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1

Nieuwenhuijsen, C., WMA van der Slot, A. Beelen, JH Arendzen, ME Roebroeck, HJ Stam, and RJG van den Berg-Emons. "Inactive lifestyle in adults with bilateral spastic cerebral palsy." Journal of Rehabilitation Medicine 41, no. 5 (2009): 375–81. http://dx.doi.org/10.2340/16501977-0340.

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2

Cardinal, Bradley J. "Assessing the Physical Activity Readiness of Inactive Older Adults." Adapted Physical Activity Quarterly 14, no. 1 (January 1997): 65–73. http://dx.doi.org/10.1123/apaq.14.1.65.

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The purpose of this study was to examine the relationship between inactive older adults’ physical activity readiness (based on the Physical Activity Readiness Questionnaire [PARQ]) and several biometric, demographic, and physical activity indices. Participants were 181 (91 female, 90 male) inactive 60- to 89-year-old adults (M age = 70.2 ± 6.6 yr.). Self-report measures were completed and body mass index (BMI) and VO2max were estimated. BMI, weight, and VO2max were significantly associated with physical activity readiness. There was no significant association among 10-year age cohort and physical activity readiness. The blood pressure question excluded the largest number of participants (42%). Overall, 45.3% of the participants appeared to be healthy enough to begin a low to moderate physical activity program. Preliminary evidence suggests the PARQ may be a useful method of identifying older adults for whom low to moderate physical activity participation is safe.
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CHANDRABHAN DABRE, PRAVIN. "COMPARISON OF LEVEL OF HEMOGLOBIN AMONGST DYNAMIC EXERCISES PRACTITIONERS, YOGIC PRACTITIONERS AND SEDENTARY ADULTS." International Journal of Advanced Research 9, no. 01 (January 31, 2021): 529–32. http://dx.doi.org/10.21474/ijar01/12323.

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As the hemoglobin is transport operator of gases. Researcher would like to find out the role of exercises in maintenance of hemoglobin level amongst higher age group ranges form 51-62. The studies in the gerontology had indicated that exercises delays the aging process and had impact on certain physiological aspects. The present study was undertaken to examine the differences in Hemoglobin amongst the physically active (Dynamic exercises practitioners), Yogic practitioners and Sedentary (inactive) adults. Total number of subjects selected for the study was 120, out of which 40 each were Dynamic exercises practitioners, Yogic practitioners and 40 were sedentary adults in the age group of age ranges from 51-62 years. All the subjects were tested for hemoglobin with the help of Shalli’s Hellis hemoglobin meter.The hemoglobin level of physically active (Dynamic exercises practitioners) and Yogic practitioners were at normal range as compared to the Sedentary (inactive) adults. The level of hemoglobin amongst Active and Inactive adults Inactive and Yogic Practitioners differs. Both active adults and Yogic Practitioners were better in hemoglobin. Though the adults does not have the normal range of level of hemoglobin, but activities in any form dynamic exercise and yogic practices had the better impact in the improvement of hemoglobin.
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Staiano, Amanda E., Bruce A. Reeder, Susan Elliott, Michel R. Joffres, Punam Pahwa, Susan A. Kirkland, Gilles Paradis, and Peter T. Katzmarzyk. "Physical activity level, waist circumference, and mortality." Applied Physiology, Nutrition, and Metabolism 37, no. 5 (October 2012): 1008–13. http://dx.doi.org/10.1139/h2012-058.

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This study predicted all-cause mortality based on physical activity level (active or inactive) and waist circumference (WC) in 8208 Canadian adults in Alberta, Manitoba, Nova Scotia, and Saskatchewan, surveyed between 1986–1995 and followed through 2004. Physically inactive adults had higher mortality risk than active adults overall (hazard ratio, 95% confidence interval = 1.20, 1.05–1.37) and within the low WC category (1.51, 1.19–1.92). Detrimental effects of physical inactivity and high WC demonstrate the need for physical activity promotion.
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Neto, Leônidas Oliveira, Vagner Deuel de Oliveira Tavares, Ângelo Augusto Paula do Nascimento, and Kenio Costa Lima. "Analysis of the Levels of Physical Activity in the Quality of Life of Elderly Patients With Hypertension." Global Journal of Health Science 12, no. 4 (March 30, 2020): 138. http://dx.doi.org/10.5539/gjhs.v12n4p138.

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BACKGROUND: Changes in lifestyle are essential to promote the control of hypertension and quality of life in older adults. Objective: To verify the influence of the level of physical activity (LPA) on quality of life in hypertensive older adults. METHOD: The sample included a total of 291 hypertensive older adults, 102 men and 189 women, with a mean age of 69.7 ± 7.7 and 69.2 ± 7.2 respectively. The General Linear Model was applied to measure the interactions (LPA and sex) between active and inactive groups. RESULTS: There was a difference between active men and active women with inactive older adults of both sexes for mental status (p<.0001), as well as a difference between active men and active women with inactive older adults of both sexes for somatic manifestations (p<.0001). No differences were observed between active men and active women for any other variables. CONCLUSION: Our results suggest that a higher level of physical activity can lead to a better quality of life.
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Freelove-Charton, Julie, Heather R. Bowles, and Steven Hooker. "Health Related Quality of Life by Level of Physical Activity in Arthritic Older Adults With and Without Activity Limitations." Journal of Physical Activity and Health 4, no. 4 (October 2007): 482–95. http://dx.doi.org/10.1123/jpah.4.4.482.

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Background:This study examined the association between health-related quality of life (HRQOL) and physical activity (PA) among adults with arthritis.Methods:National 2003 2003 Behavioral Risk Factor Surveillance System (BRFSS) survey data for 51,444 adults, age ≥50 y, with physician-diagnosed arthritis were used to analyze the relationships between PA, self-reported health, HRQOL, and activity limitations related to arthritis.Results:The percentage of older adults with or without an activity limitation who reported fair/poor health or poor HRQOL was significantly higher in inactive persons compared to those who met PA recommendations (p < .0001). Older adults with and without limitations attaining either recommended or insufficient levels of PA were 39% to 70% less likely to report ≥14 unhealthy mental or physical days compared to inactive older adults (p < .0001).Conclusion:Participation in PA at the recommended level was strongly associated with improved perceived health and higher levels of HRQOL; however, participation in some PA was clearly better than being inactive. These data were consistent for persons with arthritis despite the presence of an activity limitation.
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Holler, Peter, Johannes Jaunig, Othmar Moser, Silvia Tuttner, Helmut Simi, Dietmar Wallner, Frank Michael Amort, and Mireille van Poppel. "Primary Care and Physical Literacy: A Non-Randomized Controlled Pilot Study to Combat the High Prevalence of Physically Inactive Adults in Austria." International Journal of Environmental Research and Public Health 18, no. 16 (August 14, 2021): 8593. http://dx.doi.org/10.3390/ijerph18168593.

