Lifestyle Habits and Compression of Morbidity

Hubert, Helen B.; Blöch, D.; Oehlert, John; Fries, James F.

doi:10.1093/gerona/57.6.m347

Cited by 155 publications

(107 citation statements)

References 17 publications

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“…Longitudinal observational studies suggest that regular physical activity cannot only extend life expectancy, but also to reduce the incidence of disability associated with aging [26][27][28].…”

Section: Discussionmentioning

confidence: 99%

Effects of Brisk Walking on Physical Performance and Muscle Function in Community Dwelling Elderly Women

Rossi¹,

Rubele²,

Luca³

et al. 2017

J Gerontol Geriatr Res

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Aim: To examine the impact of a 12-week brisk walking program on physical performance and muscle function in community-dwelling healthy elderly women. Methods:The study was conducted in a group of 27 women with mean age 68.6 ± 5.5 years and mean BMI 28.2 ± 4.37 Kg/m 2 . Anthropometric variables (BMI, weight, height, waist circumference), body composition measured by Dual Energy X-ray Absorptiometry (DXA), the 400 meters walking test, the short physical performance battery, the physical activity level with the PASE questionnaire, handgrip, isometric strength and power of the lower limbs with dynamometer were evaluated at baseline and three months follow-up.All subjects were involved in brisk walking sessions, 1 and ½ h per day on 2 days each week under the supervision of a qualified physical education instructor for 12 weeks. The physical activity intensity has been calculated on the basis of the Borg Scale (RPE scale=13 "somewhat hard"). Results:At 3 months of follow-up, a reduction in waist circumference, total and percentage fat mass, an improvement of peak torque and power of lower limbs and in all the performance test administered was observed.In addition, dividing the population into two sub-groups based on the frequency to walking groups, it was observed that the group with higher attendance presented a significantly greater increase of muscle peak torque, power and specific power values. Moreover subjects with greater attendance showed significantly higher reduction of the time to perform the 400 meters test. Conclusions:Moderate aerobic exercise can improve muscle strength, physical performance and body composition. Dividing the study population into two groups on the basis of greater or lesser participation in the walk groups, the group with frequency percentage higher than 70% showed a significantly greater improvement in peak torque, power and the specific power, suggesting a dose-dependent effect.

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Section: Discussionmentioning

confidence: 99%

Effects of Brisk Walking on Physical Performance and Muscle Function in Community Dwelling Elderly Women

Rossi¹,

Rubele²,

Luca³

et al. 2017

J Gerontol Geriatr Res

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“…Linking "breaking into a sweat" and the risk of osteoarthritis 16 may seem funny and tongue-in-cheek 17 , but there is little humor in this implication. Exercise is arguably the most important treatment for OA 1,2,18,19 . It strengthens the joint structures, retards disability, stabilizes the joint, improves metabolism in the articular cartilage, increases endurance, improves quality of life, and wards off comorbidities.…”

Section: Rheumatologymentioning

confidence: 99%

“…It has few problems over a very wide range of lifetime activity 1,2,3 . Its value is recognized by medical and federal authorities, American College of Rheumatology guidelines, self-management programs, international health organizations, and the media 18,19 . Rheumatologists must aggressively advise colleagues and encourage patients to examine their physical function activities and to improve exercise activities whenever possible.…”

Section: Rheumatologymentioning

confidence: 99%

Osteoarthritis, Exercise, and Knee Replacement: Figure 1.

Fries¹,

Shoor²

2012

J Rheumatol

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“…Recent studies suggested that improvement in health behaviors, such as better nutrition, smoking reduction, or increase in physical activities, would reduce morbidity more than increase longevity (82)(83)(84)(85)(86). Thus, if future increases in life expectancy are due to better behaviors, they could also be accompanied by larger increases in disability-free life expectancy leading to a compression of disability.…”

Section: Disability Versus Longevitymentioning

confidence: 99%

“…Many arguments go in this direction: a better adult life, a better educational level (54), and better health practices (55,56,94). All could lead to a compression of morbidity phase, which Austria, France, and the United States know today (1,85). However, progress continues, particularly in the improved environment and services provided to the oldest-old.…”

Section: A Draft Proposalmentioning

confidence: 99%

Looking forward to a general theory on population aging

2006

GEEG

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The main theories on population aging based on recent data on human longevity, life expectancy, morbidity changes, disability trends, and mortality decrease are presented and discussed within their own geographic, cultural, socioeconomic, and medical contexts. The complex interactions between all these components do not facilitate trend forecasting of aging population (healthy aging versus disability pandemic). In the context of population aging, four elements were introduced with their implications: 1) an increase in the survival rates of sick persons, which would explain the expansion of morbidity, 2) a control of the progression of chronic diseases, which would explain a subtle equilibrium between the decrease in mortality and the increase in disability, 3) an improvement of the health status and health behaviors of new cohorts of elderly people, which would explain the compression of morbidity, and eventually 4) an emergence of very old and frail populations, which would explain a new expansion of morbidity. Obviously, all these elements coexist today, and future trend scenarios-expansion or compression of disability-depend on their respective weights leading to the need of elaborating ''a general theory on population aging.'' This theory has to be based on a world harmonization of functional decline measurements and a periodic ''International Aging Survey'' to monitor global aging through a sample of carefully selected countries.

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Lifestyle Habits and Compression of Morbidity

Abstract: These results make a compelling argument for the reduction and postponement of disability with healthier lifestyles as proposed by the compression of morbidity hypothesis.

Cited by 155 publications

References 17 publications

Effects of Brisk Walking on Physical Performance and Muscle Function in Community Dwelling Elderly Women

Effects of Brisk Walking on Physical Performance and Muscle Function in Community Dwelling Elderly Women

Osteoarthritis, Exercise, and Knee Replacement: Figure 1.

Looking forward to a general theory on population aging

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