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Active-to-Sedentary Behavior Transitions, Fatigability, and Physical Functioning in Older Adults.


ABSTRACT:

Background

With aging, daily physical activity (PA) becomes less frequent and more fragmented. Accumulation patterns of daily PA-including transitions from active-to-sedentary behaviors-may provide important insights into functional status in older, less active populations.

Methods

Participants of the Baltimore Longitudinal Study of Aging (n = 680, 50% male, aged 27-94 years) completed a clinical assessment and wore an Actiheart accelerometer. Transitions between active and sedentary states were modeled as a probability (Active-to-Sedentary Transition Probability [ASTP]) defined as the reciprocal of the average PA bout duration. Cross-sectional associations between ASTP and gait speed (m/s), fatigability (rating-of-perceived-exertion [RPE]), 400 m time (seconds), and expanded short physical performance battery score were modeled using linear and logistic regression, adjusted for chronic conditions. Further analyses explored the utility of ASTP over-and-above total daily PA.

Results

In continuous models, each 0.10-unit higher ASTP was associated slower gait (? = -0.06 m/s, SE = 0.01), higher fatigability (? = 0.60 RPE, SE = 0.12), slower 400 m time (? = 16.31 s, SE = 2.70), and lower functioning (? = -0.13 expanded short physical performance battery score, SE = 0.03; p < .001). In categorical analyses, those in the highest tertile of ASTP were >2 times more likely to have high fatigability (rating of perceived exertion ?10), slow 400 m time (>300 seconds) and reduced functional performance (expanded short physical performance battery score < 3.07) than those in the lowest tertile (p < .01). Further analyses demonstrated ASTP provided additional insight into functional outcomes beyond total daily PA.

Conclusion

Fragmented daily PA-as measured by ASTP-is strongly linked with measures of health and functional status and may identify those at risk of high fatigability and reduced functional performance over and above traditional PA metrics.

SUBMITTER: Schrack JA 

PROVIDER: S-EPMC6417447 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature

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Publications

Active-to-Sedentary Behavior Transitions, Fatigability, and Physical Functioning in Older Adults.

Schrack Jennifer A JA   Kuo Pei-Lun PL   Wanigatunga Amal A AA   Di Junrui J   Simonsick Eleanor M EM   Spira Adam P AP   Ferrucci Luigi L   Zipunnikov Vadim V  

The journals of gerontology. Series A, Biological sciences and medical sciences 20190301 4


<h4>Background</h4>With aging, daily physical activity (PA) becomes less frequent and more fragmented. Accumulation patterns of daily PA-including transitions from active-to-sedentary behaviors-may provide important insights into functional status in older, less active populations.<h4>Methods</h4>Participants of the Baltimore Longitudinal Study of Aging (n = 680, 50% male, aged 27-94 years) completed a clinical assessment and wore an Actiheart accelerometer. Transitions between active and sedent  ...[more]

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