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dc.contributor.authorÄijö, Marja
dc.contributor.authorKauppinen, Markku
dc.contributor.authorKujala, Urho
dc.contributor.authorParkatti, Terttu
dc.date.accessioned2017-02-07T07:33:07Z
dc.date.available2017-02-07T07:33:07Z
dc.date.issued2016
dc.identifier.citationÄijö, M., Kauppinen, M., Kujala, U., & Parkatti, T. (2016). Physical activity, fitness, and all-cause mortality: An 18-year follow-up among old people. <i>Journal of Sport and Health Science</i>, <i>5</i>(4), 437–442. <a href="https://doi.org/10.1016/j.jshs.2015.09.008" target="_blank">https://doi.org/10.1016/j.jshs.2015.09.008</a>
dc.identifier.otherCONVID_25241465
dc.identifier.otherTUTKAID_67494
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/52973
dc.description.abstractBackground: Little is known about change in physical activity (PA) and its relationship to all-cause mortality among old people. There is even less information about the association between PA, fitness, and all-cause mortality among people aged 80 years and above. The objective is to investigate persistence and change in PA over 5 years as a predictor of all-cause mortality, and fitness as a mediator of this association, among people aged 80 and 85 years at the beginning of an 18-year mortality follow-up period. Methods: Using Evergreen Project data (started in 1989), 4 study groups were formed according to self-reported changes in PA level, over a 5-year period (starting in 1989–1990 and ending in 1994–1995): remained active (RA, control group), changed to inactive (CI), remained inactive (RI), and changed to active (CA). Mortality was followed up over the 18-year period (1994–2012). Cox models with different covariates such as age, sex, use of alcohol, smoking, chronic diseases, and a 10 m walking test were used to analyze the association between change in PA level and mortality. Results: Compared to RA, those who decreased their PA level (CI) between baseline and follow-up had higher all-cause mortality (hazard ratio (HR = 2.09; 95%CI: 1.63–2.69) when adjusted for age, gender, and chronic diseases. RI showed the highest all-cause mortality (HR = 2.16; 95%CI: 1.59–2.93). In CA, when compared against RA, the risk of all-cause mortality was not statistically significant (HR = 1.51; 95%CI: 0.95–2.38). In comparison with RA, when walking speed over 10 m was added as a covariate, all-cause mortality risk was almost statistically significant only in CI (HR = 1.37; 95%CI: 1.00–1.87). Conclusion: Persistence and change in PA level was associated with mortality. This association was largely explained by fitness status. Randomized controlled studies are needed to test whether maintaining or increasing PA level could lengthen the life of old people.
dc.language.isoeng
dc.publisherElsevier; Shanghai University of Sport
dc.relation.ispartofseriesJournal of Sport and Health Science
dc.subject.otherall-cause mortality
dc.subject.otherfitness
dc.subject.otherold people
dc.subject.otherphysical activity
dc.titlePhysical activity, fitness, and all-cause mortality: An 18-year follow-up among old people
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-201701261274
dc.contributor.laitosTerveystieteiden laitosfi
dc.contributor.laitosDepartment of Health Sciencesen
dc.contributor.oppiaineGerontologia ja kansanterveysfi
dc.contributor.oppiaineLiikuntalääketiedefi
dc.contributor.oppiaineGerontology and Public Healthen
dc.contributor.oppiaineSports and Exercise Medicineen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.date.updated2017-01-26T10:15:04Z
dc.type.coarjournal article
dc.description.reviewstatuspeerReviewed
dc.format.pagerange437–442
dc.relation.issn2213-2961
dc.relation.numberinseries4
dc.relation.volume5
dc.type.versionpublishedVersion
dc.rights.copyright© 2016 Production and hosting by Elsevier B.V. on behalf of Shanghai University of Sport. This is an open access article under the CC BY-NC-ND license.
dc.rights.accesslevelopenAccessfi
dc.rights.urlhttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.relation.doi10.1016/j.jshs.2015.09.008


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© 2016 Production and hosting by Elsevier B.V. on behalf of Shanghai University of Sport. This is an open access article under the CC BY-NC-ND license.
Except where otherwise noted, this item's license is described as © 2016 Production and hosting by Elsevier B.V. on behalf of Shanghai University of Sport. This is an open access article under the CC BY-NC-ND license.