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Lookup NU author(s): Dr Vincent van Hees
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).
Objective: Physical activity is critically important for successful aging, but its effect on adiposity markers at older ages is unclear as much of the evidence comes from self-reported data on physical activity. We assessed the associations of questionnaire-assessed and accelerometer-assessed physical activity with adiposity markers in older adults.Design/Setting/Participants: This was a cross-sectional study on 3940 participants (age range 60-83 years) of the Whitehall II study who completed a 20-item physical activity questionnaire and wore a wrist-mounted accelerometer for 9 days in 2012 and 2013.Measurements: Total physical activity was estimated using metabolic equivalent hours/week for the questionnaire and mean acceleration for the accelerometer. Time spent in moderate-and-vigorous physical activity (MVPA) was also assessed by questionnaire and accelerometer. Adiposity assessment included body mass index, waist circumference, and fat mass index. Fat mass index was calculated as fat mass/height(2) (kg/m(2)), with fat mass estimated using bioimpedance.Results: Greater total physical activity was associated with lower adiposity for all adiposity markers in a dose-response manner. In men, the strength of this association was 2.4 to 2.8 times stronger with the accelerometer than with questionnaire data. In women, it was 1.9 to 2.3 times stronger. For MVPA, questionnaire data in men suggested no further benefit for adiposity markers past 1 hour/week of activity. This was not the case for accelerometer-assessed MVPA where, for example, compared with men undertaking <1 hour/week of accelerometer-assessed MVPA, waist circumference was 3.06 (95% confidence interval 2.06-4.06) cm lower in those performing MVPA 1-2.5 hours/week, 4.69 (3.47-5.91) cm lower in those undertaking 2.5-4 hours/week, and 7.11 (5.93-8.29) cm lower in those performing >= 4 hours/week.Conclusions: The association of physical activity with adiposity markers in older adults was stronger when physical activity was assessed by accelerometer compared with questionnaire, suggesting that physical activity might be more important for adiposity than previously estimated. (C) 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
Author(s): Sabia S, Cogranne P, van Hees VT, Bell JA, Elbaz A, Kivimaki M, Singh-Manoux A
Publication type: Article
Publication status: Published
Journal: Journal of the American Medical Directors Association
Year: 2015
Volume: 16
Issue: 5
Pages: 438.e7-438.e13
Print publication date: 01/05/2015
Date deposited: 25/08/2015
ISSN (print): 1525-8610
ISSN (electronic): 1538-9375
Publisher: Elsevier
URL: http://dx.doi.org/10.1016/j.jamda.2015.01.086
DOI: 10.1016/j.jamda.2015.01.086
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