aged 50 or older was used to build and validate prediction models. To account for strongly unbalanced outcome variables, each instance was assigned a weight according to the inverse proportion of the outcome label when the regularized logistic regression model was built. RESULTS A pooled sample of 16,363 individuals was used to build and validate a global regularized logistic regression model that achieved an area under the receiver operating characteristic curve of 0.702 (95% CI: 0.698-0.706). Additionally, we measured performance of local country-specific models where AUROC ranged from 0.578 (0.565-0.592) to 0.768 (0.749-0.787). CONCLUSIONS We have developed and validated a survey-based 10-year T2DM risk prediction model for use across 12 European countries. Our results demonstrate the importance of re-calibration of the models as well as strengths of pooling the data from multiple countries to reduce the variance and consequently increase the precision of the results.
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Affiliation(s)
- Gregor Stiglic
- University of Maribor, Faculty of Health Sciences, Zitna ulica 15, 2000 Maribor, Slovenia; University of Maribor, Faculty of Electrical Engineering and Computer Science, Koroska cesta 46, 2000 Maribor, Slovenia; Usher Institute, University of Edinburgh, Old Medical School, Teviot Place, Edinburgh EH8 9AG, UK.
| | - Fei Wang
- Department of Population Health Sciences, Weill Cornell Medicine, 425 East 61 Street, New York, NY 10065
| | - Aziz Sheikh
- Usher Institute, University of Edinburgh, Old Medical School, Teviot Place, Edinburgh EH8 9AG, UK
| | - Leona Cilar
- University of Maribor, Faculty of Health Sciences, Zitna ulica 15, 2000 Maribor, Slovenia
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24
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Saghapour T, Giles-Corti B, Rachele J, Turrell G. A cross-sectional and longitudinal study of neighbourhood disadvantage and cardiovascular disease and the mediating role of physical activity. Prev Med 2021; 147:106506. [PMID: 33677028 DOI: 10.1016/j.ypmed.2021.106506] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Revised: 01/21/2021] [Accepted: 02/27/2021] [Indexed: 12/17/2022]
Abstract
We investigate the prospective association between neighbourhood-level disadvantage and cardiovascular disease (CVD) among mid-to-older aged adults and whether physical activity (PA) mediates this association. The data come from the HABITAT project, a multilevel longitudinal investigation of health and wellbeing in Brisbane. The participants were 11,035 residents of 200 neighbourhoods in 2007, with follow-up data collected in 2009, 2011, 2013 and 2016. Multilevel binomial regression was used for the cross-sectional analysis and mixed-effect parametric survival models were used for the longitudinal analysis. Models were adjusted for age, sex, education, occupation, and household income. Those with pre-existing CVD at baseline were excluded from the longitudinal analyses. The mediated effect of PA on CVD was examined using multilevel generalized structural equation modelling. There was a total of 20,064 person-year observations across the five time-points clustered at three levels. Results indicated that the incidence of CVD was significantly higher in the most disadvantaged neighbourhoods (OR 1.50; HR 1.29) compared with the least disadvantaged. Mediation analysis results revealed that 11.5% of the effect of neighbourhood disadvantage on CVD occurs indirectly through PA in the most disadvantaged neighbourhoods while the corresponding figure is 5.2% in the more advantaged areas. Key findings showed that neighbourhood disadvantage is associated with the incidence of CVD, and PA is a significant mediator of this relationship. Future research should investigate which specific social and built environment features promote or inhibit PA in disadvantaged areas as the basis for policy initiatives to address inequities in CVD.
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Affiliation(s)
- Tayebeh Saghapour
- Centre for Urban Research, College of Design and Social Context, RMIT University, Australia.
| | - Billie Giles-Corti
- Centre for Urban Research, College of Design and Social Context, RMIT University, Australia
| | - Jerome Rachele
- Melbourne School of Population and Global Health, The University of Melbourne, Australia; College of Health and Biomedicine, Victoria University, Australia
| | - Gavin Turrell
- Centre for Urban Research, College of Design and Social Context, RMIT University, Australia; Centre for Research and Action in Public Health, Health Research Institute, University of Canberra, Australia
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25
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de Souto Barreto P, Vellas B, Rolland Y. Physical activity and exercise in the context of SARS-Cov-2: A perspective from geroscience field. Ageing Res Rev 2021; 66:101258. [PMID: 33450400 PMCID: PMC8042847 DOI: 10.1016/j.arr.2021.101258] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2020] [Revised: 12/31/2020] [Accepted: 01/07/2021] [Indexed: 01/08/2023]
Abstract
The recent pandemics of the SARS-Cov-2 has pushed physical activity (PA) and exercise at the forefront of the discussion, since PA is associated with a reduced risk of developing all the chronic diseases strongly associated with severe cases of SARS-Cov-2 and exercise is considered a complimentary therapeutics for the treatment of these age-related conditions. The mechanisms through which PA and exercise could contribute to reduce the severity of the SARS-Cov-2 infection would be multiple, including their capacity to boost the immune system, but also their global effect on slowing down the progression of the aging process. The present perspective presents a discussion on how PA and exercise might hypothetically be linked with SARS-Cov-2 infection, current scientific gaps and shortcomings as well as recommendations for advancing research in this area, placing the debate in the context of aging and gerosciences.
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Affiliation(s)
- Philipe de Souto Barreto
- Gerontopole of Toulouse, Institute of Ageing, Toulouse University Hospital (CHU Toulouse), Toulouse, France; UPS/Inserm UMR1027, University of Toulouse III, Toulouse, France.
| | - Bruno Vellas
- Gerontopole of Toulouse, Institute of Ageing, Toulouse University Hospital (CHU Toulouse), Toulouse, France; UPS/Inserm UMR1027, University of Toulouse III, Toulouse, France
| | - Yves Rolland
- Gerontopole of Toulouse, Institute of Ageing, Toulouse University Hospital (CHU Toulouse), Toulouse, France; UPS/Inserm UMR1027, University of Toulouse III, Toulouse, France
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26
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Cheval B, Maltagliati S, Sieber S, Beran D, Chalabaev A, Sander D, Cullati S, Boisgontier MP. Why Are Individuals With Diabetes Less Active? The Mediating Role of Physical, Emotional, and Cognitive Factors. Ann Behav Med 2021; 55:904-917. [PMID: 33491067 DOI: 10.1093/abm/kaaa120] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
BACKGROUND Despite the key role of physical activity in the management of diabetes, many individuals with diabetes do not engage in the recommended levels of physical activity. However, our knowledge of the mechanisms underlying the relationship between diabetes and physical inactivity is limited. PURPOSE To investigate the associations between diabetes and the levels and evolution of physical activity across aging, and to determine whether physical, emotional, and cognitive factors mediate these associations. METHODS Data from 105,622 adults aged 50-96 years from the Survey of Health, Ageing and Retirement in Europe (SHARE) were used in adjusted linear mixed models to examine whether diabetes was associated with physical activity levels and variations across aging. The potential mediators were subjective energy, muscle strength, physical and cognitive disability, sleep problems, depressive symptoms, and cognitive functions. The variables were measured up to seven times over a 13-year period. RESULTS Individuals with diabetes demonstrated a lower level and a steeper decrease in physical activity across aging than individual without diabetes. Mediators explained ~53% and 94% of the association of diabetes with the level of physical activity and with the linear evolution of physical activity across aging, respectively. All mediators were significantly associated with physical activity. Physical and cognitive disability as well as depressive symptoms were the strongest mediators, while sleep was the lowest one. CONCLUSIONS These findings suggest that the etiology of physical inactivity in individuals with diabetes can result from several physical, emotional, and cognitive changes associated with the emergence of this disease.
