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http://dx.doi.org/10.5720/kjcn.2020.25.3.236

Relationship between Arterial Stiffness and Physical Activity Level Assessed by International Physical Activity Questionnaire­short form (IPAQ­SF) in the Elderly  

Lee, Hyun-Ju (Department of Nutrition and Dietetics, Gangneung Asan Hospital)
Gwak, Ji-Yeon (Department of Food and Nutrition, Gangneung-Wonju National University)
Jun, Ha-Yeon (Department of Food and Nutrition, Gangneung-Wonju National University)
Kim, Eun-Kyung (Department of Food and Nutrition, Gangneung-Wonju National University)
Publication Information
Korean Journal of Community Nutrition / v.25, no.3, 2020 , pp. 236-245 More about this Journal
Abstract
Objectives: Cardiovascular disease is a major cause of death in the elderly in Korea. Increased arterial stiffness is linked to risk of cardiovascular disease and mortality. The purpose of this study was to investigate the relationship between arterial stiffness and physical activity in the elderly. Methods: A total of 209 older adults (110 men and 99 women) participated in this study. Arterial stiffness of subjects such as brachial-ankle pulse wave velocity (baPWV) and ankle brachial pressure index (ABI) was measured using a non-invasive vascular screening device (VP-1000 Plus, Omron, Kyoto, Japan). The interviewed Korean version of the international physical activity questionnaire short form (IPAQ-SF) was used to evaluate subject's physical activity level and classify subjects as active or inactive group based on the time spent doing moderate to vigorous physical activity (MVPA). Results: The mean age of total subjects was 75.3 ± 5.6 years. There was no significant difference in sex distribution between the active group (39.7%) and inactive group (60.3%). The baPWV (1,758.1 ± 375.2 cm/sec) of the active group was significantly lower than that (1,969.7 ± 372.3 cm/sec) of the inactive group (P < 0.05). There was a significant inverse association between time spent in MVPA and baPWV (r = -0.245, P < 0.01). Conclusions: This study suggests that physical activity programs for older adults are needed to prevent arteriosclerosis.
Keywords
arterial stiffness; pulse wave velocity; physical activity;
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1 GBD 2017 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990?: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 2018; 392: 1789-1858.   DOI
2 O'Donnella CJ, Elosuab R. Cardiovascular risk factors. Insights from Framingham heart study. Rev Esp Cardiol 2008; 61(3): 299-310.   DOI
3 Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT et al. Effect of physical inactivity on major noncommunicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet 2012; 380(9838): 219-229.   DOI
4 Deiseroth A, Streese L, Kochli S, Wust RS, Infanger D, Schmidt-Trucksass A et al. Exercise and arterial stiffness in the elderly: a combined cross-sectional and randomized controlled trial (EXAMIN AGE). Front Physiol 2019; 10: 1119.   DOI
5 Ahmadi-Abhari S, Sabia S, Shipley MJ, Kivimaki M, Singh-Manoux A, Tabak A et al. Physical activity, sedentary behavior, and long-term changes in aortic stiffness: the Whitehall II study. J Am Heart Assoc 2017; 6(8): e005974.   DOI
6 Maddock J, Ziauddeen N, Ambrosini GL, Wong A, Hardy R, Ray S. Adherence to a dietary approaches to stop hypertension (DASH)-type diet over the life course and associated vascular function: a study based on the MRC 1946 British birth cohort. Br J Nutr 2018; 119(5): 581-589.   DOI
7 Koshiba H, Maeshima E. Effects of exercise intervention on arterial stiffness in middle-aged and older females: evaluation by measuring brachial-ankle pulse wave velocity and cardio-ankle vascular index. J Phys Ther Sci 2019; 31(1): 88-92.   DOI
8 Jang DG, Shin SK, Park SH. Relationship between Korean undergraduate students' arterial stiffness and their continuous physical activity and sitting scores. Korean J Sport Stud 2013; 52(6): 477-486.
