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Khodadad Kashi S, Mirzazadeh ZS, Saatchian V. A Systematic Review and Meta-Analysis of Resistance Training on Quality of Life, Depression, Muscle Strength, and Functional Exercise Capacity in Older Adults Aged 60 Years or More. Biol Res Nurs 2023; 25:88-106. [PMID: 35968662 DOI: 10.1177/10998004221120945] [Citation(s) in RCA: 14] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
BACKGROUND Aging is generally associated with numerous metabolic and physical changes that augment susceptibility to several chronic conditions, disability, and diminished quality of life. OBJECTIVE The purpose of this meta-analysis was to investigate the efficacy of resistance training on quality of life, depression, muscle strength, and functional exercise capacity in older adults (≥60 years). DATA SOURCES A systematic search was conducted in PubMed, MEDLINE, Cochrane, Google Scholar, and Scopus up to December 20, 2021. RESULTS 21 studies (N = 1610) were included. Resistance training significantly improved physical functioning (standard mean differences (SMD), 0.31; p = 0.02), mental health (SMD, 0.44; p = 0.001), bodily pain (SMD, -0.52; p = 0.004), general health (SMD, 0.43; p = 0.002), social functioning (SMD, 0.25; p = 0.006), and mental component score (SMD, 0.51; p = 0.001) subscales. Moreover, depression (SMD, -1.13; p = 0.01), upper-limb muscle strength (mean difference (MD), 15.26 kg; p = 0.002), lower-limb muscle strength (MD, 48.46 kg; p = 0.02), and handgrip muscle strength (MD, 1.35 kg; p = 0.003) significantly improved following resistance training. No benefits were found for vitality, physical component score, total score of quality of life, and the 6-min walk distance. CONCLUSION Preliminary evidence reveals that resistance training can be effective for improving most domains of quality of life, upper- and lower-limb muscle strength, handgrip strength, and depression in aged people. More proof is hence needed to draw solid conclusions.
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Affiliation(s)
- Sholeh Khodadad Kashi
- Physical Education Department, 108871K.N. Toosi University of Technology, Tehran, Iran
| | - Zahra Sadat Mirzazadeh
- Faculty of Sport Sciences, Department of Sport Management, 48440Ferdowsi University of Mashhad, Mashhad, Iran
| | - Vahid Saatchian
- Department of Physical Education and Sport Sciences, 305467Imam Reza International University, Mashhad, Iran
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Feter N, Leite JS. Physical inactivity and dementia in Brazil: a call to action. Dement Neuropsychol 2022. [DOI: 10.1590/1980-5764-dn-2022-0014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
ABSTRACT. Low- and middle-income countries will house two-thirds of cases of dementia in the world by 2050, while the incidence is decreasing in some high-income countries. In Brazil, one in four cases of dementia can be attributable to physical inactivity. Considering the projected prevalence of dementia by 2050 in Brazil, well-coordinated task forces are needed to improve awareness of non-pharmacological approaches in order to reduce the current and projected burden of dementia in the country. In this study, we discussed the current scenario and perspectives of physical inactivity and dementia in Brazil.
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Alikhajeh Y, Afroundeh R, Mohammad Rahimi GR, Mohammad Rahimi N, Niyazi A, Ghollasimood M. The effects of a 12-week aquatic training intervention on the quality of life of healthy elderly men: a randomized controlled trial. SPORT SCIENCES FOR HEALTH 2022. [DOI: 10.1007/s11332-022-00938-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Maciel de Lima AP, Schneider BC, Bertoldi AD, Tomasi E, Gonzalez MC, Demarco FF, Domingues MR, Bielemann RM. NCD behavioral risk factors and mortality among older adults in Brazil. Clin Nutr ESPEN 2021; 45:462-468. [PMID: 34620356 DOI: 10.1016/j.clnesp.2021.06.032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2021] [Revised: 06/25/2021] [Accepted: 06/26/2021] [Indexed: 02/07/2023]
Abstract
BACKGROUNDS & AIMS Literature shows that the most studied concurrent risk factors for mortality in elderly individuals are smoking, inadequate diet, alcohol consumption and physical inactivity. The combination of such habits can increase from 3 to 11 times the chance of death. To measure the association between concurrence of behavioral risk factors (BRF) for non-communicable diseases (NCD's) and mortality up to three years among the elderly. METHODS Cohort study started in 2014 named "COMO VAI?" with community-dwelling aged ≥60 years in Pelotas, Rio Grande do Sul, Brazil. We investigated the deaths from all causes occurred until April 2017. The exposure was defined by the presence of physical inactivity, low-quality diet, alcohol consumption and smoking that composed a score ranging from 0 (none) to 4 (all). Cox proportional hazard regression models were used to evaluate the association between BRF concurrence and mortality. RESULTS In 2014, 1451 elderly people were interviewed, 145 deaths were identified (10%) by April 2017. Higher risk of death was observed for the combinations of physical inactivity + smoking and low-quality diet + physical inactivity. The simultaneous presence of three or more BRF was associated with a nearly six-fold higher risk of death. CONCLUSIONS Higher mortality during a 3-year period was observed among those with at least three BRF for NCD's.