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The multidimensional concept of physical literacy is fundamental for lifelong physical activity engagement. However, physical literacy-based interventions are in their infancy, especially among adults. Therefore, the purpose of this pilot study was to assess the association of a physical literacy-based intervention with changes in self-reported physical literacy among inactive adults. A non-randomized controlled study (2 × 2 design) was conducted, comparing pre- vs. postintervention. Twenty-eight inactive healthy participants in the intervention group (89% female, 53 ± 10 years) entered a physical literacy-based intervention once weekly for 14 weeks. The non-treated control group consisted of 22 inactive adults (96% female, 50 ± 11 years). Physical literacy was evaluated with a questionnaire encompassing five domains: physical activity behavior, attitude/understanding, motivation, knowledge, and self-efficacy/confidence. ANOVA models were applied to evaluate changes by time and condition. Following the intervention, significant improvements were seen for overall physical literacy and in four out of five physical literacy domains, including physical activity behavior, attitude/understanding, knowledge, and self-efficacy/confidence (all p < 0.01, Cohen’s d = 0.38–0.83). No changes by time x condition were found for motivation. The physical literacy-based intervention applied in this study may be a promising approach to help inactive adults to adopt an active lifestyle.
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Alansare, Abdullah, Ken Alford, Sukho Lee, Tommie Church, and Hyun Jung. "The Effects of High-Intensity Interval Training vs. Moderate-Intensity Continuous Training on Heart Rate Variability in Physically Inactive Adults." International Journal of Environmental Research and Public Health 15, no. 7 (July 17, 2018): 1508. http://dx.doi.org/10.3390/ijerph15071508.

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Physically inactive adults are prevalent worldwide. This study compared the effects of short-term high-intensity interval training (HIIT) versus moderate-intensity continuous training (MICT) on heart rate variability (HRV) in physically inactive adults as a preliminary study. Thirteen physically inactive male adults (27.5 ± 3.80 years) were randomly assigned to HIIT (N = 7) or MICT (N = 6). The HIIT program consisted of 20 min of interval training with cycling to rest ratio of 10/50 s at ≥90% HRpeak, while the MICT program consisted of 40 min of continuous cycling at 60–75% HRpeak. Both groups completed eight sessions of training within two weeks. Time and frequency domains of HRV were measured for 20 min with Actiwave-Cardio monitor (CamNtech, UK). The number of R-R interval and inter-beat interval (IBI) were significantly improved (p < 0.05) in both HIIT and MICT programs following eight sessions of training. A significant interaction effect for group by time was found in the lnLF/HF ratio (p < 0.05) where it was only improved in the HIIT group from pre- to post-test. The HIIT program is superior to MICT in improving HRV in physically inactive adults. The HIIT program can be applied as a time-efficient program for improving cardiac-autoregulation.
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Sellström, E., S. Bremberg, and P. O’campo. "Yearly incidence of mental disorders in economically inactive young adults." European Journal of Public Health 21, no. 6 (December 22, 2010): 812–14. http://dx.doi.org/10.1093/eurpub/ckq190.

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Lobben, Stian E., Lena Malnes, Sveinung Berntsen, Leif Inge Tjelta, Elling Bere, Morten Kristoffersen, and Thomas Mildestvedt. "Bicycle usage among inactive adults provided with electrically assisted bicycles." Acta Kinesiologiae Universitatis Tartuensis 24 (January 2, 2019): 60–73. http://dx.doi.org/10.12697/akut.2018.24.05.

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In the present study we aimed primarily to examine cycling time and distance when inactive subjects were provided with electrically assisted bicycles. Secondly to evaluate changes in maximal oxygen uptake. Inactive employees in a selection of public and private corporations in three Norwegian cities were invited to participate. Inclusion criteria were: a desire to cycle to work, residence more than 3 km from the workplace, and not physically active according to guidelines. There were 25 participants in the study and we provided them all with electrically assisted bicycles fitted with GPS bike computers to record usage. The participants were followed for three to eight months, 226 days on average. Measures of maximal oxygen uptake were performed before and after the intervention. Demographic characteristics and prior transportation habits were reported in a questionnaire at baseline. Participants cycled for 107.1± 62 min per week covering 37.6 ± 24 km per week. The distances cycled were significantly greater in the autumn (47.4 km/week, p=0.035) than in the spring (32.1 km/week). Participants cycled more on weekdays (7.1 km/day, p < 0.001) compared to weekends (0.9 km/day, p<0.001). Maximal oxygen uptake improved significantly, 2.4 ml/min/kg (7.7 %), p<0.001 and this was associated with cycling distance (r=0.49, p=0.042) and self-reported commuting distance (r=0.51, p=0.018). Offering electrically assisted bicycles to inactive employees may initiate transport-related physical activity and may give positive health effects.
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Zhao, Fei, Anirban Dutta, and Machiko Tomita. "Reduced Muscle Oxidative Capacity During and After Exercise in Older Adults With Obesity." Innovation in Aging 5, Supplement_1 (December 1, 2021): 681. http://dx.doi.org/10.1093/geroni/igab046.2562.

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Abstract Objective: Obesity and physical activity are two major factors affecting aerobic performance in older adults. The underlying mechanisms of the causes are still unknown. Oxidative capacity, muscles’ maximal capacity to utilize oxygen, is a part of aerobic performance. Muscle oxygen level (SmO2), a measure of oxidative capacity, reflects the balance between oxygen delivery and oxygen demand. When oxygen delivery surpasses oxygen demand, SmO2 increases, which indicates higher oxidative capacity. This study aimed to identify the influence of obesity and physical activity level on SmO2 changes during and after short exercise. Methods: This is a cross-sectional study. SmO2 changes during and after a bilateral heel-raise (BHR) test were measured in 60 community-dwelling older adults (≥ 60 years old) in four groups: inactive obese, active obese, inactive non-obese, and active non-obese. Inactive is defined as performing less than 150 minutes/week moderate-intensity activity. Results: The inactive obese group took a longer time for SmO2 drop during the BHR test, had a lower SmO2 level at the end, and recovered slower after the test than all other groups. Especially, compared with the active non-obese group, this group exhibited significantly poorer SmO2 recovery one minute after the test, 5.3% less (p=.036). The active obese group’s oxidative capacity was similar to the inactive non-obese group, although lower than the active non-obese group. Discussion: To prevent physical decline in older adults with obesity, regular exercise has been recommended. This study substantiated this from a hemodynamics viewpoint. Older adults with obesity need 150+ minutes/week moderate-intensity exercise.
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Al-Tannir, Mohamad, Samer Kobrosly, Taha Itani, Mariam El-Rajab, and Sawsan Tannir. "Prevalence of Physical Activity Among Lebanese Adults: A Cross-Sectional Study." Journal of Physical Activity and Health 6, no. 3 (May 2009): 315–20. http://dx.doi.org/10.1123/jpah.6.3.315.

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Background:This survey aims to assess the prevalence of physical activity among adult Lebanese, and to report the relationship between sociodemographic variables and physical activity behavior, highlighting the correlates discouraging people to carry out physical activity.Methods:A cross-sectional study using an anonymous self-reported questionnaire was conducted on 346 adults from four Lebanese districts. Demographic characteristics, physical activity, smoking status, alcohol consumption, and medical history were obtained.Results:Prevalence of physical activity among Lebanese adults was 55.5% (192/346). Age, BMI, marital status, medical history, occupation, educational level, and smoking were significantly associated with physical activity (P < .05). Inactive obese participants were about three times more likely to report hypertension and diabetes than inactive normal weight participants (P = .013). BMI was significantly higher among inactive participants (P = .014).Conclusion:Physical activity among Lebanese adults was comparable to other populations. Married, non–office workers, and smokers were the main correlates of physical inactivity in Lebanese adulthood.
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Carlson, Susan A., Judy Kruger, Harold W. Kohl, and David M. Buchner. "Cross-Sectional Relationship Between Physical Activity and Falls in Older Adults, United States 2003." Journal of Physical Activity and Health 3, no. 4 (October 2006): 390–404. http://dx.doi.org/10.1123/jpah.3.4.390.

