2026-06-14T03:32:35Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/57822025-04-01T10:16:17Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19608col_20.500.12105_19613
Repisalud
author
Caron, Alexandre
author
Ayala, Alba
author
Damian, Javier
author
Rodriguez-Blazquez, Carmen
author
Almazan-Isla, Javier
author
Castellote, Juan Manuel
author
Comín, Magdalena
author
Forjaz, Maria João
author
Pedro-Cuesta, Jesus de
funder
Instituto de Salud Carlos III
funder
Fundación Farasdues para el Desarrollo y la Integración
funder
Unión Europea. Fondo Europeo de Desarrollo Regional (FEDER/ERDF)
funder
Ministerio de Economía, Industria y Competitividad (España)
funder
Comunidad de Madrid (España)
2018-03-26T09:02:54Z
2018-03-26T09:02:54Z
2017-07-18
BMC Geriatr. 2017; 17: 150
10.1186/s12877-017-0551-z
1471-2318
1471-2318
BMC geriatrics
28720075
http://hdl.handle.net/20.500.12105/5782
BACKGROUND: 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.
eng
Disability evaluation
International classification of functioning, disability and health
Middle-aged and older adults
Physical activity
Physical activity, body functions and disability among middle-aged and older Spanish adults
research article
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