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Open Access 01-12-2022 | Research

Association between physical activity and physical and functional performance in non-institutionalized Mexican older adults: a cohort study

Authors: Brenda María Martínez-Hernández, Oscar Rosas-Carrasco, Miriam López-Teros, Alejandra González-Rocha, Paloma Muñoz-Aguirre, Rosa Palazuelos-González, Araceli Ortíz-Rodríguez, Armando Luna-López, Edgar Denova-Gutiérrez

Published in: BMC Geriatrics | Issue 1/2022

Abstract

Background

Aging is an independent risk factor for deterioration in functional capacity. Some studies have reported that physical activity (PA) improves functional capacity and physical performance among older adults (OA). Thus the objective of the present study was to assess the longitudinal association between PA and functional and physical performance in non-institutionalized OA.

Methods

A longitudinal analysis using data from the Frailty, Dynapenia and Sarcopenia in Mexican adults (FRADYSMEX, by its Spanish acronym) cohort study was conducted. PA was assessed through the Community Healthy Activities Model Program for Seniors (CHAMPS) instrument. Functionality was measured with the Barthel index and the Lawton and Brody scale, while physical performance was measured with the Short Physical Performance Battery (SPPB). To evaluate the association between the level of PA and physical and functional performance as a continuous variable, a linear regression of mixed effects was performed. To assess PA and dependence in basic activities of the daily life (BADL), instrumental activities of the daily life (IADL), and low physical performance (PP), generalized estimation equation models [to compute odds ratios (OR) and 95% confidence intervals (95%CI)] were computed.

Results

Older people who performed moderate to vigorous-intensity PA had a lower risk of dependence in IADL (OR = 0.17; 95%CI: 0.10, 0.80) and lower risk of low PP (OR = 0.18; 95%CI: 0.11, 0.58) compared to those in lower categories of PA.

Conclusions

Older adults living in the community who perform PA of moderate to vigorous intensity have a lower risk of dependence in BADL and IADL and have a lower risk of low PP.

Mendoza V, Vivaldo M. Community Gerontology Model for Healthy Aging Developed in Mexico Framed in Resilience and Generativity. J Cross Cult Gerontol. 2019;34(4):439–59. https://doi.org/10.1007/s10823-019-09385-5.CrossRef

Wagner KH, Cameron-Smith D, Wessner B, Franzke B. Biomarkers of Aging: From Function to Molecular Biology. Nutrients. 2016;8(6):338. https://doi.org/10.3390/nu8060338.CrossRefPubMedCentral

Garcia Meneguci CA, Meneguci J, Sasaki JE, Tribess S, Júnior JSV. Physical activity, sedentary behavior and functionality in older adults: A cross-sectional path analysis. PLoS ONE. 2021;16(1):e0246275. https://doi.org/10.1371/journal.pone.0246275.CrossRefPubMedPubMedCentral

Lloyd-Sherlock P, McKee M, Ebrahim S, Gorman M, Green-gross S, Prince M, et al. Population ageing and health. Lancet. 2012;379(9823):1295–6.CrossRef

Manrique-Espinoza B, Salinas-Rodríguez A, Moreno-Tamayo KM, Acosta-Castillo I, Sosa-Ortiz AL, Gutiérrez-Robledo LM, Téllez-Rojo MM. Health conditions and functional status of older adults in Mexico. Salud Publica Mex. 2013;55(suppl 2):S323–31.CrossRef

Frontera WR. Physiologic Changes of the Musculoskeletal System with Aging: A Brief Review. Phys Med Rehabil Clin N Am. 2017;28(4):705–11. https://doi.org/10.1016/j.pmr.2017.06.004.CrossRefPubMed

Koolhaas CM, Dhana K, van Rooij FJA, Schoufour JD, Hofman A, Franco OH. Physical Activity Types and Health-Related Quality of Life among Middle-Aged and Elderly Adults: The Rotterdam Study. J Nutr Health Aging. 2018;22(2):246–53. https://doi.org/10.1007/s12603-017-0902-7.CrossRefPubMed

Paluska SA, Schwenk TL. Physical activity and mental health: current concepts. Sports Med. 2000;29(3):167–80. https://doi.org/10.2165/00007256-200029030-00003.CrossRefPubMed

Roberts CE, Phillips LH, Cooper CL, Gray S, Allan JL. Effect of Different Types of Physical Activity on Activities of Daily Living in Older Adults: Systematic Review and Meta-Analysis. J Aging Phys Act. 2017;25(4):653–70. https://doi.org/10.1123/japa.2016-0201.CrossRefPubMed

10.

