Top

The journal of nutrition, health & aging

Published in:

01-04-2020

Are Health Behaviors and Self-Rated Health Related to Cardiovascular Health and Functional Performance? Results from the Lookup 7+ Cross-Sectional Survey among Persons Aged 65+

Authors: Hanna M. Rempe, R. Calvani, E. Marzetti, A. Picca, C. C. Sieber, E. Freiberger, F. Landi

Published in: The journal of nutrition, health & aging | Issue 4/2020

Abstract

Objectives

Cardiovascular health (CVH) and physical performance (PP) are key factors of successful ageing. This study investigated whether self-reported CVH behaviours and self-rated health (SRH) are related to ideal CVH and PP.

Design

Cross-sectional survey.

Setting

Public places in Italy (e.g. exhibitions, malls, health promotion campaigns), outside of conventional healthcare settings.

Participants

1415 community-living persons aged 65+ years (mean age 72.2 ± 5.4; 58.4% female).

Measurements

Three ideal CVH behaviors [regular physical activity (PA), healthy diet, no smoking] and SRH (1 excellent — 4 poor) were assessed through a brief questionnaire. Four ideal CVH factors [iBMI ≤ 25 kg/m2, untreated random total blood cholesterol ≤200 mg/dl, absence of diabetes (untreated random blood glucose ≤200 mg/dl), untreated blood pressure (iBP) <140/90mmHg] and two ideal PP factors [grip strength (iGrip), 5-repetition chair-stand test <10 seconds (iStand)] were measured.

Results

Adjusted for age and gender, regular PA was positively related to CVH factor score (β = 0.1; p = <.001), iBMI (OR = 1.8; 95% CI = 1.5-2.3), iBP (OR = 1.3; 95% CI = 1.1-1.6) and iStand (OR = 1.6; 95% CI = 1.3-2.1). Healthy diet was positively related to CVH factor score (β = 0.1; p = <.05) and iGrip (OR = 1.4; 95% CI = 1.1-1.8). Participants rating SRH as “good” (OR = 2.0; 95% CI = 1.1-3.9) and “not so good” (OR = 2.3; 95% CI = 1.2-4.5) met iDiabetes more often than those with poor SRH. Moreover, iStand (OR = 3.2; 95% CI = 1.6-6.6) and iGrip (OR = 4.2; 95% = CI 2.0-8.8) were more prevalent among participants with excellent SRH compared with those with poor SRH.

Conclusions

Physical activity, diet and self-rated health may provide quick and easy-to-assess metrics to identify persons aged 65+ years at risk of cardiovascular events and functional impairment, who could particularly benefit from engaging in health promotion programs.

Available only for authorised users

Roth GA, Johnson C, Abajobir A, Abd-Allah F, Abera SF, Abyu G, et al. Global, Regional, and National Burden of Cardiovascular Diseases for 10 Causes, 1990 to 2015. J Am Coll Cardiol. 2017;70:1–25.PubMedPubMedCentral

Landi F, Calvani R, Picca A, Tosato M, D’Angelo E, Martone AM, Serafini E, Ortolani E, Savera G, Salini S, Acampora N, Bernabei R, Marzetti E. Relationship between cardiovascular health metrics and physical performance in community-living people: Results from the Longevity check-up (Lookup) 7+ project. Scientific Reports. 2018;8:16353.PubMedPubMedCentral

Lachman S, Peters RJ, Lentjes MA, Mulligan AA, Luben RN, Wareham NJ, Khaw K-T, Boekholdt SM. Ideal cardiovascular health and risk of cardiovascular events in the EPIC-Norfolk prospective population study. Eur J Prev Cardiol. 2016;23:986–994.PubMed

Lloyd-Jones DM, Hong Y, Labarthe D, Mozaffarian D, Appel LJ, Van Horn L, et al. Defining and setting national goals for cardiovascular health promotion and disease reduction: the American Heart Association’s strategic Impact Goal through 2020 and beyond. Circulation. 2010;121:586–613.PubMed

Shah AM, Claggett B, Folsom AR, Lutsey PL, Ballantyne CM, Heiss G, Solomon SD. Ideal cardiovascular health during adult life and cardiovascular structure and function among the elderly. Circulation. 2015;132:1979–1989.PubMedPubMedCentral