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Affiliation(s)
| | | | - Andréa Dâmaso Bertoldi
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, RS, Brazil
| | - Elaine Tomasi
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, RS, Brazil
| | - Maria Cristina Gonzalez
- Postgraduate Program in Nutrition and Food, Federal University of Pelotas, Pelotas, RS, Brazil; Postgraduate Program in Health and Behavior, Catholic University of Pelotas, Pelotas, RS, Brazil
| | | | | | - Renata Moraes Bielemann
- Postgraduate Program in Nutrition and Food, Federal University of Pelotas, Pelotas, RS, Brazil; Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, RS, Brazil; Postgraduate Program in Physical Education, Federal University of Pelotas, Pelotas, RS, Brazil
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Useche SA, Esteban C, Alonso F, Montoro L. Are Latin American cycling commuters "at risk"? A comparative study on cycling patterns, behaviors, and crashes with non-commuter cyclists. ACCIDENT; ANALYSIS AND PREVENTION 2021; 150:105915. [PMID: 33276186 DOI: 10.1016/j.aap.2020.105915] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/01/2019] [Revised: 07/21/2020] [Accepted: 11/25/2020] [Indexed: 06/12/2023]
Abstract
INTRODUCTION As part of the transformation of urban transportation dynamics, commuter cycling has acquired a high relevance as an alternative mode of transport in different countries, and Latin America seems to be one of the main focus of this worldwide "revolution". However, the high rates of crashes and injuries suffered by commuters have become a relevant issue in the field of road safety, especially in emerging regions with low cycling tradition, where social and infrastructural gaps may endanger the cyclists' safety. OBJECTIVES This study had two objectives. First, to compare key safe cycling-related variables between cycling commuters and non-commuters; and second, to differentially asses the effect of individual and cycling-related variables on their self-reported crash rates. METHOD For this cross-sectional research, the data provided by 577 Latin American urban cyclists from three countries (Argentina, Colombia and Mexico) with a mean age of 32.7 years was used. They answered a questionnaire on cycling habits, risk perception, rule knowledge, cycling behaviors and riding crashes. RESULTS The outcomes of this study showed that, despite having a higher risk perception, cycling commuters perform deliberate risky cycling behaviors (traffic violations) more frequently, and they suffer more crashes; cycling commuters report higher rates of psychological distress, and a lower degree of rule knowledge and protective behaviors than non-commuters. Furthermore, structural similarities and differences in the explanation of cycling crashes were found across commuters and non-commuters. CONCLUSION The results of this study suggest that non-commuters, whose purposes for cycling are more aimed at leisure and occasional trips, perform less risky behaviors but suffer more cycling distractions, whereas commuters are comparatively more exposed to behavioral-based safety risks, and suffer more frequent crashes. Since recent evidence forecasts that urban cycling will keep growing in Latin American cities, it is necessary to implement policies and educational/training improvements that may enhance the safety and health of cyclists in these countries.
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Affiliation(s)
- Sergio A Useche
- DATS (Development and Advising in Traffic Safety) Research Group, INTRAS (Research Institute on Traffic and Road Safety), University of Valencia, Carrer del Serpis 29, 3rd Floor, DATS. 46022, Valencia, Spain; FACTHUM.Lab (Human Factor and Road Safety) Research Group, INTRAS (Research Institute on Traffic and Road Safety), University of Valencia, Spain.
| | - Cristina Esteban
- DATS (Development and Advising in Traffic Safety) Research Group, INTRAS (Research Institute on Traffic and Road Safety), University of Valencia, Carrer del Serpis 29, 3rd Floor, DATS. 46022, Valencia, Spain.
| | - Francisco Alonso
- DATS (Development and Advising in Traffic Safety) Research Group, INTRAS (Research Institute on Traffic and Road Safety), University of Valencia, Carrer del Serpis 29, 3rd Floor, DATS. 46022, Valencia, Spain.
| | - Luis Montoro
- FACTHUM.Lab (Human Factor and Road Safety) Research Group, INTRAS (Research Institute on Traffic and Road Safety), University of Valencia, Spain.
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Silva DAS, Tremblay MS, Marinho F, Ribeiro ALP, Cousin E, Nascimento BR, Valença Neto PDF, Naghavi M, Malta DC. Physical inactivity as a risk factor for all-cause mortality in Brazil (1990-2017). Popul Health Metr 2020; 18:13. [PMID: 32993642 PMCID: PMC7526089 DOI: 10.1186/s12963-020-00214-3] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Accepted: 07/09/2020] [Indexed: 02/01/2023] Open
Abstract
Background The aim of this study was to estimate the mortality from all causes as a result of physical inactivity in Brazil and in Brazilian states over 28 years (1990–2017). Methods Data from the Global Burden of Disease (GBD) study for Brazil and states were used. The metrics used were the summary exposure value (SEV), the number of deaths, age-standardized mortality rates, and the fraction of population risk attributable to physical inactivity. Results The Brazilian population presented risk of exposure to physical inactivity of (age-standardized SEV) of 59% (95% U.I. 22–97) in 1990 and 59% in 2017 (95% U.I. 25–99). Physical inactivity contributed a significant number of deaths (1990, 22,537, 95% U.I. 12,157–34,745; 2017, 32,410, 95% U.I. 17,976–49,657) in the analyzed period. These values represented mortality rates standardized by age (per 100,000 inhabitants) of 31 (95% U.I. 17–48) in 1990 and 15 (95% U.I. 8–23) in 2017. From 1990 to 2017, a decrease in standardized death rate from all causes attributable to physical inactivity was observed in Brazil (− 52%, 95% U.I. − 54 to − 49). The Brazilian states with better socioeconomic conditions presented greater reductions in age-standardized mortality (male: rho = 0.80; female: rho 0.84) over the period of 28 years. Conclusions These findings support the promotion of physical activity in the Brazilian population for the prevention of early mortality.
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Affiliation(s)
- Diego Augusto Santos Silva
- Physical Education Department, Research Center in Kinanthropometry and Human Performance, Federal University of Santa Catarina, Trindade, Florianopolis, SC, 88040-900, Brazil.
| | | | - Fatima Marinho
- Department of Health Surveillance, Ministry of Health, Brasília, DF, Brazil
| | | | - Ewerton Cousin
- Graduate Program of Epidemiology, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | | | | | - Mohsen Naghavi
- Institute for Health Metrics and Evaluation, Seattle, WA, USA
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de Araújo FF, Lima Torres KC, Viana Peixoto S, Pinho Ribeiro AL, Vaz Melo Mambrini J, Bortolo Rezende V, Lima Silva ML, Loyola Filho AI, Teixeira-Carvalho A, Lima-Costa MF, Martins-Filho OA. CXCL9 and CXCL10 display an age-dependent profile in Chagas patients: a cohort study of aging in Bambui, Brazil. Infect Dis Poverty 2020; 9:51. [PMID: 32393333 PMCID: PMC7216412 DOI: 10.1186/s40249-020-00663-w] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2020] [Accepted: 04/17/2020] [Indexed: 12/18/2022] Open
Abstract
Background Chagas disease is endemic in Latin America and still represents an important public health problem in the region. Chronic cardiomyopathy is the most significant chronic form due to its association with morbidity and mortality. The last decade has seen increasing evidence that inflammatory cytokines and chemokines are responsible for the generation of inflammatory infiltrate and tissue damage, with chronic chagasic cardiomyopathy patients presenting a pro-inflammatory immune response. Although studies have evaluated the role of chemokines in experimental T. cruzi infection, few have addressed their systemic profile, especially for human infection and in aging populations. The present work aimed to use the data from a large population based study of older adults, conducted in an endemic area for Chagas disease, to examine the association between serum levels of cytokines and chemokines, T. cruzi infection and electrocardiogram (ECG) abnormality. Methods The present work evaluated serum levels of CCL2, CXCL9, CXCL10, CCL5, CXCL8, IL-1β, IL-6, TNF, IL-12 and IL-10 by Flow Cytometric Bead Array assay (CBA) and the results expressed in pg/ml. The baseline survey started in January 1st 1997, with 1284 participants of an aged population-based cohort. Participants signed an informed consent at baseline and at each subsequent visit and authorized death certificate and medical records verification. Results Our results demonstrated that Chagas disease patients had higher serum levels of CXCL9, CXCL10 and IL-1β and lower serum levels of CCL5 than non-infected subjects. Moreover, our data demonstrated that CXCL9 and CXCL10 increased in an age-dependent profile in Chagas disease patients. Conclusion Together, this study provided evidences that serum biomarkers increase along the age continuum and may have potential implications for establishing clinical management protocols and therapeutic intervention in Chagas disease patients.