Langhammer B, Bergland A, Rydwik E. The Importance of Physical Activity Exercise among Older People. Biomed Res Int. 2018;2018:7856823. https://doi.org/10.1155/2018/7856823 (Published 2018 Dec 5).CrossRefPubMedPubMedCentral

11.

Eckstrom E, Neukam S, Kalin L, Wright J. Physical Activity and Healthy Aging. Clin Geriatr Med. 2020;36(4):671–83. https://doi.org/10.1016/j.cger.2020.06.009.CrossRefPubMed

12.

World Health Organization. World Report on Aging and Health [Internet]. Geneva, Switzerland: WHO; 2015. [Consulted 21 Jul 2021] Available at: https://www.who.int/ageing/publications/world-report-2015/es/ Peeters G, Dobson AJ, Deeg DJ, Brown WJ.

13.

Shah RC, Buchman AS, Leurgans S, Boyle PA, Bennett DA. Association of total daily physical activity with disability in community-dwelling older persons: a prospective cohort study. BMC Geriatr. 2012;12:63. https://doi.org/10.1186/1471-2318-12-63.CrossRefPubMedPubMedCentral

14.

Cawthon PM, Blackwell TL, Cauley JA, et al. Objective assessment of activity, energy expenditure, and functional limitations in older men: the Osteoporotic Fractures in Men study. J Gerontol A Biol Sci Med Sci. 2013;68(12):1518–24. https://doi.org/10.1093/gerona/glt054.CrossRefPubMedPubMedCentral

15.

Balogun S, Scott D, Cicuttini F, Jones G, Aitken D. Longitudinal study of the relationship between physical activity and knee pain and functional limitation in community-dwelling older adults. Arch Gerontol Geriatr. 2020;90:104101. https://doi.org/10.1016/j.archger.2020.104101.CrossRefPubMed

16.

Balzi D, Lauretani F, Barchielli A, Ferrucci L, Bandinelli S, Buiatti E, et al. Risk factors for disability in older persons over 3-year follow-up. Age Ageing. 2010;39:92–8.CrossRef

17.

Song J, Gilbert AL, Chang RW, et al. Do Inactive Older Adults Who Increase Physical Activity Experience Less Disability: Evidence From the Osteoarthritis Initiative. J Clin Rheumatol. 2017;23(1):26–32. https://doi.org/10.1097/RHU.0000000000000473.CrossRefPubMedPubMedCentral

18.

Manrique-Espinoza B, Moreno-Tamayo K, Téllez-Rojo Solís MM, De la Cruz-Góngora VV, Gutiérrez-Robledo LM, Salinas-Rodríguez A. Short-term effect of physical activity and obesity on disability in a sample of rural elderly in Mexico. Salud Publica Mex. 2014;56(1):4–10. https://doi.org/10.21149/spm.v56i1.7317.CrossRefPubMed

19.

Torres-Castro S, Szlejf C, Parra-Rodríguez L, Rosas-Carrasco O. Association Between Frailty and Elder Abuse in Community-Dwelling Older Adults in Mexico City. J Am Geriatr Soc. 2018;66(9):1773–8. https://doi.org/10.1111/jgs.15489.CrossRefPubMed

20.

Szlejf C, Parra-Rodríguez L, Rosas-Carrasco O. Osteosarcopenic Obesity: Prevalence and Relation With Frailty and Physical Performance in Middle-Aged and Older Women. J Am Med Dir Assoc. 2017;18(8):733.e1-733.e5. https://doi.org/10.1016/j.jamda.2017.02.023.CrossRef

21.