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Affiliation(s)
- Boris Cheval
- Swiss Center for Affective Sciences, University of Geneva, Switzerland.,Laboratory for the Study of Emotion Elicitation and Expression (E3Lab), Department of Psychology, University of Geneva, Switzerland
| | | | - Stefan Sieber
- Swiss NCCR "LIVES - Overcoming Vulnerability: Life Course Perspectives," University of Geneva, Switzerland
| | - David Beran
- Division of Tropical and Humanitarian Medicine, University of Geneva and Geneva University Hospitals, Switzerland
| | | | - David Sander
- Swiss Center for Affective Sciences, University of Geneva, Switzerland.,Laboratory for the Study of Emotion Elicitation and Expression (E3Lab), Department of Psychology, University of Geneva, Switzerland
| | - Stéphane Cullati
- Population Health Laboratory, University of Fribourg, Switzerland.,Department of Readaptation and Geriatrics, University of Geneva, Switzerland
| | - Matthieu P Boisgontier
- School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.,Bruyère Research Institute, Ottawa, ON, Canada
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27
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Guo Y, Fu Y, Xu Y. Satisfaction with neighbourhood environment moderates the associations between objective neighbourhood environment and leisure-time physical activity in older adults in Beijing, China. HEALTH & SOCIAL CARE IN THE COMMUNITY 2021; 29:206-214. [PMID: 32677732 DOI: 10.1111/hsc.13083] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/10/2019] [Revised: 05/22/2020] [Accepted: 06/04/2020] [Indexed: 06/11/2023]
Abstract
Asia is ageing fast. To develop more effective health promotion initiatives among older adults, more knowledge of the environmental correlates of physical activity is needed. However, research in this age group is rare, and most existing studies have been conducted within Western contexts. The present study explores the interaction effects of objective neighbourhood environment and satisfaction with neighbourhood environment on leisure-time physical activity in older adults in Beijing, China. This study follows a cross-sectional design and involves older adults aged 65 years and over. The questionnaire was collected in 2018 and 2,061 older adults living in Yanshan, Beijing, China were included in the analysis. Linear regression was applied to examine the effects. The findings show that residents who live in places with higher levels of walkability, or those who are more satisfied with neighbourhood environment (either path/road/street condition or recreational resources) spent significantly longer participating in leisure-time physical activity. However, the objective neighbourhood accessibility of recreational resources was not a significant factor of physical activity. Satisfaction with neighbourhood recreational resources can significantly moderate the relationship between objective neighbourhood accessibility of recreational resources and leisure-time physical activity respectively. This is the first study conducted in China examining the relationships between objective neighbourhood environment, satisfaction with neighbourhood environment and leisure-time physical activity among older adults. This study may have implications for urban planning and service provision planning. The design of built environments that considers quality rather than only quantity can play a significant role in improving older adults' leisure-time physical activity.
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Affiliation(s)
- Yingqi Guo
- Department of Social Work and Social Administration, The University of Hong Kong, Pokfulam, Hong Kong SAR, China
- Hong Kong Jockey Club Centre for Suicide Research and Prevention, The University of Hong Kong, Pokfulam, Hong Kong SAR, China
| | - Yuanyuan Fu
- School of Social Development and Public Policy, Beijing Normal University, Beijing, China
| | - Yuebin Xu
- Institute of advanced Studies in Humanities and Social Sciences, Beijing Normal University at Zhuhai, Zhuhai, China
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28
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de Souto Barreto P, Pothier K, Soriano G, Lussier M, Bherer L, Guyonnet S, Piau A, Ousset PJ, Vellas B. A Web-Based Multidomain Lifestyle Intervention for Older Adults: The eMIND Randomized Controlled Trial. J Prev Alzheimers Dis 2021; 8:142-150. [PMID: 33569560 PMCID: PMC7754697 DOI: 10.14283/jpad.2020.70] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Accepted: 11/02/2020] [Indexed: 12/12/2022]
Abstract
Importance/Objective: To describe the feasibility and acceptability of a 6-month web-based multidomain lifestyle training intervention for community-dwelling older people and to test the effects of the intervention on both function- and lifestyle-related outcomes. DESIGN 6-month, parallel-group, randomized controlled trial (RCT). SETTING Toulouse area, South-West, France. PARTICIPANTS Community-dwelling men and women, ≥ 65 years-old, presenting subjective memory complaint, without dementia. INTERVENTION The web-based multidomain intervention group (MIG) received a tablet to access the multidomain platform and a wrist-worn accelerometer measuring step counts; the control group (CG) received only the wrist-worn accelerometer. The multidomain platform was composed of nutritional advices, personalized exercise training, and cognitive training. Main outcomes and measures: Feasibility, defined as the proportion of people connecting to ≥75% of the prescribed sessions, and acceptability, investigated through content analysis from recorded semi-structured interviews. Secondary outcomes included clinical (eg, cognitive function, mobility, health-related quality of life (HRQOL)) and lifestyle (eg, step count, food intake) measurements. RESULTS Among the 120 subjects (74.2 ±5.6 years-old; 57.5% women), 109 completed the study (n=54, MIG; n=55, CG). 58 MIG subjects connected to the multidomain platform at least once; among them, adherers of ≥75% of sessions varied across multidomain components: 37 people (63.8% of 58 participants) for cognitive training, 35 (60.3%) for nutrition, and three (5.2%) for exercise; these three persons adhered to all multidomain components. Participants considered study procedures and multidomain content in a positive way; the most cited weaknesses were related to exercise: too easy, repetitive, and slow progression. Compared to controls, the intervention had a positive effect on HRQOL; no significant effects were observed across the other clinical and lifestyle outcomes. CONCLUSIONS AND RELEVANCE Providing multidomain lifestyle training through a web-platform is feasible and well-accepted, but the training should be challenging enough and adequately progress according to participants' capabilities to increase adherence. Recommendations for a larger on-line multidomain lifestyle training RCT are provided.
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Affiliation(s)
- P de Souto Barreto
- Professor Philipe de Souto Barreto, Gérontopôle de Toulouse, Institut du Vieillissement, 37 Allées Jules Guesde, F-31000 Toulouse, France, Phone: (+33) 561 145 668, Fax: (+33) 561 145 640, e-mail:
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29
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Lenzen S, Gannon B, Rose C. A dynamic microeconomic analysis of the impact of physical activity on cognition among older people. ECONOMICS AND HUMAN BIOLOGY 2020; 39:100933. [PMID: 33166873 DOI: 10.1016/j.ehb.2020.100933] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/17/2020] [Revised: 09/20/2020] [Accepted: 10/11/2020] [Indexed: 06/11/2023]
Abstract
This microeconomic study explores the dynamic relationship between physical activity and cognition, using longitudinal data from 6 waves of the Survey of Health, Ageing and Retirement in Europe (SHARE) between 2004 and 2017. Physical activity has drawn significant attention as a potentially successful action for protecting brain health and cognition in the aging population, but the empirical evidence in observational studies is inconclusive to date. We add to the literature by estimating the effect of physical activity on cognition, tackling many sources of bias, which have previously not been addressed consistently. The challenge in estimating the effect of physical activity on cognition is the dynamics of cognition and the endogeneity of physical activity caused by unobserved heterogeneity, reverse causality and measurement error. To address this endogeneity and at the same time control for lagged cognition, we propose a system - generalized method of moments (GMM) estimator, using lagged levels and differences of the endogenous explanatory variables as instruments, while transforming out the fixed effects. We find that being moderately & vigorously physically active at least once a week increases memory status by 0.282 and 0.552 standard deviations for men and women respectively. We find different effects for varying physical activity intensity.