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Affiliation(s)
- Fernanda Fortes de Araújo
- Integrated Research Group in Biomarkers, Rene Rachou Institute, Oswaldo Cruz Foundation, Avenida Augusto de Lima, 1715 - Barro Preto -, Belo Horizonte, Minas Gerais, 30190-002, Brazil
| | - Karen Cecília Lima Torres
- Integrated Research Group in Biomarkers, Rene Rachou Institute, Oswaldo Cruz Foundation, Avenida Augusto de Lima, 1715 - Barro Preto -, Belo Horizonte, Minas Gerais, 30190-002, Brazil.,José do Rosário Vellano University, UNIFENAS/BH, Belo Horizonte, Brazil
| | - Sérgio Viana Peixoto
- Center for Studies in Public Health and Aging, Rene Rachou Institute, Oswaldo Cruz Foundation, Belo Horizonte, Brazil
| | | | - Juliana Vaz Melo Mambrini
- Center for Studies in Public Health and Aging, Rene Rachou Institute, Oswaldo Cruz Foundation, Belo Horizonte, Brazil
| | - Vitor Bortolo Rezende
- Integrated Research Group in Biomarkers, Rene Rachou Institute, Oswaldo Cruz Foundation, Avenida Augusto de Lima, 1715 - Barro Preto -, Belo Horizonte, Minas Gerais, 30190-002, Brazil
| | - Maria Luiza Lima Silva
- Center for Studies in Public Health and Aging, Rene Rachou Institute, Oswaldo Cruz Foundation, Belo Horizonte, Brazil
| | - Antônio Ignácio Loyola Filho
- Center for Studies in Public Health and Aging, Rene Rachou Institute, Oswaldo Cruz Foundation, Belo Horizonte, Brazil
| | - Andréa Teixeira-Carvalho
- Integrated Research Group in Biomarkers, Rene Rachou Institute, Oswaldo Cruz Foundation, Avenida Augusto de Lima, 1715 - Barro Preto -, Belo Horizonte, Minas Gerais, 30190-002, Brazil
| | - Maria Fernanda Lima-Costa
- Center for Studies in Public Health and Aging, Rene Rachou Institute, Oswaldo Cruz Foundation, Belo Horizonte, Brazil
| | - Olindo Assis Martins-Filho
- Integrated Research Group in Biomarkers, Rene Rachou Institute, Oswaldo Cruz Foundation, Avenida Augusto de Lima, 1715 - Barro Preto -, Belo Horizonte, Minas Gerais, 30190-002, Brazil.
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Kessler M, Thumé E, Scholes S, Marmot M, Facchini LA, Nunes BP, Machado KP, Soares MU, de Oliveira C. Modifiable risk factors for 9-year mortality in older English and Brazilian adults: The ELSA and SIGa-Bagé ageing cohorts. Sci Rep 2020; 10:4375. [PMID: 32152345 PMCID: PMC7062886 DOI: 10.1038/s41598-020-61127-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2019] [Accepted: 02/14/2020] [Indexed: 12/19/2022] Open
Abstract
To quantify and compare 9-year all-cause mortality risk attributable to modifiable risk factors among older English and Brazilian adults. We used data for participants aged 60 years and older from the English Longitudinal Study of Ageing (ELSA) and the Bagé Cohort Study of Ageing (SIGa-Bagé). The five modifiable risk factors assessed at baseline were smoking, hypertension, diabetes, obesity and physical inactivity. Deaths were identified through linkage to mortality registers. For each risk factor, estimated all-cause mortality hazard ratios (HR) and population attributable fractions (PAF) were adjusted by age, sex, all other risk factors and socioeconomic position (wealth) using Cox proportional hazards modelling. We also quantified the risk factor adjusted wealth gradients in mortality, by age and sex. Among the participants, 659 (ELSA) and 638 (SIGa-Bagé) died during the 9-year follow-up. Mortality rates were higher in SIGa-Bagé. HRs and PAFs showed more similarities than differences, with physical inactivity (PAF 16.5% ELSA; 16.7% SIGa-Bagé) and current smoking (PAF 4.9% for both cohorts) having the strongest association. A clear graded relationship existed between the number of risk factors and subsequent mortality. Wealth gradients in mortality were apparent in both cohorts after full adjustment, especially among men aged 60-74 in ELSA. A different pattern was found among older women, especially in SIGa-Bagé. These findings call attention for the challenge to health systems to prevent and modify the major risk factors related to non-communicable diseases, especially physical inactivity and smoking. Furthermore, wealth inequalities in mortality persist among older adults.
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Affiliation(s)
- Marciane Kessler
- Department of Postgraduate Program in Nursing, Federal University of Pelotas (UFPel), Pelotas, Rio Grande do Sul, Brazil.
- Department of Epidemiology & Public Health, University College London (UCL), London, United Kingdom.