Gutiérrez-Robledo LM, García-Chanes RE, González-Bautista E, Rosas-Carrasco O. Validation of Two Intrinsic Capacity Scales and Its Relationship with Frailty and Other Outcomes in Mexican Community-Dwelling Older Adults. J Nutr Health Aging. 2021;25(1):33–40. https://doi.org/10.1007/s12603-020-1555-5.CrossRefPubMed

22.

Blesa R, Pujol M, Aguilar M, et al. Clinical validity of the ‘mini-mental state’ for Spanish speaking communities. Neuropsychologia. 2001;39(11):1150–7. https://doi.org/10.1016/s0028-3932(01)00055-0.CrossRefPubMed

23.

Tennant A, Geddes JM, Chamberlain MA. The Barthel Index: an ordinal score or interval level measure? Clin Rehabil. 1996;10:301–8. https://doi.org/10.1177/026921559601000407).CrossRef

24.

Strini V, Piazzetta N, Gallo A, Schiavolin R. Barthel Index: creation and validation of two cut-offs using the BRASS Index. Acta Biomed. 2020;91(2-S):19–26. https://doi.org/10.23750/abm.v91i2-S.9226.CrossRefPubMedPubMedCentral

25.

Hopman-Rock M, van Hirtum H, de Vreede P, Freiberger E. Activities of daily living in older community-dwelling persons: a systematic review of psychometric properties of instruments. Aging Clin Exp Res. 2019;31(7):917–25. https://doi.org/10.1007/s40520-018-1034-6.CrossRefPubMed

26.

Bernaola-Sagardui I. Validation of the Barthel Index in the Spanish population. Enferm Clin. 2018;28(3):210–1. https://doi.org/10.1016/j.enfcli.2017.12.001.CrossRef

27.

Minosso M, Amendola F, Alvarenga R, Oliveira M. Validation of the Barthel Index in elderly patients attended in outpatient clinics. Brazil Acta paul enferm. 2010;23(2):218–23. https://doi.org/10.1590/S0103-21002010000200011.CrossRef

28.

González N, Bilbao A, Forjaz MJ, et al. Psychometric characteristics of the Spanish version of the Barthel Index. Aging Clin Exp Res. 2018;30(5):489–97. https://doi.org/10.1007/s40520-017-0809-5.CrossRefPubMed

29.

Hartigan I. A comparative review of the Katz ADL and the Barthel Index in assessing the activities of daily living of older people. Int J Older People Nurs. 2007;2(3):204–12. https://doi.org/10.1111/j.1748-3743.2007.00074.x.CrossRefPubMed

30.

Yang M, Ding X, Dong B. La medición de la discapacidad en las personas mayores: una revisión sistemática de los cuestionarios autonotificados. J Am Med Dir Assoc. 2014;15(2):150.e1-150.e1509. https://doi.org/10.1016/j.jamda.2013.10.004.CrossRef

31.

Fish J. Lawton-Brody Instrumental Activities of Daily Living Scale. In: Kreutzer J.S., DeLuca J., Caplan B. (eds) Encyclopedia of Clinical Neuropsychology. Springer, New York, NY. https://doi.org/10.1007/978-0-387-79948-3_1842

32.

Graf C. The Lawton instrumental activities of daily living scale. Am J Nurs. 2008;108(4):52–63. https://doi.org/10.1097/01.NAJ.0000314810.46029.74.CrossRefPubMed

33.

Echeverria A, Cauas R, Diaz B, Sáez C, Cárcamo M. Tools for the evaluation of daily life activities instrumental in adults: systematic review. RMCLC. 2021;32(4):474–90. https://doi.org/10.1016/j.rmclc.2021.01.012.CrossRef

34.

Vergara I, Bilbao A, Orive M, Garcia-Gutierrez S, Navarro G, Quintana JM. Validation of the Spanish version of the Lawton IADL Scale for its application in elderly people. Health Qual Life Outcomes. 2012;10:130. https://doi.org/10.1186/1477-7525-10-130.CrossRefPubMedPubMedCentral

35.