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Background:Falls are a major health problem for older adults. The purpose of this study is to examine the cross-sectional association between non-occupational physical activity and falls and fall-related injuries in US adults age 65 y or older.Methods:Respondents age 65 y or older were selected from the 2003 Behavioral Risk Factor Surveillance System (n = 47,619).Results:The age-adjusted incidence of falls was significantly higher among inactive respondents (16.3%, 95% CI: 15.2–17.6) than insufficiently active (12.3%, 95% CI: 11.4–13.2) or active (12.6%, 95% CI: 11.6–13.7) respondents. After controlling for sex, age, education, and body-mass index, active and insufficiently active respondents were significantly less likely to have fallen and were significantly less likely to have had a fall-related injury than their inactive peers.Conclusion:These results show that active and insufficiently active older adults experience a lower incidence of falls than their inactive peers.
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Bostad, William, Thomas Alexander Ricketts, Paula Jean Stotz, and Robert Ross. "Cardiovascular disease risk in obese adults assessed using established values for cardiorespiratory fitness." Applied Physiology, Nutrition, and Metabolism 42, no. 1 (January 2017): 93–95. http://dx.doi.org/10.1139/apnm-2016-0132.

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The present study was designed to assess the risk of cardiovascular disease as determined by cardiorespiratory fitness (CRF) in a large sample of inactive, obese adults. Cardiovascular disease risk was determined using published age- and sex-adjusted values for low, moderate, and high CRF from the Aerobics Center Longitudinal Study (ACLS). Contrary to expectations, ACLS-CRF classifications identified approximately 60% of our inactive, obese adults as having moderate or high CRF and hence, low cardiovascular disease risk.
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Buková, Alena, Agata Horbacz, Ladislav Kručanica, and Mária Majherová. "Physical activity and lifestyle of older adults in the context of diseases of affluence." Physical education, sports and health culture in modern society, no. 2(46) (June 30, 2019): 61–65. http://dx.doi.org/10.29038/2220-7481-2019-02-61-65.

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Introduction. In this study, we focused on physical activity of older adults and their lifestyle in the context of diseases of affluence. We monitored the most common physical activity performed by older adults, weekly frequency of the chosen physical activity, together with the prevalence of diseases of affluence and the assessment of the life quality of older adults. Methods. The study group comprised active older adults (n=35) who performed regular physical activity two and more times weekly, with two times a week under the supervision of an experienced instructor, and inactive older adults (n=35) whose physical activities consisted of only short walks and irregular exercise. Results. We found a lower prevalence of diseases of affluence among active older adults compared to the inactive. The differences are significant, especially in peripheral vascular disorders, osteoporosis, and diabetes. However, a statistically significant difference was only found in problems with blood pressure. Half of the inactive older adults reported that the diseases had restricted their physical activity, but they did not feel the need for any additional physical exercise. As we assumed, a significantly higher number of active older adults was recorded in the group with higher life quality. Conclusion. We agree with opinions of professionals in the field who recommend PA to be a natural and everyday part of a daily routine not only in younger age groups but also in retirement. There is a higher prevalence of chronic diseases in older adults, and therefore, they should understand the importance and meaning of PA in alleviating the irreversible process of aging.
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Dennison, Barbara A., John H. Straus, E. David Mellits, and Evan Charney. "Childhood Physical Fitness Tests: Predictor of Adult Physical Activity Levels?" Pediatrics 82, no. 3 (September 1, 1988): 324–30. http://dx.doi.org/10.1542/peds.82.3.324.

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Regular physical activity has both short- and long-term health benefits in adults. No study has investigated childhood determinants of adult physical activity patterns, however. In a nonconcurrent prospective study, the physical activity levels of 453 young men, 23 to 25 years of age, were compared with their physical fitness test scores as children (10 to 11 years of age and 15 to 18 years of age). The physically active adults had significantly better childhood physical fitness test scores than did the inactive adults. In 224 children, 2 years of fitness test results were available. The risk of physical inactivity in young adulthood was linearly related to the number of low scores on the 548.6-m (600-yd) run and sit-ups tests as children (P &lt; .001). In stepwise multivariate discriminant analysis, the childhood 548.6-m run score was the best discriminator between currently physically active and inactive adults. Reported parental encouragement of exercise, level of education, participation in organized sports after high school, and reported spousal encouragement of exercise also contributed significantly to the discriminant function. These results demonstrate that physical fitness testing in boys facilitates the identification of those at increased risk of becoming physically inactive young adults.
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Tanaka, Hirofumi, Tsubasa Tomoto, Keisei Kosaki, and Jun Sugawara. "Arterial stiffness of lifelong Japanese female pearl divers." American Journal of Physiology-Regulatory, Integrative and Comparative Physiology 310, no. 10 (May 15, 2016): R975—R978. http://dx.doi.org/10.1152/ajpregu.00048.2016.

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Japanese female pearl divers called Ama specialize in free diving in the cold sea for collecting foods and pearls in oysters. Exercising in the water combined with marked bradycardia and pressor responses provides a circulatory challenge to properly buffer or cushion elevated cardiac pulsations. Because Ama perform repeated free dives throughout their lives, it is possible that they may have adapted similar arterial structure and function to those seen in diving mammals. We compared arterial stiffness of lifelong Japanese pearl divers with age-matched physically inactive adults living in the same fishing villages. A total of 115 Japanese female pearl divers were studied. Additionally, 50 physically inactive adults as well as 33 physically active adults (participating in community fitness programs) living in the same coastal villages were also studied. There were no differences in age (∼65 yr), body mass index, and brachial blood pressure between the groups. Measures of arterial stiffness, cardio-ankle vascular index and β-stiffness index were lower ( P < 0.05) in pearl divers and physically active adults than in their physically inactive peers. Augmentation pressure and augmentation index adjusted for the heart rate of 75 beats/min were lower ( P < 0.05) in pearl divers than in other groups. These results indicate that lifelong Japanese pearl divers demonstrate reduced arterial stiffness and arterial wave reflection compared with age-matched physically inactive peers living in the same fishing villages.
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Gardiner, Paul, Barbara J. Jefferis, KatieRose Richmere, Andrea Z. LaCroix, Paul K. Crane, Eric B. Larson, and Dori E. Rosenberg. "ASSOCIATION OF 10-YEAR WALKING TRAJECTORIES WITH COGNITIVE FUNCTION IN OLDER ADULTS: ADULT CHANGES IN THOUGHT STUDY." Innovation in Aging 3, Supplement_1 (November 2019): S20. http://dx.doi.org/10.1093/geroni/igz038.073.

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Abstract We identified trajectories of older adults’ walking and their associations with cognitive function. Data on walking (days/week) were collected at baseline of the Adult Changes in Thought study and every two years for 10 years. Cognitive function was assessed by the Cognitive Abilities Screening Instrument (CASI) at year 12. Group-based trajectory analyses identified trajectories among 763 participants (baseline age 70±5 years, 60% female). Regression models, adjusted for baseline sociodemographic and health factors, examined associations with cognitive function. Five walking trajectories were identified: consistently inactive (18.1%), medium active (21.9%), early decline (15.8%), late decline (18.4%), and consistently active (25.8%). Mean CASI score was 92.0 (SD 6.9). CASI scores were lower in early b = -1.66 (95%CI: -2.97, -0.35) and late decline b = -1.89 (-3.26, -0.51) groups, with no difference in consistently active and inactive groups, compared to the medium active trajectory group. Ten-year walking trajectories may determine late-life cognitive function.
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Azagba, Sunday, and Mesbah Fathy Sharaf. "Physical Inactivity Among Older Canadian Adults." Journal of Physical Activity and Health 11, no. 1 (January 2014): 99–108. http://dx.doi.org/10.1123/jpah.2011-0305.