| | - Elaine Thumé
- Department of Postgraduate Program in Nursing, Federal University of Pelotas (UFPel), Pelotas, Rio Grande do Sul, Brazil
| | - Shaun Scholes
- Department of Epidemiology & Public Health, University College London (UCL), London, United Kingdom
| | - Michael Marmot
- Department of Epidemiology & Public Health, University College London (UCL), London, United Kingdom
| | - Luiz Augusto Facchini
- Department of Postgraduate Program in Nursing, Federal University of Pelotas (UFPel), Pelotas, Rio Grande do Sul, Brazil
- Department of Postgraduate Program in Epidemiology, Federal University of Pelotas (UFPel), Pelotas, Rio Grande do Sul, Brazil
| | - Bruno Pereira Nunes
- Department of Postgraduate Program in Nursing, Federal University of Pelotas (UFPel), Pelotas, Rio Grande do Sul, Brazil
| | - Karla Pereira Machado
- Department of Postgraduate Program in Nursing, Federal University of Pelotas (UFPel), Pelotas, Rio Grande do Sul, Brazil
| | - Mariangela Uhlmann Soares
- Department of Postgraduate Program in Nursing, Federal University of Pelotas (UFPel), Pelotas, Rio Grande do Sul, Brazil
| | - Cesar de Oliveira
- Department of Epidemiology & Public Health, University College London (UCL), London, United Kingdom
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Bielemann RM, LaCroix AZ, Bertoldi AD, Tomasi E, Demarco FF, Gonzalez MC, Crespo da Silva PA, Wendt A, Mohnsam da Silva IC, Brage S, Ekelund U, Pratt M. Objectively Measured Physical Activity Reduces the Risk of Mortality among Brazilian Older Adults. J Am Geriatr Soc 2020; 68:137-146. [PMID: 31592540 DOI: 10.1111/jgs.16180] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2019] [Revised: 08/14/2019] [Accepted: 08/17/2019] [Indexed: 12/21/2022]
Abstract
OBJECTIVES Use of objectively measured physical activity (PA) in older adults to assess relationship between PA and risk of all-causes mortality is scarce. This study evaluated the associations of PA based on accelerometry and a questionnaire with the risk of mortality among older adults from a city in Southern Brazil. DESIGN A cohort study. SETTING Urban area of Pelotas, Southern Brazil. PARTICIPANTS A representative sample of older adults (≥60 y) from Pelotas, enrolled in 2014. MEASUREMENTS Overall physical activity (mg), light physical activity (LPA), and moderate to vigorous physical activity (MVPA) were estimated by raw accelerometer data. The International Physical Activity Questionnaire estimated leisure time and commuting PA. Hazard ratios (excluding deaths in the first 6 mo) stratified by sex were estimated by Cox regression analysis considering adjustment for confounders. RESULTS From the 1451 older adults interviewed in 2014, 145 died (10%) after a follow-up of an average 2.6 years. Men and women in the highest tertile of overall PA had on average a 77% and 92% lower risk of mortality than their less active counterparts (95% confidence interval [CI] = .06-.84 and 95% CI = .01-.65, respectively). The highest tertile of LPA was also related to a lower risk of mortality in individuals of both sexes (74% and 91% lower risk among men and women, respectively). MVPA statistically reduced the risk of mortality only among women (hazard ratio [HR] = .30 and HR = .07 in the second and third tertiles). Self-reported leisure-time PA was statistically associated with a lower risk of mortality only among men. Women in the highest tertiles of commuting PA showed a lower risk of mortality than those in the reference group. CONCLUSION Accelerometry-based PA was associated with a lower risk of mortality among Brazilian older adults. Older individuals should practice any type of PA. J Am Geriatr Soc 68:137-146, 2019.
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Affiliation(s)
- Renata M Bielemann
- Post-Graduate Program in Nutrition and Foods, Federal University of Pelotas, Pelotas, Brazil
- Post-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | - Andrea Z LaCroix
- Department of Family Medicine and Public Health, University of California San Diego, San Diego, California
| | - Andréa D Bertoldi
- Post-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | - Elaine Tomasi
- Post-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | - Flávio F Demarco
- Post-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
- Post-Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - Maria Cristina Gonzalez
- Post-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
- Post-Graduate Program in Health and Behavior, Catholic University of Pelotas, Pelotas, Brazil
| | | | - Andrea Wendt
- Post-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | - Inácio Crochemore Mohnsam da Silva
- Post-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
- Post-Graduate Program in Physical Education, Federal University of Pelotas, Pelotas, Brazil
| | - Soren Brage
- MRC Epidemiology Unit, University of Cambridge, Cambridge, UK
| | - Ulf Ekelund
- Department of Sport Medicine, Norwegian School of Sport Sciences, Oslo, Norway
- Department of Chronic Diseases and Ageing, Norwegian Institute of Public Health, Oslo, Norway
| | - Michael Pratt
- Department of Family Medicine and Public Health, University of California San Diego, San Diego, California
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Pucci GCMF, Neves EB, Santana FSD, Neves DDA, Saavedra FJF. Efeito do Treinamento Resistido e do Pilates na Qualidade de vida de Idosas: um ensaio clínico randomizado. REVISTA BRASILEIRA DE GERIATRIA E GERONTOLOGIA 2020. [DOI: 10.1590/1981-22562020023.200283] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Resumo Objetivo comparar os efeitos do treinamento resistido (TR) e Pilates na qualidade de vida (QV) de idosas. Foi realizado um estudo de delineamento experimental com intervenção de 12 semanas. Métodos Foram avaliadas mulheres idosas (≥60 anos) que não praticavam nenhum tipo de exercício físico regularmente há pelo menos 3 meses. Participaram do estudo 41 idosas que foram aleatoriamente divididas em três grupos:1- grupo Pilates (GP), 2- grupo treinamento resistido (GTR) e 3- grupo controle (GC). Para avaliar a QV, foram utilizados os questionários WHOQOL-OLD, WHOQOL-BREF e SF-36. Foi utilizado o teste de Wilcoxon-Mann-Whitney para analisar a evolução das variáveis intragrupo e o teste de Kruskal-Wallis com post hoc de Dunn para as análises intergrupos. Para a comparação das variáveis de caracterização da amostra entre os grupos foi utilizado o teste qui-quadrado. Resultados Observou-se melhora do domínio Participação Social para o GP (p=0,016). No GTR, foi encontrada diferença significativa para o domínio Saúde Mental (p=0,019). No GC, observou-se melhora do domínio Participação Social (p=0,044) e Escore Total do WHOQOL-OLD (p=0,044). Nas comparações intergrupos, observou-se diferença do Escore Total do WHOQOL-BREF do GP e GTR, com o GP apresentando uma melhor QV no início do estudo (p=0,039). A Vitalidade (p=0,010) e Saúde Mental (p=0,024) do GTR melhorou em relação ao GP. Conclusão Os grupos analisados melhoraram sua QV após o período de intervenção.
