Chronic diseases and objectively monitored physical activity profile among aged individuals - a cross-sectional twin cohort study

Show full item record



Permalink

http://hdl.handle.net/10138/312876

Citation

Kujala , U M , Hautasaari , P , Vähä-Ypyä , H , Waller , K , Lindgren , N , Iso-Markku , P , Heikkilä , K , Rinne , J , Kaprio , J & Sievänen , H 2019 , ' Chronic diseases and objectively monitored physical activity profile among aged individuals - a cross-sectional twin cohort study ' , Annals of Medicine , vol. 51 , no. 1 , pp. 78-87 . https://doi.org/10.1080/07853890.2019.1566765

Title: Chronic diseases and objectively monitored physical activity profile among aged individuals - a cross-sectional twin cohort study
Author: Kujala, Urho M.; Hautasaari, Pekka; Vähä-Ypyä, Henri; Waller, Katja; Lindgren, Noora; Iso-Markku, Paula; Heikkilä, Kauko; Rinne, Juha; Kaprio, Jaakko; Sievänen, Harri
Contributor: University of Helsinki, Department of Diagnostics and Therapeutics
University of Helsinki, Institute for Molecular Medicine Finland
University of Helsinki, Institute for Molecular Medicine Finland
Date: 2019-01-02
Language: eng
Number of pages: 10
Belongs to series: Annals of Medicine
ISSN: 0785-3890
URI: http://hdl.handle.net/10138/312876
Abstract: Introduction: High physical activity (PA) at old age indicates good functional capacity enabling independent living. We investigated how different disease conditions are associated with measured PA indicators in old women and men, and whether they recognize this association. Materials and methods: This cross-sectional twin cohort study in Finland comprised 779 individuals (276 complete twin pairs, including 117 monozygotic pairs), who participated in hip-worn accelerometer monitoring of PA and responded to questions on diseases and mobility limitations at mean age of 73 (range 71-75). Results: Of the participants, 23.2% reported having a disease restricting mobility. With sex and age in the regression model, the reported disease restricting mobility explained 11.8% of the variation in moderate-to-vigorous PA (MVPA) and 10.4% of the variation in daily steps. Adding stepwise other self-reported diseases and body mass index to the model increased the explanatory power for MVPA up to 18.5% and 25.5%, and for daily steps up to 16.0% and 20.7%, respectively. In the co-twin control analysis the PA differences were smaller in disease-discordant monozygotic than dizygotic pairs. Conclusions: Chronic disease conditions are associated with low PA, which individuals may not always recognize. Shared genetic factors may explain part of the associations.Key messages Among community-dwelling older men and women one-fourth of the variation in objectively measured moderate-to-vigorous physical activity is accounted for by age, sex, body mass index and self-reported diseases. Occurrence of chronic diseases is associated with low physical activity and individuals do not always recognize this. Healthcare professionals should pay attention to the low physical activity and mobility of individuals with chronic disease conditions before these result in limitations in independent living.
Subject: Disease
exercise
limitation of activity
monitoring
physical activity
sedentary behavior
twin
MOBILITY DISABILITY
OLDER-ADULTS
EXERCISE THERAPY
LIMITATION
METAANALYSIS
ASSOCIATION
MORTALITY
OBESITY
TIME
LIFE
3142 Public health care science, environmental and occupational health
Rights:


Files in this item

Total number of downloads: Loading...

Files Size Format View
Kujala_et.al_text_suppl.pdf 1.133Mb PDF View/Open

This item appears in the following Collection(s)

Show full item record