Physical Activity and Mortality Related to Obesity and Functional Status in Older Adults in Spain
Background Older people who increase or maintain their physical activity have lower mortality than those who remain sedentary. This could result from a lower body weight and a better functional status that allow to be more active. However, this explanation would be unlikely if the benefits of physic...
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creator | Balboa-Castillo, Teresa, BSc(Kin) Guallar-Castillón, Pilar, MD León-Muñoz, Luz M., PhD Graciani, Auxiliadora, MD López-García, Esther, PhD Rodríguez-Artalejo, Fernando, MD |
description | Background Older people who increase or maintain their physical activity have lower mortality than those who remain sedentary. This could result from a lower body weight and a better functional status that allow to be more active. However, this explanation would be unlikely if the benefits of physical activity on mortality were seen also in older people with obesity or functional limitations. Purpose This study examined the association between change in leisure-time physical activity (LTPA) and mortality in older adults, and whether this association varied with obesity and functional limitations. Methods Data were taken from a prospectively follow-up study of 2732 people representative of the Spanish population aged ≥60 years. Changes in LTPA from 2001 to 2003 were linked to all-cause mortality from 2003 to 2009. Analyses were performed in 2010 with Cox models adjusted for the main confounders, and were stratified by obesity and functional limitations. Results Compared with people who were continually sedentary from 2001 to 2003, those who increased their LTPA had 34% lower mortality (hazard ratio [HR]=0.66, 95% CI=0.52, 0.84), and those who were continually active had 45% lower mortality (HR=0.55; 95% CI=0.43, 0.70). These results did not vary in analyses stratified by obesity and functional limitations. Conclusions Increasing or maintaining LTPA is associated with greater longevity in older adults, even those with obesity or functional limitations. Given the high frequency of these disorders, the current results suggest that most older adults can benefit from an active lifestyle. |
doi_str_mv | 10.1016/j.amepre.2010.10.005 |
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This could result from a lower body weight and a better functional status that allow to be more active. However, this explanation would be unlikely if the benefits of physical activity on mortality were seen also in older people with obesity or functional limitations. Purpose This study examined the association between change in leisure-time physical activity (LTPA) and mortality in older adults, and whether this association varied with obesity and functional limitations. Methods Data were taken from a prospectively follow-up study of 2732 people representative of the Spanish population aged ≥60 years. Changes in LTPA from 2001 to 2003 were linked to all-cause mortality from 2003 to 2009. Analyses were performed in 2010 with Cox models adjusted for the main confounders, and were stratified by obesity and functional limitations. Results Compared with people who were continually sedentary from 2001 to 2003, those who increased their LTPA had 34% lower mortality (hazard ratio [HR]=0.66, 95% CI=0.52, 0.84), and those who were continually active had 45% lower mortality (HR=0.55; 95% CI=0.43, 0.70). These results did not vary in analyses stratified by obesity and functional limitations. Conclusions Increasing or maintaining LTPA is associated with greater longevity in older adults, even those with obesity or functional limitations. Given the high frequency of these disorders, the current results suggest that most older adults can benefit from an active lifestyle.</description><identifier>ISSN: 0749-3797</identifier><identifier>EISSN: 1873-2607</identifier><identifier>DOI: 10.1016/j.amepre.2010.10.005</identifier><identifier>PMID: 21146766</identifier><identifier>CODEN: AJPMEA</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Aged ; Cohort Studies ; Elderly people ; Exercise ; Female ; Follow-Up Studies ; Functional impairment ; Humans ; Internal Medicine ; Leisure Activities ; Longevity ; Male ; Middle Aged ; Mortality ; Obesity ; Obesity - complications ; Obesity - mortality ; Physical activity ; Proportional Hazards Models ; Prospective Studies ; Sedentary ; Sedentary Lifestyle ; Spain - epidemiology</subject><ispartof>American journal of preventive medicine, 2011, Vol.40 (1), p.39-46</ispartof><rights>American