Gómez JF, Curcio CL, Alvarado B, Zunzunegui MV, Guralnik J. Validity and reliability of the Short Physical Performance Battery (SPPB): a pilot study on mobility in the Colombian Andes. Colomb Med (Cali). 2013;44(3):165–71.CrossRef

36.

Freiberger E, de Vreede P, Schoene D, et al. Performance-based physical function in older community-dwelling persons: a systematic review of instruments. Age Ageing. 2012;41(6):712–21. https://doi.org/10.1093/ageing/afs099.CrossRefPubMed

37.

Stewart AL, Mills KM, King AC, Haskell WL, Gillis D, Ritter PL. CHAMPS physical activity questionnaire for older adults: outcomes for interventions. Med Sci Sports Exerc. 2001;33(7):1126–41. https://doi.org/10.1097/00005768-200107000-00010.CrossRefPubMed

38.

Glynn NW, Meinhardt AJ, LaSorda KR, et al. An Optimal Self-Report Physical Activity Measure for Older Adults: Does Physical Function Matter? J Aging Phys Act. 2020;29(2):193–9. https://doi.org/10.1123/japa.2019-0380 (Published 2020 Aug 12).CrossRefPubMedPubMedCentral

39.

Falck RS, McDonald SM, Beets MW, Brazendale K, Liu-Ambrose T. Measurement of physical activity in older adult interventions: a systematic review. Br J Sports Med. 2016;50(8):464–70. https://doi.org/10.1136/bjsports-2014-094413.CrossRefPubMed

40.

Vellas B, Guigoz Y, Garry PJ, et al. The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition. 1999;15(2):116–22. https://doi.org/10.1016/s0899-9007(98)00171-3.CrossRefPubMed

41.

Sundararajan V, Henderson T, Perry C, Muggivan A, Quan H, Ghali WA. New ICD-10 version of the Charlson comorbidity index predicted in-hospital mortality. J Clin Epidemiol. 2004;57(12):1288–94. https://doi.org/10.1016/j.jclinepi.2004.03.012.CrossRefPubMed

42.

Rosas-Carrasco O, González-Flores E, Brito-Carrera AM, Vázquez-Valdez OE, Peschard-Sáenz E, Gutiérrez-Robledo LM, García-Mayo JE. Assessment of comorbidity in the elderly. Rev Med Inst Mex Seguro Soc. 2011;49:153e162.

43.

Sánchez S, García A, García C, Gutiérrez L, Narváez L, Juárez T. Use of reduced version of Depression Scale of the Epidemiological ResearchCenter (CES-D Spanish acronym) in the Mexican elderly population. Entreciencias. 2014;2(4):137–50.CrossRef

44.

Salinas-Rodríguez A, Manrique-Espinoza B, Acosta-Castillo GI, et al. Validation of a cutoff point for the short version of the Depression Scale of the Center for Epidemiologic Studies in older Mexican adults. Salud Publica Mex. 2014;56(3):279–85.CrossRef

45.

Stessman J, Hammerman-Rozenberg R, Maaravi Y, Cohen A. Effect of exercise on ease in performing activities of daily living and instrumental activities of daily living from age 70 to 77: the Jerusalem longitudinal study. J Am Geriatr Soc. 2002;50(12):1934–8. https://doi.org/10.1046/j.1532-5415.2002.50603.x (PMID: 12473003).CrossRefPubMed

46.

Boyle PA, Buchman AS, Wilson RS, Bienias JL, Bennett DA. Physical activity is associated with incident disability in community-based older persons. J Am Geriatr Soc. 2007;55(2):195–201. https://doi.org/10.1111/j.1532-5415.2007.01038.x.CrossRefPubMed

47.

Crevenna R, Dorner TE. Association between fulfilling the recommendations for health-enhancing physical activity with (instrumental) activities of daily living in older Austrians. Wien Klin Wochenschr. 2019;131(11–12):265–72. https://doi.org/10.1007/s00508-019-1511-8.CrossRefPubMedPubMedCentral

48.

