Journal of Aging and Physical Activity最新文献

{"title":"Impact of Physical Activity Levels on Parkinson's Disease Motor and Nonmotor Symptoms and Quality of Life in Older Adults With Parkinson's Disease.","authors":"Younguk Kim, Jin Hyun Kim, Angela L Ridgel","doi":"10.1123/japa.2024-0252","DOIUrl":"https://doi.org/10.1123/japa.2024-0252","url":null,"abstract":"<p><strong>Background: </strong>Parkinson's disease (PD) affects motor and nonmotor functions, impacting PD-related quality of life. The role of physical activity (PA) in the management of PD symptoms is increasingly recognized.</p><p><strong>Purpose: </strong>To examine the effects of PA levels on PD motor and nonmotor symptoms, and health-related quality of life, using the Fox Insight study's data set. It also examines PA's moderating effects on the age-PD motor function relationship.</p><p><strong>Methods: </strong>In this cross-sectional observational study, 1,288 participants with PD (55.8% men, age: 64.54 ± 9.99) from the Fox Insight study were divided into four groups (N = 322 each) based on their PA level as measured by the Physical Activity Scale for the Elderly (PASE). PD motor and nonmotor symptoms were assessed using the Unified Parkinson's Disease Rating Scale-2 (UPDRS-2), Parkinson's Disease Questionnaire-8 (PDQ-8), Geriatric Depression Scale-Short Form, Penn Parkinson's Daily Activities Questionnaire-15, and EuroQol-Visual Analog Scale. Statistical analyses included Kruskal-Wallis, Pearson's correlation, and multiple linear regression, with alpha set at .05.</p><p><strong>Results: </strong>Higher PASE correlated with better UPDRS-2, Parkinson's Disease Questionnaire-8, Geriatric Depression Scale-Short Form, Penn Parkinson's Daily Activities Questionnaire-15, and EuroQol-Visual Analog Scale. The study found significant influences of PASE on UPDRS-2, age, Geriatric Depression Scale-Short Form, body mass index, and EQ-VAS (R2adj = .174, F = 53.998, p < .001). Notably, PASE moderated the relationship between age and UPDRS-2, suggesting a pivoting role in slowing PD-related symptom progression with age (R2adj = .145, F = 73.47, p < .001).</p><p><strong>Conclusion: </strong>Increased PA levels are associated with better outcomes in PD motor and nonmotor symptoms, improved PD-related quality of life, and a slowed progression of PD symptoms.</p><p><strong>Implications: </strong>Promoting higher levels of PA in older adults with PD effectively manages motor and nonmotor symptoms of PD. In addition, early and consistent PA is the key to moderating the progression of PD symptoms.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-11"},"PeriodicalIF":1.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Patterns of Physical Activity Using Latent Profile Analysis Applied to Accelerometry and Associated Sociodemographic and Health Factors Among Older Adults in Korea.","authors":"Jiwon Choi, Jungmi Park, Jin-Young Choi, Taeksang Lee, Gyeong-Suk Jeon, Sung-Il Cho","doi":"10.1123/japa.2024-0296","DOIUrl":"https://doi.org/10.1123/japa.2024-0296","url":null,"abstract":"<p><strong>Background/objectives: </strong>Although lower physical activity (PA) intensity and shorter duration are deemed appropriate for older adults, it remains unclear whether lighter intensity PA can be a significant characteristic of PA patterns. This study explored the underlying profile of PA patterns including lifestyle intensity assessed by accelerometry and associated sociodemographic factors among individuals aged ≥65 years.</p><p><strong>Methods: </strong>Using data from the 2017 Korea National Health and Nutrition Examination Survey, this study included 425 participants aged ≥65 years who wore an accelerometer for ≥10 hr/day, ≥3 days/week, over 1 week. To identify PA groups, latent profile analysis was conducted using the time spent in sedentary, light, lifestyle, and moderate-to-vigorous PA (MVPA). Multinomial logistic regression was performed to analyze sociodemographic factors influencing latent profiles.</p><p><strong>Results: </strong>Four profiles were identified, with lifestyle PA and MVPA as the key distinguishing patterns: high lifestyle PA, high MVPA, low overall PA, and average PA profiles. Compared with the average PA profile, older age and higher education lowered engagement in the high lifestyle PA profile, whereas better subjective health was positively associated. The high MVPA profile was positively associated with being men, whereas metabolic syndrome was negatively associated.</p><p><strong>Conclusions: </strong>The high lifestyle PA profile emerged as a novel discovery, considering the characteristics of older adults' PA. Rather than applying a uniform approach, a tailored approach to PA patterns for older adults is crucial. Significance/Implications: These findings underscore the importance of focusing on lifestyle-intensity activities such as casual walking and stretching in health promotion for older adults.