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지체장애 노인의 저강도 신체활동과 모든 원인 사망과의 연관성

Association Between Light Intensity Physical Activity and All-cause Mortality in Older Adults with Physical Disability

강현식|이인환
한국운동생리학회|2022.08|운동과학 (Exercise Science)|제31권 제3호|pp. 337-344

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키워드

노인Older adults지체장애Physical disabilityAll-cause mortality모든 원인 사망저강도 신체활동Light intensity physical activity

초록

PURPOSE: This study aimed to investigate the association between light intensity physical activity (LPA) and all-cause mortality in older adults with physical disability. METHODS: Data from the 2008 Living Profiles of Older People Survey involving 14367 Korean adults aged ≥60 y (13417 without disabilities and 950 with disabilities) were used. Participants were divided into active and inactive groups based on weekly LPA and moderate-to-vigorous intensity physical activity (MVPA). Cox proportional hazards regression model was used to calculate hazard ratio (HR) and 95% confidence interval (CI), according to disability status and physical activity levels. RESULTS: During 3.3±0.4 years follow-up period, 1024 deaths occurred from all causes. Among non-disabled people, the inactive group showed a significantly higher risk of all-cause mortality (HR=1.282, 95% CI=1.122–1.465, p<0.001) than the active group (reference=1) in LPA. Similarly, for MVPA, the risk of all-cause mortality was significantly higher in the inactive group (HR=1.522, 95% CI=1.230–1.882, p<0.001) than in the active group (reference=1). However, among physically disabled people, the inactive group correspondingly showed a significantly higher risk of all-cause mortality (HR=2.735, 95% CI=1.761–4.246, p<0.001) than the active group, while there was no significant difference between both groups in MVPA. CONCLUSIONS: The current findings suggest that promoting LPA may play an important role in preventing premature death from allcause mortality in older adults with physical disability.

Abstract

PURPOSE: This study aimed to investigate the association between light intensity physical activity (LPA) and all-cause mortality in older adults with physical disability. METHODS: Data from the 2008 Living Profiles of Older People Survey involving 14367 Korean adults aged ≥60 y (13417 without disabilities and 950 with disabilities) were used. Participants were divided into active and inactive groups based on weekly LPA and moderate-to-vigorous intensity physical activity (MVPA). Cox proportional hazards regression model was used to calculate hazard ratio (HR) and 95% confidence interval (CI), according to disability status and physical activity levels. RESULTS: During 3.3±0.4 years follow-up period, 1024 deaths occurred from all causes. Among non-disabled people, the inactive group showed a significantly higher risk of all-cause mortality (HR=1.282, 95% CI=1.122–1.465, p<0.001) than the active group (reference=1) in LPA. Similarly, for MVPA, the risk of all-cause mortality was significantly higher in the inactive group (HR=1.522, 95% CI=1.230–1.882, p<0.001) than in the active group (reference=1). However, among physically disabled people, the inactive group correspondingly showed a significantly higher risk of all-cause mortality (HR=2.735, 95% CI=1.761–4.246, p<0.001) than the active group, while there was no significant difference between both groups in MVPA. CONCLUSIONS: The current findings suggest that promoting LPA may play an important role in preventing premature death from allcause mortality in older adults with physical disability.

참고문헌 (29)

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