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Affiliation(s)
- Sabrina Lenzen
- School of Economics, The University of Queensland, Faculty of Business, Economics and Law, QLD, St Lucia 4072, Australia; Centre for the Business and Economics of Health, The University of Queensland, Faculty of Business, Economics and Law, QLD, St Lucia 4072, Australia.
| | - Brenda Gannon
- School of Economics, The University of Queensland, Faculty of Business, Economics and Law, QLD, St Lucia 4072, Australia; Centre for the Business and Economics of Health, The University of Queensland, Faculty of Business, Economics and Law, QLD, St Lucia 4072, Australia
| | - Christiern Rose
- School of Economics, The University of Queensland, Faculty of Business, Economics and Law, QLD, St Lucia 4072, Australia
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30
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Bellizzi V, Regolisti G. What is the role of exercise in chronic kidney disease? Nephrol Dial Transplant 2020; 37:258-261. [PMID: 32785698 DOI: 10.1093/ndt/gfaa161] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2019] [Indexed: 01/31/2023] Open
Affiliation(s)
- Vincenzo Bellizzi
- Nephrology, Dialysis and Renal Transplantation Unit, University Hospital "San Giovanni di Dio e Ruggi d'Aragona" of Salerno, Salerno, Italy.,Italian Society of Nephrology (SIN), Physical Exercise in Chronic Kidney Disease Working Group, Rome, Italy
| | - Giuseppe Regolisti
- Italian Society of Nephrology (SIN), Physical Exercise in Chronic Kidney Disease Working Group, Rome, Italy.,Clinica e Immunologia Medica, University Hospital of Parma, Parma, Italy
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31
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Lindeman C, McCurdy A, Lamboglia CG, Wohlers B, Pham ANQ, Sivak A, Spence JC. The extent to which family physicians record their patients' exercise in medical records: a scoping review. BMJ Open 2020; 10:e034542. [PMID: 32054628 PMCID: PMC7044842 DOI: 10.1136/bmjopen-2019-034542] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
OBJECTIVE Exercise is an effective modality for the prevention and treatment of chronic conditions and family physicians are the healthcare providers tasked to manage patients' chronic disease status. However, little is known about the exercise documentation in family-physician records. Therefore, a scoping review was conducted to describe family-physician-recorded exercise-related advice to patients in electronic medical records. DESIGN Scoping review. SETTING Primary care clinics. SEARCH STRATEGY PubMed, Medline, SPORTDiscus, Google, Dissertations & Theses Global, OCLC PapersFirst (via First Search) and included references were searched between 1 January 1990 and 10 June 2018. Extracted information included year, geographic origin, data input structure, input frequency and content of exercise inputs in family physicians' electronic medical records. The primary outcomes are the structure, purpose and frequency of inputs. RESULTS Of a possible 1758 documents, 83 remained after a title and abstract scan and 22 after a full-text review. These documents included 32 findings of physical activity/exercise medical record documentation: counselling/advising patients (50.0%), status (12.5%), embedded questionnaires (12.5%), status as a risk factor (12.5%), health promotion documentation (6.3%), inactivity status (3.1%) and grading (3.1%). The frequency of exercise inputs in primary care records vary from as low as 0.4% of patients with documentation of physical activity health promotion inputs to as high as 87.8% of patients with exercise or physical activity status recorded. The majority of included documents (63.6%) were focused on patients with identified chronic conditions. CONCLUSION The findings suggest that the structure and purpose of exercise documentation is often unclear or unspecified. Studies that present exercise information from family-physician medical records tend to focus on patients with specific chronic conditions and present little detail about the field from which information was extracted. The review found that the proportion of patients with physical activity or exercise information is often less than half.
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Affiliation(s)
- Cliff Lindeman
- Department of Family Medicine, University of Alberta, Edmonton, Alberta, Canada
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Alberta, Canada
| | - Ashley McCurdy
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Alberta, Canada
| | - Carminda G Lamboglia
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Alberta, Canada
| | - Brendan Wohlers
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Alberta, Canada
| | - Anh N Q Pham
- Department of Family Medicine, University of Alberta, Edmonton, Alberta, Canada
| | - Allison Sivak
- Coutts Library, University of Alberta, Edmonton, Alberta, Canada
| | - John C Spence
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Alberta, Canada
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32
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Pistella J, Ioverno S, Rodgers MA, Russell ST. The contribution of school safety to weight-related health behaviors for transgender youth. J Adolesc 2020; 78:33-42. [DOI: 10.1016/j.adolescence.2019.12.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2019] [Revised: 11/26/2019] [Accepted: 12/01/2019] [Indexed: 10/25/2022]
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33
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Questionnaire-Based Prevalence of Physical Activity Level on Adults According to Different International Guidelines: Impact on Surveillance and Policies. J Phys Act Health 2019; 16:1014-1021. [PMID: 31454782 DOI: 10.1123/jpah.2018-0601] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2018] [Revised: 06/06/2019] [Accepted: 06/27/2019] [Indexed: 11/18/2022]
Abstract
BACKGROUND The World Health Organization recommends 150 minutes of moderate to vigorous physical activity (PA) throughout the week. However, the weekly frequency of PA and how to combine moderate and vigorous PA to define who reaches the recommended PA are controversial. PA level might be highly different based on the recommendation and/or the criteria employed. METHODS Demographic data and PA level evaluated by International Physical Activity Questionnaire from 3 random and representative samples from 1 state, 1 city, and 1 local organization in Brazil were analyzed (n = 2961). Nine criteria from different recommendations were used to define PA level. Prevalence estimates and 95% confidence intervals of sufficient PA were calculated for each criterion and compared with the referent (World Health Organization guideline). Total agreement, sensitivity, and specificity were also calculated with 95% confidence interval. RESULTS When a weekly frequency of PA was required, the prevalence of sufficient PA decreased by 11% (P < .05). For all criteria, doubling the vigorous PA minutes was similar to simply adding them to moderate PA. These findings are consistent regardless of sex, age, and educational level. CONCLUSION Prevalence estimates and agreement between different PA recommendations were significantly affected when a minimum frequency was required but did not change when vigorous PA minutes were doubled.
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34
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Maltais M, Boisvert-Vigneault K, Rolland Y, Vellas B, de Souto Barreto P. Longitudinal associations of physical activity levels with morphological and functional changes related with aging: The MAPT study. Exp Gerontol 2019; 128:110758. [PMID: 31669813 DOI: 10.1016/j.exger.2019.110758] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2019] [Revised: 09/27/2019] [Accepted: 10/18/2019] [Indexed: 12/25/2022]
Abstract
INTRODUCTION The biological process of aging is characterized by molecular and physiological processes that lead to alterations in the organism. There is still a lack of a consensus about the measurement of biological aging, but physical activity (PA) could be a potential marker of an aging phenotype. METHODS Measurements of body composition, muscle quality (MQ), blood biochemistry, and neurodegeneration were assessed over three years. Physical activity levels were measured using a self-reported questionnaire. RESULTS Three-year progression of PA levels showed that those who maintained low levels of PA was significantly associated with the evolution of brain and hippocampal volume, compared to inactive individuals. Similar results were found always active individuals, but also had better cognition. CONCLUSION PA levels are associated with some elements of biological aging, but more studies with objective-based PA measurements could provide a more in-depth knowledge on biological aging.