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-11"},"PeriodicalIF":1.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High-Intensity Functional Exercises Associated or Not With Cognitive Stimulation Improves Cognition and Physical Performance in Older Adults: A Double-Blind Randomized Controlled Trial.","authors":"Enzo A R Teza, Felipe de S Stigger, Augusto Demarchi, Lucas F Salvi, Mariane Ronconi, João Vítor El H Szortyka, Adriana T de Lemos","doi":"10.1123/japa.2024-0270","DOIUrl":"https://doi.org/10.1123/japa.2024-0270","url":null,"abstract":"<p><strong>Background/objectives: </strong>Studies suggest that physical exercise improves physical and cognitive function in older adults, though the benefits of dual-task interventions remain controversial. This study aimed to assess whether adding cognitive training in a dual-task fashion to a high-intensity functional exercise program enhances gait speed, lower-extremity strength, dynamic balance, balance confidence, and cognitive function in older adults after 16 weeks.</p><p><strong>Methods: </strong>This double-blind randomized controlled trial included 96 community-dwelling older adults, randomly assigned to either a high-intensity functional exercise program, with 50% of physical exercises incorporating a cognitive task, or the same program without the cognitive task. Both groups performed two sessions per week of group training, including progressive strength and balance exercises, over 16 weeks. Physical and cognitive performances were assessed at baseline and after 16 weeks.</p><p><strong>Results: </strong>Mixed repeated-measure analysis of variance only demonstrated a significant effect of time on most assessed outcomes (p < .05), indicating that, independent of the group, the experimental intervention had positive effects on gait speed, functional lower extremity strength, balance confidence, and cognitive function.</p><p><strong>Conclusions: </strong>Both interventions improved cognition and physical performance. Simultaneous cognitive dual-task training does not appear to offer greater benefits compared with a high-intensity functional exercise program in community-dwelling older adults. Significance/Implications: Regardless of the simultaneous stimulation with cognitive tasks, our results add further evidence about the beneficial role of physical exercise in maintaining and/or improving health outcomes in community-dwelling older adults.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-10"},"PeriodicalIF":1.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"It's Good. It's Really Good.\": Perspectives of Older Adults, Exercise/Recreation Professionals, and Primary Care Providers on Designing a Movement Behavior Intervention Using the Staircase Approach.","authors":"Konstantina Katsoulis, Danielle R Bouchard, Rogih R Andrawes, Bill Kapralos, David Dunstan, Jennifer Copeland, Sean Horton, Shilpa Dogra","doi":"10.1123/japa.2024-0175","DOIUrl":"https://doi.org/10.1123/japa.2024-0175","url":null,"abstract":"<p><strong>Background/objectives: </strong>Interventions targeting sedentary behavior in older adults have reported mixed success for behavior change. The previously proposed Staircase Approach offers a novel strategy to support long-term behavior change by targeting a reduction in sedentary time before progressing to increasing physical activity levels. The current study aimed to understand the perceptions of older adults, exercise/recreation professionals, and primary care providers (PCPs) about the critical components of a new intervention based on the Staircase Approach.</p><p><strong>Methods: </strong>Participants (older adults, 65+ years; PCPs; and exercise/recreation professionals) from three Canadian provinces (Alberta, Ontario, and New Brunswick), participated in semistructured focus groups. Transcripts from the sessions were analyzed using reflexive thematic analysis in the context of a previously conducted review by our team.</p><p><strong>Results: </strong>There were 17 focus groups (n = 50): four in older adults (n = 14), five with PCPs (n = 14), and eight with exercise/recreation professionals (n = 22). Participants expressed varying opinions on the components necessary for a relevant intervention. The need to embed options within the intervention, and to promote and deliver the intervention, was clear. Some themes were consistent across and within groups (e.g., simple, motivational messaging), whereas others differed (e.g., education, delivery mode, and contact). PCPs added insights about the needs of older adults who typically do not participate in research.