The relationship between physical activity trajectories and frailty: a 20-year prospective cohort among community-dwelling older people
Abstract Background Studies on examining the relationship between physical activity patterns and frailty are lacking. This study examined physical activity patterns in older people and investigated the relationship between physical activity and frailty as well as identifying the predictors of frailt...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-11-01
|
| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-022-03493-7 |
| _version_ | 1797984073192308736 |
|---|---|
| author | Yen-Kuang Lin Chen-Yueh Chen Denise Shuk Ting Cheung Jed Montayre Chen-Yin Lee Mu-Hsing Ho |
| author_facet | Yen-Kuang Lin Chen-Yueh Chen Denise Shuk Ting Cheung Jed Montayre Chen-Yin Lee Mu-Hsing Ho |
| author_sort | Yen-Kuang Lin |
| collection | DOAJ |
| description | Abstract Background Studies on examining the relationship between physical activity patterns and frailty are lacking. This study examined physical activity patterns in older people and investigated the relationship between physical activity and frailty as well as identifying the predictors of frailty. Methods We used a nationally representative longitudinal database, the Taiwan Longitudinal Study of Aging (TLSA) database, and data for a 20-year period were extracted and analyzed. A total of 5131 participants aged ≥ 60 years in 1996 were included in the current analysis. Information regarding demographic characteristics, frailty, physical activity, comorbidities, oral health, and depressive symptoms was extracted from the TLSA database. Physical activity patterns were examined using group-based trajectory modeling from 1996 to 2015. Potential predictors were examined by performing multivariate logistic regression. Results Four trajectories of the physical activity pattern were found: consistently physically inactive (33.7%), consistently physically active (21.5%), incline (21.6%), and decline (23.2%). Throughout the period, the trajectories of the four groups significantly differed from each other at year 2015, with the incline and decline groups exhibiting the lowest and highest frailty scores, respectively (p < 0.001). Older age, male, poor oral health, diabetes, chronic kidney disease, and depressive symptoms were identified as risk factors for frailty. Conclusion Physical activity reduces the risk of chronic conditions, which contributes to healthy longevity. This study can guide the development of future research and interventions to manage frailty in older people, particularly in considering previous physical activity trajectories within the life course. |
| first_indexed | 2024-04-11T06:55:49Z |
| format | Article |
| id | doaj.art-7711d960666d4f5c897186fc785e34e7 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-04-11T06:55:49Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-7711d960666d4f5c897186fc785e34e72022-12-22T04:39:02ZengBMCBMC Geriatrics1471-23182022-11-0122111110.1186/s12877-022-03493-7The relationship between physical activity trajectories and frailty: a 20-year prospective cohort among community-dwelling older peopleYen-Kuang Lin0Chen-Yueh Chen1Denise Shuk Ting Cheung2Jed Montayre3Chen-Yin Lee4Mu-Hsing Ho5Graduate Institute of Athletics and Coaching Science, National Taiwan Sport UniversityDoctoral Program of Transnational Sport Management and Innovation, National Taiwan Sport UniversitySchool of Nursing, LKS Faculty of Medicine, The University of Hong KongSchool of Nursing and Midwifery, Western Sydney UniversityGraduate Institute of Educational Art and Healing, Mingdao UniversitySchool of Nursing, LKS Faculty of Medicine, The University of Hong KongAbstract Background Studies on examining the relationship between physical activity patterns and frailty are lacking. This study examined physical activity patterns in older people and investigated the relationship between physical activity and frailty as well as identifying the predictors of frailty. Methods We used a nationally representative longitudinal database, the Taiwan Longitudinal Study of Aging (TLSA) database, and data for a 20-year period were extracted and analyzed. A total of 5131 participants aged ≥ 60 years in 1996 were included in the current analysis. Information regarding