Physical Activity, Function, and Mortality in Advanced Age: A Longitudinal Follow-Up (LiLACS NZ)

in Journal of Aging and Physical Activity
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The relationship between physical activity, function, and mortality is not established in advanced age. Physical activity, function, and mortality were followed in a cohort of Māori and non-Māori adults living in advanced age for a period of 6 years. Generalized linear regression models were used to analyze the association between physical activity and Nottingham Extended Activities of Daily Living scale, whereas Kaplan–Meier survival analysis and Cox proportional hazard models were used to assess the association between the physical activity and mortality. The hazard ratio for mortality for those in the least active physical activity quartile was 4.1 for Māori and 1.8 for non-Māori compared with the most active physical activity quartile. There was an inverse relationship between physical activity and mortality, with lower hazard ratios for mortality at all levels of physical activity. Higher levels of physical activity were associated with lower mortality and higher functional status in advanced-aged adults.

Mace Firebaugh is with Central Washington University, Ellensburg, WA. Moyes, Rolleston, and Kerse are with the University of Auckland, Auckland, New Zealand. Jatrana is with the Swinburne University of Technology, Melbourne, Australia.

Address author correspondence to Casey Mace Firebaugh at macec@cwu.edu.
  • American Heart Association. (2015). Physical activity improves quality of life. Retrieved from http://www.heart.org/HEARTORG/HealthyLiving/PhysicalActivity/FitnessBasics/Physical-activity-improves-quality-of-life_UCM_307977_Article.jsp#.WR3mRhPytQM

    • Export Citation
  • Bascand, G. (2013, April 16). Narrowing gap between Māori and non-Māori life expectancy. Statistics New Zealand. Retrieved from http://www.stats.govt.nz/browse_for_stats/health/life_expectancy/NZLifeTables_MR10-12.aspx

    • Search Google Scholar
    • Export Citation
  • Dyall, L., Kepa, M., Hayman, K., Teh, R., Moyes, S., Broad, J.B., & Kerse, N. (2013). Engagement and recruitment of Māori and non-Māori people of advanced age to LiLACS NZ. Australian and New Zealand Journal of Public Health, 37(2), 124131. PubMed ID: 23551470 doi:10.1111/1753-6405.12029

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Green, J., & Young, J. (2001). A test-retest reliability study of the Barthel Index, the Rivermead Mobility Index, the Nottingham Extended Activities of Daily Living Scale and the Frenchay Activities Index in stroke patients. Disability and Rehabilitation, 23(15), 670676. PubMed ID: 11720117 doi:10.1080/09638280110045382

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gu, M.O., & Conn, V.S. (2008). Meta-analysis of the effects of exercise interventions on functional status in older adults. Research in Nursing & Health, 31(6), 594603. PubMed ID: 18546240 doi:10.1002/nur.20290

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gulsvik, A.K., Thelle, D.S., Samuelsen, S.O., Myrstad, M., Mowé, M., & Wyller, T.B. (2012). Ageing, physical activity and mortality—A 42-year follow-up study. International Journal of Epidemiology, 41(2), 521530. PubMed ID: 22253311 doi:10.1093/ije/dyr205

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hayman, K.J., Kerse, N., Dyall, L., Kepa, M., Teh, R., Wham, C., … Wilkinson, T.J. (2012). Life and living in advanced age: A cohort study in New Zealand—Te Puāwaitanga o Nga Tapuwae Kia Ora Tonu, LiLACS NZ: Study protocol. BMC Geriatrics, 12(1), 33. PubMed ID: 22747503 doi:10.1186/1471-2318-12-33

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hirsch, C., Diehr, P., Newman, A., Gerrior, S., Pratt, C., Lebowitz, M., & Jackson, S. (2010). Physical activity and years of healthy life in older adults: Results from the cardiovascular health study. Journal of Aging and Physical Activity, 18(3), 313334. PubMed ID: 20651417 doi:10.1123/japa.18.3.313

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Jacobs, J.M., Stessman, J., Ein-Mor, E., & Bursztyn, M. (2012). Hypertension and 5-year mortality among 85-year-olds: The Jerusalem Longitudinal Study. Journal of the American Medical Directors Association, 13(8), 759.e1759.e6. PubMed ID: 22698954 doi:10.1016/j.jamda.2012.05.005