</p><p><strong>Conclusion: </strong>Older adults have varied requirements, preferences, and skill levels that necessitate providing many options in any newly designed intervention. Significance/Implications: The intervention for the new Staircase Approach will require collaboration between multiple sectors to be successful.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-9"},"PeriodicalIF":1.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric Properties Under Exploratory Factor Analysis, Confirmatory Factor Analysis, Measurement Invariance, and Item Response Theory Models of Functional Activities Questionnaire (10-Items) Among Iranian Older Adults.","authors":"Arezoo Zareian, Abdolrahim Asadollahi, Bahareh Zeynalzadeh Ghoochani, Mahin Nazari, Shahram Moradi","doi":"10.1123/japa.2024-0292","DOIUrl":"https://doi.org/10.1123/japa.2024-0292","url":null,"abstract":"<p><strong>Background/objective: </strong>This study aims to evaluate the Functional Activities Questionnaire (FAQ; 10 items) for assessing the quality of daily living activities among older adults in Iran.</p><p><strong>Methods: </strong>A total of 680 participants completed the Persian version of FAQ. We used the Rasch partial credit model, exploratory factor analysis, confirmatory factor analysis, and receiver operating characteristic analysis to evaluate the psychometric properties of the FAQ among Iranian older adults.</p><p><strong>Results: </strong>The findings from exploratory factor analysis, confirmatory factor analysis, and item response theory analysis supported the usefulness of the Persian version of the FAQ to be used in Iran. The one-factor model of the FAQ exhibited strong internal consistency, as evidenced by McDonald's omega (≥0.75), Factor Determinacy Index (≥0.8), and Overall Reliability of Fully-Informative prior Oblique Nonequivalent Anchor Parameter scores index (≥0.8). In addition, we observed measurement invariance and consistent response patterns for all items in a logical sequence, indicating the good internal consistency of the FAQ relevance.</p><p><strong>Conclusion: </strong>Persian version of FAQ-10 items is a valid and reliable instrument for measuring daily living activities among Iranian older adults. Significance/Implications: The FAQ will be a practical tool for measuring activities of daily living in community-based settings as part of comprehensive geriatric assessment in older adults.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-12"},"PeriodicalIF":1.4,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Detrimental Effects of Mental Fatigue on Cognitive and Physical Performance in Older Adults Are Accentuated by Age and Attenuated by Habitual Physical Activity.","authors":"Rubén López-Rodriguez, Christopher Ring, Jesús Díaz-García","doi":"10.1123/japa.2024-0227","DOIUrl":"https://doi.org/10.1123/japa.2024-0227","url":null,"abstract":"<p><strong>Objective: </strong>Our research objectives were to evaluate the extent to which cognitive and physical performance in older adults, when fresh, and when fatigued vary with age and habitual physical activity.</p><p><strong>Methods: </strong>We employed experimental study designs, with between- (Study 1: age: 51-64 and 65-80 years and Study 2: habitual physical activity: active and sedentary) and within-participants factors (Study 1: test: before cognitive task and after cognitive task and Study 2: session: fatigue and control and test: before and after cognitive task). In testing sessions, participants performed exercise (6-min walk, 30-s sit stand, and 30-s arm curl) and cognitive (response inhibition and vigilance) tasks before and after a 20-min demanding cognitive task (time load dual back [TLDB] task). In Study 2, participants completed a paced breathing task (control session) as well as the TLDB (fatigue session). Ratings of mental fatigue and exercise-related perceived exertion were obtained.</p><p><strong>Results: </strong>The 20-min TLDB task elicited a state of mental fatigue. Cognitive and physical performance was worse after than before the TLDB task. These impairments in performance were moderated by age (Study 1) and habitual physical activity (Study 2).</p><p><strong>Conclusion: </strong>The deleterious effects of mental fatigue on cognitive and physical performance were accentuated by aging and attenuated by habitual physical activity.</p><p><strong>Implications: </strong>Cognitive and/or physical training could mitigate the negative effects of mental fatigue on performance in older adults.