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Affiliation(s)
- Mathieu Maltais
- Gérontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalo-Universitaire de Toulouse, 37 allée Jules Guesdes, 31000 Toulouse, France.
| | | | - Yves Rolland
- Gérontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalo-Universitaire de Toulouse, 37 allée Jules Guesdes, 31000 Toulouse, France; UMR INSERM, 1027 University of Toulouse III, Toulouse, France Faculté de médecine, 37 allées Jules Guesde, 31000 Toulouse, France
| | - Bruno Vellas
- Gérontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalo-Universitaire de Toulouse, 37 allée Jules Guesdes, 31000 Toulouse, France; UMR INSERM, 1027 University of Toulouse III, Toulouse, France Faculté de médecine, 37 allées Jules Guesde, 31000 Toulouse, France
| | - Philipe de Souto Barreto
- Gérontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalo-Universitaire de Toulouse, 37 allée Jules Guesdes, 31000 Toulouse, France; UMR INSERM, 1027 University of Toulouse III, Toulouse, France Faculté de médecine, 37 allées Jules Guesde, 31000 Toulouse, France
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Cheval B, Rebar AL, Miller MW, Sieber S, Orsholits D, Baranyi G, Courvoisier D, Cullati S, Sander D, Chalabaev A, Boisgontier MP. Cognitive resources moderate the adverse impact of poor perceived neighborhood conditions on self-reported physical activity of older adults. Prev Med 2019; 126:105741. [PMID: 31153916 DOI: 10.1016/j.ypmed.2019.05.029] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/23/2019] [Revised: 04/30/2019] [Accepted: 05/28/2019] [Indexed: 11/29/2022]
Abstract
Poor neighborhood conditions are associated with lower levels of physical activity for older adults but socio-ecological models posit that physical activity depends on both environmental and individual factors. Older adults' ability to overcome environmental barriers to physical activity may partially rely on cognitive resources. However, evidence on the moderating role of these cognitive resources in the associations between environmental barriers and physical activity is still lacking. We analyzed cross-national and longitudinal data on 28,393 adults aged 50 to 96 years as part of the SHARE. Lack of access to services and neighborhood nuisances were used as indicators of poor neighborhood conditions. Delayed recall and verbal fluency were used as indicators of cognitive resources. Confounder-adjusted generalized estimation equations were conducted to test associations between neighborhood conditions and self-reported moderate physical activity, as well as the moderating role of cognitive resources. Results showed that poor neighborhood conditions reduced the odds of engagement in physical activity. Cognitive resources robustly reduced the adverse influence of poor neighborhood conditions on physical activity. Participants with lower cognitive resource scores showed lower odds of engaging in physical activity when neighborhood conditions were poorer, whereas these conditions were not related to this engagement for participants with higher cognitive resource scores. These findings suggest that cognitive resources can temper the detrimental effect of poor neighborhood conditions on physical activity. Public policies should target both individual and environmental factors to tackle the current pandemic of physical inactivity more comprehensively.
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Affiliation(s)
- Boris Cheval
- Swiss Center for Affective Sciences, University of Geneva, Geneva, Switzerland; Laboratory for the Study of Emotion Elicitation and Expression (E3Lab), Department of Psychology, University of Geneva, Geneva, Switzerland.
| | - Amanda L Rebar
- Physical Activity Research Group, School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, QLD, Australia
| | - Matthew W Miller
- School of Kinesiology, Auburn University, USA; Center for Neuroscience, Auburn University, USA
| | - Stefan Sieber
- Swiss NCCR "LIVES - Overcoming Vulnerability: Life Course Perspectives", University of Geneva, Switzerland
| | - Dan Orsholits
- Swiss NCCR "LIVES - Overcoming Vulnerability: Life Course Perspectives", University of Geneva, Switzerland
| | - Gergő Baranyi
- Center for Research on Environment Society and Health, School of GeoSciences, University of Edinburgh, Edinburgh, United Kingdom
| | | | - Stéphane Cullati
- Department of Readaptation and Geriatrics, University of Geneva, Switzerland; Institute of Sociological Research, University of Geneva, Switzerland
| | - David Sander
- Swiss Center for Affective Sciences, University of Geneva, Geneva, Switzerland; Laboratory for the Study of Emotion Elicitation and Expression (E3Lab), Department of Psychology, University of Geneva, Geneva, Switzerland
| | - Aïna Chalabaev
- SENS Laboratory, University Grenoble Alpes, Grenoble, France
| | - Matthieu P Boisgontier
- Swiss NCCR "LIVES - Overcoming Vulnerability: Life Course Perspectives", University of Geneva, Switzerland; Department of Physical Therapy, University of British Columbia, Canada; Department of Movement Sciences, KU Leuven, Belgium.
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Dėdelė A, Miškinytė A, Andrušaitytė S, Nemaniūtė-Gužienė J. Seasonality of physical activity and its association with socioeconomic and health factors among urban-dwelling adults of Kaunas, Lithuania. BMC Public Health 2019; 19:1067. [PMID: 31391017 PMCID: PMC6686566 DOI: 10.1186/s12889-019-7399-4] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2018] [Accepted: 07/30/2019] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND Physical activity (PA) has been declining dramatically over time in many countries worldwide. The decrease of PA levels affects a person's health and quality of life as it is a significant risk factor for many noncommunicable diseases. Understanding the factors that determine PA is particularly important in promoting greater PA in adults and reducing the risk of diseases associated with physical inactivity. This study investigated associations of seasonal PA levels with socioeconomic and health factors among adults. METHODS A cross-sectional study included 1111 participants of Kaunas city, Lithuania who completed a questionnaire about PA and mobility behaviour, socioeconomic, health and demographic factors. Commuting PA and sufficient PA (sPA) on weekdays and weekends in the summer and winter seasons was investigated in this study. Data on daily commuting duration and forms of transportation were collected using a questionnaire survey. Daily commuting was categorized into two categories: 1) using motorized transportation or walking or cycling 0 to 29 min, 2) and walking or cycling for 30 min or more. RESULTS Our findings showed significant seasonal impact on PA levels. The results revealed that employment status was significantly associated with PA. Unemployed individuals were 2 times more likely to engage in sPA in winter and almost 3 times in summer compared to workers. CONCLUSIONS Our findings suggest the importance of considering environmental, socioeconomic and health factors when assessing PA. Promoting PA through active commuting is an important part of a healthy lifestyle and strategies to support the implementation of health-promoting policies and practices are needed.