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Affiliation(s)
| | | | | | | | - Francisco José Felix Saavedra
- Universidade de Trás-os-Montes e Alto Douro (UTAD), Portugal; Universidade de Trás-os-Montes e Alto Douro (UTAD), Portugal
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11
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Olaya B, Moneta MV, Doménech-Abella J, Miret M, Bayes I, Ayuso-Mateos JL, Haro JM. Mobility Difficulties, Physical Activity, and All-cause Mortality Risk in a Nationally representative Sample of Older Adults. J Gerontol A Biol Sci Med Sci 2019. [PMID: 28633439 DOI: 10.1093/gerona/glx121] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Background This study sought to determine the association between levels of physical activity and mobility difficulties and time to death while accounting for the effect of several confounders. We also examined the possible interaction between them and how various daily-life mobility difficulties could predict all-cause mortality. Methods A nationally representative sample of 2,074 noninstitutionalized adults aged 60 years and older was analyzed. Vital status over a 3-year follow-up period was ascertained through national registers or by asking participants' relatives. Kaplan-Meier survival curves were stratified by levels of physical activity and mobility difficulties. Unadjusted and adjusted Cox proportional hazards regression models (by age, gender, marital status, years of education, multimorbidity, tobacco and alcohol consumption, depression, and memory function) were calculated, and interactions between the predictors and the covariates were explored. Results There was a dose-gradient effect of physical activity on time to death, with high levels associated with a 51% lower risk of dying, compared with moderate physical activity. Each unit increase in mobility functioning was associated with a 2% drop in mortality. Difficulties in standing for long periods, getting where one wants to go or extending arms to reach objects, were also found to be strong predictors of all-cause mortality. Conclusions Our results confirm the importance of older adults practicing moderate-to-vigorous physical activity. The assessment of self-reported difficulties in daily-life mobility activities, such as standing for long periods or not being able to move around, could be used in health settings as a screening for mortality risk.
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Affiliation(s)
- Beatriz Olaya
- Research, Innovation and Teaching Unit, Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain.,Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Sant Boi de Llobregat, Spain.,Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain
| | - Maria Victoria Moneta
- Research, Innovation and Teaching Unit, Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain.,Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Sant Boi de Llobregat, Spain.,Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain
| | - Joan Doménech-Abella
- Research, Innovation and Teaching Unit, Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain.,Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Sant Boi de Llobregat, Spain
| | - Marta Miret
- Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain.,Department of Psychiatry, Universidad Autónoma de Madrid, Spain.,Department of Psychiatry, Instituto de Investigación Sanitaria Princesa (IP), Hospital Universitario de La Princesa, Madrid, Spain
| | - Ivet Bayes
- Research, Innovation and Teaching Unit, Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain.,Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Sant Boi de Llobregat, Spain
| | - José Luis Ayuso-Mateos
- Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain.,Department of Psychiatry, Universidad Autónoma de Madrid, Spain.,Department of Psychiatry, Instituto de Investigación Sanitaria Princesa (IP), Hospital Universitario de La Princesa, Madrid, Spain
| | - Josep Maria Haro
- Research, Innovation and Teaching Unit, Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain.,Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Sant Boi de Llobregat, Spain.,Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain
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12
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Blond K, Brinkløv CF, Ried-Larsen M, Crippa A, Grøntved A. Association of high amounts of physical activity with mortality risk: a systematic review and meta-analysis. Br J Sports Med 2019; 54:1195-1201. [PMID: 31406017 DOI: 10.1136/bjsports-2018-100393] [Citation(s) in RCA: 76] [Impact Index Per Article: 15.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/21/2019] [Indexed: 12/26/2022]
Abstract
OBJECTIVES To systematically review and analyse studies of high amounts of physical activity and mortality risk in the general population. ELIGIBILITY CRITERIA Inclusion criteria related to follow-up (minimum 2 years), outcome (mortality from all causes, cancer, cardiovascular disease (CVD) or coronary heart disease), exposure (eg, a category of >1000 metabolic equivalent of task (MET) min/week), study design (prospective cohort, nested case control or case-cohort) and reports of cases and person years of exposure categories. INFORMATION SOURCES Systematic searches were conducted in Embase and Pubmed from database inception to 2 March 2019. RISK OF BIAS The quality of the studies was assessed with the Newcastle-Ottawa scale. INCLUDED STUDIES From 31 368 studies identified, 48 were included. Two authors independently extracted outcome estimates and assessed study quality. SYNTHESIS OF RESULTS We estimated hazard ratios (HRs) using random effect restricted cubic spline dose-response meta-analyses. Compared with the recommended level of physical activity (750 MET min/week), mortality risk was lower at physical activity levels exceeding the recommendations, at least until 5000 MET min/week for all cause mortality (HR=0.86, 95% CI 0.78 to 0.94) and for CVD mortality (HR=0.73, 95% CI 0.56 to 0.95). STRENGTHS AND LIMITATIONS OF EVIDENCE The strengths of this study include the detailed dose-response analyses, inclusion of 48 studies and examination of sources of heterogeneity. The limitations include the observational nature of the included studies and the inaccurate estimations of amount of physical activity. INTERPRETATION Compared with the recommended level, mortality risk was lower at physical activity levels well above the recommended target range. Further, there was no threshold beyond which lifespan was compromised. REGISTRATION PROSPERO CRD42017055727.
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Affiliation(s)
- Kim Blond
- The Centre of Inflammation and Metabolism and the Centre for Physical Activity Research, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark .,Center for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.,Research Unit for Exercise Epidemiology, Centre of Research in Childhood Health, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
| | - Cecilie Fau Brinkløv
- The Centre of Inflammation and Metabolism and the Centre for Physical Activity Research, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
| | - Mathias Ried-Larsen
- The Centre of Inflammation and Metabolism and the Centre for Physical Activity Research, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
| | - Alessio Crippa
- Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
| | - Anders Grøntved
- Research Unit for Exercise Epidemiology, Centre of Research in Childhood Health, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
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13
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Lima-Costa MF, Gouveia MH, Cesar CC, Tarazona-Santos E, Stewart R, Ferri CP, Castro-Costa E. Genomic African and Native American Ancestry and 15-Year Cognitive Trajectory: Bambui Study, Brazil. J Am Geriatr Soc 2018; 66:1956-1962. [PMID: 30221750 DOI: 10.1111/jgs.15504] [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] [Received: 02/01/2018] [Revised: 05/30/2018] [Accepted: 05/31/2018] [Indexed: 12/01/2022]
Abstract
OBJECTIVES To investigate the association between African and Native American genomic ancestry and long-term cognitive trajectories in admixed Brazilians. DESIGN Population-based longitudinal study. SETTING Bambui-Epigen (Brazil) cohort study. PARTICIPANTS Adults aged 60 and older (N=1,215) MEASUREMENTS: Participants were followed from January 1997 to December 2011. Cognitive function was assessed annually using the Mini-Mental State Examination (MMSE), totaling 12,208 measurements. We used linear mixed-effects pattern models to assess MMSE score trajectories. Ancestry was assessed using a genome-wide approach. RESULTS After adjustments for covariates, the highest quintile of African ancestry was associated with poorer baseline cognitive performance (β=-0.73, 95% confidence interval (CI)=-1.36 to -0.11) but not with cognitive trajectory. Educational level modified the baseline association between highest African ancestry and cognitive performance in that the association was observed only in those with very low (<4 years) education (β=-1.13, 95% CI=-2.02 to -0.23). No association was found between Native American ancestry and baseline cognitive function or its trajectory. CONCLUSION Genomic African and Native American ancestry levels had no prognostic value for age-related cognitive decline in this admixed population.