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-12"},"PeriodicalIF":1.4,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing Age Is Not Associated With Greater Exercise-Induced Muscle Damage: A Systematic Review, Meta-Analysis, and Meta-Regression.","authors":"John F T Fernandes, Laura J Wilson, Amelia F Dingley, Andrew N Hearn, Kelsie O Johnson, Kirsty M Hicks, Craig Twist, Lawrence D Hayes","doi":"10.1123/japa.2024-0165","DOIUrl":"https://doi.org/10.1123/japa.2024-0165","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this paper was to undertake a Preferred Reporting Items for Systematic Reviews and Meta-Analysis-accordant meta-analysis comparing exercise-induced muscle damage (EIMD) in older and younger adults.</p><p><strong>Methods: </strong>Google Scholar, PubMed, and SPORTDiscus were searched in June 2023 for the terms \"ageing\" OR \"age\" OR \"middle-aged\" OR \"old\" OR \"older\" OR \"elderly\" OR \"masters\" OR \"veteran\" AND \"muscle damage\" OR \"exercise-induced muscle damage\" OR \"exercise-induced muscle injury\" OR \"contraction-induced injury\" OR \"muscle soreness\" OR \"delayed onset muscle soreness\" OR \"creatine kinase.\" From 1,092 originally identified titles, 36 studies were included which had an exercise component comparing a younger against an older group. The outcome variables of EIMD were muscle function, muscle soreness, and creatine kinase. A meta-analysis was conducted on change to EIMD after exercise in older versus younger adults using standardized mean difference (SMD) and an inverse-variance random effects model.</p><p><strong>Results: </strong>Change after 24 and 72 hr, and peak change, in muscle function was not different between old and young (SMD range = -0.16 to -0.35). Muscle soreness was greater in younger than older adults for all comparisons (SMD range = -0.34 to -0.62). Creatine kinase was greater in younger than older adults at 24 hr (SMD = -0.32), as was peak change (SMD = -0.32). A relationship between sex and peak muscle function change was evident for males (SMD = -0.45), but not females (SMD = -0.44). All other meta-regression was nonsignificant.</p><p><strong>Conclusion: </strong>Advancing age is not associated with greater symptoms of EIMD. The implication of this study is that the older adults can pursue regular physical activity without concern for experiencing greater EIMD.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-19"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Between Cognitive Deficit and Physical Performance in Older People: Results From Pro-Eva Study.","authors":"Charle Victor Martins Tertuliano, Rafaella Silva Dos Santos Aguiar Gonçalves, Sabrina Gabrielle Gomes Fernandes Macêdo, Álvaro Campos Cavalcanti Maciel","doi":"10.1123/japa.2023-0240","DOIUrl":"https://doi.org/10.1123/japa.2023-0240","url":null,"abstract":"<p><strong>Background/objectives: </strong>Cognitive decline may be associated with functional decline in older people, even when this relationship is controlled by important social and biological predictors.</p><p><strong>Objective: </strong>To assess the relationship between cognitive decline and physical performance in community-dwelling older people and to identify factors associated with low physical performance.</p><p><strong>Methods: </strong>This is a cross-sectional study, composed of older people (≥60 years) living in the city of Parnamirim, Brazil. Data on sociodemographic factors, clinical-functional characteristics, cognitive deficits (assessed using the Leganés Cognitive Test), and physical performance were collected. Statistical analysis was performed using Student's t, Chi-square, and Poisson regression tests.</p><p><strong>Results: </strong>Seven hundred and sixty older people were evaluated, with an average age of 70.18 (±7.11) years. The prevalence of cognitive dysfunction was 19.3%. There was a statistically significant association between cognitive deficit and physical performance (p < .001). The factors associated with low physical performance were age (p ≤ .001), female sex (p ≤.001), use of psychotropic drugs (p = .025), diagnosis of diabetes mellitus (p = .028), and the presence of cognitive deficit (p = .001).</p><p><strong>Conclusion: </strong>We found an association between cognitive decline and physical performance in a sample of community-dwelling older people. Low physical performance was associated with older age, female sex, presence of diabetes, use of psychotropic drugs, and deficits in cognitive function. Significance/Implications: Health professionals must be aware of potentially modifiable factors and develop effective preventive and nonpharmacological care measures to improve health outcomes in the older population, thus improving quality of life, promoting independence, and reducing cognitive-functional disabilities.