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Regular vigorous physical activity and disability development in healthy overweight and normal-weight seniors: a 13-year study.
Abstract
Objectives. We examined the relationship of regular exercise and body weight to disability among healthy seniors. Methods. We assessed body mass index (BMI) and vigorous exercise yearly (1989–2002) in 805 participants aged 50 to 72 years at enrollment. We studied 4 groups: normal-weight active (BMI< 25 kg/m 2; exercise> 60 min/wk); normal-weight inactive (exercise≤ 60 min/wk); overweight active (BMI≥ 25 kg/m 2); and overweight inactive. Disability was measured with the Health Assessment Questionnaire (0–3; 0= no difficulty, 3= unable to do). We used multivariable analysis of covariance to determine group differences in disability scores after adjustment for determinants of disability. Results. The cohort was 72% men and 96% White, with a mean age of 65.2 years. After 13 years, overweight active participants had significantly less disability than did overweight inactive (0.14 vs 0.19; P= .001) and normal-weight inactive (0.22; P= .03) participants. Similar differences were found between normal-weight active (0.11) and normal-weight inactive participants (P< .001). Conclusions. Being physically active mitigated development of disability in these seniors, largely independent of BMI. Public health efforts that promote physically active lifestyles among seniors may be more successful than those that emphasize body weight in the prevention of functional decline.
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“Past studies have demonstrated both a dose-response and an intensity-dependent response to regular exercise training, as more frequent and higher intensity training confer beneficial health- and performance- adaptations (Swain and Franklin, 2006; Bruce et al., 2008; McPhee et al., 2016).”
From Comparison of Muscle Function, Bone Mineral Density and Body Composition of Early Starting and Later Starting Older Masters Athletes (2019) · cites this paper as Bruce et al., 2008
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Cited by
Physical activity in older age: perspectives for healthy ageing and frailty
McPhee, J. S., French, D. P., Jackson, D., Nazroo, J., Pendleton, N., & Degens, H. (2016) · Biogerontology · doi:10.1007/s10522-016-9641-0 · Cited by 1,369
Paterson, D. H., & Warburton, D. E. (2010) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-7-38 · Cited by 953
Obesity, intentional weight loss and physical disability in older adults
Rejeski, W. J., Marsh, A. P., Chmelo, E., & Rejeski, J. J. (2010) · Obesity Reviews · doi:10.1111/j.1467-789x.2009.00679.x · Cited by 120
Piasecki, J., Ireland, A., Piasecki, M., Deere, K., Hannam, K., Tobias, J., & McPhee, J. S. (2019) · Frontiers in Physiology · doi:10.3389/fphys.2019.01050 · Cited by 24
Metadata
- Authors
- Bruce, B., Fries, J. F., & Hubert, H.
- Affiliations
- At the time of the research, the authors were with the Division of Immunology & Rheumatology, Department of Medicine, Stanford University, Palo Alto, CA.
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2008-07
- Volume
- 98
- Issue
- 7
- Pages
- 1294-1299
- ISSN
- 0090-0036
- 1541-0048
- Cited by
- 28
- References
- 1
- Language
- en
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