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Affiliation(s)
- Audrius Dėdelė
- Department of Environmental Sciences, Faculty of Natural Sciences, Vytautas Magnus University, Vileikos Street 8, 44404 Kaunas, Lithuania
| | - Auksė Miškinytė
- Department of Environmental Sciences, Faculty of Natural Sciences, Vytautas Magnus University, Vileikos Street 8, 44404 Kaunas, Lithuania
| | - Sandra Andrušaitytė
- Department of Environmental Sciences, Faculty of Natural Sciences, Vytautas Magnus University, Vileikos Street 8, 44404 Kaunas, Lithuania
| | - Jolanta Nemaniūtė-Gužienė
- Department of Environmental Sciences, Faculty of Natural Sciences, Vytautas Magnus University, Vileikos Street 8, 44404 Kaunas, Lithuania
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Marques A, Peralta M, Sarmento H, Martins J, González Valeiro M. Associations between vigorous physical activity and chronic diseases in older adults: a study in 13 European countries. Eur J Public Health 2019; 28:950-955. [PMID: 29767706 DOI: 10.1093/eurpub/cky086] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023] Open
Abstract
Background This study aimed to assess cross-sectional and prospective relationships between vigorous physical activity (VPA) and the risk of major chronic diseases among European older adults. Methods Participants were 37 524 older adults who responded to the fourth (in 2011) and fifth (in 2013) wave of the SHARE project, from 13 European countries. Participants answered interview questions about the presence of chronic conditions and VPA. The cross-sectional and prospective association between PA and the number of chronic diseases was assessed using logistic regression models. Results Among men and women, the prevalence of chronic diseases was significantly lower among those who reported VPA once a week or more than once a week. For men, VPA once a week was prospectively related with lower odds of heart attack, chronic lung disease, Parkinson's disease and Alzheimer's disease. VPA more than once a week was prospectively related with lower odds of having all chronic diseases. Women who engaged in VPA once a week presented lower odds of having chronic diseases, except for hypertension, high blood cholesterol and cancer. For VPA more than once a week, cancer was the only disease not associated with physical activity. Conclusion VPA is associated with reduced risk of chronic diseases in men and women. Even the practice of VPA once a week seems to be sufficient to reduce risks of chronic diseases.
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Affiliation(s)
- Adilson Marques
- Centro Interdisciplinar de Estudo da Performance Humana, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisboa, Portugal.,Centro de Investigação em Saúde Pública, Escola Nacional de Saúde Pública, Universidade Nova de Lisboa, Lisboa, Portugal.,Facultad de Ciencias del Deporte y la Educación Física, Universidad de A Coruña, A Coruña, España
| | - Miguel Peralta
- Centro Interdisciplinar de Estudo da Performance Humana, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisboa, Portugal
| | - Hugo Sarmento
- Sport and Physical Activity Research Centre, Faculty of Sport Sciences and Physical Education, University of Coimbra, Coimbra, Portugal
| | - João Martins
- Laboratório de Pedagogia, Faculdade de Motricidade Humana e UIDEF, Instituto de Educação, Universidade de Lisboa, Lisboa, Portugal.,Faculdade de Educação Física e Desporto, Universidade Lusófona de Humanidades e Tecnologias, Lisboa, Portugal
| | - Miguel González Valeiro
- Facultad de Ciencias del Deporte y la Educación Física, Universidad de A Coruña, A Coruña, España
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Marcos-Pardo PJ, Orquin-Castrillón FJ, Gea-García GM, Menayo-Antúnez R, González-Gálvez N, Vale RGDS, Martínez-Rodríguez A. Effects of a moderate-to-high intensity resistance circuit training on fat mass, functional capacity, muscular strength, and quality of life in elderly: A randomized controlled trial. Sci Rep 2019; 9:7830. [PMID: 31127163 PMCID: PMC6534570 DOI: 10.1038/s41598-019-44329-6] [Citation(s) in RCA: 39] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2018] [Accepted: 05/15/2019] [Indexed: 01/05/2023] Open
Abstract
Physical exercise is considered an important intervention for promoting well-being and healthy aging. The objective was to determine the effects of moderate-to-high intensity resistance circuit training on different parameters of body composition, functional autonomy, muscular strength and quality of life in elderly. A randomized controlled trial was conducted. A total of 45 subjects (27 females, 18 males) aged between 65–75 years old from Murcia (Spain) were divided by sex, and randomly to experimental group (n = 33, mean age 69 ± 3.2 years old) receiving 12 weeks of moderate-to-high intensity resistance circuit training and control group (n = 33, mean age 70 ± 4.1 years old) receiving no exercise intervention. Intra-group comparison, the experimental group showed a significant increment of lean body mass in women and men, which also presented a decrease of fat mass. Both sex presented a significant improve in functional autonomy, and significately higher values of muscular strength. But no changes were observed regarding quality of life in these groups. The control group did not show any differences pre and post-intervention in women, but in men presented an increment of body mass index and total weight post-intervention. No changes were showed in the other variables. Similar results were founded at inter-group comparison. The moderate-to-high intensity resistance circuit training showed increase in total lean body mass, improvements in functional capacity and significantly increase in upper and lower muscular strength in women and men. Progressive resistance circuit training should be promoted for the elderly as it has the potential to improve physical performance, thereby prolonging healthy independent aging.
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Affiliation(s)
- Pablo Jorge Marcos-Pardo
- Grupo de Investigación en Salud, Actividad Física, Fitness y Comportamiento Motor (GISAFFCOM), Faculty of Sport, Catholic University San Antonio of Murcia (UCAM), Murcia, Spain.
| | - Francisco Javier Orquin-Castrillón
- Grupo de Investigación en Salud, Actividad Física, Fitness y Comportamiento Motor (GISAFFCOM), Faculty of Sport, Catholic University San Antonio of Murcia (UCAM), Murcia, Spain
| | - Gemma María Gea-García
- Grupo de Investigación en Salud, Actividad Física, Fitness y Comportamiento Motor (GISAFFCOM), Faculty of Sport, Catholic University San Antonio of Murcia (UCAM), Murcia, Spain
| | - Ruperto Menayo-Antúnez
- Grupo de Investigación en Salud, Actividad Física, Fitness y Comportamiento Motor (GISAFFCOM), Faculty of Sport, Catholic University San Antonio of Murcia (UCAM), Murcia, Spain.,Faculty of Education, University of Extremadura, Cáceres, Spain
| | - Noelia González-Gálvez
- Grupo de Investigación en Salud, Actividad Física, Fitness y Comportamiento Motor (GISAFFCOM), Faculty of Sport, Catholic University San Antonio of Murcia (UCAM), Murcia, Spain
| | - Rodrigo Gomes de Souza Vale
- Grupo de Investigación en Salud, Actividad Física, Fitness y Comportamiento Motor (GISAFFCOM), Faculty of Sport, Catholic University San Antonio of Murcia (UCAM), Murcia, Spain.,Exercise Physiology Laboratory, Estácio de Sá University, Cabo Frio, Rio de Janeiro, Brazil
| | - Alejandro Martínez-Rodríguez
- Grupo de Investigación en Salud, Actividad Física, Fitness y Comportamiento Motor (GISAFFCOM), Faculty of Sport, Catholic University San Antonio of Murcia (UCAM), Murcia, Spain.,Faculty of Sciences, University of Alicante, Alicante, Spain
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Šimaitytė M, Petrėnas A, Kravčenko J, Kaldoudi E, Marozas V. Objective evaluation of physical activity pattern using smart devices. Sci Rep 2019; 9:2006. [PMID: 30765783 PMCID: PMC6375941 DOI: 10.1038/s41598-019-38638-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2017] [Accepted: 01/02/2019] [Indexed: 11/17/2022] Open
Abstract
Physical activity session frequency and distribution over time may play a significant role on survival after major cardiovascular events. However, the existing amount-based metrics do not account for these properties, thus the physical activity pattern is not fully evaluated. The aim of this work is to introduce a metric which accounts for the difference between the actual and uniform distribution of physical activity, thus its value depends on physical activity aggregation over time. The practical application is demonstrated on a step data from 40 participants, half of them diagnosed with chronic cardiovascular disease (CVD). The metric is capable of discriminating among different daily patterns, including going to and from work, walking in a park and being active the entire day. Moreover, the results demonstrate the tendency of CVD patients being associated with higher aggregation values, suggesting that CVD patients spend more time in a sedentary behaviour compared to healthy participants. By combining the aggregation with the intensity metric, such common weekly patterns as inactivity, regular activity and "weekend warrior" can be captured. The metric is expected to have clinical relevance since it may provide additional information on the relationship between physical activity pattern and health outcomes.
