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3. Association of Accelerometry‐Measured Physical Activity and Cardiovascular Events in Mobility‐Limited Older Adults: The LIFE (Lifestyle Interventions and Independence for Elders) Study

Author

Cochrane, Shannon K, Chen, Shyh‐Huei, Fitzgerald, Jodi D, Dodson, John A, Fielding, Roger A, King, Abby C, McDermott, Mary M, Manini, Todd M, Marsh, Anthony P, Newman, Anne B, Pahor, Marco, Tudor‐Locke, Catrine, Ambrosius, Walter T, Buford, Thomas W, Espeland, Mark A, Applegate, William, Beavers, Daniel P, Byington, Robert P, Cook, Delilah, Furberg, Curt D, Harvin, Lea N, Henkin, Leora, Hepler, John, Hsu, Fang‐Chi, Lovato, Laura, Roberson, Wesley, Rushing, Julia, Rushing, Scott, Stowe, Cynthia L, Walkup, Michael P, Hire, Don, Rejeski, W Jack, Katula, Jeffrey A, Brubaker, Peter H, Mihalko, Shannon L, Jennings, Janine M, Pierce, June J, Romashkan, Sergei, Patel, Kushang V, Bonds, Denise, Spring, Bonnie, Hauser, Joshua, Kerwin, Diana, Domanchuk, Kathryn, Graff, Rex, Rego, Alvito, Blair, Steven N, Myers, Valerie H, Monce, Ron, Britt, Nathan E, Harris, Melissa Nauta, McGucken, Ami Parks, Rodarte, Ruben, Millet, Heidi K, Butitta, Ben P, Donatto, Sheletta G, Cocreham, Shannon H, Castro, Cynthia M, Haskell, William L, Stafford, Randall S, Pruitt, Leslie A, Berra, Kathy, Yank, Veronica, Anton, Stephen D, Nayfield, Susan, Marsiske, Michael, Sandesara, Bhanuprasad D, Knaggs, Jeffrey D, Lorow, Megan S, Marena, William C, Korytov, Irina, Morris, Holly L, Fitch, Margo, Singletary, Floris F, Causer, Jackie, Radcliff, Katie A, Studenski, Stephanie A, Goodpaster, Bret H, Glynn, Nancy W, Lopez, Oscar, Nadkarni, Neelesh K, Williams, Kathy, Newman, Mark A, Grove, George, Bonk, Janet T, Rush, Jennifer, Kost, Piera, Ives, Diane G, Brinkley, Tina E, Demons, Jamehl S, Sink, Kaycee M, Kennedy, Kimberly, Shertzer‐Skinner, Rachel, Wrights, Abbie, Fries, Rose, Barr, Deborah, Axtell, Robert S, Kashaf, Susan S, de Rekeneire, Nathalie, and McGloin, Joanne M

Subjects
Aging, Cardiovascular, Prevention, Clinical Research, 3.1 Primary prevention interventions to modify behaviours or promote wellbeing, Prevention of disease and conditions, and promotion of well-being, Actigraphy, Age Factors, Aged, Aged, 80 and over, Cardiovascular Diseases, Exercise, Exercise Therapy, Female, Fitness Trackers, Geriatric Assessment, Health Knowledge, Attitudes, Practice, Humans, Incidence, Male, Mobility Limitation, Patient Education as Topic, Predictive Value of Tests, Prognosis, Protective Factors, Risk Factors, Risk Reduction Behavior, Time Factors, United States, LIFE Study Research Group, accelerometry, aging, cardiovascular, physical activity, Cardiorespiratory Medicine and Haematology
Abstract