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Background:In spite of the substantial benefits of physical activity for healthy aging, older adults are considered the most physically inactive segment of the Canadian population. This paper examines leisure-time physical inactivity (LTPA) and its correlates among older Canadian adults.Methods:We use data from the Canadian Community Health Survey with 45,265 individuals aged 50–79 years. A logistic regression is estimated and separate regressions are performed for males and females.Results:About 50% of older Canadian adults are physically inactive. Higher odds of physical inactivity are found among current smokers (OR = 1.52, CI = 1.37–1.69), those who binge-drink (OR = 1.24, CI = 1.11–1.39), visible minorities (OR = 1.60, CI = 1.39–1.85), immigrants (OR = 1.13, CI = 1.02–1.25), individuals with high perceived life stress (OR = 1.48, CI = 1.31–1.66). We also find lower odds of physical inactivity among: males (OR = 0.89, CI = 0.83 to 0.96), those with strong social interaction (OR = 0.71, CI = 0.66–0.77), with general life satisfaction (OR = 0.66, CI = 0.58–0.76) and individuals with more education. Similar results are obtained from separate regressions for males and females.Conclusions:Identifying the correlates of LTPA among older adults can inform useful intervention measures.
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Loginov, S. "DAILY PHYSICAL ACTIVITY AND SEDENTARY (INACTIVE) BEHAVIOUR OF ADULTS FROM SURGUT." Human Sport Medicine 19, no. 4 (January 27, 2020): 70–77. http://dx.doi.org/10.14529/hsm190409.

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International Physical Activity Questionnaire is commonly applied today to obtain internationally comparable data on health-related physical activity (PA). Aim. The purpose of the article is to determine the level and structure of daily physical activity in a sample of permanent residents of Surgut using the international IPAQ questionnaire. Methods. In this study, the author have made the first attempt for the last 20 years to apply a Russian version of the IPAQ to obtain data on the habitual physical activity and sedentary behavior of the Surgut city population on a sample of 1552 people (717 men and 835 women aged 34.4 ± 12.6 years) dominated by intellectual workers. Results. On the whole, the PA reported by the subjects was classified as of low (40.7 %), moderate (36.3 %) and vigorous (23.0 %) intensity. Physical activity was reported to ave­rage 25 min/day at work (23; 26 Confidence Interval [CI]); 17 min/day for transport (16; 19 CI); 18 min/day at home (17, 19 CI); and 12 min/ day at discretional (leisure) time (11, 13 CI). Dispersion analysis showed the work time PA reported notably higher for men (F (1, 1550) = = 26.676, p = 0.0000) and the transport time PA higher for women (F (1, 1550) = 21.801, p = 0.0000). The leisure-time PA was found gender-unspecific: F (1, 1550) = 0.00191, p = 0.9652). The sampled women reported more time spent for the housework: F (1, 1550) = = 39.338, p = 0.0000. The sedentary behavior was found to average 405 ± 125 min/day (6.75 hours per day that is the lower limit of the health risk zone) irrespective of the gender: F (1, 1550) = 1.3332, p = 0.2484. The study identified a few groups of people reporting variable combinations of sedentary behavior with moderate to vigorous physical activity per week. Conclusion. The study found that special PA optimization programs are critically needed to effectively scale down the share of inactive and increase the share of reasonably active population, advance the leisure-time PA and minimize the sedentary habits.
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Song, Jing, Abigail L. Gilbert, Rowland W. Chang, Christine A. Pellegrini, Linda S. Ehrlich-Jones, Jungwha Lee, Daniel Pinto, et al. "Do Inactive Older Adults Who Increase Physical Activity Experience Less Disability." JCR: Journal of Clinical Rheumatology 23, no. 1 (January 2017): 26–32. http://dx.doi.org/10.1097/rhu.0000000000000473.

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Mills, Robert, Gundula Thiel, and Nadtaya Mills. "Results of myringoplasty operations in active and inactive ears in adults." Laryngoscope 123, no. 9 (July 8, 2013): 2245–49. http://dx.doi.org/10.1002/lary.23772.

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Swartz, Ann M., Scott J. Strath, Sarah J. Parker, and Nora E. Miller. "The Impact of Body-Mass Index and Steps per Day on Blood Pressure and Fasting Glucose in Older Adults." Journal of Aging and Physical Activity 16, no. 2 (April 2008): 188–200. http://dx.doi.org/10.1123/japa.16.2.188.

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The purpose of this study was to investigate the combined impact of obesity and physical activity (PA) on the health of older adults. Pedometer-determined steps/d, body-mass index (BMI), resting blood pressure, and fasting glucose (FG) were assessed in 137 older adults (69.0 ± 8.9 yr). The active group (>4,227 steps/d) had lower systolic blood pressure (SBP;p= .001), diastolic blood pressure (DBP;p= .028), and FG (p< .001) than the inactive group (≤4,227 steps/d). The normal-BMI group (18.5-24.9 kg/m2) had lower SBP (p< .001) and DBP (p= .01) than the obese group (≤30 kg/m2). There were no differences in SBP (p= .963) or DBP (p= 1.0) between active obese and inactive normal-BMI groups. The active obese group, however, had a more favorable FG than the inactive normal-BMI group (χ2= 18.9,df= 3,p= .001). Efforts to increase PA of older adults should receive the same priority as reducing obesity to improve BP and FG levels.
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Vastert, Sebastiaan J., Yvan Jamilloux, Pierre Quartier, Sven Ohlman, Lisa Osterling Koskinen, Torbjörn Kullenberg, Karin Franck-Larsson, Bruno Fautrel, and Fabrizio de Benedetti. "Anakinra in children and adults with Still’s disease." Rheumatology 58, Supplement_6 (November 1, 2019): vi9—vi22. http://dx.doi.org/10.1093/rheumatology/kez350.

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Abstract Systemic juvenile idiopathic arthritis and adult-onset Still’s disease are rare autoinflammatory disorders with common features, supporting the recognition of these being one disease—Still’s disease—with different ages of onset. Anakinra was recently approved by the European Medicines Agency for Still’s disease. In this review we discuss the reasoning for considering Still’s disease as one disease and present anakinra efficacy and safety based on the available literature. The analysis of 27 studies showed that response to anakinra in Still’s disease was remarkable, with clinically inactive disease or the equivalent reported for 23–100% of patients. Glucocorticoid reduction and/or stoppage was reported universally across the studies. In studies on paediatric patients where anakinra was used early or as first-line treatment, clinically inactive disease and successful anakinra tapering/stopping occurred in >50% of patients. Overall, current data support targeted therapy with anakinra in Still’s disease since it improves clinical outcome, especially if initiated early in the disease course.
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Losada, Andrés, María Márquez-González, Nancy A. Pachana, Julie L. Wetherell, Virginia Fernández-Fernández, Celia Nogales-González, and Miguel Ruiz-Díaz. "Behavioral correlates of anxiety in well-functioning older adults." International Psychogeriatrics 27, no. 7 (July 3, 2014): 1135–46. http://dx.doi.org/10.1017/s1041610214001148.

