Exploring patterns of accelerometry-assessed physical activity in elderly people

International Journal of Behavioral Nutrition and Physical Activity

Holger Schulz²  Alexander Horsch⁵  Klaus A Kuhn⁷  Annette Peters¹  Stefan Karrasch⁴  Dennis Nowak³  Lukas Gorzelniak⁷  André Dias⁶  Sandra Ortlieb⁷ 

[1] Institute of Epidemiology II, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany;Institute of Epidemiology I, Helmholtz Zentrum München, German Research Center for Environmental Health, Ingolstädter Landstrasse 1, 85764 Neuherberg, Germany;Comprehensive Pneumology Center Munich (CPC-M), German Center for Lung Research, Munich, Germany;Institute of General Practice, University Hospital Klinikum rechts der Isar, Technische Universität München, Munich, Germany;Computer Science Department, University of Tromsø, Tromsø, Norway;Tromsø Telemedicine Laboratory, Norwegian Center for Integrated Care and Telemedicine, Tromsø, Norway;Institute of Medical Statistics and Epidemiology, TUM, Munich, Germany

关键词: Ambulation;    Movement;    Intensity;    Pattern;    Exercise;    Physical activity;    Older;    Aged;    Elderly;   

Others  :  804071
DOI  :  10.1186/1479-5868-11-28

 received in 2013-08-30, accepted in 2014-02-21,  发布年份 2014

【 摘 要 】

Background

Elderly people obtain significant health benefits from physical activity (PA), but the role of activity patterns has scarcely been researched. The present study aims to describe the patterns of PA among different intensities of activity in elderly people. We assess how patterns differ between more and less active groups (‘rare’, ‘average’, and ‘frequent’), and explore whether and how various PA parameters are associated with functional exercise capacity (FEC).

Methods

PA was measured in 168 subjects (78 males; 65–89 years of age), using a triaxial GT3X accelerometer for ten consecutive days. Subjects were divided into three groups by activity and the groups were compared. A multiple linear regression model was used to predict FEC.

Results

Participants greater than or equal to 80 years are most prone to being sedentary for long periods, while women and the obese are the groups most likely to spend insufficient time in moderate to vigorous PA (MVPA). Rarely active elderly people had a decreased proportion of long bouts of MVPA and light PA and of short bouts in sedentary behavior than frequently active subjects did (p < 0.001). As predictors of FEC, younger age, lower BMI, male sex, better lung function, absence of multimorbidity, longer times and longer bouts of MVPA emerged as significant parameters (r² = 0.54). Patterns of MVPA explained most of the variance.

Conclusions

PA patterns provide information beyond reports of activity alone. MVPA in elderly people may be increased by increasing the proportion of long bouts, in order to increase FEC as well as average PA. However, health conditions may limit PA. In rarely active people (often with reduced FEC, worse lung function, and diagnosis of multimorbidity or disability), longer periods of time in light PA may be sufficient to increase the overall level of activity.

【 授权许可】

   
2014 Ortlieb et al.; licensee BioMed Central Ltd.

【 图 表 】

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