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Sport Sciences for Health

, Volume 14, Issue 1, pp 183–191 | Cite as

Associations between objectively measured physical activity levels and physical fitness and health-related quality of life in elderly women

  • Daniela Ciprandi
  • Filippo Bertozzi
  • Matteo Zago
  • Chiarella Sforza
  • Christel Galvani
Original Article

Abstract

Purpose

Previous studies aimed at analyzing the associations between physical activity levels and physical fitness and health-related quality of life (HRQoL) did not consider the differences between physical activity levels calculated as overall physical activity (MVPAall) or accumulated in bouts of at least 10 min (MVPA10).Therefore, the aim of this study was to compare the different effects of MVPAall or MVPA10 and physical fitness on health-related quality of life in a population of young and older women.

Methods

Physical activity levels were objectively evaluated for 7 consecutive days. Physical fitness was determined with a handgrip strength test and a maximal treadmill test. HRQoL was measured with the Short Form 36 Health Status Survey.

Results

Although young women resulted more fit than older women [both cardiorespiratory and maximal strength resulted significantly higher in young adults with respect to older adults (p < 0.05)], no differences were detected for physical activity levels (neither MVPAall nor MVPA10) or HRQoL between groups. MVPAall was significantly higher than MVPA10 (p < 0.01). The Canonical correlation analysis revealed that there was a positive relationship between the level of cardiorespiratory fitness and the Physical Component Summary of HRQoL and that there was a negative relationship between vigorous physical activity and Social Functioning (p = 0.016). Otherwise, neither physical activity nor physical fitness influenced the Mental Component Summary.

Conclusions

These results will be useful for designing physical activity programs, aiming to improve cardiorespiratory fitness and that could also positively affect HRQoL.

Keywords

Older adults Physical activity assessment Physical fitness Sedentary behavior 

Abbreviations

HR

Heart rate

PA

Physical activity

MVPAall

Overall physical activity

MVPA10

Physical activity accumulated in bouts of at least 10 min

SED

Time spent in sedentary physical activity

LPA

Light physical activity

MPA

Moderate physical activity

VPA

Vigorous physical activity

SF-36v2

Short Form 36 Health Status Survey

HRQoL

Health-related quality of life

PF

Physical Functioning

RP

Role-Physical

BP

Bodily Pain

GH

General Health

VT

Vitality

SF

Social Functioning

RE

Role-Emotional

MH

Mental Health

PCS

Physical Component Summary

MCS

Mental Component Summary

\( \dot{V}{\text{O}}_{{2{\text{peak}}}} \)

Maximal oxygen consumption expressed in absolute values

\( \dot{V} \)O2rel

Maximal oxygen consumption relative to body mass

iMVC

Isometric maximal voluntary contraction

iMVCBW

iMVC related to body weight

BMI

Body Mass Index

YA

Young adults

OA

Older adults

Notes

Acknowledgements

The authors would like to express their thanks and appreciation to the subjects for their time and effort.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

An ethical approval has been obtained from the local review board and all procedures were carried out in line with the Declaration of Helsinki.

Informed consent

Informed consent was obtained from all individual participants included in the study.