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ABSTRACTBackground:Research on the behavioral correlates of anxiety in older adults is sparse. The aim of this study was to explore the association of anxiety with behavioral patterns defined by health, activity, emotional and social variables.Methods:A convenience sample of 395 older adults completed measures of health, activity, emotions, social variables and experiential avoidance. Cross-sectional data were analysed using cluster analysis.Results:Five clusters were identified: active healthy, healthy, active vulnerable, lonely inactive and frail lonely. Participants in the active healthy and healthy clusters showed the highest scores on health variables (vitality and physical function), and adaptive scores on the rest of variables. They also reported the lowest scores on anxiety and included the lowest number of cases with clinically significant anxiety levels. Active vulnerable showed high scores on social support, leisure activities and capitalization on them but low scores in vitality and physical functioning. Participants in the lonely inactive cluster reported the highest mean score in experiential avoidance and high scores on boredom and loneliness, and low scores on social support, leisure activities capitalizing on pleasant activities and health variables. Frail lonely represent a particularly vulnerable profile of participants, similar to that of lonely inactive, but with significantly lower scores on health variables and higher scores on boredom and hours watching TV.Conclusions:Anxiety in older adults is not only linked to poor health, but also to dysfunctional social behavior, loneliness, boredom and experiential avoidance. Maladaptive profiles of older adults with regard to these variables have been identified.
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Wu, Chao-Yi, Lyndsey Miller, Rachel Wall, Zachary Beattie, Jeffrey Kaye, and Lisa Silbert. "Physical Inactivity in Older Adult Couples: A Dyadic Analysis Using Continuous In-Home Monitoring." Innovation in Aging 4, Supplement_1 (December 1, 2020): 412. http://dx.doi.org/10.1093/geroni/igaa057.1327.

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Abstract Many older adults remain inactive despite the known positive health implications of physical activity (e.g. improved mood, reduced mortality risk). Physical inactivity is a known interdependent phenomenon in couples, but the majority of research identifies determinants of physical inactivity at the individual level. We estimated the average amount of physical inactivity for older adult couples and, using dyadic analysis, identified physical and mental health determinants thereof. Forty-eight heterosexual older adult couples (mean age=70.6, SD=6.63) from the Veterans Integrated Service Network 20 cohort of the Collaborative Aging Research using Technology (CART) initiative were included in this study. Both dyad members wore actigraph devices for a month. The average number per day of inactive periods (defined as no movement or sleep activity for ≥ 30 minutes) was estimated. Multilevel modeling revealed that, within couples, there was no difference between partners in the average number of inactive periods, but on average across couples, males had more inactive periods per day (13.4, SD=4.43) than females (12.3, SD=4.87). For males, older age was the only variable associated with more inactive periods (β=0.13, p=.013). For females, more depressive symptoms in men were associated with fewer inactive periods (β=-0.37, p=.002), and more dependence in completing their own IADLs predicted more inactive periods (β=2.80, p&lt;.001). All models were adjusted for covariates. Viewing couples’ activity as a unit, rather than as separate individuals, provides a novel approach to identifying pathways to reduce inactivity in older adults, especially when focusing on mental health issues and decreased independence within the couple.
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Sudo, Mizuki, and Soichi Ando. "Effects of Acute Stretching on Cognitive Function and Mood States of Physically Inactive Young Adults." Perceptual and Motor Skills 127, no. 1 (November 19, 2019): 142–53. http://dx.doi.org/10.1177/0031512519888304.

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Exercise intensity from stretching is very low, making it well suited to varied populations, including physically inactive people. We tested the hypothesis that acute stretching would improve cognitive function and improved mood states in physically inactive people. We asked 19 physically inactive young participants to perform the Stroop task and complete the short form of Profile of Moods Scale before and after 10 minutes of whole body stretching using yoga techniques and poses (stretching condition) versus a resting period. In the stretching condition, we observed decreases in Tension–Anxiety, Depression–Dejection, Anger–Hostility, Fatigue, and Confusion scores on the Profile of Moods Scale (all p values < .01) and an increase in the Vigor score ( p = .01). We also observed a decrease in Stroop interference performance ( p < .001). Furthermore, we found a significant negative correlation between ΔVigor score and ΔStroop interference ( r = −.36, p = .03), indicating that a greater increase in the Vigor score was associated with better cognitive performance. Thus, acute stretching improved mood states and cognitive performance in physically inactive people. We suggest that the improved cognitive performance may be, at least partly, associated with the improved mood states.
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Bhuyan, K. C. "Discriminating Bangladeshi Adults by the Prevalence of Obesity Disability." Diabetes and Islet Biology 3, no. 1 (October 30, 2020): 01–06. http://dx.doi.org/10.31579/2641-8975/022.

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The results presented here was derived in analyzing the data collected in investigating 900 adults from both urban and rural areas of Bangladesh to identify some of the socioeconomic variables responsible in discriminating obese disable adults from adults without this health problem . The sample contained 29.5% obese adults and 8.3% of them were disable. Level of obesity was significantly associated with different types of health hazard including disability. Obesity disability was predominant among females, illiterate persons, and physically inactive persons, high income group of persons and in diabetic adults. The most responsible variable for prevalence of obesity disability was level of body mass index followed by prevalence of diabetes, hypertension and illiteracy, and non-involvement in physical labor. These variables were identified by discriminant analysis.
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Liu, Xuefeng, Ana Baylin, and Phillip D. Levy. "Vitamin D deficiency and insufficiency among US adults: prevalence, predictors and clinical implications." British Journal of Nutrition 119, no. 8 (April 12, 2018): 928–36. http://dx.doi.org/10.1017/s0007114518000491.

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AbstractVitamin D deficiency (VDD) and insufficiency (VDI) are increasing at a global level, and they are associated with increased risk of various diseases. However, little information is available on the prevalence and predictors of VDD and VDI in a representative population of US adults. Serum 25-hydroxyvitamin D (25(OH)D) measurements were collected from 26 010 adults aged ≥18 years from the National Health and Nutrition Examination Survey (NHANES) 2001–2010. Using thresholds recommended by the Endocrine Society, VDD was defined as 25(OH)D<50 nmol/l and VDI as 50≤25(OH)D<75 nmol/l. Weighted multinomial log-binomial regression was conducted to estimate prevalence ratios of VDD and VDI. The prevalences of VDD and VDI in 2001–2010 were 28·9 and 41·4 %, respectively. Adults who were black, less educated, poor, obese, current smokers, physically inactive and infrequent milk consumers had a higher prevalence of VDD. After adjustment for other potential predictors, obese adults showed 3·09 times higher prevalence of VDD and 1·80 times higher prevalence of VDI than non-obese adults. Physically inactive adults had 2·00 and 1·36 times higher prevalence of VDD and VDI than active peers. Compared with frequent consumers, rare consumers of milk had 2·44 and 1·25 times higher prevalence of VDD and VDI, respectively. Current alcohol drinkers had 38 % lower prevalence of VDD than non-drinkers. Awareness of the high prevalence of VDD and VDI among US adults and related predictors could inform behavioural and dietary strategies for preventing VDD and monitoring VDI, especially in old, black, obese and inactive individuals who report rare consumption of milk.
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Kos, M.-I., C. Degive, C. Boex, and J.-P. Guyot. "Professional occupation after cochlear implantation." Journal of Laryngology & Otology 121, no. 3 (October 19, 2006): 215–18. http://dx.doi.org/10.1017/s0022215106003641.