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Affiliation(s)
- Monika Šimaitytė
- Biomedical Engineering Institute, Kaunas University of Technology, Kaunas, Lithuania.
| | - Andrius Petrėnas
- Biomedical Engineering Institute, Kaunas University of Technology, Kaunas, Lithuania
| | - Julija Kravčenko
- Faculty of Electrical and Electronics Engineering, Kaunas University of Technology, Kaunas, Lithuania
| | - Eleni Kaldoudi
- Medical Imaging and Telemedicine, School of Medicine, Democritus University of Thrace, Dragana, Alexandroupoli, Greece
| | - Vaidotas Marozas
- Biomedical Engineering Institute, Kaunas University of Technology, Kaunas, Lithuania
- Faculty of Electrical and Electronics Engineering, Kaunas University of Technology, Kaunas, Lithuania
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Ross M, Lithgow H, Hayes L, Florida-James G. Potential Cellular and Biochemical Mechanisms of Exercise and Physical Activity on the Ageing Process. Subcell Biochem 2019; 91:311-338. [PMID: 30888658 DOI: 10.1007/978-981-13-3681-2_12] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Exercise in young adults has been consistently shown to improve various aspects of physiological and psychological health but we are now realising the potential benefits of exercise with advancing age. Specifically, exercise improves cardiovascular, musculoskeletal, and metabolic health through reductions in oxidative stress, chronic low-grade inflammation and modulating cellular processes within a variety of tissues. In this this chapter we will discuss the effects of acute and chronic exercise on these processes and conditions in an ageing population, and how physical activity affects our vasculature, skeletal muscle function, our immune system, and cardiometabolic risk in older adults.
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Affiliation(s)
- Mark Ross
- School of Applied Science, Edinburgh Napier University, Edinburgh, Scotland, UK.
| | - Hannah Lithgow
- School of Applied Science, Edinburgh Napier University, Edinburgh, Scotland, UK
| | - Lawrence Hayes
- Active Ageing Research Group, University of Cumbria, Lancaster, UK
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Cheval B, Sieber S, Guessous I, Orsholits D, Courvoisier DS, Kliegel M, Stringhini S, Swinnen SP, Burton-Jeangros C, Cullati S, Boisgontier MP. Effect of Early- and Adult-Life Socioeconomic Circumstances on Physical Inactivity. Med Sci Sports Exerc 2018; 50:476-485. [PMID: 29112624 DOI: 10.1249/mss.0000000000001472] [Citation(s) in RCA: 34] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
PURPOSE This study aimed to investigate the associations between early- and adult-life socioeconomic circumstances and physical inactivity (level and evolution) in aging using large-scale longitudinal data. METHODS This study used the Survey of Health Ageing and Retirement in Europe, a 10-yr population-based cohort study with repeated measurements in five waves, every 2 yr between 2004 and 2013. Self-reported physical inactivity (waves 1, 2, 4, and 5), household income (waves 1, 2, 4, and 5), educational attainment (wave of the first measurement occasion), and early-life socioeconomic circumstance (wave 3) were collected in 22,846 individuals 50 to 95 yr of age. RESULTS Risk of physical inactivity was increased for women with the most disadvantaged early-life socioeconomic circumstances (odds ratio [OR], 1.49; 95% confidence interval [CI], 1.20-1.86). With aging, the risk of physical inactivity increased for both sexes and was strongest for those with the most disadvantaged early-life socioeconomic circumstances (OR, 1.04 (95% CI, 1.02-1.06) for women; OR, 1.02 (95% CI, 1.00-1.05) for men), with the former effect being more robust than the latter one. The association between early-life socioeconomic circumstances and physical inactivity was mediated by adult-life socioeconomic circumstances, with education being the strongest mediator. CONCLUSIONS Early-life socioeconomic circumstances predicted high levels of physical inactivity at older ages, but this effect was mediated by socioeconomic indicators in adult life. This finding has implications for public health policies, which should continue to promote education to reduce physical inactivity in people at older ages and to ensure optimal healthy aging trajectories, especially among women with disadvantaged early-life socioeconomic circumstances.
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Affiliation(s)
- Boris Cheval
- Swiss NCCR "LIVES-Overcoming Vulnerability: Life Course Perspectives," University of Geneva, Geneva, SWITZERLAND.,Swiss NCCR "LIVES-Overcoming Vulnerability: Life Course Perspectives," University of Geneva, Geneva, SWITZERLAND
| | - Stefan Sieber
- Swiss NCCR "LIVES-Overcoming Vulnerability: Life Course Perspectives," University of Geneva, Geneva, SWITZERLAND
| | - Idris Guessous
- Swiss NCCR "LIVES-Overcoming Vulnerability: Life Course Perspectives," University of Geneva, Geneva, SWITZERLAND.,Swiss NCCR "LIVES-Overcoming Vulnerability: Life Course Perspectives," University of Geneva, Geneva, SWITZERLAND.,Swiss NCCR "LIVES-Overcoming Vulnerability: Life Course Perspectives," University of Geneva, Geneva, SWITZERLAND.,Swiss NCCR "LIVES-Overcoming Vulnerability: Life Course Perspectives," University of Geneva, Geneva, SWITZERLAND
| | - Dan Orsholits
- Swiss NCCR "LIVES-Overcoming Vulnerability: Life Course Perspectives," University of Geneva, Geneva, SWITZERLAND
| | - Delphine S Courvoisier
- Swiss NCCR "LIVES-Overcoming Vulnerability: Life Course Perspectives," University of Geneva, Geneva, SWITZERLAND.,Swiss NCCR "LIVES-Overcoming Vulnerability: Life Course Perspectives," University of Geneva, Geneva, SWITZERLAND
| | - Matthias Kliegel
- Swiss NCCR "LIVES-Overcoming Vulnerability: Life Course Perspectives," University of Geneva, Geneva, SWITZERLAND.,Swiss NCCR "LIVES-Overcoming Vulnerability: Life Course Perspectives," University of Geneva, Geneva, SWITZERLAND
| | - Silvia Stringhini
- Swiss NCCR "LIVES-Overcoming Vulnerability: Life Course Perspectives," University of Geneva, Geneva, SWITZERLAND
| | - Stephan P Swinnen
- Swiss NCCR "LIVES-Overcoming Vulnerability: Life Course Perspectives," University of Geneva, Geneva, SWITZERLAND
| | - Claudine Burton-Jeangros
- Swiss NCCR "LIVES-Overcoming Vulnerability: Life Course Perspectives," University of Geneva, Geneva, SWITZERLAND
| | - Stéphane Cullati
- Swiss NCCR "LIVES-Overcoming Vulnerability: Life Course Perspectives," University of Geneva, Geneva, SWITZERLAND.,Swiss NCCR "LIVES-Overcoming Vulnerability: Life Course Perspectives," University of Geneva, Geneva, SWITZERLAND
| | - Matthieu P Boisgontier
- Swiss NCCR "LIVES-Overcoming Vulnerability: Life Course Perspectives," University of Geneva, Geneva, SWITZERLAND.,Swiss NCCR "LIVES-Overcoming Vulnerability: Life Course Perspectives," University of Geneva, Geneva, SWITZERLAND
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Abstract
The purpose of this article was to discuss guidelines for the management of the most prevalent chronic diseases treated by primary care physicians (PCPs) in order to identify the best exercise regimen for each clinical population, and to provide preliminary guidance for primary care providers on exercise counselling in the 'real-world' context of multimorbidity. After a search of the PubMed electronic database, the 11 most prevalent conditions currently treated by PCPs were identified. The recommendations provided by recognised learned/scientific societies for the management of each disease were then examined and any recommendations involving physical activity and exercise were identified. It was found that the best exercise regimen (i.e. exercise type, intensity, duration, and frequency) was very similar across chronic diseases, which suggests that elaborating and implementing a standardised, minimum exercise guideline for multimorbid patients in primary care may be an alternative approach to time-costly individualised exercise prescriptions. Based on this finding, I propose an example of standardised, cross-disease exercise prescription, and discuss how such a prescription could be operationalised by PCPs in their routine clinical practice.
