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The relationship between physical activity trajectories and frailty: a 20-year prospective cohort among community-dwelling older people

BACKGROUND: Studies on examining the relationship between physical activity patterns and frailty are lacking. This study examined physical activity patterns in older people and investigated the relationship between physical activity and frailty as well as identifying the predictors of frailty. METHO...

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Autores principales: Lin, Yen-Kuang, Chen, Chen-Yueh, Cheung, Denise Shuk Ting, Montayre, Jed, Lee, Chen-Yin, Ho, Mu-Hsing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9670490/
https://www.ncbi.nlm.nih.gov/pubmed/36384453
http://dx.doi.org/10.1186/s12877-022-03493-7
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author Lin, Yen-Kuang
Chen, Chen-Yueh
Cheung, Denise Shuk Ting
Montayre, Jed
Lee, Chen-Yin
Ho, Mu-Hsing
author_facet Lin, Yen-Kuang
Chen, Chen-Yueh
Cheung, Denise Shuk Ting
Montayre, Jed
Lee, Chen-Yin
Ho, Mu-Hsing
author_sort Lin, Yen-Kuang
collection PubMed
description BACKGROUND: Studies on examining the relationship between physical activity patterns and frailty are lacking. This study examined physical activity patterns in older people and investigated the relationship between physical activity and frailty as well as identifying the predictors of frailty. METHODS: We used a nationally representative longitudinal database, the Taiwan Longitudinal Study of Aging (TLSA) database, and data for a 20-year period were extracted and analyzed. A total of 5131 participants aged ≥ 60 years in 1996 were included in the current analysis. Information regarding demographic characteristics, frailty, physical activity, comorbidities, oral health, and depressive symptoms was extracted from the TLSA database. Physical activity patterns were examined using group-based trajectory modeling from 1996 to 2015. Potential predictors were examined by performing multivariate logistic regression. RESULTS: Four trajectories of the physical activity pattern were found: consistently physically inactive (33.7%), consistently physically active (21.5%), incline (21.6%), and decline (23.2%). Throughout the period, the trajectories of the four groups significantly differed from each other at year 2015, with the incline and decline groups exhibiting the lowest and highest frailty scores, respectively (p < 0.001). Older age, male, poor oral health, diabetes, chronic kidney disease, and depressive symptoms were identified as risk factors for frailty. CONCLUSION: Physical activity reduces the risk of chronic conditions, which contributes to healthy longevity. This study can guide the development of future research and interventions to manage frailty in older people, particularly in considering previous physical activity trajectories within the life course.
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spelling pubmed-96704902022-11-18 The relationship between physical activity trajectories and frailty: a 20-year prospective cohort among community-dwelling older people Lin, Yen-Kuang Chen, Chen-Yueh Cheung, Denise Shuk Ting Montayre, Jed Lee, Chen-Yin Ho, Mu-Hsing BMC Geriatr Research BACKGROUND: Studies on examining the relationship between physical activity patterns and frailty are lacking. This study examined physical activity patterns in older people and investigated the relationship between physical activity and frailty as well as identifying the predictors of frailty. METHODS: We used a nationally representative longitudinal database, the Taiwan Longitudinal Study of Aging (TLSA) database, and data for a 20-year period were extracted and analyzed. A total of 5131 participants aged ≥ 60 years in 1996 were included in the current analysis. Information regarding demographic characteristics, frailty, physical activity, comorbidities, oral health, and depressive symptoms was extracted from the TLSA database. Physical activity patterns were examined using group-based trajectory modeling from 1996 to 2015. Potential predictors were examined by performing multivariate logistic regression. RESULTS: Four trajectories of the physical activity pattern were found: consistently physically inactive (33.7%), consistently physically active (21.5%), incline (21.6%), and decline (23.2%). Throughout the period, the trajectories of the four groups significantly differed from each other at year 2015, with the incline and decline groups exhibiting the lowest and highest frailty scores, respectively (p < 0.001). Older age, male, poor oral health, diabetes, chronic kidney disease, and depressive symptoms were identified as risk factors for frailty. CONCLUSION: Physical activity reduces the risk of chronic conditions, which contributes to healthy longevity. This study can guide the development of future research and interventions to manage frailty in older people, particularly in considering previous physical activity trajectories within the life course. BioMed Central 2022-11-16 /pmc/articles/PMC9670490/ /pubmed/36384453 http://dx.doi.org/10.1186/s12877-022-03493-7 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Lin, Yen-Kuang
Chen, Chen-Yueh
Cheung, Denise Shuk Ting
Montayre, Jed
Lee, Chen-Yin
Ho, Mu-Hsing
The relationship between physical activity trajectories and frailty: a 20-year prospective cohort among community-dwelling older people
title The relationship between physical activity trajectories and frailty: a 20-year prospective cohort among community-dwelling older people
title_full The relationship between physical activity trajectories and frailty: a 20-year prospective cohort among community-dwelling older people
title_fullStr The relationship between physical activity trajectories and frailty: a 20-year prospective cohort among community-dwelling older people
title_full_unstemmed The relationship between physical activity trajectories and frailty: a 20-year prospective cohort among community-dwelling older people
title_short The relationship between physical activity trajectories and frailty: a 20-year prospective cohort among community-dwelling older people
title_sort relationship between physical activity trajectories and frailty: a 20-year prospective cohort among community-dwelling older people
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9670490/
https://www.ncbi.nlm.nih.gov/pubmed/36384453
http://dx.doi.org/10.1186/s12877-022-03493-7
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