BACKGROUND:Data are sparse regarding the value of physical activity (PA) surveillance among older adults-particularly among those with mobility limitations. The objective of this study was to examine longitudinal associations between objectively measured daily PA and the incidence of cardiovascular events among older adults in the LIFE (Lifestyle Interventions and Independence for Elders) study. METHODS AND RESULTS:Cardiovascular events were adjudicated based on medical records review, and cardiovascular risk factors were controlled for in the analysis. Home-based activity data were collected by hip-worn accelerometers at baseline and at 6, 12, and 24 months postrandomization to either a physical activity or health education intervention. LIFE study participants (n=1590; age 78.9±5.2 [SD] years; 67.2% women) at baseline had an 11% lower incidence of experiencing a subsequent cardiovascular event per 500 steps taken per day based on activity data (hazard ratio, 0.89; 95% confidence interval, 0.84-0.96; P=0.001). At baseline, every 30 minutes spent performing activities ≥500 counts per minute (hazard ratio, 0.75; confidence interval, 0.65-0.89 [P=0.001]) were also associated with a lower incidence of cardiovascular events. Throughout follow-up (6, 12, and 24 months), both the number of steps per day (per 500 steps; hazard ratio, 0.90, confidence interval, 0.85-0.96 [P=0.001]) and duration of activity ≥500 counts per minute (per 30 minutes; hazard ratio, 0.76; confidence interval, 0.63-0.90 [P=0.002]) were significantly associated with lower cardiovascular event rates. CONCLUSIONS:Objective measurements of physical activity via accelerometry were associated with cardiovascular events among older adults with limited mobility (summary score >10 on the Short Physical Performance Battery) both using baseline and longitudinal data. CLINICAL TRIAL REGISTRATION:URL: http://www.clinicaltrials.gov. Unique identifier: NCT01072500.

Published
2017

6. Corrigendum to ‘Vitamin D Supplementation and Muscle Power, Strength and Physical Performance in Older Adults: A Randomized Controlled Trial’ [The American Journal of Clinical Nutrition, Volume 117, Issue 6, June 2023, Pages 1086–1095]

Author

Houston, Denise K., primary, Marsh, Anthony P., additional, Neiberg, Rebecca H., additional, Demons, Jamehl L., additional, Campos, Claudia L., additional, Kritchevsky, Stephen B., additional, Delbono, Osvaldo, additional, and Tooze, Janet A., additional

Published
2023
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7. Effects of supervised exercise and dietary nitrate in older adults with controlled hypertension and/or heart failure with preserved ejection fraction

Author

Shaltout, Hossam A., Eggebeen, Joel, Marsh, Anthony P., Brubaker, Peter H., Laurienti, Paul J., Burdette, Jonathan H., Basu, Swati, Morgan, Ashley, Dos Santos, Patricia C., Norris, James L., Morgan, Timothy M., Miller, Gary D., Rejeski, W. Jack, Hawfield, Amret T., Diz, Debra I., Becton, J. Thomas, Kim-Shapiro, Daniel B., and Kitzman, Dalane W.

Published
2017
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8. Dynapenia and Metabolic Health in Obese and Nonobese Adults Aged 70 Years and Older: The LIFE Study

Author

Gill, Thomas, Fragoso, Carlos, Fielding, Roger, Hauser, Michelle E., Pahor, Marco, Guralnik, Jack M., Leeuwenburgh, Christiaan, Caudle, Connie, Crump, Lauren, Holmes, Latonia, Lee, Jocelyn, Lu, Ching-ju, Miller, Michael E., Espeland, Mark A., Ambrosius, Walter T., Applegate, William, Beavers, Daniel P., Byington, Robert P., Cook, Delilah, Furberg, Curt D., Harvin, Lea N., Henkin, Leora, Hepler, Med John, Hsu, Fang-Chi, Lovato, Laura, Roberson, Wesley, Rushing, Julia, Rushing, Scott, Stowe, Cynthia L., Walkup, Michael P., Hire, Don, Rejeski, W. Jack, Katula, Jeffrey A., Brubaker, Peter H., Mihalko, Shannon L., Jennings, Janine M., Hadley, Evan C., Romashkan, Sergei, Patel, Kushang V., Bonds, Denise, McDermott, Mary M., Spring, Bonnie, Hauser, Joshua, Kerwin, Diana, Domanchuk, Kathryn, Graff, Rex, Rego, Alvito, Church, Timothy S., Blair, Steven N., Myers, Valerie H., Monce, Ron, Britt, Nathan E., Harris, Melissa Nauta, McGucken, Ami Parks, Rodarte, Ruben, Millet, Heidi K., Tudor-Locke, Catrine, Butitta, Ben P., Donatto, Sheletta G., Cocreham, Shannon H., King, Abby C., Castro, Cynthia M., Haskell, William L., Stafford, Randall S., Pruitt, Leslie A., Berra, Kathy, Yank, Veronica, Fielding, Roger A., Nelson, Miriam E., Folta, Sara C., Phillips, Edward M., Liu, Christine K., McDavitt, Erica C., Reid, Kieran F., Kirn, Dylan R., Pasha, Evan P., Kim, Won S., Beard, Vince E., Tsiroyannis, Eleni X., Hau, Cynthia, Manini, Todd M., Anton, Stephen D., Nayfield, Susan, Buford, Thomas W., Marsiske, Michael, Sandesara, Bhanuprasad D., Knaggs, Jeffrey D., Lorow, Megan S., Marena, William C., Korytov, Irina, Morris, Holly L., Fitch, Margo, Singletary, Floris F., Causer, Jackie, Radcliff, Katie A., Newman, Anne B., Studenski, Stephanie A., Goodpaster, Bret H., Glynn, Nancy W., Lopez, Oscar, Nadkarni, Neelesh K., Williams, Kathy, Newman, Mark A., Grove, George, Bonk, Janet T., Rush, Jennifer, Kost, Piera, Ives, Diane G., Kritchevsky, Stephen B., Marsh, Anthony P., Brinkley, Tina E., Demons, Jamehl S., Sink, Kaycee M., Kennedy, Kimberly, Shertzer-Skinner, Rachel, Wrights, Abbie, Fries, Rose, Barr, Deborah, Gill, Thomas M., Axtell, Robert S., Kashaf, Susan S., de Rekeneire, Nathalie, McGloin, Joanne M., Wu, Karen C., Shepard, Denise M., Fennelly, Barbara, Iannone, Lynne P., Mautner, Raeleen, Barnett, Theresa Sweeney, Halpin, Sean N., Brennan, Matthew J., Bugaj, Julie A., Zenoni, Maria A., Mignosa, Bridget M., Williamson, Jeff, Hendrie, Hugh C., Rapp, Stephen R., Verghese, Joe, Woolard, Nancy, Espeland, Mark, Jennings, Janine, Wilson, Valerie K., Pepine, Carl J., Ariet, Mario, Handberg, Eileen, Deluca, Daniel, Hill, James, Szady, Anita, Chupp, Geoffrey L., Flynn, Gail M., Hankinson, John L., Vaz Fragoso, Carlos A., Groessl, Erik J., Kaplan, Robert M., Aubertin-Leheudre, Mylène, Anton, Stephen, Newman, Ann, Church, Tim, Conroy, David, and Botoseneanu, Anda

