Abstract
In this study, the authors aimed to determine whether higher activity energy expenditure, assessed by using doubly labeled water, was associated with a reduced decline in mobility limitation among 248 older community-dwelling US adults aged 70-82 years enrolled in 1998-1999. Activity energy expenditure was calculated as total energy expenditure (assessed over 2 weeks by using doubly labeled water) minus resting metabolic rate (measured with indirect calorimetry), with adjustment for the thermic effect of food. Across sex-specific tertiles of activity energy expenditure, men in the lowest activity group experienced twice the rate of mobility limitation as men in the highest activity group (41% (n=18) vs. 18% (n=8)). Conversely, women in the lowest and highest activity groups exhibited similarly high rates of mobility limitation (40% (n=16) vs. 38% (n=15)). After adjustment for potential confounders, men with higher activity energy expenditure levels continued to show reduced risk of mobility limitation (per standard deviation (284 kcal/day): hazard ratio=0.61, 95% confidence interval: 0.41, 0.92). Women showed no association (per standard deviation (226 kcal/day): hazard ratio=1.34, 95% confidence interval: 0.98, 1.85). Greater energy expenditure from any and all physical activity was significantly associated with reduced risk of developing mobility limitation among men, but not among women.
Original language | English (US) |
---|---|
Pages (from-to) | 1507-1516 |
Number of pages | 10 |
Journal | American journal of epidemiology |
Volume | 169 |
Issue number | 12 |
DOIs | |
State | Published - Jun 2009 |
Externally published | Yes |
Keywords
- Aging
- Disability evaluation
- Energy metabolism
- Exercise
- Mobility limitation
- Motor activity
- Sex
ASJC Scopus subject areas
- Epidemiology