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dc.contributor.authorCaron, Alexandre
dc.contributor.authorAyala, Alba 
dc.contributor.authorDamian, Javier 
dc.contributor.authorRodriguez-Blazquez, Carmen 
dc.contributor.authorAlmazan-Isla, Javier 
dc.contributor.authorCastellote, Juan Manuel 
dc.contributor.authorComin, Madgalena
dc.contributor.authorForjaz, Maria João 
dc.contributor.authorPedro-Cuesta, Jesus de 
dc.date.accessioned2018-03-26T09:02:54Z
dc.date.available2018-03-26T09:02:54Z
dc.date.issued2017-07-18
dc.identifier.citationBMC Geriatr. 2017; 17: 150es_ES
dc.identifier.issn1471-2318es_ES
dc.identifier.urihttp://hdl.handle.net/20.500.12105/5782
dc.description.abstractBACKGROUND: Physical activity (PA) is a health determinant among middle-aged and older adults. In contrast, poor health is expected to have a negative impact on PA. This study sought to assess to what extent specific International Classification of Functioning, Disability and Health (ICF) health components were associated with PA among older adults. METHODS: We used a sample of 864 persons aged ≥50 years, positively screened for disability or cognition in a cross-sectional community survey in Spain. Weekly energy expenditure during PA was measured with the Yale Physical Activity Survey (YPAS) scale. The associations between body function impairment, health conditions or World Health Organization Disability Assessment Schedule (WHODAS 2.0) disability scores and energy expenditure were quantified using negative-binomial regression, and expressed in terms of adjusted mean ratios (aMRs). RESULTS: Mean energy expenditure was 4542 Kcal/week. A lower weekly energy expenditure was associated with: severe/extreme impairment of mental functions, aMR 0.38, 95% confidence interval, CI (0.21-0.68), and neuromusculoskeletal and movement functions, aMR 0.50 (0.35-0.72); WHODAS 2.0 disability, aMR 0.55 (0.34-0.91); dementia, aMR 0.45 (0.31-0.66); and heart failure, aMR 0.54 (0.34-0.87). In contrast, people with arthritis/osteoarthritis had a higher energy expenditure, aMR 1.27 (1.07-1.51). CONCLUSION: Our results suggest that there is a strong relationship between selected body function impairments, mainly mental, and PA. Although more research is needed to fully understand causal relationships, strategies to improve PA among the elderly may require targeting mental, neuromusculoskeletal and movement functions, disability determinants (including barriers), and specific approaches for persons with dementia or heart failure.es_ES
dc.description.sponsorshipThis study was funded by the Carlos III Institute of Health (EPI projects 1637/06 and 1530/07; Health Research Fund grants PI06/1098 and PI07/90206 and ESPY 1281/15); Consortium for Biomedical Research in Neurodegenerative Diseases (Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas - CIBERNED); Zaragoza Regional Authority and Farasdués Foundation. Partial funding was received from ENCAGE-CM (Comunidad de Madrid, ref. S2015/HUM-3367) and ENVACES (MINECO/FEDER/UE, ref. CSO2015–64115-R).es_ES
dc.language.isoenges_ES
dc.publisherBioMed Central (BMC) es_ES
dc.type.hasVersionVoRes_ES
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectDisability evaluationes_ES
dc.subjectInternational classification of functioning, disability and healthes_ES
dc.subjectMiddle-aged and older adultses_ES
dc.subjectPhysical activityes_ES
dc.subject.meshAged es_ES
dc.subject.meshAged, 80 and over es_ES
dc.subject.meshCognition Disorders es_ES
dc.subject.meshCross-Sectional Studies es_ES
dc.subject.meshDisability Evaluation es_ES
dc.subject.meshEnergy Metabolism es_ES
dc.subject.meshExercise es_ES
dc.subject.meshFemale es_ES
dc.subject.meshHumans es_ES
dc.subject.meshMale es_ES
dc.subject.meshMiddle Aged es_ES
dc.subject.meshSpain es_ES
dc.subject.meshDisabled Persons es_ES
dc.titlePhysical activity, body functions and disability among middle-aged and older Spanish adultses_ES
dc.typejournal articlees_ES
dc.rights.licenseAtribución-4.0 Internacional*
dc.identifier.pubmedID28720075es_ES
dc.format.volume17es_ES
dc.format.number1es_ES
dc.format.page150es_ES
dc.identifier.doi10.1186/s12877-017-0551-zes_ES
dc.contributor.funderInstituto de Salud Carlos III 
dc.contributor.funderFundación Farasdues para el Desarrollo y la Integración 
dc.contributor.funderUnión Europea. Fondo Europeo de Desarrollo Regional (FEDER/ERDF) 
dc.contributor.funderMinisterio de Economía, Industria y Competitividad (España) 
dc.contributor.funderComunidad de Madrid (España) 
dc.description.peerreviewedes_ES
dc.identifier.e-issn1471-2318es_ES
dc.relation.publisherversionhttps://doi.org/10.1186/s12877-017-0551-zes_ES
dc.identifier.journalBMC geriatricses_ES
dc.repisalud.centroISCIII::Escuela Nacional de Sanidades_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemiologíaes_ES
dc.repisalud.institucionISCIIIes_ES
dc.relation.projectIDinfo:eu-repo/grantAgreement/ES/PI06/1098es_ES
dc.relation.projectIDinfo:eu-repo/grantAgreement/ES/PI07/90206es_ES
dc.rights.accessRightsopen accesses_ES


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