Published
2017
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9. Predictors of Change in Physical Function in Older Adults in Response to Long-Term, Structured Physical Activity: The LIFE Study

Author

Pahor, Marco, Guralnik, Jack M., Leeuwenburgh, Christiaan, Caudle, Connie, Crump, Lauren, Holmes, Latonia, Lee, Jocelyn, Lu, Ching-ju, Miller, Michael E., Espeland, Mark A., Ambrosius, Walter T., Applegate, William, Beavers, Daniel P., Byington, Robert P., Cook, Delilah, Furberg, Curt D., Harvin, Lea N., Henkin, Leora, Hepler, John, Hsu, Fang-Chi, Lovato, Laura, Roberson, Wesley, Rushing, Julia, Rushing, Scott, Stowe, Cynthia L., Walkup, Michael P., Hire, Don, Rejeski, W. Jack, Katula, Jeffrey A., Brubaker, Peter H., Mihalko, Shannon L., Jennings, Janine M., Hadley, Evan C., Romashkan, Sergei, Patel, Kushang V., Bonds, Denise, McDermott, Mary M., Spring, Bonnie, Hauser, Joshua, Kerwin, Diana, Domanchuk, Kathryn, Graff, Rex, Rego, Alvito, Church, Timothy S., Blair, Steven N., Myers, Valerie H., Monce, Ron, Britt, Nathan E., Harris, Melissa Nauta, McGucken, Ami Parks, Rodarte, Ruben, Millet, Heidi K., Tudor-Locke, Catrine, Butitta, Ben P., Donatto, Sheletta G., Cocreham, Shannon H., King, Abby C., Castro, Cynthia M., Haskell, William L., Stafford, Randall S., Pruitt, Leslie A., Berra, Kathy, Yank, Veronica, Fielding, Roger A., Nelson, Miriam E., Folta, Sara C., Phillips, Edward M., Liu, Christine K., McDavitt, Erica C., Reid, Kieran F., Kim, Won S., Beard, Vince E., Manini, Todd M., Anton, Stephen D., Nayfield, Susan, Buford, Thomas W., Marsiske, Michael, Sandesara, Bhanuprasad D., Knaggs, Jeffrey D., Lorow, Megan S., Marena, William C., Korytov, Irina, Morris, Holly L., Fitch, Margo, Singletary, Floris F., Causer, Jackie, Radcliff, Katie A., Newman, Anne B., Studenski, Stephanie A., Goodpaster, Bret H., Glynn, Nancy W., Lopez, Oscar, Nadkarni, Neelesh K., Williams, Kathy, Newman, Mark A., Grove, George, Bonk, Janet T., Rush, Jennifer, Kost, Piera, Ives, Diane G., Kritchevsky, Stephen B., Marsh, Anthony P., Brinkley, Tina E., Demons, Jamehl S., Sink, Kaycee M., Kennedy, Kimberly, Shertzer-Skinner, Rachel, Wrights, Abbie, Fries, Rose, Barr, Deborah, Gill, Thomas M., Axtell, Robert S., Kashaf, Susan S., de Rekeneire, Nathalie, McGloin, Joanne M., Wu, Karen C., Shepard, Denise M., Fennelly, Barbara, Iannone, Lynne P., Mautner, Raeleen, Barnett, Theresa Sweeney, Halpin, Sean N., Brennan, Matthew J., Bugaj, Julie A., Zenoni, Maria A., Mignosa, Bridget M., Williamson, Jeff, Hendrie, Hugh C., Rapp, Stephen R., Verghese, Joe, Woolard, Nancy, Espeland, Mark, Jennings, Janine, Pepine, Carl J., Ariet, Mario, Handberg, Eileen, Deluca, Daniel, Hill, James, Szady, Anita, Chupp, Geoffrey L., Flynn, Gail M., Hankinson, John L., Vaz Fragoso, Carlos A., Groessl, Erik J., Kaplan, Robert M., Layne, Andrew S., Chen, Shyh-Huei, Dungan, Jennifer, Hajduk, Alexandra M., and Pellegrini, Christine A.