9 Lee RD, Kanf YJ, Hwang MH. The relationship between physical activity level and arterial stiffness in young female adults. Exerc Sci 2019; 28(3): 232-239.   DOI
10 Shin HK, Lee SH, Yang JH. Effects of physical activity level on blood pressure response during graded exercise test and pulse wave velocity in the healthy middle-aged women. Korean Soc Growth Dev 2014; 22(2): 143-149.
11 Lee JW, Kim DS, Cho EK. Interrelationships and differences of brachial-ankle pulse wave velocity (baPWV), body composition and cardiovascular variables between genders who have been exercised or not in elderly. Korean J Clin Lab Sci 2016; 48(4): 378-387.   DOI
12 Laurent S, Cockcroft J, Van BL, Boutouyrie P, Giannattasio C, Hayoz D et al. Expert consensus document on arterial stiffness: methodological issues and clinical applications. Eur Heart J 2006; 27(21): 2588-2605.   DOI
13 Durstine JL, Grandjean PW, Davis PG, Ferguson MA, Alderson NL, DuBose KD. Blood lipid and lipoprotein adaptations to exercise: a quantitative analysis. Sports Med 2001; 31(15): 1033-1062.   DOI
14 Thune I, Njolstad I, Lochen ML, Ford OH. Physical activity improves the metabolic risk profiles in men and women: the Tromso Study. Arch Intern Med 1998; 158(15): 1633-1640.   DOI
15 Vlachopoulos C, Aznaouridis K, Stefanadis C. Prediction of cardiovascular events and all-cause mortality with arterial stiffness: a systematic review and meta-analysis. J Am Coll Cardiol 2010; 55(13): 1318-1327.   DOI
16 Payne RA, Wilkinson IB, Webb DJ. Arterial stiffness and hypertension: emerging concepts. Hypertension 2010; 55(1): 9-14.   DOI
17 Lee NB, Im JJ, Park YB, Jeon YJ. Development of a pulse wave velocity measurement system and assessment of the system reproducibility for the diagnosis of arteriosclerosis. J Korea Instit Orient Med Diagn 2005; 9(1): 112-124.
18 Carter SA. Indirect systolic pressures and pulse waves in arterial occlusive diseases of the lower extremities. Circulation 1968; 37(4): 624-637.   DOI
19 Tanko LB, Bagger YZ, Christiansen C. Low bone mineral density in the hip as a marker of advanced atherosclerosis in elderly women. Calcif Tissue Int 2003; 73(1): 15-20.   DOI
20 Shin JW, Seok SJ, Lee GH, Choi SC, Hyun KY. Correlation between arterial stiffness and physiological parameters. Korean J Health Serv Manag 2013; 7(3): 71-82.   DOI
21 IPAQ Research Committee. Guidelines for Data Processing and Analysis of the International Physical Activity Questionnaire (IPAQ) - Short and Long Forms. 2005:1-15.
22 Chun MY. Validity and reliability of Korean version of international physical activity questionnaire short form in the elderly. Korean J Fam Med 2012; 33(3): 144-151.   DOI
23 World Health Organization, Regional Office for the Western Pacific. The Asia-Pacific perspective: redefining obesity and its treatment. 1st revision. Australia: World Health Organization, Regional Office for the Western Pacific; 2000. P. 15-20.
24 World Health Organization. Global recommendations on physical activity for health. Geneva: World Health Organization; 2010.
25 Tomiyama H, Yamashina A, Arai T, Hirose K, Koji Y, Chikamori T et al. Influence of age and gender on result of noninvasive brachial ankle pulse wave velocity measurement a survey 12517 subjects. Atherosclerosis 2003; 166(2): 303-309.   DOI
26 Winsor T. Influence of arterial disease on the systolic blood pressure gradients of the extremity. Am J Med Sci 1950; 220: 117-126.   DOI
27 Aboyans V, Criqui MH, Abraham P, Allison MA, Creager MA, Diehm C et al. Measurement and interpretation of the anklebrachial index: a scientific statement from the American Heart Association. Circulation 2012; 126(24): 2890-2909.   DOI
28 Korean Vascular Research Working Group. Clinical angiology. 1st revision. Seoul: Korean Vascular Research Working Group; 2009. p. 109-124.