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kerse, N., Elley, R., Robinson, E., & Arroll, B. (2005). Is physical activity counseling effective for older people? A cluster randomized, controlled trial in primary care. Journal of American Geriatrics Society, 53(11), 19511956. PubMed ID: 16274377 doi:10.1111/j.1532-5415.2005.00466.x

    • Crossref
    • Search Google Scholar
    • Export Citation
  • King, A. (2001, October). Interventions to promote physical activity by older adults. The Journals of Gerontology: Series A, 56(2), 3646. PubMed ID: 11730236 doi:10.1093/gerona/56.suppl_2.36

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ling, C.H., Taekema, D., de Craen, A.J., Gussekloo, J., Westendorp, R.G., & Maier, A.B. (2010). Handgrip strength and mortality in the oldest old population: The Leiden 85-plus study. Canadian Medical Association Journal, 182(5), 429435. PubMed ID: 20142372 doi:10.1503/cmaj.091278

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Mace, C., Kerse, N., Maddison, R., Olds, T., Jatrana, S., Wham, C., … Broad, J. (2016). Descriptive epidemiology of physical activity levels and patterns in New Zealanders in advanced age. Journal of Aging and Physical Activity, 24(1), 6171. PubMed ID: 25985471 doi:10.1123/japa.2014-0230

    • Crossref
    • Search Google Scholar
    • Export Citation
  • McMurdo, M.E. (2000). A healthy old age: Realistic or futile goal? British Medical Journal, 321(7269), 11491151. PubMed ID: 11061744 doi:10.1136/bmj.321.7269.1149

    • Crossref
    • Search Google Scholar
    • Export Citation
  • McPhee, J., French, D., Jackson, D., Nazroo, J., Pendelton, N., & Degens, H. (2016). Physical activity in older age: Perspectives for healthy ageing and frailty. Biogerontology, 17, 567580. PubMed ID: 26936444 doi:10.1007/s10522-016-9641-0

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Nelson, M.E., Rejeski, W.J., Blair, S.N., Duncan, P.W., Judge, J.O., King, A.C., & Castaneda-Sceppa, C. (2007). Physical activity and public health in older adults: Recommendation from the American College of Sports Medicine and the American Heart Association. Circulation, 116(9), 10941105. PubMed ID: 17671236 doi:10.1161/CIRCULATIONAHA.107.185650

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Peeters, G., van Gellecum, Y.R., Van Uffelen, J.G., Burton, N.W., & Brown, W.J. (2014). Contribution of house and garden work to the association between physical activity and well-being in young, mid-aged and older women. British Journal of Sports Medicine, 48(12), 9961001. PubMed ID: 22936410 doi:10.1136/bjsports-2012-091103

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Stessman, J., Hammerman-Rozenberg, R., Cohen, A., Ein-Mor, E., & Jacobs, J.M. (2009). Physical activity, function, and longevity among the very old. Archives of Internal Medicine, 169(16), 14761483. PubMed ID: 19752405 doi:10.1001/archinternmed.2009.248

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Taylor, A., Cable, N., Faulkner, G., Hillsdon, M., Narici, M., & Van Der Bij, A. (2004). Physical activity and older adults: A review of health benefits and the effectiveness of interventions. Journal of Sports Sciences, 22(8), 703725. PubMed ID: 15370483 doi:10.1080/02640410410001712421

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Teh, R., Doughty, R., Connolly, M., Broad, J., Pillai, A., Wilkinson, T., … Kerse, N. (2013). Agreement between self-reports and medical records of cardiovascular disease in octogenarians. Journal of Clinical Epidemiology, 66(10), 11351143. PubMed ID: 23860185 doi:10.1016/j.jclinepi.2013.05.001

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Washburn, R.A., Smith, K.W., Jette, A.M., & Janney, C.A. (1993). The Physical Activity Scale for the Elderly (PASE): Development and evaluation. Journal of Clinical Epidemiology, 46(2), 153162. PubMed ID: 8437031 doi:10.1016/0895-4356(93)90053-4

    • Crossref
    • Search Google Scholar
    • Export Citation
  • World Health Organization. (2002). Towards a common language for functioning, disability and health: ICF. Geneva, Switzerland: Author. Retrieved from http://www.who.int/classifications/icf/training/icfbeginnersguide.pdf

    • Search Google Scholar
    • Export Citation
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