demographic characteristics, frailty, physical activity, comorbidities, oral health, and depressive symptoms was extracted from the TLSA database. Physical activity patterns were examined using group-based trajectory modeling from 1996 to 2015. Potential predictors were examined by performing multivariate logistic regression. Results Four trajectories of the physical activity pattern were found: consistently physically inactive (33.7%), consistently physically active (21.5%), incline (21.6%), and decline (23.2%). Throughout the period, the trajectories of the four groups significantly differed from each other at year 2015, with the incline and decline groups exhibiting the lowest and highest frailty scores, respectively (p < 0.001). Older age, male, poor oral health, diabetes, chronic kidney disease, and depressive symptoms were identified as risk factors for frailty. Conclusion Physical activity reduces the risk of chronic conditions, which contributes to healthy longevity. This study can guide the development of future research and interventions to manage frailty in older people, particularly in considering previous physical activity trajectories within the life course.https://doi.org/10.1186/s12877-022-03493-7Group-based trajectoriesPhysiological changePredictor, primary health care |
| spellingShingle | Yen-Kuang Lin Chen-Yueh Chen Denise Shuk Ting Cheung Jed Montayre Chen-Yin Lee Mu-Hsing Ho The relationship between physical activity trajectories and frailty: a 20-year prospective cohort among community-dwelling older people BMC Geriatrics Group-based trajectories Physiological change Predictor, primary health care |
| title | The relationship between physical activity trajectories and frailty: a 20-year prospective cohort among community-dwelling older people |
| title_full | The relationship between physical activity trajectories and frailty: a 20-year prospective cohort among community-dwelling older people |
| title_fullStr | The relationship between physical activity trajectories and frailty: a 20-year prospective cohort among community-dwelling older people |
| title_full_unstemmed | The relationship between physical activity trajectories and frailty: a 20-year prospective cohort among community-dwelling older people |
| title_short | The relationship between physical activity trajectories and frailty: a 20-year prospective cohort among community-dwelling older people |
| title_sort | relationship between physical activity trajectories and frailty a 20 year prospective cohort among community dwelling older people |
| topic | Group-based trajectories Physiological change Predictor, primary health care |
| url | https://doi.org/10.1186/s12877-022-03493-7 |
| work_keys_str_mv | AT yenkuanglin therelationshipbetweenphysicalactivitytrajectoriesandfrailtya20yearprospectivecohortamongcommunitydwellingolderpeople AT chenyuehchen therelationshipbetweenphysicalactivitytrajectoriesandfrailtya20yearprospectivecohortamongcommunitydwellingolderpeople AT deniseshuktingcheung therelationshipbetweenphysicalactivitytrajectoriesandfrailtya20yearprospectivecohortamongcommunitydwellingolderpeople AT jedmontayre therelationshipbetweenphysicalactivitytrajectoriesandfrailtya20yearprospectivecohortamongcommunitydwellingolderpeople AT chenyinlee therelationshipbetweenphysicalactivitytrajectoriesandfrailtya20yearprospectivecohortamongcommunitydwellingolderpeople AT muhsingho therelationshipbetweenphysicalactivitytrajectoriesandfrailtya20yearprospectivecohortamongcommunitydwellingolderpeople AT yenkuanglin relationshipbetweenphysicalactivitytrajectoriesandfrailtya20yearprospectivecohortamongcommunitydwellingolderpeople AT chenyuehchen relationshipbetweenphysicalactivitytrajectoriesandfrailtya20yearprospectivecohortamongcommunitydwellingolderpeople AT deniseshuktingcheung relationshipbetweenphysicalactivitytrajectoriesandfrailtya20yearprospectivecohortamongcommunitydwellingolderpeople AT jedmontayre relationshipbetweenphysicalactivitytrajectoriesandfrailtya20yearprospectivecohortamongcommunitydwellingolderpeople AT chenyinlee relationshipbetweenphysicalactivitytrajectoriesandfrailtya20yearprospectivecohortamongcommunitydwellingolderpeople AT muhsingho relationshipbetweenphysicalactivitytrajectoriesandfrailtya20yearprospectivecohortamongcommunitydwellingolderpeople |