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http://dx.doi.org/10.3961/jpmph.2012.45.1.21

Indoor Physical Activity Reduces All-Cause and Cardiovascular Disease Mortality Among Elderly Women  

Park, So-Young (Department of Preventive Medicine, Seoul National University College of Medicine)
Lee, Joong-Yub (Medical Research Collaborating Center, Seoul National University Hospital)
Kang, Dong-Yoon (Department of Preventive Medicine, Seoul National University College of Medicine)
Rhee, Chul-Woo (Department of Preventive Medicine, Seoul National University College of Medicine)
Park, Byung-Joo (Department of Preventive Medicine, Seoul National University College of Medicine)
Publication Information
Journal of Preventive Medicine and Public Health / v.45, no.1, 2012 , pp. 21-28 More about this Journal
Abstract
Objectives: The aim of this study was to investigate whether a medium to high degree of total physical activity and indoor physical activity were associated with reduced all-cause and cardiovascular mortality among elderly Korean women. Methods: A prospective cohort study was done to evaluate the association between physical activity and mortality. The cohort was made up of elderly (${\geq}65$ years of age) subjects. Baseline information was collected with a self-administered questionnaire and linked to death certificates retrieved from a database. Cox proportional hazard models were used to estimate the hazard ratios (HRs) with 95% confidence interval (CI) levels. Results: Women who did not suffer from stroke, cancer, or ischemic heart disease were followed for a median of 8 years (n=5079). A total of 1798 all-cause deaths were recorded, of which 607 (33.8%) were due to cardiovascular disease. The group with the highest level of total physical activity and indoor physical activity was significantly associated to a reduced all-cause mortality (HR, 0.60; 95% CI, 0.51 to 0.71 and HR, 0.58; 95% CI, 0.50 to 0.67, respectively) compared to the group with the lowest level of total physical activity and indoor physical activity. Additionally, the group with the highest level of total physical activity and indoor physical activity was significantly associated to a lower cardiovascular disease mortality (HR, 0.53; 95% CI, 0.40 to 0.71 and HR, 0.51; 95% CI, 0.39 to 0.67, respectively) compared to the group with the lowest level of total physical activity and indoor physical activity. Conclusions: Our study showed that regular indoor physical activity among elderly Korean women has healthy benefits.
Keywords
Cardiovascular diseases; Exercise; Indoor physical activity; Mortality;
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1 Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, et al. Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA 1995;273(5):402-407.
2 Warburton DE, Nicol CW, Bredin SS. Health benefits of physical activity: the evidence. CMAJ 2006;174(6):801-809.
3 Morgan K, Clarke D. Customary physical activity and survival in later life: a study in Nottingham, UK. J Epidemiol Community Health 1997;51(5):490-493.
4 Barengo NC, Hu G, Lakka TA, Pekkarinen H, Nissinen A, Tuomilehto J. Low physical activity as a predictor for total and cardiovascular disease mortality in middle-aged men and women in Finland. Eur Heart J 2004;25(24):2204-2211.
5 Autenrieth CS, Baumert J, Baumeister SE, Fischer B, Peters A, Doring A, et al. Association between domains of physical activity and all-cause, cardiovascular and cancer mortality. Eur J Epidemiol 2011;26(2):91-99.
6 Matthews CE, Jurj AL, Shu XO, Li HL, Yang G, Li Q, et al. Influence of exercise, walking, cycling, and overall nonexercise physical activity on mortality in Chinese women. Am J Epidemiol 2007;165(12):1343-1350.
7 Woodcock J, Franco OH, Orsini N, Roberts I. Non-vigorous physical activity and all-cause mortality: systematic review and meta-analysis of cohort studies. Int J Epidemiol 2011;40(1):121-138.
8 Stamatakis E, Hamer M, Lawlor DA. Physical activity, mortality, and cardiovascular disease: is domestic physical activity beneficial? The Scottish Health Survey: 1995, 1998, and 2003. Am J Epidemiol 2009;169(10):1191-1200.
9 Lawlor DA, Taylor M, Bedford C, Ebrahim S. Is housework good for health? Levels of physical activity and factors associated with activity in elderly women. Results from the British Women's Heart and Health Study. J Epidemiol Community Health 2002;56(6):473-478.
10 Stamatakis E, Hillsdon M, Primatesta P. Domestic physical activity in relationship to multiple CVD risk factors. Am J Prev Med 2007;32(4):320-327.
11 Korea National Statistical Office. Population projections for Korea: 2005-2050 [cited 2011 Jul 31]. Available from: http://lib1.kostat.go.kr/search/media/img/CAT0000000442 45?metsno=000000001741&fileid=M000000001741_FIL E000002 (Korean).
12 Park BJ, Cho YK, Kim SA. Construction of the Korea Elderly Pharmacoepidemiologic Cohort: drug utilization review of cephalosporins in geriatric inpatients. Pharmacoepidemiol Drug Saf 2001;10(6):487-492.
13 Park BJ, Kim DS, Koo HW, Bae JM. Reliability and validity study of a life style questionnaire for elderly people. Korean J Prev Med 1998;31(1):49-58 (Korean).
14 Hrobonova E, Breeze E, Fletcher AE. Higher levels and intensity of physical activity are associated with reduced mortality among community dwelling older people. J Aging Res 2011; doi:10.4061/2011/651931.
15 Paluska SA, Schwenk TL. Physical activity and mental health: current concepts. Sports Med 2000;29(3):167-180.
16 Haapanen N, Miilunpalo S, Vuori I, Oja P, Pasanen M. Characteristics of leisure time physical activity associated with decreased risk of premature all-cause and cardiovascular disease mortality in middle-aged men. Am J Epidemiol 1996;143(9):870-880.
17 Yu S, Yarnell JW, Sweetnam PM, Murray L; Caerphilly study. What level of physical activity protects against premature cardiovascular death? The Caerphilly study. Heart 2003;89(5):502-506.
18 U.S. Department of Health and Human Services. Physical activity and health: a report of the surgeon general [cited 2011 Dec 9]. Available from: http://www.cdc.gov/nccdphp/ sgr/pdf/sgrfull.pdf.
19 Wannamethee SG, Lowe GD, Whincup PH, Rumley A, Walker M, Lennon L. Physical activity and hemostatic and inflammatory variables in elderly men. Circulation 2002;105(15):1785-1790.
20 Geffken DF, Cushman M, Burke GL, Polak JF, Sakkinen PA, Tracy RP. Association between physical activity and markers of inflammation in a healthy elderly population. Am J Epidemiol 2001;153(3):242-250.
21 Vatten LJ, Nilsen TI, Holmen J. Combined effect of blood pressure and physical activity on cardiovascular mortality. J Hypertens 2006;24(10):1939-1946.
22 Koster A, Harris TB, Moore SC, Schatzkin A, Hollenbeck AR, van Eijk JT, et al. Joint associations of adiposity and physical activity with mortality: the National Institutes of Health-AARP Diet and Health Study. Am J Epidemiol 2009;169(11):1344-1351.
23 Smith JK, Dykes R, Douglas JE, Krishnaswamy G, Berk S. Long-term exercise and atherogenic activity of blood mononuclear cells in persons at risk of developing ischemic heart disease. JAMA 1999;281(18):1722-1727.
24 Andersen LB. Relative risk of mortality in the physically inactive is underestimated because of real changes in exposure level during follow-up. Am J Epidemiol 2004;160(2):189-195.