Published
2017
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10. Change in health-related quality of life and social cognitive outcomes in obese, older adults in a randomized controlled weight loss trial: Does physical activity behavior matter?

Author

Fanning, Jason, Walkup, Michael P., Ambrosius, Walter T., Brawley, Lawrence R., Ip, Edward H., Marsh, Anthony P., and Rejeski, W. Jack

Subjects
Overweight persons -- Psychological aspects -- Social aspects -- Research, Quality of life -- Psychological aspects -- Social aspects -- Research, Weight loss -- Psychological aspects -- Social aspects -- Research, Psychology and mental health
Abstract

This article compared the effect of dietary weight loss administered alone (WL) or in combination with aerobic training (WL + AT) or resistance training (WL + RT) on health related quality of life, walking self-efficacy, stair climb self-efficacy, and satisfaction with physical function in older adults with cardiovascular disease or the metabolic syndrome. Participants (N = 249; M.sub.age = 66.9) engaged in baseline assessments and were randomly assigned to one of three interventions, each including a 6-month intensive phase and a 12-month follow-up. Those in WL + AT and WL + RT engaged in 4 days of exercise training weekly. All participants engaged in weekly group behavioral weight loss sessions with a goal of 7-10% reduction in body weight. Participants in WL + AT and WL + RT reported better quality of life and satisfaction with physical function at 6- and 18-months relative to WL. At month 6, WL + AT reported greater walking self-efficacy relative to WL + RT and WL, and maintained higher scores compared to WL at month 18. WL + AT and WL + RT reported greater stair climbing efficacy at month 6, and WL + RT remained significantly greater than WL at month 18. The addition of either AT or RT to WL differentially improved HRQOL and key psychosocial outcomes associated with maintenance of physical activity and weight loss. This underscores the important role of exercise in WL for older adults, and suggests health care providers should give careful consideration to exercise mode when designing interventions., Author(s): Jason Fanning [sup.1] [sup.2] , Michael P. Walkup [sup.3] , Walter T. Ambrosius [sup.3] , Lawrence R. Brawley [sup.4] , Edward H. Ip [sup.3] , Anthony P. Marsh [sup.1] [...]

Published
2018
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14. Association between contrast sensitivity and physical function in cognitively healthy older adults: the Brain Network and Mobility Function Study

Author

Thompson, Atalie C, primary, Chen, Haiying, additional, Miller, Michael E, additional, Webb, Christopher C, additional, Williamson, Jeffrey D, additional, Marsh, Anthony P, additional, Hugenschmidt, Christina, additional, Baker, Laura D, additional, Laurienti, Paul, additional, and Kritchevsky, Stephen B, additional

Published
2023
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30. Effects of Longitudinal Glucose Exposure on Cognitive and Physical Function: Results from the Action for Health in Diabetes Movement and Memory Study

Author

Beavers, Kristen M., Leng, Iris, Rapp, Stephen R., Miller, Michael E., Houston, Denise K., Marsh, Anthony P., Hire, Don G., Baker, Laura D., Bray, George A., Blackburn, George L., Hergenroeder, Andrea L., Jakicic, John M., Johnson, Karen C., Korytkowski, Mary T., Dorsten, Brent Van, and Kritchevsky, Stephen B.

