Physical activity, body functions and disability among middle-aged and older Spanish adults

BMC Geriatrics

Research Article

Alba Ayala¹  Maria João Forjaz¹  Javier Almazán²  Jesús de Pedro²  Carmen Rodriguez-Blazquez²  Javier Damián²  Juan Manuel Castellote³  Madgalena Comin⁴  Alexandre Caron⁵ 

[1] Epidemiology and Biostatistics Department, National School of Public Health, and Health Service Research Network for Chronic Diseases (Red de Investigación en Servicios de Salud en Enfermedades Crónicas/REDISSEC), Carlos III Institute of Health (Instituto de Salud Carlos III), Avda Monforte de Lemos 5, 28029, Madrid, Spain;National Center of Epidemiology and Consortium for Biomedical Research in Neurodegenerative Diseases (Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas/CIBERNED), Carlos III Institute of Health, Madrid, Spain;National School of Occupational Medicine and Consortium for Biomedical Research in Neurodegenerative Diseases/CIBERNED, Carlos III Institute of Health Madrid Spain, Madrid, Spain;School of Health Sciences, Zaragoza University, Zaragoza, Spain;University of Lille, EA 2694 - Department of Public Health, F-59000, Lille, France;

关键词: Physical activity;    Disability evaluation;    International classification of functioning, disability and health;    Middle-aged and older adults;   

DOI  :  10.1186/s12877-017-0551-z

 received in 2017-02-06, accepted in 2017-07-13,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundPhysical activity (PA) is a health determinant among middle-aged and older adults. In contrast, poor health is expected to have a negative impact on PA. This study sought to assess to what extent specific International Classification of Functioning, Disability and Health (ICF) health components were associated with PA among older adults.MethodsWe used a sample of 864 persons aged ≥50 years, positively screened for disability or cognition in a cross-sectional community survey in Spain. Weekly energy expenditure during PA was measured with the Yale Physical Activity Survey (YPAS) scale. The associations between body function impairment, health conditions or World Health Organization Disability Assessment Schedule (WHODAS 2.0) disability scores and energy expenditure were quantified using negative-binomial regression, and expressed in terms of adjusted mean ratios (aMRs).ResultsMean energy expenditure was 4542 Kcal/week. A lower weekly energy expenditure was associated with: severe/extreme impairment of mental functions, aMR 0.38, 95% confidence interval, CI (0.21–0.68), and neuromusculoskeletal and movement functions, aMR 0.50 (0.35–0.72); WHODAS 2.0 disability, aMR 0.55 (0.34–0.91); dementia, aMR 0.45 (0.31–0.66); and heart failure, aMR 0.54 (0.34–0.87). In contrast, people with arthritis/osteoarthritis had a higher energy expenditure, aMR 1.27 (1.07–1.51).ConclusionOur results suggest that there is a strong relationship between selected body function impairments, mainly mental, and PA. Although more research is needed to fully understand causal relationships, strategies to improve PA among the elderly may require targeting mental, neuromusculoskeletal and movement functions, disability determinants (including barriers), and specific approaches for persons with dementia or heart failure.

【 授权许可】

CC BY   
© The Author(s). 2017