Key result
Regular physical activity is linked to ~80% higher odds of ideal BMI in older adults.
Why the study?
Cardiovascular health and physical performance are key factors of successful ageing, but their relationship with self-reported CVH behaviours and self-rated health is unclear.
Are self-reported cardiovascular health behaviors and self-rated health related to ideal cardiovascular health and physical performance in community-living persons aged 65+ years?
Cross-Sectional (n=1,415)
Are self-reported cardiovascular health behaviors and self-rated health related to ideal cardiovascular health and physical performance in community-living persons aged 65+ years?
Odds Ratio: 1.8 (95% CI 1.5–2.3)
Self-reported physical activity, diet, and self-rated health are associated with better cardiovascular health and physical performance in older adults, serving as simple metrics for risk identification.
May support self-reported activity for risk identification in older adults; leaves open whether promotion improves outcomes prospectively.
OBJECTIVES: Cardiovascular health (CVH) and physical performance (PP) are key factors of successful ageing. This study investigated whether self-reported CVH behaviours and self-rated health (SRH) are related to ideal CVH and PP. DESIGN: Cross-sectional survey. SETTING: Public places in Italy (e.g. exhibitions, malls, health promotion campaigns), outside of conventional healthcare settings. PARTICIPANTS: 1415 community-living persons aged 65+ years (mean age 72.2 ± 5.4; 58.4% female). MEASUREMENTS: Three ideal CVH behaviors [regular physical activity (PA), healthy diet, no smoking] and SRH (1 excellent - 4 poor) were assessed through a brief questionnaire. Four ideal CVH factors [iBMI ≤ 25 kg/m2, untreated random total blood cholesterol ≤200 mg/dl, absence of diabetes (untreated random blood glucose ≤200 mg/dl), untreated blood pressure (iBP) <140/90mmHg] and two ideal PP factors [grip strength (iGrip), 5-repetition chair-stand test <10 seconds (iStand)] were measured. RESULTS: Adjusted for age and gender, regular PA was positively related to CVH factor score (β = 0.1; p = < .001), iBMI (OR = 1.8; 95% CI = 1.5-2.3), iBP (OR = 1.3; 95% CI = 1.1-1.6) and iStand (OR = 1.6; 95% CI = 1.3-2.1). Healthy diet was positively related to CVH factor score (β = 0.1; p = < .05) and iGrip (OR = 1.4; 95% CI = 1.1-1.8). Participants rating SRH as "good" (OR = 2.0; 95% CI = 1.1-3.9) and "not so good" (OR = 2.3; 95% CI = 1.2-4.5) met iDiabetes more often than those with poor SRH. Moreover, iStand (OR = 3.2; 95% CI = 1.6-6.6) and iGrip (OR = 4.2; 95% = CI 2.0-8.8) were more prevalent among participants with excellent SRH compared with those with poor SRH. CONCLUSIONS: Physical activity, diet and self-rated health may provide quick and easy-to-assess metrics to identify persons aged 65+ years at risk of cardiovascular events and functional impairment, who could particularly benefit from engaging in health promotion programs.
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Rempe et al. (2020) conducted a cross-sectional in Cardiovascular health and physical performance (n=1,415). Regular physical activity, healthy diet, and self-rated health vs. Lack of ideal behaviors / poor self-rated health was evaluated on Ideal BMI (iBMI ≤ 25 kg/m2) associated with regular physical activity (OR 1.8, 95% CI 1.5-2.3). Regular physical activity was positively associated with ideal BMI (OR 1.8; 95% CI 1.5-2.3), ideal blood pressure, and better physical performance in community-dwelling older adults.
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