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The aims of this study were to verify whether cochlear implants helped profoundly deaf adults to maintain or even to develop their professional occupations, and to identify other elements that may contribute to or, on the contrary, impede such patients' professional success. All adult patients received a questionnaire concerning their professional activities before and after implantation. Demographic data, health information, hearing performance and degree of satisfaction with the implant were also considered. Sixty-seven adults had been implanted, with three different devices, since 1985. At the time of implantation, 34 had been professionally active. After implantation, 29 had remained professionally active, four of whom reported positive developments in their careers. Five patients had become professionally inactive. Those patients who had previously been professionally inactive remained so. There had been no difference in performance, either between different types of cochlear implants or between professionally active or inactive patients. The implanted patients had kept their jobs and many of them had developed their professional skills. In spite of this, cochlear implants may still be perceived as proving insufficiently satisfactory hearing to enable professionally inactive patients to reintegrate and to facilitate further learning or career developments.
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Kim, Kyuwoong, Seulggie Choi, Seo Eun Hwang, Joung Sik Son, Jong-Koo Lee, Juhwan Oh, and Sang Min Park. "Changes in exercise frequency and cardiovascular outcomes in older adults." European Heart Journal 41, no. 15 (November 8, 2019): 1490–99. http://dx.doi.org/10.1093/eurheartj/ehz768.

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Abstract Aims Little is known about the association of changes in moderate to vigorous physical activity (MVPA) level with cardiovascular disease (CVD), especially in older adults whose ability to engage in frequent MVPA naturally wanes as they age. We aimed to examine the association of changes in MVPA and CVD in older adults. Methods and results In a nationwide cohort study of older adults aged 60 years or older, we identified more than 1.1 million subjects without previous history of CVD at baseline who underwent two consecutive national health screening from 2009 to 2012. We prospectively assessed the risk of CVD occurred between 2013 and 2016 according to changes in frequency of MVPA by initial MVPA status. Compared to those who were continuously physically inactive, those who increased their frequency of MVPA from physically inactive to 1–2 times per week [0.7/1000 person-years (PY) decrease in incidence rate (IR); adjusted hazard ratio (aHR) 0.95; 95% confidence interval (CI) 0.92–0.99], 3–4 times per week (1.5/1000 PY decrease in IR; aHR 0.89; 95% CI 0.84–0.94), ≥5 times per week (0.4/1000 PY decrease in IR; aHR 0.91; 95% CI 0.85–0.97) had a significantly reduced risk for total CVD (P for trend &lt;0.001). Older adults who became physically inactive from engaging in more than 1–2 times of MVPA per week had a higher CVD risk compared to those who maintained their frequency of MVPA. Conclusion Among older adults, engaging in higher frequency of MVPA or maintaining MVPA level was associated with reduced risk of CVD.
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Okuyama, Kenta, Takafumi Abe, Xinjun Li, Yuta Toyama, Kristina Sundquist, and Toru Nabika. "Neighborhood Environmental Factors and Physical Activity Status among Rural Older Adults in Japan." International Journal of Environmental Research and Public Health 18, no. 4 (February 4, 2021): 1450. http://dx.doi.org/10.3390/ijerph18041450.

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(1) Background: Although several neighborhood environmental factors have been identified to be associated with older adults’ physical activity, little research has been done in rural areas where the population is aging. This study aimed to investigate neighborhood environmental factors and the longitudinal change of physical activity status among rural older adults in Japan. (2) Methods: The study included 2211 older adults, aged over 60 years, residing in three municipalities in Shimane prefecture and participating at least twice in annual health checkups between 2010 and 2019. Physical activity was identified based on self-report. Hilliness, bus stop density, intersection density, residential density, and distance to a community center were calculated for each subject. Hazard ratios for the incidence of physical inactivity were estimated using Cox proportional hazards models. (3) Results: We found that 994 (45%) of the study subjects became physically inactive during the follow-up. Those living far from a community center had a lower risk of becoming physically inactive compared to those living close to a community center. When the analysis was stratified by residential municipality, this association remained in Ohnan town. Those living in hilly areas had a higher risk of becoming physically inactive in Okinoshima town. (4) Conclusions: The impact of neighborhood environmental factors on older adults’ physical activity status might differ by region possibly due to different terrain and local lifestyles.
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Stone, Rachael C., and Joseph Baker. "Physical Activity, Age, and Arthritis: Exploring the Relationships of Major Risk Factors on Biopsychosocial Symptomology and Disease Status." Journal of Aging and Physical Activity 22, no. 3 (July 2014): 314–23. http://dx.doi.org/10.1123/japa.2012-0293.

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The prevalence of arthritis in aging populations continues to rapidly grow. Research has highlighted 2 principal risk factors for progression of arthritis-related biopsychosocial symptoms: age and physical inactivity. This study examined the relationship between and within physical activity and age on biopsychosocial symptoms of arthritis in adults (age ≥ 30 yr). Hierarchical, multiple-regression analyses were conducted on the Canadian Community Health Survey (Cycle 4.2, 2009–2010, N = 19,103). Results revealed that more-active adults had significantly fewer symptoms (physical unstd. B = −.23, p ≤ .001; pyschosocial unstd. B = −.51, p ≤ .001). In addition, as age increased, physical symptoms intensified and psychosocial symptoms tapered (physical unstd. B = .24, p ≤ .001; psychosocial unstd. B = −.45, p ≤ .001). Inactive older adults had the highest level of physical symptoms, while inactive younger adults had the highest level of psychosocial symptoms (p ≤ .001). Findings highlight the need to target physical activity interventions to specific age cohorts and particular biopsychosocial symptomologies.
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Sobrinho, Andressa Crystine da Silva, Mariana Luciano de Almeida, Vagner Ramon Rodrigues Silva, Guilherme da Silva Rodrigues, Karine Pereira Rodrigues, Camila de Paula Monteiro, and Carlos Roberto Bueno Júnior. "Quality of Movement Is Associated With Cognitive Function in Physically Inactive Older Women." Journal of Aging and Physical Activity 29, no. 5 (October 1, 2021): 822–27. http://dx.doi.org/10.1123/japa.2020-0467.

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The relationship between the quality of movement, considering different global and universal basic patterns of movement and cognition domains in older adults remain unclear. The current study explored this association in physically inactive older women. In total, 187 participants, aged 60–70 years (mean = 64.9, SD = 6.9 years), were recruited from a physical education program in a public university. The older adults performed the following tests: Functional Movement Screen, Montreal Cognitive Assessment, and Modified Baecke Questionnaire for the Older Adults. The regression analysis showed an association between age (β = −0.11, 95% confidence interval, CI, [−0.10, 0.30], p = .03); visuospatial abilities (β = 0.36, 95% CI [0.24, 1.23], p < .001); language (β = 0.23, 95% CI [0.20, 1.08], p < .001); and orientation domains (β = 0.13, 95% CI [0.11, 1.22], p = .016) of the Montreal Cognitive Assessment and the Functional Movement Screen. The quality of movement was related to both age and cognitive performance, such as the visuospatial abilities, language, and orientation domains, in physically inactive older women.
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Vasold, Kerri L., Elizabeth G. Groendal, Jeremy L. Knous, Jessica E. Mospan, and Michelle L. Knous. "The Effect of Fitbit Technology on Physical Activity Levels in Inactive Adults." Medicine & Science in Sports & Exercise 46 (May 2014): 564. http://dx.doi.org/10.1249/01.mss.0000495164.86403.3e.

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Gerrior, Shirley A. "The Nutrient and Anthropometric Status of Physically Active and Inactive Older Adults." Journal of Nutrition Education and Behavior 34 (March 2002): S5—S13. http://dx.doi.org/10.1016/s1499-4046(06)60305-9.

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Rowe, David A., Minsoo Kang, Rona Sutherland, Elizabeth A. Holbrook, and Tiago V. Barreira. "Evaluation of inactive adults’ ability to maintain a moderate-intensity walking pace." Journal of Science and Medicine in Sport 16, no. 3 (May 2013): 217–21. http://dx.doi.org/10.1016/j.jsams.2012.08.008.