References

  1. 1.
    Bowling A, Dieppe P (2005) What is successful ageing and who should define it? BMJ 331:1548–1551CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Pescatello LS, Arena R, Riebe D, Thompson PD (eds) (2014) ACSM’s guidelines for exercise testing and prescription, 9th edn. Lippincott Williams & Wilkins, PhiladelphiaGoogle Scholar
  3. 3.
    McPhee JS, French DP, Jackson D, Nazroo J, Pendleton N, Degens H (2016) Physical activity in older age: perspectives for healthy ageing and frailty. Biogerontology 17:567–580.  https://doi.org/10.1007/s10522-016-9641-0 CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Warburton DE, Nicol CW, Bredin SS (2006) Health benefits of physical activity: the evidence. CMAJ 174:801–809CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Gusi N, Hernandez-Mocholi MA, Olivares PR (2015) Changes in HRQoL after 12 months of exercise linked to primary care are associated with fitness effects in older adults. Eur J Public Health 25:873–879.  https://doi.org/10.1093/eurpub/ckv079 CrossRefPubMedGoogle Scholar
  6. 6.
    Sayer AA, Syddall HE, Martin HJ, Dennison EM, Roberts HC, Cooper C (2006) Is grip strength associated with health-related quality of life? Findings from the Hertfordshire Cohort Study. Age Ageing 35:409–415CrossRefPubMedGoogle Scholar
  7. 7.
    Anokye NK, Trueman P, Green C, Pavey TG, Taylor RS (2012) Physical activity and health related quality of life. BMC Public Health 7:12–624.  https://doi.org/10.1186/1471-2458-12-624 Google Scholar
  8. 8.
    Halaweh H, Willen C, Grimby-Ekman A, Svantesson U (2015) Physical activity and health-related quality of life among community dwelling elderly. J Clin Med Res 7:845–852.  https://doi.org/10.14740/jocmr2307w CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Bertheussen GF, Romundstad PR, Landmark T, Kaasa S, Dale O, Helbostad JL (2011) Associations between physical activity and physical and mental health—a HUNT 3 study. Med Sci Sports Exerc 43:1220–1228.  https://doi.org/10.1249/MSS.0b013e318206c66e CrossRefPubMedGoogle Scholar
  10. 10.
    Pruitt LA, Glynn NW, King AC et al (2008) Use of accelerometry to measure physical activity in older adults at risk for mobility disability. J Aging Phys Act 16:416–434CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Ciprandi D, Bertozzi F, Zago M et al (2017) Study of the association between gait variability and physical activity. Eur Rev Aging Phys Act 15:14–19.  https://doi.org/10.1186/s11556-017-0188-0 Google Scholar
  12. 12.
    Sörensen L, Honkalehto S, Kallinen M et al (2007) Are cardiorespiratory fitness and walking performance associated with self-reported quality of life and work ability? Int J Occup Med Environ Health 20:257–264CrossRefPubMedGoogle Scholar
  13. 13.
    Sloan RA, Sawada SS, Martin CK, Church T, Blair SN (2009) Associations between cardiorespiratory fitness and health-related quality of life. Health Qual Life Outcomes 28:7–47.  https://doi.org/10.1186/1477-7525-7-47 Google Scholar
  14. 14.
    Garber CE, Greaney ML, Riebe D, Nigg CR, Burbank PA, Clark PG (2010) Physical and mental health-related correlates of physical function in community dwelling older adults: a cross sectional study. BMC Geriatr 3:10–16.  https://doi.org/10.1186/1471-2318-10-6 Google Scholar
  15. 15.
    Chung PK, Zhao Y, Liu JD, Quach B (2017) A canonical correlation analysis on the relationship between functional fitness and health-related quality of life in older adults. Arch Gerontol Geriatr 68:44–48.  https://doi.org/10.1016/j.archger.2016.08.007 CrossRefPubMedGoogle Scholar
  16. 16.
    Olivares PR, Gusi N, Prieto J, Hernandez-Mocholi MA (2011) Fitness and health-related quality of life dimensions in community-dwelling middle aged and older adults. Health Qual Life Outcomes 22:9–117.  https://doi.org/10.1186/1477-7525-9-117 Google Scholar
  17. 17.
    Hörder H, Skoog I, Frändin K (2013) Health-related quality of life in relation to walking habits and fitness: a population-based study of 75-year-olds. Qual Life Res 22:1213–1223.  https://doi.org/10.1007/s11136-012-0267-7 CrossRefPubMedGoogle Scholar
  18. 18.
    Wanderley FA, Silva G, Marques E, Oliveira J, Mota J, Carvalho J (2011) Associations between objectively assessed physical activity levels and fitness and self-reported health-related quality of life in community-dwelling older adults. Qual Life Res 20:1371–1378.  https://doi.org/10.1007/s11136-011-9875-x CrossRefPubMedGoogle Scholar
  19. 19.
    Thompson WR, Gordon NF, Pescatello LS (eds) (2009) ACSM’s guidelines for exercise testing and prescription, 8th edn. Lippincott Williams & Wilkins, PhiladelphiaGoogle Scholar
  20. 20.
