Sex differences in relationships between habitual physical activity and health in the elderly: Practical implications for epidemiologists based on pedometer/accelerometer data from the Nakanojo Study

2013 ◽  
Vol 56 (2) ◽  
pp. 327-338 ◽  
Author(s):  
Yukitoshi Aoyagi ◽  
Roy J. Shephard
2021 ◽  
Author(s):  
Bhanu Sharma ◽  
Joyce Obeid ◽  
Carol DeMatteo ◽  
Michael D Noseworthy ◽  
Brian W Timmons

Objectives: To characterize and quantify differences in accelerometer-measured physical activity and sedentary time between children with concussion (within the first month of injury) and 1:1 matched healthy controls. Methods: Secondary analysis of accelerometer data collected on 60 children with concussion and 60 healthy controls matched for age, sex, and season of accelerometer wear. Daily and hourly sedentary time, light physical activity (LPA), moderate physical activity (MPA), and vigorous physical activity (VPA) were compared between groups per independent samples t-tests. Results: Children with concussion (12.74 ± 2.85 years, 31 females) were significantly more sedentary than controls (12.43 ± 2.71 years, 31 females; mean difference [MD], 38.3 minutes/day, p=0.006), and spent less time performing LPA (MD, -19.5 minutes/day, p=0.008), MPA (MD, -9.8 minutes/day, p<0.001), and VPA(MD, -12.0 minutes/day, p<0.001); hour-by-hour analyses showed that these differences were observed from 8:00AM to 9:00PM. Sex-specific analyses identified that girls with concussion were less active and more sedentary than both boys with concussion (MD, 50.8 minutes/day; p=0.010) and healthy girls (MD, 51.1 minutes/day; p<0.010). Days post-injury significantly predicted MPA (β=0.071, p=0.032) and VPA (β=0.095, p=0.004), but not LPA or sedentariness in children with concussion. Conclusion: Clinical management should continue to advise against prolonged rest following pediatric concussion, given the activity debt observed within the first-month of injury. Currently, clinical management of concussion is shifting towards prescribing a single bout of daily sub-maximal aerobic exercise. Interventions aimed at reducing overall sedentary time and increasing habitual physical activity in pediatric concussion also warrant study.


2019 ◽  
Vol 28 (8) ◽  
pp. 3701-3709
Author(s):  
Joeri A.J. Douma ◽  
Maaike B. de Beaufort ◽  
Caroline S. Kampshoff ◽  
Saskia Persoon ◽  
Jorine A. Vermaire ◽  
...  

Abstract Purpose The level of daily physical activity in patients with cancer is frequently assessed by questionnaires, such as the Physical Activity Scale for the Elderly (PASE). Objective assessments, with for example accelerometers, may be a good alternative. The aim of this study was to investigate the agreement between the PASE questionnaire and accelerometer-assessed physical activity in a large group of patients with different types of cancer. Methods Baseline accelerometer and PASE questionnaire data of 403 participants from the REACT (Resistance and Endurance Exercise After Chemotherapy, n = 227), the EXIST (Exercise Intervention After Stem-Cell Transplantation, n = 74), and NET-QUBIC (NEtherlands QUality of Life And Biomedical Cohort Studies In Cancer, n = 102) studies were available for the current analyses. Physical activity was assessed by the PASE questionnaire (total score) and accelerometers (total minutes per day > 100 counts). Linear mixed models regression analysis was used to assess the agreement between the PASE questionnaire and accelerometer-assessed physical activity. Results The mean (SD) PASE score was 95.9 (75.1) points and mean (SD) time in physical activity measured with the accelerometer was 256.6 (78.8) min per day. The agreement between the PASE score and the accelerometer data was significant, but poor (standardized regression coefficient (B) = 0.36, 95%CI = 0.27; 0.44, p < 0.01). Conclusion Agreement between the PASE questionnaire and accelerometer-assessed physical activity was poor. The poor agreement indicates that they measure different physical activity constructs and cannot be used interchangeably to assess the level of daily physical activity in patients with cancer.


Author(s):  
Anita M. Myers ◽  
Gail Gonda

ABSTRACTThe majority of elderly individuals do not engage in any form of regular physical activity. This lack of participation is thought to be due to a number of factors ranging from entrenched patterns of inactivity to myths and fears concerning the safety and suitability of exercise for this age group. The following review critically examines the research in the area in order to assess the elderly's capacity for exercise and the benefits accruing from exercise. Endurance training studies are contrasted with rhythmic exercise programs in terms of documented benefits, screening procedures and attrition rates. The lower-intensity exercise programs attract a more representative group of senior participants and appear to overcome many of the barriers to increased involvement in physical activity. Implications of the research findings for both program planning and broader educational efforts are discussed.


Gerontology ◽  
2021 ◽  
pp. 1-11
Author(s):  
Lucia Slobodová ◽  
Ľudmila Oreská ◽  
Martin Schön ◽  
Patrik Krumpolec ◽  
Veronika Tirpáková ◽  
...  