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Affiliation(s)
| | - Mateus H Gouveia
- Instituto de Pesquisas René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil.,Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Cibele C Cesar
- Instituto de Pesquisas René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil.,Faculdade de Ciências Econômicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Eduardo Tarazona-Santos
- Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Rob Stewart
- Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom
| | - Cleusa P Ferri
- Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Erico Castro-Costa
- Instituto de Pesquisas René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil
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14
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Cho J, Lee I, Park S, Jin Y, Kim D, Kim S, Kang H. Physical activity and all-cause mortality in Korean older adults. Ann Hum Biol 2018; 45:337-345. [DOI: 10.1080/03014460.2018.1478448] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Jinkyung Cho
- Sungkyunkwan University - Suwon Campus, Suwon, Republic of Korea
| | - Inhwan Lee
- College of Sport Science, Sungkyunkwan University - Suwon Campus, Suwon, Republic of Korea
| | - Soohyun Park
- Department of Sports Science, Korean Institute of Sports Science, Seoul, Republic of Korea
| | - Youngyun Jin
- College of Sport Science, Sungkyunkwan University - Suwon Campus, Suwon, Republic of Korea
| | - Donghyun Kim
- College of Sport Science, Sungkyunkwan University - Suwon Campus, Suwon, Republic of Korea
| | - Shinuk Kim
- Department of Civil Engineering, Sangmyung University - Cheonan Campus, Cheonan, Republic of Korea
| | - Hyunsik Kang
- College of Sport Science, Sungkyunkwan University - Suwon Campus, Suwon, Republic of Korea
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15
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Reliability and Validity of Sedentary Behavior Questionnaire in Turkish Population: Evaluation of Psychometric Properties. ACTA ACUST UNITED AC 2018. [DOI: 10.5812/mejrh.63576] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Puciato D, Borysiuk Z, Rozpara M. Quality of life and physical activity in an older working-age population. Clin Interv Aging 2017; 12:1627-1634. [PMID: 29042763 PMCID: PMC5634394 DOI: 10.2147/cia.s144045] [Citation(s) in RCA: 76] [Impact Index Per Article: 10.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Objective Physical activity can be an effective means of prevention and therapy of many psychosomatic disorders. It can also have a significant impact on the quality of life of older working-age people. The aim of the present study was to assess the relationships between quality of life and physical activity in older working-age people from Wrocław, Poland. Materials and methods The study group comprised 1,013 people, including 565 women and 448 men, aged 55–64 years (59.1±2.9 years). The study took form of a questionnaire survey. The participants assessed their physical activity and quality of life using the International Physical Activity Questionnaire Short Version (IPAQ-SF) and the World Health Organization Quality of Life (WHOQOL-BREF), respectively. Results The highest mean indices of general quality of life, perceived health status, and quality of life in the physical, psychological, social, and environmental domains were shown by respondents whose intensity of physical activity was the highest. Moreover, the odds of high assessment of overall quality of life increased with respondents’ higher levels of physical activity. Conclusion Quality of life improvement programs should also involve increased physical activity components.
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Affiliation(s)
- Daniel Puciato
- Faculty of Physical Education and Physiotherapy, Opole University of Technology, Opole
| | - Zbigniew Borysiuk
- Faculty of Physical Education and Physiotherapy, Opole University of Technology, Opole
| | - Michał Rozpara
- Faculty of Physical Education, The Jerzy Kukuczka Academy of Physical Education in Katowice, Katowice, Poland
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Benfato ID, Moretto TL, Barthichoto M, Carvalho FPD, Oliveira CAMD. Translational Science: How experimental research has contributed to the understanding of spontaneous Physical Activity and Energy Homeostasis. MOTRIZ: REVISTA DE EDUCACAO FISICA 2017. [DOI: 10.1590/s1980-6574201700si0003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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18
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Llamas-Velasco S, Villarejo-Galende A, Contador I, Lora Pablos D, Hernández-Gallego J, Bermejo-Pareja F. Physical activity and long-term mortality risk in older adults: A prospective population based study (NEDICES). Prev Med Rep 2016; 4:546-550. [PMID: 27785416 PMCID: PMC5079353 DOI: 10.1016/j.pmedr.2016.10.002] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2016] [Revised: 08/26/2016] [Accepted: 10/04/2016] [Indexed: 11/25/2022] Open
Abstract
To analyze whether Physical activity (PA) reduces mortality risk at thirteen years' follow-up in a population-based cohort of Spanish older adults. The NEDICES (Neurological Disorders in Central Spain) is a prospective population-based survey of older adults (age ≥ 65 years) that comprised 5278 participants at baseline. A modified version of the Rosow-Breslau questionnaire was applied to categorize the PA (sedentary, light, moderate and high) and dates of death were collected from the Official Spanish Death Registry. Cox regression models adjusted for different covariates (age, sex, marital status, smoking, previous stroke, Parkinson disease, incident dementia, body mass index, comorbidity indexes and functional assessment) were used to evaluate the hazard of death at thirteen years' interval according to different levels of PA. 1710 deaths (52.9% men vs. 47.1% women) were identified among 3633 individuals at thirteen years' follow-up. Hazard ratios (HRs) of the light, moderate, and high PA groups (vs. sedentary group) were 0.64 (95% confidence interval (CI) [0.56, 0.72], p < 0.001), 0.61 (95% CI [0.53, 0.70], p < 0.001) and 0.48 (95% CI [0.41, 0.55], p < 0.001), respectively. Significant dose effects were observed between light versus the sedentary group and intense versus the moderate group. PA prevents long-term mortality in older Spanish adults, with the highest intensity levels being those related to the lowest risk of mortality. These findings indicate that health policies for old age care should include PA as one of the main targets.
