Gender differences in physical activity patterns among older adults who fall

Stahl, Sarah T.; Albert, Steven M.

doi:10.1016/j.ypmed.2014.12.016

Cited by 39 publications

(29 citation statements)

References 19 publications

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“…Subjects with 60 years and above have up to three times higher chance of falling when compared to middleaged adults [39]. The larger proportion of female fallers observed in the present study was also previously described [40] and might be related to several factors, such as hormonal differences, lower muscle function, and differences in physical activity patterns among women [41].…”

Section: Discussionsupporting

confidence: 79%

The association between physical activity, sedentary behavior and the occurrence of falls in asymptomatic adults over 40 years old

et al. 2019

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Introduction: Sedentary behavior (SB) has been described as an independent risk factor for health, regardless of the recommended amount of moderate-to-vigorous physical activity (MVPA). However, SB and MVPA as predictors of falls have been poorly investigated. Objective: To compare the associations between SB and MVPA and the occurrence of falls in middle-aged and older adults. Method: The participants wore a triaxial accelerometer over the dominant hip for seven days to measure SB and MVPA. The occurrence of falls and cardiovascular risk factors were assessed by self-report. Isokinetic peak torque (PT) of knee extension, peak oxygen uptake (V’O2) in a ramp treadmill protocol, and lean (LBM) body mass and body fat (BFM) (bioelectrical impedance) were also assessed. The critical roles of SB and MVPA on the occurrence of falls were compared by multiple logistic regression adjusted for age, sex, cardiovascular risk factors, LBM, peak V’O2, and PT of knee extension. Results: 379 participants were evaluated, aged 40-80 years. Forty-eight participants reported at least one fall in the previous 12 months (14.5%). Fallers presented lower SB and higher MVPA. They were predominantly women and older adults with lower physical fitness. After multivariate analysis, MVPA, but not SB, was selected as an independent predictor of falls, increasing the odds ratio of having a fall (1.184, 95% confidence interval, 1.016 - 1.378). Conclusion: Episodes of falls in predominantly middle-aged and women subjects were associated with a higher amount of MVPA, not the opposite, indicating an adverse effect of MVPA in these subjects.

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Section: Discussionsupporting

confidence: 79%

The association between physical activity, sedentary behavior and the occurrence of falls in asymptomatic adults over 40 years old

et al. 2019

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“…Declines during emerging adulthood may be driven by psychosocial factors, including life transitions (e.g., completion of mandatory schooling and full time work 7,8 ), and declines at older ages are driven be chronic disease morbidity 11 and environmental factors related to safety and accessibility 16 . These effects may also vary by sex during childhood and adolescence due to differences in motivation, interests 17 , and access to sports participation 18 ; and, during later life due to differences in chronic disease prevalence 19 , frailty 20 , and fall risk 21 .…”

Section: Introductionmentioning

confidence: 99%

Re-evaluating the effect of age on physical activity over the lifespan

Varma

Dey

Leroux

et al. 2017

Preventive Medicine

105

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Advancements in accelerometer analytic and visualization techniques allow researchers to more precisely identify and compare critical periods of physical activity (PA) decline by age across the lifespan, and describe how daily PA patterns may vary across age groups. We used accelerometer data from the 2003–2006 cohorts of the National Health and Nutrition Examination Survey (NHANES) (n = 12,529) to quantify total PA as well as PA by intensity across the lifespan using sex-stratified, age specific percentile curves constructed using generalized additive models. We additionally estimated minute-to-minute diurnal PA using smoothed bivariate surfaces. We found that from childhood to adolescence (ages 6–19) across sex, PA is sharply lower by age partially due to a later initiation of morning PA. Total PA levels, at age 19 are comparable to levels at age 60. Contrary to prior evidence, during young adulthood (ages 20–30) total and light intensity PA increases by age and then stabilizes during midlife (ages 31–59) partially due to an earlier initiation of morning PA. We additionally found that males compared to females have an earlier lowering in PA by age at midlife and lower total PA, higher sedentary behavior, and lower light intensity PA in older adulthood; these trends seem to be driven by lower PA in the afternoon compared to females. Our results suggest a reevaluation of how emerging adulthood may affect PA levels and the importance of considering time of day and sex differences when developing PA interventions.

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“…J. Jefferis et al, 2015; Lobo, 2012; Mertz et al, 2010; Peeters et al, 2010; Stahl & Albert, 2015; Wijlhuizen, Chorus, & Hopman-Rock, 2008). Physical activity incorporates a wide range of activities including lifestyle activities (walking, housework, gardening, etc.)…”

Section: Discussionmentioning

confidence: 99%

“…Conversely, the majority of our participants were regularly physically active by completing light housework and walking. A study of 1,487 older adults, 50 years of age and older, found that individuals with the highest rates of walking and household activities were frequent fallers (Stahl & Albert, 2015). The high rates of walking and light housework may explain why 40% of our participants had a fall over the 6-year study period.…”

Section: Discussionmentioning

confidence: 99%

The Role of Physical Activity and Physical Function on the Risk of Falls in Older Mexican Americans

Lewis

Markides

Ottenbacher³

et al. 2016

Journal of Aging and Physical Activity

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We investigated the relationship between physical activity and physical function on the risk of falls over time in a cohort of Mexican American adults aged 75 and older from the Hispanic Established Population for the Epidemiologic Study of the Elderly (H-EPESE). Participants were divided into four groups according to the level of physical activity and physical function: low physical activity and low physical function (n=453); low physical activity and high physical function (n=54); high physical activity and low physical function (n=307); and high physical activity and high physical function (n=197). Using generalized linear equation estimation, we showed that participants with high physical activity and low physical function had a greater fall risk, overtime, followed by the high physical activity and high physical function group. Participants seldom took part in activities that improve physical function. To prevent falls, modifications to physical activity should be made for older Mexican Americans.

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Gender differences in physical activity patterns among older adults who fall

Cited by 39 publications

References 19 publications

The association between physical activity, sedentary behavior and the occurrence of falls in asymptomatic adults over 40 years old

The association between physical activity, sedentary behavior and the occurrence of falls in asymptomatic adults over 40 years old

Re-evaluating the effect of age on physical activity over the lifespan

The Role of Physical Activity and Physical Function on the Risk of Falls in Older Mexican Americans

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