    Davis MG, Fox KR (2007) Physical activity patterns assessed by accelerometry in older people. Eur J Appl Physiol 100:581–589CrossRefPubMedGoogle Scholar
  21. 21.
    Almeida CW, Castro CH, Pedreira PG, Heymann RE, Szejnfeld VL (2011) Percentage height of center of mass is associated with the risk of falls among elderly women: a case–control study. Gait Posture 34:208–212.  https://doi.org/10.1016/j.gaitpost.2011.04.013 CrossRefPubMedGoogle Scholar
  22. 22.
    Ware JE Jr, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30:473–483CrossRefPubMedGoogle Scholar
  23. 23.
    Schrack JA, Zipunnikov V, Goldsmith J, Bandeen-Roche K, Crainiceanu CM, Ferrucci L (2014) Estimating energy expenditure from heart rate in older adults: a case for calibration. PLoS One 9(4):e93520.  https://doi.org/10.1371/journal.pone.0093520 CrossRefPubMedPubMedCentralGoogle Scholar
  24. 24.
    Brage S, Brage N, Franks PW et al (2004) Branched equation modeling of simultaneous accelerometry and heart rate monitoring improves estimate of directly measured physical activity energy expenditure. J Appl Physiol (1985) 96:343–351CrossRefGoogle Scholar
  25. 25.
    Nelson ME, Rejeski WJ, Blair SN et al (2007) Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc 39:1435–1445CrossRefPubMedGoogle Scholar
  26. 26.
    Balke B, Ware RW (1959) An experimental study of physical fitness of Air Force personnel. US Armed Forces Med J 10:675–688Google Scholar
  27. 27.
    Tanaka H, Monahan KD, Seals DR (2001) Age-predicted maximal heart rate revisited. J Am Coll Cardiol 37:153–156CrossRefPubMedGoogle Scholar
  28. 28.
    Midgley AW, McNaughton LR, Polman R, Marchant D (2007) Criteria for determination of maximal oxygen uptake: a brief critique and recommendations for future research. Sports Med 37:1019–1028CrossRefPubMedGoogle Scholar
  29. 29.
    Huggett DL, Connelly DM, Overend TJ (2005) Maximal aerobic capacity testing of older adults: a critical review. J Gerontol A Biol Sci Med Sci 60:57–66CrossRefPubMedGoogle Scholar
  30. 30.
    Alberti M, Galvani C, Capelli C, Lanza M, El Ghoch M, Calugi S, Dalle Grave R (2013) Physical fitness before and after weight restoration in anorexia nervosa. J Sports Med Phys Fit 53:396–402Google Scholar
  31. 31.
    Cohen J (1992) A power primer. Psychol Bull 112:155–159CrossRefPubMedGoogle Scholar
  32. 32.
    Tabachnik BG, Fidell LS (2007) Using multivariate statistics, 5th edn. Pearson Education Inc., BostonGoogle Scholar
  33. 33.
    Cohen J (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Lawrence Erlbaum Associates, HillsdaleGoogle Scholar
  34. 34.
    Consensus Document from Dietitian/Nutritionists from the Nutrition Education Materials Online (2013) Using Body Mass Index. Queensland GovernmentGoogle Scholar
  35. 35.
    Laudani L, Vannozzi G, Sawacha Z, della Croce U, Cereatti A, Macaluso A (2013) Association between physical activity levels and physiological factors underlying mobility in young, middle-aged and older individuals living in a city district. PLoS One 8:e74227CrossRefPubMedPubMedCentralGoogle Scholar
  36. 36.
    Hurtig-Wennlöf A, Hagströmer M, Olsson LA (2010) The International Physical Activity Questionnaire modified for the elderly: aspects of validity and feasibility. Public Health Nutr 13:1847–1854.  https://doi.org/10.1017/S1368980010000157 CrossRefPubMedGoogle Scholar
  37. 37.
    WHO (2010) Global recommendations on physical activity for health. World Health Organization, GenevaGoogle Scholar
  38. 38.
    Martin PE, Rothstein DE, Larish DD (1992) Effects of age and physical activity status on the speed-aerobic demand relationship of walking. J Appl Physiol (1985) 73:200–206CrossRefGoogle Scholar
  39. 39.
    Lee DC, Artero EG, Sui X, Blair SN (2010) Mortality trends in the general population: the importance of cardiorespiratory fitness. J Psychopharmacol 24:27–35.  https://doi.org/10.1177/1359786810382057 CrossRefPubMedPubMedCentralGoogle Scholar
  40. 40.
    Paluska SA, Schwenk TL (2000) Physical activity and mental health: current concepts. Sports Med 29:167–180CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Italia S.r.l., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Movement Analysis Laboratory, Department of Biomedical Sciences for HealthUniversità degli Studi di MilanoMilanItaly
  2. 2.Exercise and Sport Science Degree Course, Faculties of Education and Medicine and SurgeryUniversità Cattolica del Sacro CuoreMilanItaly
  3. 3.Department of Electronics, Information and Bioengineering (DEIB)Politecnico di MilanoMilanItaly
  4. 4.Applied Exercise Physiology Laboratory, Department of PsychologyUniversità Cattolica del Sacro CuoreMilanItaly

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