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38

Dlugonski, Deirdre, Thomas R. Wójcicki, Edward McAuley, and Robert W. Motl. "Social cognitive correlates of physical activity in inactive adults with multiple sclerosis." International Journal of Rehabilitation Research 34, no. 2 (June 2011): 115–20. http://dx.doi.org/10.1097/mrr.0b013e328342ddc0.

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Rowland, Ruth M., K. John Fisher, Mandy Green, Adam M. Dunn, Michael A. Pickering, and Fuzhong Li. "Recruiting inactive older adults to a neighborhood walking trial: The SHAPE project." Journal of Aging Studies 18, no. 3 (August 2004): 353–68. http://dx.doi.org/10.1016/j.jaging.2004.03.001.

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Kressler, Jochen, Namrita K. O'Dea, Michael L. Jones, Deborah M. Michael, Maxime E. Buyckx, and Mindy Millard-Stafford. "Indices Of Dehydration Status During Seasonal Warm Weather For Inactive Young Adults." Medicine & Science in Sports & Exercise 43, Suppl 1 (May 2011): 488. http://dx.doi.org/10.1249/01.mss.0000401346.27095.1d.

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MA, SHENG-XIA, ZHENG ZHU, LIN ZHANG, XIAO-MEI LIU, YAN-YU LIN, and ZHEN-BO CAO. "Metabolic Effects of Three Different Activity Bouts during Sitting in Inactive Adults." Medicine & Science in Sports & Exercise 52, no. 4 (April 2020): 851–58. http://dx.doi.org/10.1249/mss.0000000000002212.

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Ostrom, Ethan, Nadja Jones, Savannah Berry, Ciara Terry, and Tinna Traustadottir. "Aerobic exercise in older adults maintains Nrf2 signaling compared to inactive controls." Free Radical Biology and Medicine 128 (November 2018): S126. http://dx.doi.org/10.1016/j.freeradbiomed.2018.10.310.

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Lee, Inhwan, and Hyunsik Kang. "Association between Light Intensity Physical Activity and All-cause Mortality in Older Adults with Physical Disability." Exercise Science 31, no. 3 (August 31, 2022): 337–44. http://dx.doi.org/10.15857/ksep.2022.00297.

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PURPOSE: This study aimed to investigate the association between light intensity physical activity (LPA) and all-cause mortality in older adults with physical disability.METHODS: Data from the 2008 Living Profiles of Older People Survey involving 14,367 Korean adults aged ≥60 years (13,417 without disabilities and 950 with disabilities) were used. Participants were divided into active and inactive groups based on weekly LPA and moderate-to-vigorous intensity physical activity (MVPA). Cox proportional hazards regression model was used to calculate hazard ratio (HR) and 95% confidence interval (CI), according to disability status and physical activity levels.RESULTS: During 3.3±0.4 years follow-up period, 1,024 deaths occurred from all causes. Among non-disabled people, the inactive group showed a significantly higher risk of all-cause mortality (HR=1.282, 95% CI=1.122–1.465, <i>p</i><.001) than the active group (reference= 1) in LPA. Similarly, for MVPA, the risk of all-cause mortality was significantly higher in the inactive group (HR=1.522, 95% CI=1.230–1.882, <i>p</i><.001) than in the active group (reference=1). However, among physically disabled people, the inactive group correspondingly showed a significantly higher risk of all-cause mortality (HR=2.735, 95% CI=1.761–4.246, <i>p</i><.001) than the active group, while there was no significant difference between both groups in MVPA.CONCLUSIONS: The current findings suggest that promoting LPA may play an important role in preventing premature death from allcause mortality in older adults with physical disability.
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Uszynski, Marcin Kacper, Blathin Casey, Sara Hayes, Stephen Gallagher, Helen Purtill, Robert W. Motl, and Susan Coote. "Social Cognitive Theory Correlates of Physical Activity in Inactive Adults with Multiple Sclerosis." International Journal of MS Care 20, no. 3 (May 1, 2018): 129–35. http://dx.doi.org/10.7224/1537-2073.2016-111.

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Background: There is a growing body of evidence that physical activity (PA) improves symptoms of multiple sclerosis (MS). Despite the benefits of PA, people with MS are relatively inactive compared with their healthy counterparts. This study investigated associations between social cognitive theory (SCT) constructs and energy expenditure (EE) as an objective measure of PA in a sample of inactive people with MS. Methods: Participants (n = 65) completed several questionnaires and were assessed using standardized outcome measures as part of a cross-sectional analysis of baseline data from a randomized controlled trial (Step it Up). Results: The bivariate correlation analysis indicated that of all SCT constructs, only exercise self-efficacy was significantly correlated with EE (r = 0.297, P = .022). Multiple linear regression analysis found that exercise self-efficacy independently explained 9% of the variance in EE (R2 = 0.088). A model including exercise self-efficacy, exercise goal setting, exercise planning, and exercise benefits explained 17% of the variance in EE (F4,54 = 2.741, P = .038, R2 = 0.169). In this model, only exercise self-efficacy was significantly associated with EE scores (Exercise Self-Efficacy Scale β = .320, P = .016). Conclusions: The constructs of SCT explained little of the variance of objectively measured PA in a sample of inactive people with MS who volunteered for an exercise trial. The only significant variable was exercise self-efficacy, which confirms the importance of enhancing it through PA interventions.
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Heath, Gregory W., and David W. Brown. "Recommended Levels of Physical Activity and Health-Related Quality of Life Among Overweight and Obese Adults in the United States, 2005." Journal of Physical Activity and Health 6, no. 4 (July 2009): 403–11. http://dx.doi.org/10.1123/jpah.6.4.403.

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Background:Since overweight (25 ≤ BMI < 30) and obesity (BMI ≥ 30 Kg/m2) are associated with poor health-related quality of life (HRQOL) and regular physical activity is associated with higher levels of HRQOL, the authors examined the relationship between physical activity and HRQOL among overweight and obese adults (age ≥ 18 years) residing in the United States.Methods:Using the 2005 BRFSS survey, they examined the independent relationship between recommended physical activity and measures of HRQOL developed by the Centers for Disease Control and Prevention among 283,562 adults age 18 years or older with overweight or obesity. Measures of physical activity, height, weight, and HRQOL were self-reported. Multivariable logistic regression was used to obtain odds ratios and 95% confidence intervals adjusted for age, race/ethnicity, sex, education, smoking status, chronic disease, and body-mass index.Results:The proportion of adults with overweight and obesity who attained recommended levels of physical activity had higher levels of HRQOL than physically inactive adults for all age, racial/ethnic, and sex groups. After multi-variable adjustment, overweight and obese adults who met the recommended level of physical activity had higher levels of HRQOL than physically inactive adults across all age strata.Conclusions:These results highlight the HRQOL role that physical activity can have among overweight and obese persons despite their excess body weight.
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Choi, Yoon-Jung, Yun-Chul Hong, and Young-Kyung Do. "The Effects of Social Activities and Living Arrangements on Cognitive Functions in Middle-aged and Elderly Adults: A Panel Study Using the 2006-2018 Korean Longitudinal Study of Aging." Journal of Preventive Medicine and Public Health 54, no. 6 (November 30, 2021): 395–403. http://dx.doi.org/10.3961/jpmph.21.384.