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Cantarero-Prieto D, Pascual-Sáez M, Blázquez-Fernández C. Social isolation and multiple chronic diseases after age 50: A European macro-regional analysis. PLoS One 2018; 13:e0205062. [PMID: 30356322 PMCID: PMC6200202 DOI: 10.1371/journal.pone.0205062] [Citation(s) in RCA: 34] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2018] [Accepted: 09/19/2018] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Different studies have found that socioeconomic determinants influence the prevalence of chronic diseases in older people. However, there has been relatively little research on the incidence of how social isolation may affect them. We suggest that social isolation is a serious concern for people living with chronic illnesses. METHOD In this paper, we examine whether there is an increase in the propensity of being diagnosed with chronic illnesses because of a decrease in social relations for elderly Europeans. We have used a panel data for Waves 1-6 (2004-2015) of Survey on Health, Ageing and Retirement in Europe (SHARE) and logistic regressions. Besides, we have studied three geographic macro-areas (Nordic, Continental and Southern). Being diagnosed with three or more chronic diseases is considered as a dependent variable, and as social control variables we have used three isolation proxies (living alone, providing help to family, friends or neighbours and participation-club activities). Other socio-demographic variables are included (gender, age, educational level, job situation, area of location and quality of life). RESULTS Our results for the full sample indicate that people who participate in social activities have fewer probability of suffering from chronic diseases (OR = 0.70, 95% CI 0.54, 0.92). For people who live alone the reverse effect is observed (OR = 1.20, 95% CI 1.04, 1.39). Differences are shown by macro-areas, e.g. providing help (OR = 0.58, 95% CI 0.34, 0.97) isolation proxy is significant for the Nordic macro-area. Club-participation activities and living alone are significant for Continental and Southern macro-areas, respectively (OR = 0.65, 95% CI 0.55, 0.82; OR = 1.46, 95% CI 1.21, 1.77). CONCLUSIONS Social isolation increases the risk of being diagnosed with chronic illnesses. That is, people with greater social participation have lower risk of suffering from multiple chronic diseases. This risk linked to isolation, together with the traditional one associated with lifestyles, should be considered in the development of new public policies.
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Affiliation(s)
- David Cantarero-Prieto
- Group of Health Economics and Health Service Management, Department of Economics, The University of Cantabria–IDIVAL, Santander, CP, Spain
| | - Marta Pascual-Sáez
- Group of Health Economics and Health Service Management, Department of Economics, The University of Cantabria–IDIVAL, Santander, CP, Spain
| | - Carla Blázquez-Fernández
- Group of Health Economics and Health Service Management, Department of Economics, The University of Cantabria–IDIVAL, Santander, CP, Spain
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Marques A, Peralta M, Martins J, Gouveia ÉR, Valeiro MG. Cross-Sectional and Prospective Relationship Between Low-to-Moderate-Intensity Physical Activity and Chronic Diseases in Older Adults From 13 European Countries. J Aging Phys Act 2018; 27:1-9. [PMID: 29809087 DOI: 10.1123/japa.2017-0403] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
AIM To assess the relationship between low-to-moderate-intensity physical activity (LMPA) in 2011 and chronic diseases in 2011 and 2013 among older European adults. METHODS Participants (16,157 men and 21,260 women) from 13 European countries were interviewed about the presence of chronic conditions and LMPA. The association between LMPA and number of chronic diseases was assessed using logistic regression models. RESULTS Most of the older adults participated in LMPA more than once a week (81.9%), 8.4% participated once a week, and 9.3% did not participate. The prevalence of chronic diseases was significantly lower among those who reported engaging in LMPA. The LMPA in 2011 was related with lower odds of having several chronic diseases in 2013. CONCLUSION Engaging in LMPA is associated with reduced risk for chronic diseases in older European men and women. Even the practice of LMPA once a week seems to be enough to diminish the risk of having chronic diseases.
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van der Linden BWA, Courvoisier DS, Cheval B, Sieber S, Bracke P, Guessous I, Burton-Jeangros C, Kliegel M, Cullati S. Effect of childhood socioeconomic conditions on cancer onset in later life: an ambidirectional cohort study. Int J Public Health 2018; 63:799-810. [PMID: 29774377 PMCID: PMC6154039 DOI: 10.1007/s00038-018-1111-9] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2017] [Accepted: 05/07/2018] [Indexed: 01/28/2023] Open
Abstract
Objectives Living in low socioeconomic conditions during childhood is associated with poor health outcomes in later life. Whether this link also applies to cancer is unclear. We examined whether childhood socioeconomic conditions (CSCs) are associated with cancer risk in later life and whether this effect remained after adjusting for adulthood socioeconomic conditions (ASCs). Methods Data for 26,431 individuals ≥ 50 years old included in SHARE were analysed. CSCs were constructed by using indicators of living conditions at age 10. ASC indicators were education, main occupation, and household income. Gender-stratified associations of CSCs with cancer onset (overall and by site) were assessed by Cox regression. Results In total, 2852 individuals were diagnosed with cancer. For both men and women, risk of overall cancer was increased for advantaged CSCs and remained so after adjusting for ASCs (hazard ratio = 1.36, 95% CI 1.10, 1.63, and 1.70, 95% CI 1.41, 2.07). Conclusions Advantaged CSCs are associated with an increased risk of overall cancer at older age, but results vary by cancer sites and sex. Participation in cancer screening or exposure to risk factors may differ by social conditions. Electronic supplementary material The online version of this article (10.1007/s00038-018-1111-9) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Bernadette W A van der Linden
- Swiss NCCR "LIVES - Overcoming Vulnerability: Life Course Perspectives", University of Geneva, Geneva, Switzerland. .,Center for the Interdisciplinary Study of Gerontology and Vulnerability (CIGEV), University of Geneva, 28 Boulevard du Pont d'Arve, 1205, Geneva, Switzerland.