Ogunmoroti O, Allen NB, Cushman M, Michos ED, Rundek T, Rana JS, Blankstein R, Blumenthal RS, Blaha MJ, Veledar E, Nasir K. Association Between Life’s Simple 7 and Noncardiovascular Disease: The Multi-Ethnic Study of Atherosclerosis. J Am Heart Assoc. 2016;5:e003954.PubMedPubMedCentral

Willis BL, DeFina LF, Bachmann JM, Franzini L, Shay CM, Gao A, Leonard D, Berry JD. Association of Ideal Cardiovascular Health and Long-term Healthcare Costs. Am J Prev Med. 2015;49:678–685.PubMed

Allen NB, Badon S, Greenlund KJ, Huffman M, Hong Y, Lloyd-Jones DM. The association between cardiovascular health and health-related quality of life and health status measures among U.S. adults: A cross-sectional study of the National Health and Nutrition Examination Surveys, 2001–2010. Health Qual Life Outcomes. 2015;13.

Windham BG, Harrison KL, Lirette ST, Lutsey PL, Pompeii LA, Gabriel KP, Koton S, Steffen LM, Griswold ME, Mosley TH. Relationship Between Midlife Cardiovascular Health and Late-Life Physical Performance: The ARIC Study. J Am Geriatr Soc. 2017;65:1012–1018.PubMedPubMedCentral

10.

Graciani A, García-Esquinas E, López-García E, Banegas JR, Rodríguez-Artalejo F. Ideal cardiovascular health and risk of frailty in older adults. Circ Cardiovasc Qual Outcomes. 2016;9:239–245.PubMed

11.

Garcia-Hermoso A, Ramirez-Velez R, Ramirez-Campillo R, Izquierdo M. Relationship Between Ideal Cardiovascular Health and Disability in Older Adults: The Chilean National Health Survey (2009-10). J Am Geriatr Soc. 2017;65:2727–2732.PubMed

12.

Jin Y, Tanaka T, Ma Y, Bandinelli S, Ferrucci L, Talegawkar SA. Cardiovascular Health Is Associated with Physical Function among Older Community Dwelling Men and Women. J Gerontol A Biol Sci Med Sci. 2017;72:1710–1716.PubMedPubMedCentral

13.

Paterson DH, Warburton DE. Physical activity and functional limitations in older adults: a systematic review related to Canada’s Physical Activity Guidelines. Int J Behav Nutr Phys Act. 2010;7:38.PubMedPubMedCentral

14.

Ogunmoroti O, Utuama OA, Salami JA, Valero-Elizondo J, Spatz ES, Rouseff M, Parris D, Das S, Guzman H, Agatston A, Feldman T, Veledar E, Maziak W, Nasir K. Association between self-rated health and ideal cardiovascular health: The Baptist Health South Florida Employee Study. J Public Health (Oxf). 2017;40:e456–e463.

15.

Veromaa V, Kautiainen H, Juonala M, Rantanen A, Korhonen PE. Self-rated health as an indicator of ideal cardiovascular health among working-aged women. Scand J Prim Health Care. 2017;35:322–328.PubMedPubMedCentral

16.

Hirosaki M, Okumiya K, Wada T, Ishine M, Sakamoto R, Ishimoto Y, Kasahara Y, Kimura Y, Fukutomi E, Chen WL, Nakatsuka M, Fujisawa M, Otsuka K, Matsubayashi K. Self-rated health is associated with subsequent functional decline among older adults in Japan. Int Psychogeriatr. 2017;29:1475–1483.PubMed

17.

Brenowitz WD, Hubbard RA, Crane PK, Gray SL, Zaslavsky O, Larson EB. Longitudinal associations between self-rated health and performance-based physical function in a population-based cohort of older adults. PLoS One. 2014;9:e111761.PubMedPubMedCentral

18.

Martinez DJ, Kasl SV, Gill TM, Barry LC. Longitudinal association between self-rated health and timed gait among older persons. J Gerontol B Psychol Sci Soc Sci. 2010;65:715–719.PubMed

19.

Landi F, Calvani R, Picca A, Tosato M, Martone AM, Ortolani E, Salini S, Pafundi T, Savera G, Pantanelli C, Bernabei R, Marzetti E. Cardiovascular health metrics, muscle mass and function among Italian community-dwellers: the Lookup 7+ project. Eur J Public Health. 2018;28:766–772.PubMed

20.