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Affiliation(s)
- Sara Llamas-Velasco
- Department of Neurology, University Hospital "12 de Octubre", Madrid, Spain; Unit of Clinical Research, Research Institute of the "Hospital 12 de Octubre" (I + 12), Madrid, Spain; The Biomedical Research Centre Network for Neurodegenerative disease (CIBERNED), Carlos III Research Institute, Madrid, Spain
| | - Alberto Villarejo-Galende
- Department of Neurology, University Hospital "12 de Octubre", Madrid, Spain; Unit of Clinical Research, Research Institute of the "Hospital 12 de Octubre" (I + 12), Madrid, Spain; The Biomedical Research Centre Network for Neurodegenerative disease (CIBERNED), Carlos III Research Institute, Madrid, Spain
| | - Israel Contador
- Department of Basic Psychology, Psychobiology and Methodology of Behavioral Science, University of Salamanca, Salamanca, Spain
| | - David Lora Pablos
- Unit of Clinical Research, Research Institute of the "Hospital 12 de Octubre" (I + 12), Madrid, Spain
| | - Jesús Hernández-Gallego
- Department of Neurology, University Hospital "12 de Octubre", Madrid, Spain; Unit of Clinical Research, Research Institute of the "Hospital 12 de Octubre" (I + 12), Madrid, Spain; The Biomedical Research Centre Network for Neurodegenerative disease (CIBERNED), Carlos III Research Institute, Madrid, Spain
| | - Félix Bermejo-Pareja
- Unit of Clinical Research, Research Institute of the "Hospital 12 de Octubre" (I + 12), Madrid, Spain; The Biomedical Research Centre Network for Epidemiology and Public Health (CIBERESP), Carlos III Research Institute, Madrid, Spain; Extraordinaire Chair of Alzheimer and Neurodegenerative Diseases, Department of Medicine, Complutense University, Madrid, Spain
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Lima-Costa MF, Mambrini JVDM, Leite MLC, Peixoto SV, Firmo JOA, Loyola Filho AID, Gouveia MH, Leal TP, Pereira AC, Macinko J, Tarazona-Santos E. Socioeconomic Position, But Not African Genomic Ancestry, Is Associated With Blood Pressure in the Bambui-Epigen (Brazil) Cohort Study of Aging. Hypertension 2015; 67:349-55. [PMID: 26711733 DOI: 10.1161/hypertensionaha.115.06609] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2015] [Accepted: 12/04/2015] [Indexed: 01/03/2023]
Abstract
The study objective is to examine the role of African genome origin on baseline and 11-year blood pressure trajectories in community-based ethnoracially admixed older adults in Brazil. Data come from 1272 participants (aged ≥60 years) of the Bambui cohort study of aging during 11 years of follow-up. Outcome measures were systolic blood pressure, diastolic blood pressure, and hypertension control. Potential confounding variables were demographic characteristics, socioeconomic position (schooling and household income), and health indicators (smoking, sedentary lifestyle, high-density lipoprotein cholesterol, waist circumference, diabetes mellitus, and cardiovascular diseases), including antihypertensive drug use. We used 370 539 single-nucleotide polymorphisms to estimate each individual's African, European, and Native American trihybrid ancestry proportions. Median African, European, and Native American ancestry were 9.6%, 84.0%, and 5.3%, respectively. Among those with African ancestry, 59.4% came from East and 40.6% from West Africa. Baseline systolic and diastolic blood pressure, controlled hypertension, and their respective trajectories, were not significantly (P>0.05) associated with level (in quintiles) of African genomic ancestry. Similar results were found for West and East African subcontinental origins. Lower schooling level (<4 years versus higher) showed a significant and positive association with systolic blood pressure (Adjusted β=2.92; 95% confidence interval, 0.85-4.99). Lower monthly household income per capita (<USD 180.00 versus higher) showed an inverse association with hypertension control (β=-0.35; 95% confidence interval, -0.63 to -0.08, respectively). Our results support the view that favors social and environmental factors as determinants of blood pressure and hypertension control.
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Affiliation(s)
- M Fernanda Lima-Costa
- From the Departamento de Epidemiologia. Instituto de Pesquisas Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil (M.F.L.-C., J.V.M.M., S.V.P., J.O.A.F., A.I.L.F.); Department of Epidemiology and Medical Informatics, Institute of Biomedical Technologies, National Research Council, Milan, Italy (M.L.C.L.); Departamento de Enfermagem Aplicada - Escola de Enfermagem (S.V.P., A.I.L.F.) and Departamento de Biologia Geral - Instituto de Ciências Biológicas (M.H.G., T.P.L., E.T.-S.), Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; Laboratório de Genética e Cardiologia Molecular, Instituto do Coração, Universidade de São Paulo, São Paulo, Brazil (A.C.P.); and Department of Health Policy and Management and Community Health Sciences, Fielding School of Public Health, University of California Los Angeles (J.M.).
| | - Juliana Vaz de Mello Mambrini
- From the Departamento de Epidemiologia. Instituto de Pesquisas Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil (M.F.L.-C., J.V.M.M., S.V.P., J.O.A.F., A.I.L.F.); Department of Epidemiology and Medical Informatics, Institute of Biomedical Technologies, National Research Council, Milan, Italy (M.L.C.L.); Departamento de Enfermagem Aplicada - Escola de Enfermagem (S.V.P., A.I.L.F.) and Departamento de Biologia Geral - Instituto de Ciências Biológicas (M.H.G., T.P.L., E.T.-S.), Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; Laboratório de Genética e Cardiologia Molecular, Instituto do Coração, Universidade de São Paulo, São Paulo, Brazil (A.C.P.); and Department of Health Policy and Management and Community Health Sciences, Fielding School of Public Health, University of California Los Angeles (J.M.)
| | - Maria Lea Corrêa Leite
- From the Departamento de Epidemiologia. Instituto de Pesquisas Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil (M.F.L.-C., J.V.M.M., S.V.P., J.O.A.F., A.I.L.F.); Department of Epidemiology and Medical Informatics, Institute of Biomedical Technologies, National Research Council, Milan, Italy (M.L.C.L.); Departamento de Enfermagem Aplicada - Escola de Enfermagem (S.V.P., A.I.L.F.) and Departamento de Biologia Geral - Instituto de Ciências Biológicas (M.H.G., T.P.L., E.T.-S.), Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; Laboratório de Genética e Cardiologia Molecular, Instituto do Coração, Universidade de São Paulo, São Paulo, Brazil (A.C.P.); and Department of Health Policy and Management and Community Health Sciences, Fielding School of Public Health, University of California Los Angeles (J.M.)
