Absolute and relative accelerometer thresholds for determining the association between physical activity and metabolic syndrome in the older adults: The Generation-100 study
Abstract Background When assessing population adherence to physical activity (PA) recommendation using accelerometers, absolute intensity threshold definition is applied despite having limited validity in those with low cardiorespiratory fitness (CRF), who are unable to reach them (e.g older adults)...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2017-05-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12877-017-0497-1 |
| _version_ | 1819113617008623616 |
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| author | Nina Zisko Javaid Nauman Silvana Bucher Sandbakk Nils Petter Aspvik Øyvind Salvesen Trude Carlsen Hallgeir Viken Jan Erik Ingebrigtsen Ulrik Wisløff Dorthe Stensvold |
| author_facet | Nina Zisko Javaid Nauman Silvana Bucher Sandbakk Nils Petter Aspvik Øyvind Salvesen Trude Carlsen Hallgeir Viken Jan Erik Ingebrigtsen Ulrik Wisløff Dorthe Stensvold |
| author_sort | Nina Zisko |
| collection | DOAJ |
| description | Abstract Background When assessing population adherence to physical activity (PA) recommendation using accelerometers, absolute intensity threshold definition is applied despite having limited validity in those with low cardiorespiratory fitness (CRF), who are unable to reach them (e.g older adults). Thus, PA thresholds relative to CRF may be an alternative approach. We compared the proportion of the older adults meeting the PA recommendation when PA is assessed using absolute versus sex-and-CRF-adjusted (relative) accelerometer thresholds and determined the association between relative versus absolute moderate PA (MPA), vigorous PA (VPA) and moderate-to-vigorous PA (MVPA) and metabolic syndrome (MetS). Methods Cross-sectional study of 509 men and 567 women aged 70–77. Accelerometer assessed MPA, VPA and MVPA were analyzed using absolute and relative thresholds. Meeting the PA-recommendation was defined as amounting ≥150 min/week in MPA/MVPA or 75 min/week in VPA, respectively. CRF was directly measured as peak oxygen uptake (VO2peak). MetS was defined as 3 or more of the following: elevated waist circumference, fasting glucose, hypertension, triglycerides, decreased HDL-cholesterol or diabetes, dyslipidemia or hypertension medication. Results Higher proportion of the population met the recommendation when PA was assessed with relative compared to absolute thresholds: VPA (72.4% vs. 1.7%) and MVPA (75.2% vs. 33.8%). Logistic regression analysis revealed that men and women not meeting the relative-MVPA or VPA recommendation had higher likelihood of MetS (Men: MVPA OR: 1.59, 95% CI: 1.08–2.33. VPA OR: 1.81, 95%CI: 1.23–2.67 and Women: MVPA OR: 2.12, 95% CI: 1.36–3.31; VPA OR: 1.95, 95% CI: 1.29–2.95), compared to men and women meeting the relative MVPA or VPA recommendation. There was no significant association between MetS and absolute MVPA, MPA or VPA recommendations in the fully adjusted model. Conclusions The association between meeting/not meeting the PA recommendation and MetS differed with method. Not meeting relative MVPA and VPA recommendation was associated with significantly higher likelihood for presence of MetS. Since relative intensity is part of the current PA recommendation, it should be considered when assessing population PA and associated health risks in the older adults. Trial registration Clinical Trial Registration: NCT01931111 (Date of trial registration: July 19, 2013). |
| first_indexed | 2024-12-22T04:32:15Z |
| format | Article |
| id | doaj.art-22f0adaa28ae41db966210696418a957 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-12-22T04:32:15Z |
| publishDate | 2017-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-22f0adaa28ae41db966210696418a9572022-12-21T18:39:00ZengBMCBMC Geriatrics1471-23182017-05-0117111010.1186/s12877-017-0497-1Absolute and relative accelerometer thresholds for determining the association between physical activity and metabolic syndrome in the older adults: The Generation-100 studyNina Zisko0Javaid Nauman1Silvana Bucher Sandbakk2Nils Petter Aspvik3Øyvind Salvesen4Trude Carlsen5Hallgeir Viken6Jan Erik Ingebrigtsen7Ulrik Wisløff8Dorthe Stensvold9The K.G. Jebsen Center of Exercise in Medicine at Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and TechnologyThe K.G. Jebsen Center of Exercise in Medicine at Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and TechnologyThe K.G. Jebsen Center of Exercise in Medicine at Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and TechnologyDepartment of Sociology and Political Science, Faculty of Social Sciences and Technology Management, Norwegian University of Science and TechnologyDepartment of Cancer Research and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and