Hasegawa R, Islam MM, Lee SC, Koizumi D, Rogers ME, Takeshima N. Threshold of lower body muscular strength necessary to perform ADL independently in community-dwelling older adults. Clin Rehabil. 2008;22(10–11):902–10. https://doi.org/10.1177/0269215508094713.CrossRefPubMed

49.

Duran-Badillo T, Salazar-González BC, Cruz-Quevedo JE, Sánchez-Alejo EJ, Gutierrez-Sanchez G, Hernández-Cortés PL. Sensory and cognitive functions, gait ability and functionality of older adults. Rev Lat Am Enfermagem. 2020;28: e3282. https://doi.org/10.1590/1518-8345.3499.3282.CrossRefPubMedPubMedCentral

50.

Erickson KI, Hillman C, Stillman CM, et al. Physical Activity, Cognition, and Brain Outcomes: A Review of the 2018 Physical Activity Guidelines. Med Sci Sports Exerc. 2019;51(6):1242–51. https://doi.org/10.1249/MSS.0000000000001936.CrossRefPubMedPubMedCentral

51.

Cahn-Weiner DA, Farias ST, Julian L, et al. Cognitive and neuroimaging predictors of instrumental activities of daily living. J Int Neuropsychol Soc. 2007;13(5):747–57. https://doi.org/10.1017/S1355617707070853.CrossRefPubMedPubMedCentral

52.

Mograbi DC, Faria Cde A, Fichman HC, Paradela EM, Lourenço RA. Relationship between activities of daily living and cognitive ability in a sample of older adults with heterogeneous educational level. Ann Indian Acad Neurol. 2014;17(1):71–6. https://doi.org/10.4103/0972-2327.128558.CrossRefPubMedPubMedCentral

53.

Lee MC, Hsu CC, Tsai YF, Chen CY, Lin CC, Wang CY. Criterion-Referenced Values of Grip Strength and Usual Gait Speed Using Instrumental Activities of Daily Living Disability as the Criterion. J Geriatr Phys Ther. 2018;41(1):14–9. https://doi.org/10.1519/JPT.0000000000000106.CrossRefPubMed

54.

Hsueh MC, Rutherford R, Chou CC, Park JH, Park HT, Liao Y. Objectively assessed physical activity patterns and physical function in community-dwelling older adults: a cross-sectional study in Taiwan. BMJ Open. 2020;10(8):e034645. https://doi.org/10.1136/bmjopen-2019-034645.CrossRefPubMedPubMedCentral

55.

Morie M, Reid KF, Miciek R, et al. Habitual physical activity levels are associated with performance in measures of physical function and mobility in older men. J Am Geriatr Soc. 2010;58(9):1727–33. https://doi.org/10.1111/j.1532-5415.2010.03012.x.CrossRefPubMedPubMedCentral

56.

Distefano G, Goodpaster BH. Effects of Exercise and Aging on Skeletal Muscle. Cold Spring Harb Perspect Med. 2018;8(3):a029785. https://doi.org/10.1101/cshperspect.a029785.CrossRefPubMedPubMedCentral

57.

McPhee JS, French DP, Jackson D, Nazroo J, Pendleton N, Degens H. Physical activity in older age: perspectives for healthy ageing and frailty. Biogerontology. 2016;17(3):567–80. https://doi.org/10.1007/s10522-016-9641-0.CrossRefPubMedPubMedCentral

Title: Association between physical activity and physical and functional performance in non-institutionalized Mexican older adults: a cohort study
Authors: Brenda María Martínez-Hernández
Oscar Rosas-Carrasco
Miriam López-Teros
Alejandra González-Rocha
Paloma Muñoz-Aguirre
Rosa Palazuelos-González
Araceli Ortíz-Rodríguez
Armando Luna-López
Edgar Denova-Gutiérrez
Publication date: 01-12-2022
Publisher: BioMed Central
Published in: BMC Geriatrics / Issue 1/2022
Electronic ISSN: 1471-2318
DOI: https://doi.org/10.1186/s12877-022-03083-7

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