| | - Sérgio Viana Peixoto
- From the Departamento de Epidemiologia. Instituto de Pesquisas Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil (M.F.L.-C., J.V.M.M., S.V.P., J.O.A.F., A.I.L.F.); Department of Epidemiology and Medical Informatics, Institute of Biomedical Technologies, National Research Council, Milan, Italy (M.L.C.L.); Departamento de Enfermagem Aplicada - Escola de Enfermagem (S.V.P., A.I.L.F.) and Departamento de Biologia Geral - Instituto de Ciências Biológicas (M.H.G., T.P.L., E.T.-S.), Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; Laboratório de Genética e Cardiologia Molecular, Instituto do Coração, Universidade de São Paulo, São Paulo, Brazil (A.C.P.); and Department of Health Policy and Management and Community Health Sciences, Fielding School of Public Health, University of California Los Angeles (J.M.)
| | - Josélia Oliveira Araújo Firmo
- From the Departamento de Epidemiologia. Instituto de Pesquisas Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil (M.F.L.-C., J.V.M.M., S.V.P., J.O.A.F., A.I.L.F.); Department of Epidemiology and Medical Informatics, Institute of Biomedical Technologies, National Research Council, Milan, Italy (M.L.C.L.); Departamento de Enfermagem Aplicada - Escola de Enfermagem (S.V.P., A.I.L.F.) and Departamento de Biologia Geral - Instituto de Ciências Biológicas (M.H.G., T.P.L., E.T.-S.), Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; Laboratório de Genética e Cardiologia Molecular, Instituto do Coração, Universidade de São Paulo, São Paulo, Brazil (A.C.P.); and Department of Health Policy and Management and Community Health Sciences, Fielding School of Public Health, University of California Los Angeles (J.M.)
| | - Antônio Ignácio de Loyola Filho
- From the Departamento de Epidemiologia. Instituto de Pesquisas Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil (M.F.L.-C., J.V.M.M., S.V.P., J.O.A.F., A.I.L.F.); Department of Epidemiology and Medical Informatics, Institute of Biomedical Technologies, National Research Council, Milan, Italy (M.L.C.L.); Departamento de Enfermagem Aplicada - Escola de Enfermagem (S.V.P., A.I.L.F.) and Departamento de Biologia Geral - Instituto de Ciências Biológicas (M.H.G., T.P.L., E.T.-S.), Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; Laboratório de Genética e Cardiologia Molecular, Instituto do Coração, Universidade de São Paulo, São Paulo, Brazil (A.C.P.); and Department of Health Policy and Management and Community Health Sciences, Fielding School of Public Health, University of California Los Angeles (J.M.)
| | - Mateus H Gouveia
- From the Departamento de Epidemiologia. Instituto de Pesquisas Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil (M.F.L.-C., J.V.M.M., S.V.P., J.O.A.F., A.I.L.F.); Department of Epidemiology and Medical Informatics, Institute of Biomedical Technologies, National Research Council, Milan, Italy (M.L.C.L.); Departamento de Enfermagem Aplicada - Escola de Enfermagem (S.V.P., A.I.L.F.) and Departamento de Biologia Geral - Instituto de Ciências Biológicas (M.H.G., T.P.L., E.T.-S.), Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; Laboratório de Genética e Cardiologia Molecular, Instituto do Coração, Universidade de São Paulo, São Paulo, Brazil (A.C.P.); and Department of Health Policy and Management and Community Health Sciences, Fielding School of Public Health, University of California Los Angeles (J.M.)
| | - Thiago P Leal
- From the Departamento de Epidemiologia. Instituto de Pesquisas Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil (M.F.L.-C., J.V.M.M., S.V.P., J.O.A.F., A.I.L.F.); Department of Epidemiology and Medical Informatics, Institute of Biomedical Technologies, National Research Council, Milan, Italy (M.L.C.L.); Departamento de Enfermagem Aplicada - Escola de Enfermagem (S.V.P., A.I.L.F.) and Departamento de Biologia Geral - Instituto de Ciências Biológicas (M.H.G., T.P.L., E.T.-S.), Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; Laboratório de Genética e Cardiologia Molecular, Instituto do Coração, Universidade de São Paulo, São Paulo, Brazil (A.C.P.); and Department of Health Policy and Management and Community Health Sciences, Fielding School of Public Health, University of California Los Angeles (J.M.)
| | - Alexandre Costa Pereira
- From the Departamento de Epidemiologia. Instituto de Pesquisas Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil (M.F.L.-C., J.V.M.M., S.V.P., J.O.A.F., A.I.L.F.); Department of Epidemiology and Medical Informatics, Institute of Biomedical Technologies, National Research Council, Milan, Italy (M.L.C.L.); Departamento de Enfermagem Aplicada - Escola de Enfermagem (S.V.P., A.I.L.F.) and Departamento de Biologia Geral - Instituto de Ciências Biológicas (M.H.G., T.P.L., E.T.-S.), Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; Laboratório de Genética e Cardiologia Molecular, Instituto do Coração, Universidade de São Paulo, São Paulo, Brazil (A.C.P.); and Department of Health Policy and Management and Community Health Sciences, Fielding School of Public Health, University of California Los Angeles (J.M.)
| | - James Macinko
- From the Departamento de Epidemiologia. Instituto de Pesquisas Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil (M.F.L.-C., J.V.M.M., S.V.P., J.O.A.F., A.I.L.F.); Department of Epidemiology and Medical Informatics, Institute of Biomedical Technologies, National Research Council, Milan, Italy (M.L.C.L.); Departamento de Enfermagem Aplicada - Escola de Enfermagem (S.V.P., A.I.L.F.) and Departamento de Biologia Geral - Instituto de Ciências Biológicas (M.H.G., T.P.L., E.T.-S.), Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; Laboratório de Genética e Cardiologia Molecular, Instituto do Coração, Universidade de São Paulo, São Paulo, Brazil (A.C.P.); and Department of Health Policy and Management and Community Health Sciences, Fielding School of Public Health, University of California Los Angeles (J.M.)
| | - Eduardo Tarazona-Santos
- From the Departamento de Epidemiologia. Instituto de Pesquisas Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil (M.F.L.-C., J.V.M.M., S.V.P., J.O.A.F., A.I.L.F.); Department of Epidemiology and Medical Informatics, Institute of Biomedical Technologies, National Research Council, Milan, Italy (M.L.C.L.); Departamento de Enfermagem Aplicada - Escola de Enfermagem (S.V.P., A.I.L.F.) and Departamento de Biologia Geral - Instituto de Ciências Biológicas (M.H.G., T.P.L., E.T.-S.), Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; Laboratório de Genética e Cardiologia Molecular, Instituto do Coração, Universidade de São Paulo, São Paulo, Brazil (A.C.P.); and Department of Health Policy and Management and Community Health Sciences, Fielding School of Public Health, University of California Los Angeles (J.M.)
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