Marzetti E, Calvani R, Picca A, Sisto A, Tosato M, Martone AM, Ortolani E, Salini S, Pafundi T, Santoliquido A, Santoro L, Bernabei R, Landi F. Prevalence of dyslipidaemia and awareness of blood cholesterol levels among community-living people: results from the Longevity check-up 7+ (Lookup 7+) cross-sectional survey. BMJ Open. 2018;8:e021627.PubMedPubMedCentral

21.

Landi F, Calvani R, Picca A, Tosato M, Martone A, Ortolani E, Sisto A, D’Angelo E, Serafini E, Desideri G, Fuga M, Marzetti E. Body Mass Index is Strongly Associated with Hypertension: Results from the Longevity Check-Up 7+ Study. Nutrients. 2018;10:1976.PubMedCentral

22.

von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008;61:344–349.PubMed

23.

Williams B, Mancia G, Spiering W, Agabiti Rosei E, Azizi M, Burnier M, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension. Eur Heart J. 2018;39:3021–3104.PubMed

24.

Rapi S, Bazzini C, Tozzetti C, Sbolci V, Modesti PA. Point-of-care testing of cholesterol and triglycerides for epidemiologic studies: evaluation of the multicare-in system. Transl Res. 2009;153:71–76.PubMed

25.

Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, Scherr PA, Wallace RB. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol A Biol Sci Med Sci. 1994;49:85–94.

26.

Makizako H, Shimada H, Doi T, Tsutsumimoto K, Nakakubo S, Hotta R, Suzuki T. Predictive Cutoff Values of the Five-Times Sit-to-Stand Test and the Timed “Up & Go” Test for Disability Incidence in Older People Dwelling in the Community. Phys Ther. 2017;97:417–424.PubMed

27.

Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, Seeman T, Tracy R, Kop WJ, Burke G, McBurnie MA. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56:M146–156.PubMed

28.

Zamboni M, Zoico E, Scartezzini T, Mazzali G, Tosoni P, Zivelonghi A, Gallagher D, De Pergola G, Di Francesco V, Bosello O. Body composition changes in stable-weight elderly subjects: the effect of sex. Aging Clin Exp Res. 2003;15:321–327.PubMed

29.

Palmisano BT, Zhu L, Eckel RH, Stafford JM. Sex differences in lipid and lipoprotein metabolism. MOL METAB. 2018;15:45–55.PubMedPubMedCentral

30.

Landi F, Calvani R, Tosato M, Martone AM, Fusco D, Sisto A, Ortolani E, Savera G, Salini S, Marzetti E. Age-Related Variations of Muscle Mass, Strength, and Physical Performance in Community-Dwellers: Results From the Milan EXPO Survey. J Am Med Dir Assoc. 2017;18(1):88.e17–88.e24.

31.

Morley JE, Vellas B, Kan GA, Anker SD, Bauer JM, Bernabei R, et al. Frailty consensus: a call to action. J Am Med Dir Assoc. 2013;14(6):392–397.PubMedPubMedCentral

32.

Whelton SP, Chin A, Xin X, He J. Effect of aerobic exercise on blood pressure: a meta-analysis of randomized, controlled trials. Ann Intern Med. 2002;136:493–503.PubMed

33.

Cárdenas Fuentes G, Bawaked RA, Schröder H, Tur Marí JA, Babio N, Serra-Majem L, et al. Association of physical activity with body mass index, waist circumference and incidence of obesity in older adults. Eur J Public Health. 2018;28:944–950.PubMed

34.

Alinia S, Hels O, Tetens I. The potential association between fruit intake and body weight-a review. Obes Rev. 2009;10:639–647.PubMed

35.

Nour M, Lutze SA, Grech A, Allman-Farinelli M. The Relationship between Vegetable Intake and Weight Outcomes: A Systematic Review of Cohort Studies. Nutrients. 2018;10:E1626.PubMed

36.

Levine ME, Suarez JA, Brandhorst S, Balasubramanian P, Cheng CW, Madia F, et al. Low protein intake is associated with a major reduction in IGF-1, cancer, and overall mortality in the 65 and younger but not older population. Cell Metab. 2014;19:407–417.PubMedPubMedCentral

37.

Fougere B, Mazzuco S, Spagnolo P, Guyonnet S, Vellas B, Cesari M, Gallucci M. Association between the Mediterranean-style Dietary Pattern Score and Physical Performance: Results from TRELONG Study. J Nutr Health Aging. 2016;20(4):415–419.PubMed

38.

