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Routine physical activity and mortality in Mexican Americans aged 75 and older
Allison J Ottenbacher1, Soham A Snih, Amol Karmarkar
1Center for Healthcare Quality and Safety, University of Texas Health Science Center, Memorial Hermann, Houston, Texas, USA. kottenba@utmb.edu
Objectives:
To examine the association between routine physical activity and risk of 3-year mortality in Mexican Americans aged 75 and older.
Design:
Longitudinal study involving a population-based survey.
Setting:
Hispanic Established Population for the Epidemiologic Study of the Elderly (H-EPESE) survey conducted in the southwestern United States (TX, CO, AZ, NM, CA).
Participants:
Mexican-American men and women aged 75 and older (N = 948) participating in the H-EPESE.
Measurements:
Responses to the Physical Activity Scale for the Elderly (PASE) were assessed in 2005-06. Mortality was determined according to report of relatives at 3-year follow-up and from the National Death Index. Covariates included sociodemographic characteristics, financial strain, smoking status, body mass index, activities of daily living, depressive symptoms, cognitive function, and comorbid conditions.
Results:
The mean age of the sample was 82.2 ± 4.5. Cox proportional hazard regression estimated that the hazard ratios of death for persons in the low, moderate, and high quartiles of physical activity (PASE scale) ranged from 0.36 (95% confidence interval (CI) = 0.21-0.62) to 0.50 (95% CI = 0.31-0.82) compared to persons in the sedentary quartile after adjusting for covariates.
Conclusion:
Routine physical activity involving household and leisure activities was associated with lower 3-year risk of mortality in a sample of older Mexican Americans living in the community.
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