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-8"},"PeriodicalIF":1.4,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Walking Parameters of Older Adults on Hilly and Level Terrain Outdoors.","authors":"Emmi Matikainen-Tervola, Neil Cronin, Eeva Aartolahti, Sailee Sansgiri, Olli-Pekka Mattila, Taija Finni, Merja Rantakokko","doi":"10.1123/japa.2024-0222","DOIUrl":"https://doi.org/10.1123/japa.2024-0222","url":null,"abstract":"<p><strong>Background/objective: </strong>To understand how older adults adapt their walking to various environments, it is important to study walking outdoors, including on hilly terrain. This cross-sectional study aimed to validate inertial measurement units (IMUs) for detecting older adults' walking parameters on uphill and downhill terrains and to compare these parameters between level and hilly terrains.</p><p><strong>Methods: </strong>A sample of older adults (N = 35; Mage = 76 years, SD = 5; 71% women) walked on a level, uphill, and downhill route outdoors at self-selected speeds. Three IMUs were used to estimate walking parameters (step, stride, swing, and stance durations; cadence; step length; and walking speed). IMUs were validated against high-speed video camera data from six participants. After validation, differences in walking parameters between the three terrains were assessed with repeated measures analysis of variance and variability of the parameters (SD/mean × 100%) with Friedman's test.</p><p><strong>Results: </strong>IMUs showed mainly good to excellent validity for temporal but not spatial walking parameters in hilly outdoor environments. Older adults exhibited longer step, stride, and swing durations, and lower cadence on level and uphill versus downhill. On level terrain, cadence was higher, and step, stride, and stance durations were shorter than uphill. Variability of temporal parameters was greatest uphill.</p><p><strong>Conclusion: </strong>IMUs demonstrated potential to measure walking parameters of older adults in hilly terrain. The results suggest that older adults' outdoor walking parameters differ between level and hilly terrain. Significance/Implications: These results can inform the design of outdoor walking interventions for older adults by considering the usability of IMUs and the changes in walking parameters due to environment.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-9"},"PeriodicalIF":1.4,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Sustained Athlete Fitness Exam-Outcomes of U.S. National Senior Games Athletes.","authors":"Becca D Jordre, Wendy K Viviers, William Schweinle","doi":"10.1123/japa.2024-0416","DOIUrl":"https://doi.org/10.1123/japa.2024-0416","url":null,"abstract":"<p><strong>Background/objectives: </strong>Physical fitness screening measures for older athletes are lacking in clinical and research arenas. This study aims to define the Sustained Athlete Fitness Exam (SAFE), a comprehensive tool developed using age and sex-based normative data from U.S. National Senior Games athletes, and to investigate any SAFE differences by age, sex, sport, or exercise volume.</p><p><strong>Methods: </strong>This cross-sectional study engaged 4,659 U.S. National Senior Games athletes (Mage = 67.65, SD = 9.12, 59.1% female). Athletes completed health history questions and physical performance measures addressing cardiovascular, muscular, flexibility, and balance subscales. Scoring applied age and sex norms from the study population. Outcomes were compared by age group, sex, sport, and exercise volume.</p><p><strong>Results: </strong>All 22 National Senior Games sports were represented in the study population. Health histories revealed low rates of chronic conditions, with 28.5% reporting none. Median weekly cardiovascular and resistance exercise volumes were 240 and 30 min, respectively. Of the 20 points possible on the SAFE, scores ranged from 2 (0.2%) to 20 (0.8%), with a median of 13. SAFE scoring demonstrated minimal differences by age group or sex and aligned predictably by sport. Higher exercise volumes were associated with superior SAFE composite scores, with nearly all subscales following this trend.</p><p><strong>Conclusion: </strong>The SAFE and associated norms offer population-specific comparisons previously unavailable for older athletes, with a tool able to address multiple domains of physical fitness while avoiding ceiling and floor effects. Significance/Implications: These findings provide the opportunity to improve assessment, treatment, preventative medicine, and training support for a growing demographic.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-12"},"PeriodicalIF":1.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}