Combined Impact of Traditional and Non-traditional Healthy Behaviors on Frailty and Disability: A Prospective Cohort Study in Older Adults (P01-033-19)
Autor: | Pilar Guallar-Castillón, Raúl F. Pérez-Tasigchana, Fernando Rodríguez-Artalejo, José R. Banegas, Helena Sandoval-Insausti |
---|---|
Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Gerontology
education.field_of_study medicine.medical_specialty Nutrition and Dietetics Activities of daily living Aging and Chronic Disease business.industry Population Medicine (miscellaneous) Odds ratio Lower risk Reference Daily Intake Confidence interval Epidemiology Medicine Prospective cohort study business education Food Science |
Popis: | OBJECTIVES: To assess the short- and long-term association of three traditional healthy behaviors (not smoking, vigorous/moderate physical activity, and healthy diet) and three non-traditional healthy behaviors (adequate sleeping duration, non-sedentariness, and daily social interaction) with incident frailty and disability. METHODS: A prospective population-based study of community-dwelling individuals aged ≥60 in Spain, selected by stratified clustered multistage sampling. In 2001, data from 4008 participants were collected. A home interview and a physical examination were conducted. Participants were followed up until 2003, when a short-term phone interview of the remaining 3235 individuals was performed. Then, the participants were followed up until 2009, when a long-term phone interview was conducted with 1309 participants. Self-reported traditional and non-traditional healthy behaviors were collected at baseline. Frailty and four domains of disability were assessed at baseline and at follow-ups: the limitation for Instrumental Activities of Daily Living (IADL), the Restriction in Daily Activities (RDA), the limitation in mobility, and the limitation for self-care activities. RESULTS: In the short-term analyses, the Odds Ratios (95% Confidence Interval) for frailty in participants reporting vigorous/moderate physical activity and non-sedentariness were 0.55 (0.35–0.85) and 0.43 (0.26–0.72), respectively. The ORs (95% CI) for limitations of IADL for participants with vigorous/moderate physical activity and adequate sleeping were 0.63 (0.44–0.91) and 0.69 (0.53–0.89); and for limitations for self-care activities were 0.62 (0.41–0.92) and 0.65 (0.45–0.94). The ORs (95% CI) for RDA in participants with adequate sleeping duration and non-sedentariness were 0.67 (0.49–0.90) and 0.57 (0.36–0.91). In the long-term analyses, we found similar results for the main analyses. Participants who scored 5 in the combined traditional and non-traditional healthy behaviors score also had a lower risk of both frailty and disability. CONCLUSIONS: Traditional and non-traditional healthy behaviors as well as, the combination of them, are associated with lower risk of frailty and disability. FUNDING SOURCES: This work was funded by FIS grant 09/1626 and by the ‘Cátedra UAM de Epidemiología y Control del Riesgo Cardiovascular’[University Autónoma de Madrid Chair in Epidemiology and Cardiovascular Risk Control]. |
Databáze: | OpenAIRE |
Externí odkaz: |