Journal of Preventive Medicine</rights><rights>2011 American Journal of Preventive Medicine</rights><rights>Copyright © 2011 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c546t-98f4b8da2c72462b3f592744da3a1efedd2adc080fd61dfbb21854761a192ceb3</citedby><cites>FETCH-LOGICAL-c546t-98f4b8da2c72462b3f592744da3a1efedd2adc080fd61dfbb21854761a192ceb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.amepre.2010.10.005$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,4024,27923,27924,27925,31000,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21146766$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Balboa-Castillo, Teresa, BSc(Kin)</creatorcontrib><creatorcontrib>Guallar-Castillón, Pilar, MD</creatorcontrib><creatorcontrib>León-Muñoz, Luz M., PhD</creatorcontrib><creatorcontrib>Graciani, Auxiliadora, MD</creatorcontrib><creatorcontrib>López-García, Esther, PhD</creatorcontrib><creatorcontrib>Rodríguez-Artalejo, Fernando, MD</creatorcontrib><title>Physical Activity and Mortality Related to Obesity and Functional Status in Older Adults in Spain</title><title>American journal of preventive medicine</title><addtitle>Am J Prev Med</addtitle><description>Background Older people who increase or maintain their physical activity have lower mortality than those who remain sedentary. This could result from a lower body weight and a better functional status that allow to be more active. However, this explanation would be unlikely if the benefits of physical activity on mortality were seen also in older people with obesity or functional limitations. Purpose This study examined the association between change in leisure-time physical activity (LTPA) and mortality in older adults, and whether this association varied with obesity and functional limitations. Methods Data were taken from a prospectively follow-up study of 2732 people representative of the Spanish population aged ≥60 years. Changes in LTPA from 2001 to 2003 were linked to all-cause mortality from 2003 to 2009. Analyses were performed in 2010 with Cox models adjusted for the main confounders, and were stratified by obesity and functional limitations. Results Compared with people who were continually sedentary from 2001 to 2003, those who increased their LTPA had 34% lower mortality (hazard ratio [HR]=0.66, 95% CI=0.52, 0.84), and those who were continually active had 45% lower mortality (HR=0.55; 95% CI=0.43, 0.70). These results did not vary in analyses stratified by obesity and functional limitations. Conclusions Increasing or maintaining LTPA is associated with greater longevity in older adults, even those with obesity or functional limitations. Given the high frequency of these disorders, the current results suggest that most older adults can benefit from an active lifestyle.</description><subject>Aged</subject><subject>Cohort Studies</subject><subject>Elderly people</subject><subject>Exercise</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Functional impairment</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Leisure Activities</subject><subject>Longevity</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Obesity</subject><subject>Obesity - complications</subject><subject>Obesity - mortality</subject><subject>Physical activity</subject><subject>Proportional Hazards Models</subject><subject>Prospective Studies</subject><subject>Sedentary</subject><subject>Sedentary Lifestyle</subject><subject>Spain - epidemiology</subject><issn>0749-3797</issn><issn>1873-2607</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkk1rGzEQQEVpaNy0_6CUvfW0jqTV56VgQtIWElzq9iy00iyVu951JW3A_z7aOMkhF5-GGd7MwLxB6BPBS4KJuNwu7Q72EZYUP5aWGPM3aEGUbGoqsHyLFlgyXTdSy3P0PqUtxlgqot-hc0oIE1KIBbI__x5ScLavVi6H-5APlR18dTfGbPs5-wW9zeCrPFbrFtIzcDMNhR-H0rjJNk-pCkO17j3EauWnPj_mm70Nwwd01tk-wceneIH-3Fz_vvpe366__bha3daOM5FrrTrWKm-pk5QJ2jYd11Qy5m1jCXTgPbXeYYU7L4jv2pYSxZkUxBJNHbTNBfpynLuP4_8JUja7kBz0vR1gnJLRnHEtNMcnScUbWk6nxGmyHFJTzZtCsiPp4phShM7sY9jZeDAEm9mX2ZqjLzP7mqvFV2n7_LRganfgX5qeBRXg6xGAcrr7ANEkF2Bw4EMEl40fw6kNrwe4Pgyz8X9wgLQdp1gkJkNMogabzfwz88uQ8i1cUd08ADA3vSw</recordid><startdate>2011</startdate><enddate>2011</enddate><creator>Balboa-Castillo, Teresa, BSc(Kin)</creator><creator>Guallar-Castillón, Pilar, MD</creator><creator>León-Muñoz, Luz M., PhD</creator><creator>Graciani, Auxiliadora, MD</creator><creator>López-García, Esther, PhD</creator><creator>Rodríguez-Artalejo, Fernando, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QJ</scope><scope>7T2</scope><scope>7TS</scope><scope>7U2</scope><scope>C1K</scope></search><sort><creationdate>2011</creationdate><title>Physical Activity and