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Objectives: Previous studies have shown that participation in social activities (SA) can prevent cognitive decline (CD) and that living arrangements (LA) can affect cognitive function. This study aimed to evaluate the effects of SA and LA on CD, as well as their interactions, using longitudinal data.Methods: Data were used from the 2006-2018 Korean Longitudinal Study for Aging, which followed 10 254 adults older than 45 years over a 12-year period. CD was defined as a ≥4-point score decrease in the Mini-Mental Status Exam over 2 years. We developed an extended Cox proportional hazards model for time-dependent covariates to estimate the hazard ratio (HR) of CD in 4 groups: (1) socially active and living with others, (2) socially active and living alone, (3) socially inactive and living with others (SILO), and (4) socially inactive and living alone (SILA). The model was stratified by gender and adjusted for important confounders.Results: The HR of CD was significantly higher in the SILO group in men (HR,1.36; 95% confidence interval [CI], 1.08 to 1.78) and in the SILA group in women (HR, 1.72; 95% CI, 1.08 to 2.75). However, the interaction term for gender was not significant.Conclusions: Among socially inactive elderly adults, the HR of CD was elevated in men who lived with others and in women who lived alone, although the interaction term for gender was not significant. Socially inactive men who live with others and socially inactive women who live alone are particularly encouraged to participate in SA to prevent CD.
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Mantovani, Alessandra Madia, Manoel Carlos Spiguel de Lima, Luis Alberto Gobbo, Enio Ricardo Vaz Ronque, Marcelo Romanzini, Bruna Camilo Turi-Lynch, Jamile Sanches Codogno, and Rômulo Araújo Fernandes. "Adults Engaged in Sports in Early Life Have Higher Bone Mass Than Their Inactive Peers." Journal of Physical Activity and Health 15, no. 7 (July 1, 2018): 516–22. http://dx.doi.org/10.1123/jpah.2017-0366.

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Purpose: To analyze the relationship between engagement in sports in early life and bone variables among adults of both sexes. Methods: The sample was composed of 225 men and women. Demographic data were collected, and dual-energy X-ray absorptiometry was used to assess bone mineral density, bone mineral content, and lean soft tissue. Sports participation in early life was assessed by an interview including childhood and adolescence. Consumption of tobacco and alcohol was also assessed by interview and the habitual physical activity level by a pedometer. Results: Inactive men had bone mineral content around 11% lower than active men in childhood or adolescence, whereas for women, this difference represented around 14%. Active men had 74% less fat mass than inactive men in early life, and the difference was 67% for women. Early sports participation explained the differences in whole-body bone mineral content (16.8%, P-value = .005) and bone mineral density (8.8%, P-value = .015), as well as bone mineral density in lower limbs (18.9%, P-value = .001) among women. Conclusion: Adults engaged in sports in early life have higher bone mass than their inactive peers, especially women.
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Master, Hiral, Louise M. Thoma, Dorothy D. Dunlop, Meredith B. Christiansen, Dana Voinier, and Daniel K. White. "Joint Association of Moderate-to-vigorous Intensity Physical Activity and Sedentary Behavior With Incident Functional Limitation: Data From the Osteoarthritis Initiative." Journal of Rheumatology 48, no. 9 (February 1, 2021): 1458–64. http://dx.doi.org/10.3899/jrheum.201250.

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ObjectiveTo examine the joint association of moderate-to-vigorous intensity physical activity (MVPA) and sedentary behavior with the risk of developing functional limitation 4 years later in adults with knee osteoarthritis (OA).MethodsUsing 48-month (baseline) accelerometry data from the Osteoarthritis Initiative, we classified participants as Active-Low Sedentary (≥ 1 10-min bout/week of MVPA, lowest tertile for standardized sedentary time), Active-High Sedentary (≥ 1 10-min bout/week of MVPA, top 2 tertiles for standardized sedentary time), Inactive-Low Sedentary (zero 10-min bouts/week of MVPA, lowest tertile for standardized sedentary time), and Inactive-High Sedentary (zero 10-minute bouts/week of MVPA, top 2 tertiles for standardized sedentary time) groups. Functional limitation was defined as > 12 seconds for the 5-repetition sit-to-stand test (5XSST) and < 1.22 m/s gait speed during the 20-meter walk test. To investigate the association of exposure groups with risk of developing functional limitation 4 years later, we calculated adjusted risk ratios (aRR; adjusted for potential confounders).ResultsOf 1091 and 1133 participants without baseline functional limitation, based on the 5XSST and 20-meter walk test, respectively, 15% and 21% developed functional limitation 4 years later. The Inactive-Low Sedentary and Inactive-High Sedentary groups had increased risk of developing functional limitations compared to the Active-Low Sedentary and Active-High Sedentary groups. The Inactive-Low Sedentary group had 72% (aRR 1.72, 95% CI 1.00–2.94) and 52% (aRR 1.52, 95% CI 1.03–2.25) more risk of developing functional limitation based on the 5XSST and 20-meter walk test, respectively, compared to the Active-Low Sedentary group.ConclusionRegardless of sedentary category, being inactive (zero 10-min bouts/week in MVPA) may increase the risk of developing functional limitation in adults with knee OA.
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Cohen, Alina, Joseph Baker, and Chris I. Ardern. "Association Between Body Mass Index, Physical Activity, and Health-Related Quality of Life in Canadian Adults." Journal of Aging and Physical Activity 24, no. 1 (January 2016): 32–38. http://dx.doi.org/10.1123/japa.2014-0169.

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Background:Obesity is associated with impairments in health-related quality of life (HRQL), whereas physical activity (PA) is a promoter of HRQL.Purpose:The aim of this study was to investigate the interaction between BMI and PA with HRQL in younger and older Canadian adults.Methods:Data from the 2012 annual component of the Canadian Community Health Survey (N = 48,041; = 30 years) were used to capture self-reported body mass index (BMI-kg/m2), PA (kcal/kg/day, KKD), and HRQL. Interactions between PA and age on the BMI and HRQL relationship were assessed using general linear models and logistic regression.Results:Those younger (younger: μ = 0.79 ± 0.02; older: μ = 0.70 ± 0.02) and more active (active: μ = 0.82 ± 0.02; moderately active: μ = 0.77 ± 0.03; inactive: μ = 0.73 ± 0.01) reported higher HRQL. Older inactive underweight, normal weight, and overweight adults have lower odds of high HRQL.Conclusion:PA was associated with higher HRQL in younger adults. In older adults, BMI and PA influenced HRQL.
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Rojer, Anna G. M., Esmee M. Reijnierse, Marijke C. Trappenburg, Rob C. van Lummel, Martijn Niessen, Kim S. van Schooten, Mirjam Pijnappels, Carel G. M. Meskers, and Andrea B. Maier. "Instrumented Assessment of Physical Activity Is Associated With Muscle Function but Not With Muscle Mass in a General Population." Journal of Aging and Health 30, no. 9 (July 24, 2017): 1462–81. http://dx.doi.org/10.1177/0898264317721554.

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Abstract:
Objectives: Self-reported physical activity has shown to affect muscle-related parameters. As self-report is likely biased, this study aimed to assess the association between instrumented assessment of physical activity (I-PA) and muscle-related parameters in a general population. Method: Included were 156 young-to-middle-aged and 80 older community-dwelling adults. Seven days of trunk accelerometry (DynaPort MoveMonitor, McRoberts B.V.) quantified daily physical activity (i.e., active/inactive duration, number and mean duration of active/inactive periods, and number of steps per day). Muscle-related parameters included muscle mass, handgrip strength, and gait speed. Results: I-PA was associated with handgrip strength in young-to-middle-aged adults and with gait speed in older adults. I-PA was not associated with muscle mass in either age group. Discussion: The association between I-PA and muscle-related parameters was age dependent. The lack of an association between I-PA and muscle mass indicates the relevance of muscle function rather than muscle mass.
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