TechnologyDepartment of Nursing Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and TechnologyThe K.G. Jebsen Center of Exercise in Medicine at Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and TechnologyDepartment of Sociology and Political Science, Faculty of Social Sciences and Technology Management, Norwegian University of Science and TechnologyThe K.G. Jebsen Center of Exercise in Medicine at Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and TechnologyThe K.G. Jebsen Center of Exercise in Medicine at Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and TechnologyAbstract Background When assessing population adherence to physical activity (PA) recommendation using accelerometers, absolute intensity threshold definition is applied despite having limited validity in those with low cardiorespiratory fitness (CRF), who are unable to reach them (e.g older adults). Thus, PA thresholds relative to CRF may be an alternative approach. We compared the proportion of the older adults meeting the PA recommendation when PA is assessed using absolute versus sex-and-CRF-adjusted (relative) accelerometer thresholds and determined the association between relative versus absolute moderate PA (MPA), vigorous PA (VPA) and moderate-to-vigorous PA (MVPA) and metabolic syndrome (MetS). Methods Cross-sectional study of 509 men and 567 women aged 70–77. Accelerometer assessed MPA, VPA and MVPA were analyzed using absolute and relative thresholds. Meeting the PA-recommendation was defined as amounting ≥150 min/week in MPA/MVPA or 75 min/week in VPA, respectively. CRF was directly measured as peak oxygen uptake (VO2peak). MetS was defined as 3 or more of the following: elevated waist circumference, fasting glucose, hypertension, triglycerides, decreased HDL-cholesterol or diabetes, dyslipidemia or hypertension medication. Results Higher proportion of the population met the recommendation when PA was assessed with relative compared to absolute thresholds: VPA (72.4% vs. 1.7%) and MVPA (75.2% vs. 33.8%). Logistic regression analysis revealed that men and women not meeting the relative-MVPA or VPA recommendation had higher likelihood of MetS (Men: MVPA OR: 1.59, 95% CI: 1.08–2.33. VPA OR: 1.81, 95%CI: 1.23–2.67 and Women: MVPA OR: 2.12, 95% CI: 1.36–3.31; VPA OR: 1.95, 95% CI: 1.29–2.95), compared to men and women meeting the relative MVPA or VPA recommendation. There was no significant association between MetS and absolute MVPA, MPA or VPA recommendations in the fully adjusted model. Conclusions The association between meeting/not meeting the PA recommendation and MetS differed with method. Not meeting relative MVPA and VPA recommendation was associated with significantly higher likelihood for presence of MetS. Since relative intensity is part of the current PA recommendation, it should be considered when assessing population PA and associated health risks in the older adults. Trial registration Clinical Trial Registration: NCT01931111 (Date of trial registration: July 19, 2013).http://link.springer.com/article/10.1186/s12877-017-0497-1ActigraphOxygen uptakeAgingVO2peak |
| spellingShingle | Nina Zisko Javaid Nauman Silvana Bucher Sandbakk Nils Petter Aspvik Øyvind Salvesen Trude Carlsen Hallgeir Viken Jan Erik Ingebrigtsen Ulrik Wisløff Dorthe Stensvold Absolute and relative accelerometer thresholds for determining the association between physical activity and metabolic syndrome in the older adults: The Generation-100 study BMC Geriatrics Actigraph Oxygen uptake Aging VO2peak |
| title | Absolute and relative accelerometer thresholds for determining the association between physical activity and metabolic syndrome in the older adults: The Generation-100 study |
| title_full | Absolute and relative accelerometer thresholds for determining the association between physical activity and metabolic syndrome in the older adults: The Generation-100 study |
| title_fullStr | Absolute and relative accelerometer thresholds for determining the association between physical activity and metabolic syndrome in the older adults: The Generation-100 study |
| title_full_unstemmed | Absolute and relative accelerometer thresholds for determining the association between physical activity and metabolic syndrome in the older adults: The Generation-100 study |
| title_short | Absolute and relative accelerometer thresholds for determining the association between physical activity and metabolic syndrome in the older adults: The Generation-100 study |
| title_sort | absolute and relative accelerometer thresholds for determining the association between physical activity and metabolic syndrome in the older adults the generation 100 study |
| topic | Actigraph Oxygen uptake Aging VO2peak |
| url | http://link.springer.com/article/10.1186/s12877-017-0497-1 |
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