<b><i>Background/Aims:</i></b> Walking speed (WS) is an objective measure of physical capacity and a modifiable risk factor of morbidity and mortality in the elderly. In this study, we (i) determined effects of 3-month supervised aerobic-strength training on WS, muscle strength, and habitual physical activity; (ii) evaluated capacity of long-term (21 months) training to sustain higher WS; and (iii) identified determinants of WS in the elderly. <b><i>Methods:</i></b> Volunteers (F 48/M 14, 68.4 ± 7.1 years) completed either 3-month aerobic-strength (3 × 1 h/week, <i>n</i> = 48) or stretching (active control, <i>n</i> = 14) intervention (study A). Thirty-one individuals (F 24/M 7) from study A continued in supervised aerobic-strength training (2 × 1 h/week, 21 months) and 6 (F 5/M 1) became nonexercising controls. <b><i>Results:</i></b> Three-month aerobic-strength training increased preferred and maximal WS (10-m walk test, <i>p</i> &#x3c; 0.01), muscle strength (<i>p</i> &#x3c; 0.01) and torque (<i>p</i> &#x3c; 0.01) at knee extension, and 24-h habitual physical activity (<i>p</i> &#x3c; 0.001), while stretching increased only preferred WS (<i>p</i> &#x3c; 0.03). Effect of training on maximal WS was most prominent in individuals with baseline WS between 1.85 and 2.30 m·s<sup>−1</sup>. Maximal WS measured before intervention correlated negatively with age (<i>r</i> = −0.339, <i>p</i> = 0.007), but this correlation was weakened by the intervention (<i>r</i> = −0.238, <i>p</i> = 0.06). WS progressively increased within the first 9 months of aerobic-strength training (<i>p</i> &#x3c; 0.001) and remained elevated during 21-month intervention (<i>p</i> &#x3c; 0.01). Cerebellar gray matter volume (MRI) was positively associated with maximal (<i>r</i> = 0.54; <i>p</i> &#x3c; 0.0001) but not preferred WS and explained &#x3e;26% of its variability, while age had only minor effect. <b><i>Conclusions:</i></b> Supervised aerobic-strength training increased WS, strength, and dynamics of voluntary knee extension as well as habitual physical activity in older individuals. Favorable changes in WS were sustainable over the 21-month period by a lower dose of aerobic-strength training. Training effects on WS were not limited by age, and cerebellar cortex volume was the key determinant of WS.


2021 ◽  
Author(s):  
Bhanu Sharma ◽  
Joyce Obeid ◽  
Carol DeMatteo ◽  
Michael D Noseworthy ◽  
Brian W Timmons

Objectives: To explore the association between resting state functional connectivity and accelerometer-measured physical activity in pediatric concussion. Methods: Fourteen children with concussion (aged 14.54 ± 2.39 years, 8 female) were included in this secondary data-analysis. Participants had neuroimaging at 15.3 ± 6.7 days post-injury and subsequently a mean of 11.1 ± 5.0 days of accelerometer data. Intra-network connectivity of the default mode network (DMN), sensorimotor network (SMN), salience network (SN), and fronto-parietal network (FPN) was computed. Results: Per general linear models, only intra-network connectivity of the DMN was associated with habitual physical activity levels. More specifically, increased intra-network connectivity of the DMN was significantly associated with higher levels of subsequent accelerometer-measured light physical activity (F(2, 11) = 7.053, p = 0.011, Ra2 = 0.562; β = 0.469), moderate physical activity (F(2, 11) = 7.053, p = 0.011, Ra2 = 0.562; β = 0.725), and vigorous physical activity (F(2, 11) = 10.855, p = 0.002, Ra2 = 0.664; β = 0.79). Intra-network connectivity of the DMN did not significantly predict sedentary time. Likewise, the SMN, SA, and FPN were not significantly associated with either sedentary time or physical activity. Conclusion: These findings suggest that there is a positive association between the intra-network connectivity of the DMN and device-measured physical activity in children with concussion. Given that DMN impairment can be commonplace following concussion, this may be associated with lower levels of habitual physical activity, which can preclude children from experiencing the symptom-improving benefits of sub-maximal physical activity.


2008 ◽  
Vol 16 (1) ◽  
pp. 3-13 ◽  
Author(s):  
Akitomo Yasunaga ◽  
Fumiharu Togo ◽  
Eiji Watanabe ◽  
Hyuntae Park ◽  
Sungjin Park ◽  
...  

The interactions of sex, age, season, and habitual physical activity were examined in 41 male and 54 female Japanese age 65–83 yr, using a pedometer/accelerometer that determined step counts and amounts of physical activity (<3 and >3 metabolic equivalents [METs]) throughout each 24-hr period for an entire year. All 3 measures were greater in men than in women. In women, age was negatively correlated with step count and activity <3 METs, but in men, it was correlated with step count and activity >3 METs. Irrespective of sex or age, all 3 activity variables were low in the winter, peaking in spring or autumn. In the summer, step counts matched the annual average, but durations of activity <3 and >3 METs were, respectively, longer and shorter than in other seasons. These findings have practical implications for those promoting physical activity for older adults.


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