The Influence of Physical Activity and Sedentary Behavior on Living to Age 85 Years Without Disease and Disability in Older Women
- PMID: 29165626
- PMCID: PMC6175029
- DOI: 10.1093/gerona/glx222
The Influence of Physical Activity and Sedentary Behavior on Living to Age 85 Years Without Disease and Disability in Older Women
Abstract
Background: Whether physical activity (PA) and sedentary behavior influence the odds of women living to age 85 years without chronic disease or disability is not well described.
Methods: Participants of the Women's Health Initiative (n = 49,612) were categorized based on health status by age 85 years: (i) lived without developing major chronic disease or mobility disability ("healthy"); (ii) lived and developed mobility disability with or without disease; (iii) lived and developed major chronic disease, but not mobility disability; and (iv) died before their 85th birth year. Multinomial logistic regression models that adjusted for covariates such as age, race/ethnicity, and body size estimated associations of self-reported PA and sitting time on developing major disease or mobility disability or dying before age 85 relative to being healthy.
Results: Mean ± SD baseline age was 70.2 ± 3.6 years. Distributions were: 22% healthy, 23% had mobility disability, 26% had major disease, and 29% died. Relative to those with high total PA, the adjusted odds ratios (OR) (confidence intervals [CI]) for mobility disability was 1.6 (1.4-1.7), 1.2 (1.1-1.3), and 1.1 (1.0-1.2) for women with no, low, and moderate total PA, respectively (p-trend < .001). The corresponding covariate-adjusted OR (CI) for mortality was 1.7 (1.5-1.8), 1.2 (1.1-1.3), and 1.0 (1.0-1.1) (p-trend < .001). Total PA was not associated with developing chronic disease before age 85 years. Sitting ≥10 relative to <5 hours per day increased the odds of mobility disability (1.1, CI: 1.0-1.3) and mortality (1.2, CI: 1.0-1.3) prior to age 85 years (p < .001).
Conclusions: Increasing PA to recommended levels and reducing sitting time are modifiable behaviors that may improve healthy aging in older women.
Similar articles
-
The Joint Associations of Sedentary Time and Physical Activity With Mobility Disability in Older People: The NIH-AARP Diet and Health Study.J Gerontol A Biol Sci Med Sci. 2018 Mar 14;73(4):532-538. doi: 10.1093/gerona/glx122. J Gerontol A Biol Sci Med Sci. 2018. PMID: 28958064 Free PMC article.
-
Physical activity and sedentary behavior in people with major depressive disorder: A systematic review and meta-analysis.J Affect Disord. 2017 Mar 1;210:139-150. doi: 10.1016/j.jad.2016.10.050. Epub 2016 Nov 29. J Affect Disord. 2017. PMID: 28033521 Review.
-
Physical activity and sedentary behavior in people with bipolar disorder: A systematic review and meta-analysis.J Affect Disord. 2016 Sep 1;201:145-52. doi: 10.1016/j.jad.2016.05.020. Epub 2016 May 14. J Affect Disord. 2016. PMID: 27235817 Review.
-
Obesity and late-age survival without major disease or disability in older women.JAMA Intern Med. 2014 Jan;174(1):98-106. doi: 10.1001/jamainternmed.2013.12051. JAMA Intern Med. 2014. PMID: 24217806 Free PMC article.
-
Association of long-distance corridor walk performance with mortality, cardiovascular disease, mobility limitation, and disability.JAMA. 2006 May 3;295(17):2018-26. doi: 10.1001/jama.295.17.2018. JAMA. 2006. PMID: 16670410
Cited by
-
Dose-response associations between physical activity and sedentary time with functional disability in older adults with or without frailty: a prospective cohort study.Front Public Health. 2024 Apr 24;12:1357618. doi: 10.3389/fpubh.2024.1357618. eCollection 2024. Front Public Health. 2024. PMID: 38721536 Free PMC article.
-
Accelerometer-measured sedentary behavior and risk of functional disability in older Japanese adults: a 9-year prospective cohort study.Int J Behav Nutr Phys Act. 2023 Jul 26;20(1):91. doi: 10.1186/s12966-023-01490-6. Int J Behav Nutr Phys Act. 2023. PMID: 37496006 Free PMC article.
-
Prolonged Sitting in University Students: An Intra-Individual Study Exploring Physical Activity Value as a Deterrent.Int J Environ Res Public Health. 2023 Jan 19;20(3):1891. doi: 10.3390/ijerph20031891. Int J Environ Res Public Health. 2023. PMID: 36767258 Free PMC article.
-
Planning for a Healthy Aging Program to Reduce Sedentary Behavior: Perceptions among Diverse Older Adults.Int J Environ Res Public Health. 2022 May 17;19(10):6068. doi: 10.3390/ijerph19106068. Int J Environ Res Public Health. 2022. PMID: 35627604 Free PMC article.
-
Associations Between Perceived Neighborhood Walkability and Device-Based Physical Activity and Sedentary Behavior Patterns in Older Adults.J Aging Phys Act. 2022 Feb 1;30(1):98-106. doi: 10.1123/japa.2020-0387. Epub 2021 Aug 13. J Aging Phys Act. 2022. PMID: 34388701 Free PMC article.
References
-
- Ortman J, Velkoff VA, Hogan H.. An Aging Nation: The Older Population in the United States. In: Bureau UC, ed. Washington, DC: US Census Bureau; 2014.
-
- Fried TR, Bradley EH, Williams CS, Tinetti ME. Functional disability and health care expenditures for older persons. Arch Intern Med. 2001;161:2602–2607. doi:10.1001/archinte.161.21.2602 - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical