Abstract
OBJECTIVES. This study examined the association between recreational physical activity among physically capable older adults and functional status, incidence of selected chronic conditions, and mortality over 3 and 6 years. METHODS. Data are from three sites of the Established Populations for Epidemiologic Studies of the Elderly. RESULTS. A high level of recreational physical activity reduced the likelihood of mortality over both 3 and 6 years. Moderate to high activity reduced the risk of physical impairments over 3 years; this effect diminishes after 6 years. A consistent relationship between activity and new myocardial infarction or stroke or the incidence of diabetes or angina was not found after 3 or 6 years. CONCLUSIONS. Findings suggest that physical activity offers benefits to physically capable older adults, primarily in reducing the risk of functional decline and mortality. Future work must use more objective and quantifiable measures of activity and assess changes in activity levels over time.
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- Berlin J. A., Colditz G. A. A meta-analysis of physical activity in the prevention of coronary heart disease. Am J Epidemiol. 1990 Oct;132(4):612–628. doi: 10.1093/oxfordjournals.aje.a115704. [DOI] [PubMed] [Google Scholar]
- Blumenthal J. A., Emery C. F., Madden D. J., George L. K., Coleman R. E., Riddle M. W., McKee D. C., Reasoner J., Williams R. S. Cardiovascular and behavioral effects of aerobic exercise training in healthy older men and women. J Gerontol. 1989 Sep;44(5):M147–M157. doi: 10.1093/geronj/44.5.m147. [DOI] [PubMed] [Google Scholar]
- Branch L. G. Health practices and incident disability among the elderly. Am J Public Health. 1985 Dec;75(12):1436–1439. doi: 10.2105/ajph.75.12.1436. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Branch L. G., Jette A. M. Personal health practices and mortality among the elderly. Am J Public Health. 1984 Oct;74(10):1126–1129. doi: 10.2105/ajph.74.10.1126. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Camacho T. C., Roberts R. E., Lazarus N. B., Kaplan G. A., Cohen R. D. Physical activity and depression: evidence from the Alameda County Study. Am J Epidemiol. 1991 Jul 15;134(2):220–231. doi: 10.1093/oxfordjournals.aje.a116074. [DOI] [PubMed] [Google Scholar]
- Donahue R. P., Abbott R. D., Reed D. M., Yano K. Physical activity and coronary heart disease in middle-aged and elderly men: the Honolulu Heart Program. Am J Public Health. 1988 Jun;78(6):683–685. doi: 10.2105/ajph.78.6.683. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Farmer M. E., Locke B. Z., Mościcki E. K., Dannenberg A. L., Larson D. B., Radloff L. S. Physical activity and depressive symptoms: the NHANES I Epidemiologic Follow-up Study. Am J Epidemiol. 1988 Dec;128(6):1340–1351. doi: 10.1093/oxfordjournals.aje.a115087. [DOI] [PubMed] [Google Scholar]
- Frontera W. R., Meredith C. N., O'Reilly K. P., Evans W. J. Strength training and determinants of VO2max in older men. J Appl Physiol (1985) 1990 Jan;68(1):329–333. doi: 10.1152/jappl.1990.68.1.329. [DOI] [PubMed] [Google Scholar]
- Heath G. W., Hagberg J. M., Ehsani A. A., Holloszy J. O. A physiological comparison of young and older endurance athletes. J Appl Physiol Respir Environ Exerc Physiol. 1981 Sep;51(3):634–640. doi: 10.1152/jappl.1981.51.3.634. [DOI] [PubMed] [Google Scholar]
- Holloszy J. O., Schultz J., Kusnierkiewicz J., Hagberg J. M., Ehsani A. A. Effects of exercise on glucose tolerance and insulin resistance. Brief review and some preliminary results. Acta Med Scand Suppl. 1986;711:55–65. doi: 10.1111/j.0954-6820.1986.tb08932.x. [DOI] [PubMed] [Google Scholar]
- Kaplan G. A., Seeman T. E., Cohen R. D., Knudsen L. P., Guralnik J. Mortality among the elderly in the Alameda County Study: behavioral and demographic risk factors. Am J Public Health. 1987 Mar;77(3):307–312. doi: 10.2105/ajph.77.3.307. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kohout F. J., Berkman L. F., Evans D. A., Cornoni-Huntley J. Two shorter forms of the CES-D (Center for Epidemiological Studies Depression) depression symptoms index. J Aging Health. 1993 May;5(2):179–193. doi: 10.1177/089826439300500202. [DOI] [PubMed] [Google Scholar]
- Lane N. E., Bloch D. A., Jones H. H., Marshall W. H., Jr, Wood P. D., Fries J. F. Long-distance running, bone density, and osteoarthritis. JAMA. 1986 Mar 7;255(9):1147–1151. [PubMed] [Google Scholar]
- Lindsted K. D., Tonstad S., Kuzma J. W. Self-report of physical activity and patterns of mortality in Seventh-Day Adventist men. J Clin Epidemiol. 1991;44(4-5):355–364. doi: 10.1016/0895-4356(91)90074-j. [DOI] [PubMed] [Google Scholar]
- MADDOX G. L. Some correlates of differences in self-assessment of health status among the elderly. J Gerontol. 1962 Apr;17:180–185. doi: 10.1093/geronj/17.2.180. [DOI] [PubMed] [Google Scholar]
- Mor V., Murphy J., Masterson-Allen S., Willey C., Razmpour A., Jackson M. E., Greer D., Katz S. Risk of functional decline among well elders. J Clin Epidemiol. 1989;42(9):895–904. doi: 10.1016/0895-4356(89)90103-0. [DOI] [PubMed] [Google Scholar]
- Paffenbarger R. S., Jr, Hyde R. T., Wing A. L., Hsieh C. C. Physical activity, all-cause mortality, and longevity of college alumni. N Engl J Med. 1986 Mar 6;314(10):605–613. doi: 10.1056/NEJM198603063141003. [DOI] [PubMed] [Google Scholar]
- Palmore E. Health practices and illness among the aged. Gerontologist. 1970 Winter;10(4):313–316. doi: 10.1093/geront/10.4_part_1.313. [DOI] [PubMed] [Google Scholar]
- Pekkanen J., Marti B., Nissinen A., Tuomilehto J., Punsar S., Karvonen M. J. Reduction of premature mortality by high physical activity: a 20-year follow-up of middle-aged Finnish men. Lancet. 1987 Jun 27;1(8548):1473–1477. doi: 10.1016/s0140-6736(87)92218-5. [DOI] [PubMed] [Google Scholar]
- Pollock M. L., Foster C., Knapp D., Rod J. L., Schmidt D. H. Effect of age and training on aerobic capacity and body composition of master athletes. J Appl Physiol (1985) 1987 Feb;62(2):725–731. doi: 10.1152/jappl.1987.62.2.725. [DOI] [PubMed] [Google Scholar]
- Posner J. D., Gorman K. M., Gitlin L. N., Sands L. P., Kleban M., Windsor L., Shaw C. Effects of exercise training in the elderly on the occurrence and time to onset of cardiovascular diagnoses. J Am Geriatr Soc. 1990 Mar;38(3):205–210. doi: 10.1111/j.1532-5415.1990.tb03492.x. [DOI] [PubMed] [Google Scholar]
- Powell K. E., Caspersen C. J., Koplan J. P., Ford E. S. Physical activity and chronic diseases. Am J Clin Nutr. 1989 May;49(5 Suppl):999–1006. doi: 10.1093/ajcn/49.5.999. [DOI] [PubMed] [Google Scholar]
- Powell K. E., Thompson P. D., Caspersen C. J., Kendrick J. S. Physical activity and the incidence of coronary heart disease. Annu Rev Public Health. 1987;8:253–287. doi: 10.1146/annurev.pu.08.050187.001345. [DOI] [PubMed] [Google Scholar]
- ROSE G. A. The diagnosis of ischaemic heart pain and intermittent claudication in field surveys. Bull World Health Organ. 1962;27:645–658. [PMC free article] [PubMed] [Google Scholar]
- Rosow I., Breslau N. A Guttman health scale for the aged. J Gerontol. 1966 Oct;21(4):556–559. doi: 10.1093/geronj/21.4.556. [DOI] [PubMed] [Google Scholar]
- Seals D. R., Allen W. K., Hurley B. F., Dalsky G. P., Ehsani A. A., Hagberg J. M. Elevated high-density lipoprotein cholesterol levels in older endurance athletes. Am J Cardiol. 1984 Aug 1;54(3):390–393. doi: 10.1016/0002-9149(84)90203-0. [DOI] [PubMed] [Google Scholar]
- Seals D. R., Hagberg J. M., Allen W. K., Hurley B. F., Dalsky G. P., Ehsani A. A., Holloszy J. O. Glucose tolerance in young and older athletes and sedentary men. J Appl Physiol Respir Environ Exerc Physiol. 1984 Jun;56(6):1521–1525. doi: 10.1152/jappl.1984.56.6.1521. [DOI] [PubMed] [Google Scholar]
- Seals D. R., Hagberg J. M., Hurley B. F., Ehsani A. A., Holloszy J. O. Effects of endurance training on glucose tolerance and plasma lipid levels in older men and women. JAMA. 1984 Aug 3;252(5):645–649. [PubMed] [Google Scholar]
- Siscovick D. S., LaPorte R. E., Newman J. M. The disease-specific benefits and risks of physical activity and exercise. Public Health Rep. 1985 Mar-Apr;100(2):180–188. [PMC free article] [PubMed] [Google Scholar]
- Smith E. L., Jr, Reddan W., Smith P. E. Physical activity and calcium modalities for bone mineral increase in aged women. Med Sci Sports Exerc. 1981;13(1):60–64. [PubMed] [Google Scholar]
- Tipton C. M. Exercise, training, and hypertension. Exerc Sport Sci Rev. 1984;12:245–306. [PubMed] [Google Scholar]