29 Korea National Health and Nutrition Examination Surveys. Korea health statistics 2018 [Internet]. Korea National Health and Nutrition Examination Survey; 2020 [cited 2020 Jan 16]. Available from: http://knhanes.cdc.go.kr/.
30 Choi HS, Cho YH, Lee SY, Park EJ, Kim YJ, Lee JG et al. Association between new anthropometric parameters and arterial stiffness based on brachial-ankle pulse wave velocity. Diabetes Metab Syndr Obes 2019; 12: 1727-1733.   DOI
31 Ndahimana D, Kim EK. Measurement methods for physical activity and energy expenditure: a review. Clin Nutr Res 2017; 6(2): 68-80.   DOI
32 O'Donovan C, Lithander FE, Raftery T, Gormley J, Mahmud A, Hussey J. Inverse relationship between physical activity and arterial stiffness in adults with hypertension. J Phys Act Health 2014; 11(2): 272-277.   DOI
33 Bonomi AG, Goris AH, Yin B, Westerterp KR. Detection of type, duration, and intensity of physical activity using an accelerometer. Med Sci Sports Exerc 2009; 41(9): 1770-1777.   DOI
34 Riegel GR, Martins GB, Schmidt AG, Rodrigues MP, Nunes GS, Correa V Jr et al. Self-reported adherence to physical activity recommendations compared to the IPAQ interview in patients with hypertension. Patient Pref Adher 2019; 13: 209-0214.   DOI
35 Iemitsu M, Maeda S, Otsuki T, Sugawara J, Kuno S, Ajisaka R et al. Arterial stiffness, physical activity, and atrial natriuretic peptide gene polymorphism in older subjects. Hypertens Res 2008; 31(4): 767-774.   DOI
36 Parsons TJ, Sartini C, Ellins EA, Halcox JP, Smith KE, Ash S et al. Objectively measured physical activity and sedentary behaviour and ankle brachial index: cross-sectional and longitudinal associations in older men. Atherosclerosis 2016; 247: 28-34.   DOI
37 Endes S, Schaffner E, Caviezel S, Dratva J, Autenrieth CS, Wanner M et al. Long-term physical activity is associated with reduced arterial stiffness in older adults: longitudinal results of the SAPALDIA cohort study. Age Ageing 2016; 45(1): 110-115.   DOI
38 Munakata M, Ito N, Nunokawa T, Yoshinaga K. Utility of automated brachial ankle pulse wave velocity measurements in hypertensive patients. Am J Hypertens 2003; 16(8): 653-657.   DOI
39 Yamamoto A, Katayama Y, Tomiyama K, Hosoai H, Hirata F, Yasuda H. A short-term admission improved brachial-ankle pulse wave velocity in type 2 diabetic patients. Diabetes Res Clin Pract 2005; 70(3): 248-252.   DOI
40 Kim SW, Kim KH, Hwang SY, Choi SH, Lee SJ, Choi YC et al. The relationship between brachial ankle pulse wave velocity and atherosclerotic risk factors. Vasc Spec Int 2008; 24(1): 6-10.
41 Krishnan MN, Geevar Z, Mohanan PP, Venugopal K, Devika S. Prevalence of peripheral artery disease and risk factors in the elderly: A community based cross-sectional study from northern Kerala, India. Indian Heart J 2018; 70(6): 808-815.   DOI
42 He Y, Jiang Y, Wang J, Fan L, Li X, Hu FB. Prevalence of peripheral arterial disease and its association with smoking in a population-based study in Beijing. China J Vasc Surg 2006; 44(2): 333-338.   DOI