Baseline and Previous Physical Activity in Relation to Mortality in Elderly Men: The Zutphen Elderly Study (original) (raw)

Journal Article

,

1

Department of Chronic Diseases, National Institute of Public Health and the Environment

Bilthoven, The Netherlands

2

Department of Medical Physiology and Sports Medicine, Faculty of Medicine, Utrecht University

Utrecht, The Netherlands

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,

1

Department of Chronic Diseases, National Institute of Public Health and the Environment

Bilthoven, The Netherlands

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,

3

Division of Nutrition and Physical Activity, National Center for Chronic Disease Prevention and Health Promotion

Atlanta, GA

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,

4

Management Team Computerization and Methodological Consultancy, National Institute of Public Health and the Environment

Bilthoven, The Netherlands

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,

2

Department of Medical Physiology and Sports Medicine, Faculty of Medicine, Utrecht University

Utrecht, The Netherlands

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1

Department of Chronic Diseases, National Institute of Public Health and the Environment

Bilthoven, The Netherlands

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Received:

01 October 1998

Published:

15 December 1999

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Fransje C. H. Bijnen, Edith J. M. Feskens, Carl J. Caspersen, Nico Nagelkerke, Willem L. Mosterd, Daan Kromhout, Baseline and Previous Physical Activity in Relation to Mortality in Elderly Men: The Zutphen Elderly Study, American Journal of Epidemiology, Volume 150, Issue 12, 15 December 1999, Pages 1289–1296, https://doi.org/10.1093/oxfordjournals.aje.a009960
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Abstract

Understanding the effect of changes in physical activity on mortality risk may help researchers clarify intervention strategies. This study investigated associations of physical activity at baseline and 5 years previously with all-cause mortality risk in a cohort of 472 elderly Dutch men. Relative risks were estimated for relations between mortality in 1990–1995 and physical activity levels in 1990 and 1985. Adjustments were made for baseline age, chronic diseases, functional status, and lifestyle factors. In contrast to previous levels of physical activity (adjusted _p_-trend = 0.39), baseline total time spent in physical activity was inversely associated with mortality risk (_p_-trend = 0.004; for the most active tertile vs. the least active, relative risk = 0.44; 95% confidence interval: 0.25, 0.80). No consistent associations were observed after fractionating total physical activity into activities of differing intensity or into four different types of activity. Relative to maintaining a physically active lifestyle (i.e., walking or bicycling for 20 minutes at least three times per week) in both survey years, a gradient of increasing risk was observed from adopting an active lifestyle to becoming sedentary to remaining sedentary (_p_-trend = 0.004). Recent levels of physical activity were more important for mortality risk among elderly men than activity 5 years previously. Becoming or remaining sedentary was significantly associated with increased mortality risk in comparison with remaining physically active. Am J Epidemiol 1999;150: 1289-96.

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© 1999 by The Johns Hopkins University School of Hygiene and Public Health

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