Association between changes in habitual physical activity and changes in bone density, muscle strength, and functional performance in elderly men and women.

OBJECTIVES: To investigate the long-term effects of habitual physical activity on changes in musculoskeletal health, functional performance, and fracture risk in elderly men and women. DESIGN: Ten-year prospective population-based study. SETTING: Malmö-Sjöbo Prospective Study, Sweden. PARTICIPANTS:...

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Publicado en:Journal of the American Geriatrics Society Vol. 56; no. 12; pp. 2252 - 2261
Autores principales: Daly RM, Ahlborg HG, Ringsberg K, Gardsell P, Sernbo I, Karlsson MK
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Dec2008
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2008
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/j.1532-5415.2008.02039.x
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        atl: Association between changes in habitual physical activity and changes in bone density, muscle strength, and functional performance in elderly men and women.
      aug:
        au:
          Daly RM
          Ahlborg HG
          Ringsberg K
          Gardsell P
          Sernbo I
          Karlsson MK
        affil: Department of Medicine, University of Melbourne, Western Hospital, Footscray, Melbourne, Australia
      sug:
        subj:
          Aging
          Bone Density In Old Age
          Functional Status In Old Age
          Muscle Strength In Old Age
          Physical Activity In Old Age
          Absorptiometry, Photon
          Aged
          Aged, 80 and Over
          Analysis of Covariance
          Analysis of Variance
          Balance, Postural
          Chi Square Test
          Confidence Intervals
          Cox Proportional Hazards Model
          Data Analysis Software
          Descriptive Statistics
          Female
          Funding Source
          Gait
          Geriatric Functional Assessment
          Grip Strength
          Leisure Activities
          Male
          Middle Age
          Odds Ratio
          Paired T-Tests
          Population-Based Case Control
          Post Hoc Analysis
          Prospective Studies
          Questionnaires
          Random Sample
          Record Review
          Reference Values
          Sex Factors
          Sweden
          Human
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
          Male
      ab: OBJECTIVES: To investigate the long-term effects of habitual physical activity on changes in musculoskeletal health, functional performance, and fracture risk in elderly men and women. DESIGN: Ten-year prospective population-based study. SETTING: Malmö-Sjöbo Prospective Study, Sweden. PARTICIPANTS: Participants were 152 men and 206 women aged 50, 60, 70, and 80 who were followed for 10 years. MEASUREMENTS: Distal radius bone mineral density (BMD) (single photon absorptiometry), upper limb muscle (grip) strength, balance, gait velocity, occupational and leisure-time activity, and fractures (interview-administered questionnaire) were reassessed after 10 years. Annual changes for all measures were compared between participants with varying habitual physical activity histories at baseline and follow-up: inactive-inactive (n=202), active-inactive (n=47), inactive-active (n=49), and active-active (n=60). Data for men and women were pooled, because there were no sex-by-activity group interactions. To detect possible differences in fracture incidence between the varying habitual activity groups, participants were classified into two activity groups based on their activity classification at baseline and follow-up: inactive:less active versus active:more active. RESULTS: The annual rate of bone loss was 0.6% per year less in individuals classified as active at both time points than in those classified as inactive at both time points (P<.01). Similar results were observed for balance, but there was no effect of varying habitual activity on changes in muscle strength or gait velocity. There were also no differences in fracture incidence between individuals categorized as active:more active and those categorized as inactive:less active during the follow-up (adjusted hazard ratio=0.90, 95% confidence interval (CI)=0.42-1.90). CONCLUSION: This study showed that elderly men and women who maintained a habitually active lifestyle over 10 years had lower bone loss and retained better balance than those who remained habitually inactive.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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