Inzitari M, Doets E, Bartali B, Benetou V, Di Bari M, Visser M, Volpato S, Gambassi G, Topinkova E, De Groot L, Salva A. Nutrition in the age-related disablement process. J Nutr Health Aging. 2011;15(8):599–604.PubMed

39.

Aune D, Schlesinger S, Norat T, Riboli E. Tobacco smoking and the risk of heart failure: A systematic review and meta-analysis of prospective studies. Eur J Prev Cardiol. 2019;26(3):279–288.PubMed

40.

Pirie K, Peto R, Reeves GK, Green J, Beral V. The 21st century hazards of smoking and benefits of stopping: a prospective study of one million women in the UK. Lancet. 2013;381:133–141.PubMedPubMedCentral

41.

Leone A. Does Smoking Act as a Friend or Enemy of Blood Pressure? Let Release Pandora’s Box. Cardiol Res Pract. 2011;2011(264894).

42.

Plurphanswat N, Rodu B. The association of smoking and demographic characteristics on body mass index and obesity among adults in the U.S., 1999–2012. BMC Obesity. 2014;1(18).

43.

Jylha M. What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Soc Sci Med. 2009;69:307–316.PubMed

44.

Zajacova A, Huzurbazar S, Todd M. Gender and the structure of self-rated health across the adult life span. Soc Sci Med. 2017;187:58–66.PubMedPubMedCentral

45.

Manczuk M, Vaidean G, Dehghan M, Vedanthan R, Boffetta P, Zatonski WA. Ideal cardiovascular health is associated with self-rated health status. The Polish Norwegian Study (PONS). Int J Cardiol. 2017;230:549–555.PubMed

46.

Liu Y, Ozodiegwu ID, Nickel JC, Wang K, Iwasaki LR. Self-reported health and behavioral factors are associated with metabolic syndrome in Americans aged 40 and over. Prev Med Rep. 2017;7:193–197.PubMedPubMedCentral

47.

Idler E, Cartwright K. What Do We Rate When We Rate Our Health? Decomposing Age-related Contributions to Self-rated Health. J Health Soc Behav. 2018;59:74–93.PubMed

48.

Boehm JK, Chen Y, Williams DR, Ryff CD, Kubzansky LD. Subjective well-being and cardiometabolic health: An 8–11year study of midlife adults. J Psychosom Res. 2016;85:1–8.PubMedPubMedCentral

49.

Verbrugge LM, Jette AM. The disablement process. Soc Sci Med. 1994;38:1–14.PubMed

50.

Pavasini R, Guralnik J, Brown JC, di Bari M, Cesari M, Landi F, et al. Short Physical Performance Battery and all-cause mortality: systematic review and meta-analysis. BMC Medicine. 2016;14:215–224.PubMedPubMedCentral

51.

Fung TT, Chiuve SE, McCullough ML, Rexrode KM, Logroscino G, Hu FB. Adherence to a DASH-style diet and risk of coronary heart disease and stroke in women. Arch Intern Med. 2008;168:713–720.PubMed

Title: Are Health Behaviors and Self-Rated Health Related to Cardiovascular Health and Functional Performance? Results from the Lookup 7+ Cross-Sectional Survey among Persons Aged 65+
Authors: Hanna M. Rempe
R. Calvani
E. Marzetti
A. Picca
C. C. Sieber
E. Freiberger
F. Landi
Publication date: 01-04-2020
Publisher: Springer Paris
Published in: The journal of nutrition, health & aging / Issue 4/2020
Print ISSN: 1279-7707
Electronic ISSN: 1760-4788
DOI: https://doi.org/10.1007/s12603-020-1342-3

Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Reserve your place

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin

Prof. Florian Limbourg

Prof. Anoop Chauhan

Developed by: Springer Medicine

Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Design

Setting

Participants

Measurements

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 4/2020

Handgrip Strength and Timed Up-and-Go (TUG) Test are Predictors of Short-Term Mortality among Elderly in a Population-Based Cohort in Singapore

Cohort Profile: The Precipitating Events Project (PEP Study)

COVID-19 and Older Adult

Influence of Olfactory Function on Appetite and Nutritional Status in the Elderly Requiring Nursing Care

Investigation of the Diet-Gut-Muscle Axis in the Osteoporotic Fractures in Men Study

Sexuality, Aging, and Dementia

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

At a glance: The STEP trials