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Association between physical activity and physical and functional performance in non-institutionalized Mexican older adults: a cohort study

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Title: Association between physical activity and physical and functional performance in non-institutionalized Mexican older adults: a cohort study
Authors: Martínez-Hernández, Brenda María, Rosas-Carrasco, Oscar, López-Teros, Miriam, González-Rocha, Alejandra, Muñoz-Aguirre, Paloma, Palazuelos-González, Rosa, Ortíz-Rodríguez, Araceli, Luna-López, Armando, Denova-Gutiérrez, Edgar
Contributors: Budget Program with expenses for equality between women and men of the Ministry of Healt
Source: BMC Geriatrics ; volume 22, issue 1 ; ISSN 1471-2318
Publisher Information: Springer Science and Business Media LLC
Publication Year: 2022
Description: Background Aging is an independent risk factor for deterioration in functional capacity. Some studies have reported that physical activity (PA) improves functional capacity and physical performance among older adults (OA). Thus the objective of the present study was to assess the longitudinal association between PA and functional and physical performance in non-institutionalized OA. Methods A longitudinal analysis using data from the Frailty, Dynapenia and Sarcopenia in Mexican adults (FRADYSMEX, by its Spanish acronym) cohort study was conducted. PA was assessed through the Community Healthy Activities Model Program for Seniors (CHAMPS) instrument. Functionality was measured with the Barthel index and the Lawton and Brody scale, while physical performance was measured with the Short Physical Performance Battery (SPPB). To evaluate the association between the level of PA and physical and functional performance as a continuous variable, a linear regression of mixed effects was performed. To assess PA and dependence in basic activities of the daily life (BADL), instrumental activities of the daily life (IADL), and low physical performance (PP), generalized estimation equation models [to compute odds ratios (OR) and 95% confidence intervals (95%CI)] were computed. Results Older people who performed moderate to vigorous-intensity PA had a lower risk of dependence in IADL (OR = 0.17; 95%CI: 0.10, 0.80) and lower risk of low PP (OR = 0.18; 95%CI: 0.11, 0.58) compared to those in lower categories of PA. Conclusions Older adults living in the community who perform PA of moderate to vigorous intensity have a lower risk of dependence in BADL and IADL and have a lower risk of low PP.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1186/s12877-022-03083-7
DOI: 10.1186/s12877-022-03083-7.pdf
DOI: 10.1186/s12877-022-03083-7/fulltext.html
Availability: https://doi.org/10.1186/s12877-022-03083-7
https://link.springer.com/content/pdf/10.1186/s12877-022-03083-7.pdf
https://link.springer.com/article/10.1186/s12877-022-03083-7/fulltext.html
Rights: https://creativecommons.org/licenses/by/4.0 ; https://creativecommons.org/licenses/by/4.0
Accession Number: edsbas.1355B3F7
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  – Url: https://doi.org/10.1186/s12877-022-03083-7#
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  Data: Association between physical activity and physical and functional performance in non-institutionalized Mexican older adults: a cohort study
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  Data: BMC Geriatrics ; volume 22, issue 1 ; ISSN 1471-2318
– Name: Publisher
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  Data: Springer Science and Business Media LLC
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  Data: 2022
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  Data: Background Aging is an independent risk factor for deterioration in functional capacity. Some studies have reported that physical activity (PA) improves functional capacity and physical performance among older adults (OA). Thus the objective of the present study was to assess the longitudinal association between PA and functional and physical performance in non-institutionalized OA. Methods A longitudinal analysis using data from the Frailty, Dynapenia and Sarcopenia in Mexican adults (FRADYSMEX, by its Spanish acronym) cohort study was conducted. PA was assessed through the Community Healthy Activities Model Program for Seniors (CHAMPS) instrument. Functionality was measured with the Barthel index and the Lawton and Brody scale, while physical performance was measured with the Short Physical Performance Battery (SPPB). To evaluate the association between the level of PA and physical and functional performance as a continuous variable, a linear regression of mixed effects was performed. To assess PA and dependence in basic activities of the daily life (BADL), instrumental activities of the daily life (IADL), and low physical performance (PP), generalized estimation equation models [to compute odds ratios (OR) and 95% confidence intervals (95%CI)] were computed. Results Older people who performed moderate to vigorous-intensity PA had a lower risk of dependence in IADL (OR = 0.17; 95%CI: 0.10, 0.80) and lower risk of low PP (OR = 0.18; 95%CI: 0.11, 0.58) compared to those in lower categories of PA. Conclusions Older adults living in the community who perform PA of moderate to vigorous intensity have a lower risk of dependence in BADL and IADL and have a lower risk of low PP.
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