Cognition, Depression, Pain, and Exercise Motives as Predictors of Longitudinal Profiles of Physical Activity During a Seven-Year Follow-Up Among Older Adults.

Autor: Kyrönlahti S; Department of Public Health, Lifestyles and Living Environments Unit, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.; Faculty of Social Sciences (Health Sciences) and Gerontology Research Center (GEREC), Tampere University, Tampere, Finland., Lehtisalo J; Department of Public Health, Lifestyles and Living Environments Unit, Finnish Institute for Health and Welfare (THL), Helsinki, Finland., Ngandu T; Department of Public Health, Lifestyles and Living Environments Unit, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.; Division of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Center for Alzheimer Research, Karolinska Institute, Stockholm, Sweden., Kivipelto M; Division of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Center for Alzheimer Research, Karolinska Institute, Stockholm, Sweden.; Faculty of Health Sciences, Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland.; Ageing Epidemiology Research Unit, School of Public Health Imperial College London, London, UK., Strandberg T; Center for Life Course Health Research/Geriatrics, University of Oulu, Oulu, Finland.; University of Helsinki and Helsinki University Hospital, Helsinki, Finland., Antikainen R; Center for Life Course Health Research/Geriatrics, University of Oulu, Oulu, Finland.; Medical Research Center Oulu, Oulu University Hospital, Oulu, Finland., Laatikainen T; Department of Public Health, Lifestyles and Living Environments Unit, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.; Faculty of Health Sciences, Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland., Soininen H; Institute of Clinical Medicine - Neurology, University of Eastern Finland, Kuopio, Finland., Tuomilehto J; Department of Public Health, Lifestyles and Living Environments Unit, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.; Department of Public Health, University of Helsinki, Helsinki, Finland.; South Ostrobothnia Central Hospital, Seinäjoki, Finland., Havulinna S; Department of Healthcare and Social Welfare, Services Unit, Finnish Institute for Health and Welfare, Helsinki, Finland., Kulmala J; Department of Public Health, Lifestyles and Living Environments Unit, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.; Faculty of Social Sciences (Health Sciences) and Gerontology Research Center (GEREC), Tampere University, Tampere, Finland.; Division of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Center for Alzheimer Research, Karolinska Institute, Stockholm, Sweden.
Jazyk: angličtina
Zdroj: Scandinavian journal of medicine & science in sports [Scand J Med Sci Sports] 2024 Dec; Vol. 34 (12), pp. e14777.
DOI: 10.1111/sms.14777
Abstrakt: This study investigated longitudinal physical activity (PA) profiles over 7 years in the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER). Cognition, depression, pain, and PA motives were included as determinants of the PA profiles. The 1259 participants, aged 60-77 years at baseline, were randomized into either a control group receiving general health advice, or an intervention group offered a comprehensive 2-year multidomain intervention including physical exercise, diet advice, cognitive training, and vascular risk factor management. The participants reported weekly moderate-intensity PA at baseline and 1, 2, 5, and 7 years after the baseline. Those providing PA data at two or more time points were included (n = 1188). Longitudinal PA profiles were determined using latent class growth analysis, and their associations with baseline determinants via multinomial logistic regression analysis. Interaction terms were added to investigate whether the intervention modified these associations. Six PA profiles were identified: Very high-stable (6%), High-stable (22%), Moderate-declining (47%), Moderate-steeply declining (5%), Low-increasing (9%), and Constantly low (12%). Participants in the intervention group and those motivated by distal and proximal benefits of exercise were likelier to maintain high PA level. Conversely, depressive symptoms and pain were predictors of Constantly low profile. Results show that high baseline PA was generally maintained, while greater variability in PA changes was observed among initially less active participants.
(© 2024 The Author(s). Scandinavian Journal of Medicine & Science In Sports published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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