Mortality Related to Obesity and Functional Status in Older Adults in Spain</title><author>Balboa-Castillo, Teresa, BSc(Kin) ; Guallar-Castillón, Pilar, MD ; León-Muñoz, Luz M., PhD ; Graciani, Auxiliadora, MD ; López-García, Esther, PhD ; Rodríguez-Artalejo, Fernando, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c546t-98f4b8da2c72462b3f592744da3a1efedd2adc080fd61dfbb21854761a192ceb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Aged</topic><topic>Cohort Studies</topic><topic>Elderly people</topic><topic>Exercise</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Functional impairment</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Leisure Activities</topic><topic>Longevity</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Obesity</topic><topic>Obesity - complications</topic><topic>Obesity - mortality</topic><topic>Physical activity</topic><topic>Proportional Hazards Models</topic><topic>Prospective Studies</topic><topic>Sedentary</topic><topic>Sedentary Lifestyle</topic><topic>Spain - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Balboa-Castillo, Teresa, BSc(Kin)</creatorcontrib><creatorcontrib>Guallar-Castillón, Pilar, MD</creatorcontrib><creatorcontrib>León-Muñoz, Luz M., PhD</creatorcontrib><creatorcontrib>Graciani, Auxiliadora, MD</creatorcontrib><creatorcontrib>López-García, Esther, PhD</creatorcontrib><creatorcontrib>Rodríguez-Artalejo, Fernando, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Physical Education Index</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>American journal of preventive medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Balboa-Castillo, Teresa, BSc(Kin)</au><au>Guallar-Castillón, Pilar, MD</au><au>León-Muñoz, Luz M., PhD</au><au>Graciani, Auxiliadora, MD</au><au>López-García, Esther, PhD</au><au>Rodríguez-Artalejo, Fernando, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Physical Activity and Mortality Related to Obesity and Functional Status in Older Adults in Spain</atitle><jtitle>American journal of preventive medicine</jtitle><addtitle>Am J Prev Med</addtitle><date>2011</date><risdate>2011</risdate><volume>40</volume><issue>1</issue><spage>39</spage><epage>46</epage><pages>39-46</pages><issn>0749-3797</issn><eissn>1873-2607</eissn><coden>AJPMEA</coden><abstract>Background Older people who increase or maintain their physical activity have lower mortality than those who remain sedentary. This could result from a lower body weight and a better functional status that allow to be more active. However, this explanation would be unlikely if the benefits of physical activity on mortality were seen also in older people with obesity or functional limitations. Purpose This study examined the association between change in leisure-time physical activity (LTPA) and mortality in older adults, and whether this association varied with obesity and functional limitations. Methods Data were taken from a prospectively follow-up study of 2732 people representative of the Spanish population aged ≥60 years. Changes in LTPA from 2001 to 2003 were linked to all-cause mortality from 2003 to 2009. Analyses were performed in 2010 with Cox models adjusted for the main confounders, and were stratified by obesity and functional limitations. Results Compared with people who were continually sedentary from 2001 to 2003, those who increased their LTPA had 34% lower mortality (hazard ratio [HR]=0.66, 95% CI=0.52, 0.84), and those who were continually active had 45% lower mortality (HR=0.55; 95% CI=0.43, 0.70). These results did not vary in analyses stratified by obesity and functional limitations. Conclusions Increasing or maintaining LTPA is associated with greater longevity in older adults, even those with obesity or functional limitations. Given the high frequency of these disorders, the current results suggest that most older adults can benefit from an active lifestyle.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>21146766</pmid><doi>10.1016/j.amepre.2010.10.005</doi><tpages>8</tpages></addata></record> |
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subjects | Aged Cohort Studies Elderly people Exercise Female Follow-Up Studies Functional impairment Humans Internal Medicine Leisure Activities Longevity Male Middle Aged Mortality Obesity Obesity - complications Obesity - mortality Physical activity Proportional Hazards Models Prospective Studies Sedentary Sedentary Lifestyle Spain - epidemiology |
title | Physical Activity and Mortality Related to Obesity and Functional Status in Older Adults in Spain |
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