Physical fitness, physical activity, and functional limitation in adults aged 40 and older

Huang, Youjie; Macera, Caroline A.; Blair, Steven N.; Brill, Patricia A.; Kohl, Harold W.; Kronenfeld, Jennie Jacobs

doi:10.1097/00005768-199809000-00013

Cited by 85 publications

(60 citation statements)

References 23 publications

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“…Using different definitions, the prevalence of functional limitations was reported to be between 8 and 20% in the USA [17, 18], around 17% in France [19], 15% or more (depending on method) in the UK [20] and between 11 and 19% in Sweden [10]. Although direct comparisons are difficult, our data suggest relatively high levels of functional limitations in these Central and Eastern European population samples, particularly among women.…”

Section: Discussionmentioning

confidence: 73%

Socioeconomic circumstances, health behaviours and functional limitations in older persons in four Central and Eastern European populations

Doryńska¹,

Pająk²,

Kubínová³

et al. 2012

Age and Ageing

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Objectives: to investigate functional limitations and their association with socioeconomic factors in four Central and Eastern European populations.Methods: a cross-sectional study of random population samples in Novosibirsk (Russia), Krakow (Poland), Kaunas (Lithuania) and six Czech towns participating in the HAPIEE study. Functional limitations (classified into tertiles of the SF-36 physical functioning subscale), socioeconomic circumstances and health behaviours were available for 34,431 subjects aged 45–69 years.Results: the proportion of subjects in the worst tertile of the functional limitations score (≤80% of the maximum score) ranged from 21% of the men in Kaunas to 48% in Krakow women. In multivariate ordered logistic regression, functional limitations were strongly inversely associated with education and positively with material deprivation and with being economically inactive. Functional limitations were more common in male smokers and less common in alcohol drinkers. Socioeconomic characteristics explained some of the differences in functional limitations between populations. Health behaviours explained some of the differences between social groups in both genders and between populations in women.Conclusion: unexpectedly, functional limitations were not most common in the sample from Russia, the country with the highest mortality rates. All socioeconomic measures were strongly associated with functional limitations and made some contribution towards explaining differences in limitations between populations.

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Section: Discussionmentioning

confidence: 73%

Socioeconomic circumstances, health behaviours and functional limitations in older persons in four Central and Eastern European populations

Doryńska¹,

Pająk²,

Kubínová³

et al. 2012

Age and Ageing

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“…31–33 A cohort study of middle-age men and women followed over 5 years demonstrated that physical limitations were higher among women than men and that physically active individuals reported fewer functional limitations than their less active counterparts. 34 Moderate physical exercise with a directed program designed to enhance cardiovascular fitness, muscular endurance, and flexibility was associated with improved functional abilities in patients with fibromyalgia. 35 …”

Section: Discussionmentioning

confidence: 99%

The Impact of Physical Activity Level on SF-36 Role-Physical and Bodily Pain Indices in Midlife Women

Dugan

Everson‐Rose

Karavolos

et al. 2009

Journal of Physical Activity and Health

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“…Furthermore, for mental health, vigorous physical activity may not provide any additional benefits to lower intensity activity [14, 32]. In addition, good cardiorespiratory fitness is a key component of good functioning [33] and has been associated with a lower risk of sickness absence [34, 35], as well as disability retirement [36]. For mortality, fitness has shown stronger associations compared to physical activity, but they may both have independent beneficial effects on health [37].…”

Section: Discussionmentioning

confidence: 99%

Changes in leisure time physical activity and subsequent disability retirement: A register-linked cohort study

Lahti

Holstila

Mänty

et al. 2016

Int J Behav Nutr Phys Act

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BackgroundDisability retirement is an economic, public health and work life issue causing costs for employees, workplaces and society. Adopting physical activity at middle-age has been associated with reduced risk of sickness absence and mortality. The aim of this study was to examine how changes over time in leisure time physical activity are associated with subsequent disability retirement among midlife employees.MethodsThe Helsinki Health Study cohort baseline (phase 1) mail questionnaire survey data were collected in 2000, 2001 and 2002 among 40–60-year-old employees of the City of Helsinki, Finland. A phase 2 survey was conducted in 2007 (N = 3943). Respondents were classified into three groups: 1. low-active (<14 MET-hours/week), 2. moderately active (> = 14 MET-hours/week in moderate-intensity physical activity) and 3. vigorously active (> = 14 MET-hours/week including vigorous physical activity) at both phases. This yielded nine groups for describing stability and change of leisure time physical activity. Disability retirement data were derived from the registry of the Finnish Centre for Pensions until the end of 2013. A Cox regression analysis was used to calculate hazard ratios (HR) and their 95 % confidence intervals (CI) adjusting for covariates.ResultsDuring the follow-up, 264 (6.7 %) participants retired due to disability. Compared with those who were persistently low-active, those who increased their physical activity from low to vigorous had a lower risk of subsequent disability retirement (HR = 0.38, 95 % CI = 0.15–0.97) when adjusting for age, gender, occupational social class, strenuousness of work, smoking and binge drinking. Similarly, compared with those who were persistently moderately active, those increasing from moderate to vigorous (HR = 0.50, 95 % CI = 0.28–0.86) had a reduced risk. In contrast, those decreasing their physical activity from vigorous to low (HR = 2.42, 95 % CI = 1.32–4.41) or moderate (HR = 1.70, 95 % CI = 1.03–2.82) had an increased risk, compared with those who were persistently vigorously active. Adjusting for BMI, limiting longstanding illness and prior sickness absence somewhat attenuated the associations.ConclusionsAdopting vigorous physical activity was associated with a reduced risk of disability retirement. Promoting vigorous physical activity among midlife employees may help prevent disability retirement.

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Physical fitness, physical activity, and functional limitation in adults aged 40 and older

Abstract: These data support a protective effect of physical fitness and physical activity on functional limitation among older adults and extend this protective effect to middle-aged men and women.

Cited by 85 publications

References 23 publications

Socioeconomic circumstances, health behaviours and functional limitations in older persons in four Central and Eastern European populations

Socioeconomic circumstances, health behaviours and functional limitations in older persons in four Central and Eastern European populations

The Impact of Physical Activity Level on SF-36 Role-Physical and Bodily Pain Indices in Midlife Women

Changes in leisure time physical activity and subsequent disability retirement: A register-linked cohort study

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