Published
2017
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33. Hospitalizations During a Physical Activity Intervention in Older Adults at Risk of Mobility Disability: Analyses from the Lifestyle Interventions and Independence for Elders Randomized Clinical Trial

Author

Marsh, Anthony P., Applegate, William B., Guralnik, Jack M., Jack Rejeski, W., Church, Timothy S., Fielding, Roger A., Gill, Thomas M., King, Abby C., Kritchevsky, Stephen B., Manini, Todd M., McDermott, Mary M., Newman, Anne B., Stowe, Cynthia L., Walkup, Michael P., Pahor, Marco, and Miller, Michael E.

Published
2016
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47. The lifestyle interventions and independence for elders pilot (LIFE-P): 2-year follow-up

Author

Rejeski, W. Jack, Marsh, Anthony P., Chmelo, Elizabeth, Prescott, Abbie J., Dobrosielski, Meredith, Walkup, Michael P., Espeland, Mark, Miller, Michael E., and Kritchevsky, Stephen

Subjects
Health, Seniors
Abstract

Background. It is well recognized that physical activity (PA) is important for older adults; yet, clinicians remain pessimistic about the ability of older adults with compromised function to adhere to long-term treatment and to maintain behavior change once treatment has been terminated. Methods. We examined the functional status of older adults at a field center (Wake Forest University) 2 years after completing 12 months of treatment in the Lifestyle Interventions and Independence for Elders Pilot study. At baseline, participants were randomized to either a PA or a successful aging (SA) control group. Outcome measures included an interview assessment of PA. the Short Physical Performance Battery (SPPB), and performance on a 400-m self-paced walking test. Results. Two years after the formal intervention had ended, participants who were originally in the PA group continued to engage in more minutes of moderate PA and tended to have better SPPB and walking speed than those in the SA group (effect sizes [ES]: SPPB = 0.40, walking speed = 0.37). Seven 112.7%) participants in the PA group failed the 400-m walk at the 36-month follow-up assessment, whereas this number was 11 (21.6%) in the SA group. Conclusion. Older adults who have compromised physical function are able to sustain some of the benefits derived from participating in structured PA 2 years after supervised treatment has been terminated. Key Words: Aging--Disability--Mobility--SPPB--400-m walk.

Published
2009

48. Chronic inflammation is associated with low physical function in older adults across multiple comorbidities

Author

Brinkley, Tina E., Leng, Xiaoyan, Miller, Michael E., Kitzman, Dalane W., Pahor, Marco, Berry, Michael J., Marsh, Anthony P., Kritchevsky, Stephen B., and Nicklas, Barbara J.

Subjects
Health, Seniors
Abstract

Background. Chronic subclinical inflammation may contribute to impaired physical function in older adults; however, more data are needed to determine whether inflammation is a common mechanism for functional decline, independent of disease or health status. Methods. We examined associations between physical function and inflammatory biomarkers in 542 older men and women enrolled in four clinical studies at Wake Forest University between 2001 and 2006. All participants were at least 55 years and had chronic obstructive pulmonary disease, congestive heart failure, high cardiovascular risk, or self-reported physical disability. Uniform clinical assessments were used across studies, including grip strength; a Short Physical Performance Battery (SPPB; includes balance, 4-m walk, and repeated chair stands): inflammatory biomarker assays for interleukin-6 (IL-6), tumor necrosis factor alpha (TNF-[alpha]), and C-reactive protein (CRP); and anthropometric Measures. Results. Higher levels of CRP and IL-6, but not TNF-[alpha]. were associated with lower grip strength and SPPB scores and longer times to complete the 4-m walk and repeated chair stands tests, independent of age, gender, and race. More importantly, these relationships were generally independent of disease status. Further adjustment for fat mass, lean mass, or percent body fat altered some of these relationships but did not significantly change the overall results. Conclusions. Elevated CRF and IL-6 levels are associated with poorer physical function in older adults with various comorbidities, as assessed by a common battery of clinical assessments. Chronic subclinical inflammation may be a marker of functional limitations in older persons across several diseases/health conditions. Key Words: Inflammation--Physical function--Aging--Comorbidities.

Published
2009

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