在日本社区居住的老年人中,体育活动与身体功能和身体组成的关系:京探戈长寿队列研究

IF 2.5 4区 医学 Q3 GERIATRICS & GERONTOLOGY
Motonori Kubo, Norikazu Hishikawa, Hironari Shinjo, Suzuyo Ohashi, Koshiro Sawada, Satoaki Matoba, Yasuo Mikami
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引用次数: 0

摘要

目的:体育活动有益于健康,而缺乏体育活动则会增加与年龄相关的疾病和不良健康结果的风险。日本的京tango市以长寿著称,这里住着许多百岁老人。本研究调查了生活在该地区的老年人体力活动与身体功能和身体成分的关系。方法:社区居住的老年人(n = 727,平均年龄74.1岁,59.4%为女性)参与本研究。进行多元线性回归分析,以检验客观测量的体力活动与身体功能(握力、膝关节伸展力和最大步态速度)和身体组成(骨骼肌质量指数和全身相角)之间的关联,并对潜在的混杂因素进行调整。此外,采用等时间替代模型来估计用轻强度体力活动(LPA)和中强度至高强度体力活动(MVPA)取代久坐行为所产生的变化。结果:各生理功能、体成分指标与SB、MVPA均有显著相关性(骨骼肌质量指数P 2均升高,全身相角升高0.016°)。另外,用MVPA代替久坐行为可以改善所有身体功能和身体成分指标。结论:日本长寿地区的老年人可能通过参加大量的体育活动来保持身体机能和良好的身体成分。公共卫生战略应优先考虑MVPA的推广,同时认识到LPA对缺乏运动的老年人的补充作用。Geriatr Gerontol 2025;••: ••-••.
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Physical activity associations with physical function and body composition among community-dwelling older adults in Japan: The Kyotango Longevity Cohort Study.

Aim: Physical activity benefits health, whereas physical inactivity increases the risk of age-related conditions and adverse health outcomes. Kyotango City in Japan is known for its residents' longevity, and many centenarians live there. This study investigated the physical activity associations with physical function and body composition in older adults living in this area.

Methods: Community-dwelling older adults (n = 727; mean age 74.1 years; 59.4% women) participated in this study. Multiple linear regression analyses were carried out to examine objectively-measured physical activity associations with physical function (handgrip strength, knee extension strength and maximum gait speed) and body composition (skeletal muscle mass index and whole-body phase angle), adjusting for potential confounders. Additionally, isotemporal substitution models were applied to estimate changes resulting from replacing sedentary behavior with light-intensity physical activity (LPA) and moderate-to-vigorous-intensity physical activity (MVPA).

Results: All physical function and body composition indicators were significantly associated with SB and MVPA (all P < 0.050). However, LPA was associated with only handgrip strength and body composition indicators. Replacing 30 min of SB per day with LPA was associated with a 0.176 kg increase in handgrip strength, 0.018 kg/m2 increase in skeletal muscle mass index and 0.016° increase in whole-body phase angle. Alternatively, replacing sedentary behavior with MVPA improved all physical function and body composition indicators.

Conclusions: Older adults in a region of Japan known for longevity might maintain physical function and favorable body composition through engaging in abundant physical activity. Public health strategies should prioritize MVPA promotion while recognizing LPA's complementary role for physically inactive older adults. Geriatr Gerontol Int 2025; ••: ••-••.

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来源期刊
CiteScore
5.50
自引率
6.10%
发文量
189
审稿时长
4-8 weeks
期刊介绍: Geriatrics & Gerontology International is the official Journal of the Japan Geriatrics Society, reflecting the growing importance of the subject area in developed economies and their particular significance to a country like Japan with a large aging population. Geriatrics & Gerontology International is now an international publication with contributions from around the world and published four times per year.
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