Accelerometer‐Measured Physical Activity and Mortality in Women Aged 63 to 99

Objectives To prospectively examine associations between accelerometer‐measured physical activity (PA) and mortality in older women, with an emphasis on light‐intensity PA. Design Prospective cohort study with baseline data collection between March 2012 and April 2014. Setting Women's Health In...

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Bibliographic Details
Published in:Journal of the American Geriatrics Society (JAGS) 2018-05, Vol.66 (5), p.886-894
Main Authors: LaMonte, Michael J., Buchner, David M., Rillamas‐Sun, Eileen, Di, Chongzhi, Evenson, Kelley R., Bellettiere, John, Lewis, Cora E., Lee, I‐Min, Tinker, Lesly F., Seguin, Rebecca, Zaslovsky, Oleg, Eaton, Charles B., Stefanick, Marcia L., LaCroix, Andrea Z.
Format: Article
Language:English
Subjects:
Accelerometry - methods
Aged
Aged, 80 and over
Aging
epidemiology
Ethnicity
Exercise
Exercise - physiology
Female
Health risk assessment
Hip
Humans
Independent Living - statistics & numerical data
Light
Light intensity
longevity
Middle Aged
Minority & ethnic groups
Mortality
Mortality - trends
Physical activity
Prospective Studies
Public health
Risk assessment
Sedentary behavior
Smoking
United States
women's health
Womens health
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Summary:Objectives To prospectively examine associations between accelerometer‐measured physical activity (PA) and mortality in older women, with an emphasis on light‐intensity PA. Design Prospective cohort study with baseline data collection between March 2012 and April 2014. Setting Women's Health Initiative cohort in the United States. Participants Community‐dwelling women aged 63 to 99 (N = 6,382). Measurements Minutes per day of usual PA measured using hip‐worn triaxial accelerometers, physical functioning measured using the Short Physical Performance Battery, mortality follow‐up for a mean 3.1 years through September 2016 (450 deaths). Results When adjusted for accelerometer wear time, age, race‐ethnicity, education, smoking, alcohol, self‐rated health, and comorbidities, relative risks (95% confidence intervals) for all‐cause mortality across PA tertiles were 1.00 (referent), 0.86 (0.69, 1.08), 0.80 (0.62, 1.03) trend P = .07, for low light; 1.00, 0.57 (0.45, 0.71), 0.47 (0.35, 0.61) trend P < .001, for high light; and, 1.00, 0.63 (0.50, 0.79), 0.42 (0.30, 0.57) trend P < .001, for moderate‐to‐vigorous PA (MVPA). Associations remained significant for high light‐intensity PA and MVPA (P < .001) after further adjustment for physical function. Each 30‐min/d increment in light‐intensity (low and high combined) PA and MVPA was associated, on average, with multivariable relative risk reductions of 12% and 39%, respectively (P < .01). After further simultaneous adjusting for light intensity and MVPA, the inverse associations remained significant (light‐intensity PA: RR = 0.93, 95% CI = 0.89–0.97; MVPA: RR = 0.67, 95% CI = 0.58–0.78). These relative risks did not differ between subgroups for age or race and ethnicity (interaction, P ≥ .14, all). Conclusion When measured using accelerometers, light‐intensity and MVPA are associated with lower mortality in older women. These findings suggest that replacing sedentary time with light‐intensity PA is a public health strategy that could benefit an aging society and warrants further investigation. See related editorial by Barbara J. Nicklas.
ISSN:0002-8614
1532-5415
1532-5415
DOI:10.1111/jgs.15201