| | - Delphine S Courvoisier
- Swiss NCCR "LIVES - Overcoming Vulnerability: Life Course Perspectives", University of Geneva, Geneva, Switzerland.,Department of General Internal Medicine, Rehabilitation and Geriatrics, University of Geneva, Geneva, Switzerland
| | - Boris Cheval
- Swiss NCCR "LIVES - Overcoming Vulnerability: Life Course Perspectives", University of Geneva, Geneva, Switzerland.,Department of General Internal Medicine, Rehabilitation and Geriatrics, University of Geneva, Geneva, Switzerland
| | - Stefan Sieber
- Swiss NCCR "LIVES - Overcoming Vulnerability: Life Course Perspectives", University of Geneva, Geneva, Switzerland
| | - Piet Bracke
- Department of Sociology, Ghent University, Ghent, Belgium
| | - Idris Guessous
- Unit of Population Epidemiology, Department of Community Medicine, Primary Care and Emergency Medicine, Geneva University Hospitals, Geneva, Switzerland.,Department of Epidemiology, Emory University, Atlanta, GA, USA.,Institute of Social and Preventive Medicine, Lausanne University Hospital, Lausanne, Switzerland.,Department of Ambulatory Care and Community Medicine, University of Lausanne, Lausanne, Switzerland
| | - Claudine Burton-Jeangros
- Swiss NCCR "LIVES - Overcoming Vulnerability: Life Course Perspectives", University of Geneva, Geneva, Switzerland
| | - Matthias Kliegel
- Swiss NCCR "LIVES - Overcoming Vulnerability: Life Course Perspectives", University of Geneva, Geneva, Switzerland.,Center for the Interdisciplinary Study of Gerontology and Vulnerability (CIGEV), University of Geneva, 28 Boulevard du Pont d'Arve, 1205, Geneva, Switzerland
| | - Stéphane Cullati
- Swiss NCCR "LIVES - Overcoming Vulnerability: Life Course Perspectives", University of Geneva, Geneva, Switzerland.,Department of General Internal Medicine, Rehabilitation and Geriatrics, University of Geneva, Geneva, Switzerland
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Barreto PDS, Rolland Y, Cesari M, Dupuy C, Andrieu S, Vellas B. Effects of multidomain lifestyle intervention, omega-3 supplementation or their combination on physical activity levels in older adults: secondary analysis of the Multidomain Alzheimer Preventive Trial (MAPT) randomised controlled trial. Age Ageing 2018; 47:281-288. [PMID: 29136094 DOI: 10.1093/ageing/afx164] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2017] [Accepted: 10/03/2017] [Indexed: 11/13/2022] Open
Abstract
Background/objectives to investigate the effects of a 3-year multidomain lifestyle intervention, omega-3 supplementation or both on physical activity (PA) in older adults with subjective memory complaints. Design/settings/subjects the Multidomain Alzheimer Preventive Trial was a 3-year randomised controlled trial that enroled 1,680 community-dwelling adults aged 70 years or over, with subjective memory complaints. Participants were randomised to omega-3 supplementation (total daily dose of 800 mg docosahexanoic acid and up to 225 mg eicosapentanoic acid), multidomain intervention (nutritional and exercise counselling and cognitive training), omega-3 plus multidomain intervention or placebo with usual care. Methods PA was assessed using a self-reported questionnaire. From this, global moderate-to-vigorous PA, leisure-time PA, non-leisure-time PA and light PA were measured in metabolic equivalent tasks-minutes per week (MET-min/week). Results in the multidomain groups, participants significantly increased their moderate-to-vigorous and leisure-time PA at 6 months (≥300 MET-min/week for both in the multidomain groups; P ≤ 0.002) before returning to baseline by the end of the trial. Activity in the placebo/usual care and omega-3/usual care groups declined overtime. Between-group differences remained significant for both multidomain groups for leisure-time physical activity at 2- and 3-year follow-ups. Compared to placebo/usual care, interventions had no significant effects on non-leisure-time PA and light PA. Omega-3 supplementation alone had no effects on PA. Conclusions a multidomain intervention focused on cognitive training, and nutritional and PA counselling increased PA in the short-term and limited its decline in the long-term among older adults with memory complaints. ClinicalTrials.gov-Registration number: NCT0067268.
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Affiliation(s)
- Philipe de Souto Barreto
- Gérontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalo-Universitaire de Toulouse (CHU Toulouse), Toulouse, France
- UMR INSERM 1027, University of Toulouse III, Toulouse, France
| | - Yves Rolland
- Gérontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalo-Universitaire de Toulouse (CHU Toulouse), Toulouse, France
- UMR INSERM 1027, University of Toulouse III, Toulouse, France
| | - Matteo Cesari
- Gérontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalo-Universitaire de Toulouse (CHU Toulouse), Toulouse, France
- UMR INSERM 1027, University of Toulouse III, Toulouse, France
| | - Charlotte Dupuy
- Gérontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalo-Universitaire de Toulouse (CHU Toulouse), Toulouse, France
| | - Sandrine Andrieu
- Gérontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalo-Universitaire de Toulouse (CHU Toulouse), Toulouse, France
- UMR INSERM 1027, University of Toulouse III, Toulouse, France
| | - Bruno Vellas
- Gérontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalo-Universitaire de Toulouse (CHU Toulouse), Toulouse, France
- UMR INSERM 1027, University of Toulouse III, Toulouse, France
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Gargallo P, Colado JC, Juesas A, Hernando-Espinilla A, Estañ-Capell N, Monzó-Beltran L, García-Pérez P, Cauli O, Sáez GT. The Effect of Moderate- Versus High-Intensity Resistance Training on Systemic Redox State and DNA Damage in Healthy Older Women. Biol Res Nurs 2018; 20:205-217. [DOI: 10.1177/1099800417753877] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This study investigated effects of a 16-week progressive resistance training program (RTP) with elastic bands at two different intensities on systemic redox state, DNA damage, and physical function in healthy older women. Methods: Participants were randomly assigned to the high-intensity group (HIGH; n = 39), moderate-intensity group (MOD; n = 31), or control group (CG; n = 23). The exercise groups performed an RTP twice a week with three to four sets of 6 (HIGH) or 15 (MOD) repetitions of six overall body exercises at a perceived exertion rate of 8–9 on the OMNI-Resistance Exercise Scale for use with elastic bands. Thiol redox state was determined by reduced glutathione (GSH), oxidized glutathione (GSSG), and GSSG/GSH in blood mononuclear cells. Degree of DNA damage was assessed by presence of the oxidized DNA base molecule 8-oxo-7,8-dihydro-2′-deoxyguanosine (8-OHdG) in urine. Physical function monitoring was based on the arm curl, chair stand, up and go, and 6-min walk tests. Results: The HIGH group showed a significant increase in 8-OHdG (+71.07%, effect size [ES] = 1.12) and a significant decrease in GSH (−10.91, ES = −0.69), while the MOD group showed a significant decrease in 8-OHdG levels (−25.66%, ES = −0.69) with no changes in thiol redox state. GSH levels differed significantly between the HIGH and CG groups posttest. The exercise groups showed significant improvements in physical function with no differences between groups. Conclusion: RTP at a moderate rather than high intensity may be a better strategy to reduce DNA damage in healthy older women while also increasing independence.
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Affiliation(s)
- Pedro Gargallo
- Research Group in Prevention and Health in Exercise and Sport, University of Valencia, Valencia, Spain
| | - Juan C. Colado
- Research Group in Prevention and Health in Exercise and Sport, University of Valencia, Valencia, Spain
| | - Alavaro Juesas
- Research Group in Prevention and Health in Exercise and Sport, University of Valencia, Valencia, Spain
| | - Amaya Hernando-Espinilla
- Service of Clinical Analysis, University Hospital Dr. Peset–FISABIO, University of Valencia, Valencia, Spain
| | - Nuria Estañ-Capell
- Service of Clinical Analysis, University Hospital Dr. Peset–FISABIO, University of Valencia, Valencia, Spain
| | - Lidia Monzó-Beltran
- Oxidative Pathology Unit, Department of Biochemistry and Molecular Biology, Faculty of Medicine–INCLIVA, University of Valencia, Valencia, Spain
| | - Paula García-Pérez
- Oxidative Pathology Unit, Department of Biochemistry and Molecular Biology, Faculty of Medicine–INCLIVA, University of Valencia, Valencia, Spain
| | - Omar Cauli
- Nursing Department, University of Valencia, Valencia, Spain
| | - Guillermo T. Sáez
- Service of Clinical Analysis, University Hospital Dr. Peset–FISABIO, University of Valencia, Valencia, Spain
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