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Relationship between physical activity and physical performance in later life in different birth weight groups
H Jantunen1, N S Wasenius1, M K Salonen2
11Folkhälsan Research Center,Helsinki,Finland.
Insights
Physical activity significantly boosts physical performance in older adults. Men with low birth weight benefit most from physical activity for better physical function in old age.
Area of Science:
- Gerontology
- Exercise Physiology
- Public Health
Background:
- Physical activity (PA) is linked to better physical performance in older age.
- Low birth weight is associated with poorer physical functioning and less leisure-time PA.
- The impact of birth weight on the PA-physical performance relationship in aging is unclear.
Purpose of the Study:
- To investigate if birth weight modulates the association between physical activity and physical performance in old age.
- To determine if individuals with different birth weights experience varying benefits from physical activity for physical function.
Main Methods:
- Examined 695 individuals from the Helsinki Birth Cohort Study (born 1934-1944).
- Assessed physical activity using a multisensory activity monitor and physical performance via the Senior Fitness Test (SFT) at a mean age of 70.7 years.
- Categorized participants into three birth weight groups: <3000 g, 3000-3499 g, and ⩾3500 g.
Main Results:
- Physical activity volume was significantly associated with physical performance across all birth weight groups.
- A large and significant effect size was observed only in men with a birth weight <3000 g (β=0.59).
- The association between PA and physical performance was strongest in men with low birth weight.
Conclusions:
- The association between physical activity and physical performance is significantly modulated by birth weight in men.
- Men with low birth weight may gain the most benefit from physical activity for maintaining physical performance in later life.
Abstract:
There is strong evidence that physical activity (PA) has an influence on physical performance in later life. Also, a small body size at birth has been associated with lower physical functioning in older age and both small and high birth weight have shown to be associated with lower leisure time physical activity. However, it is unknown whether size at birth modulates the association between PA and physical performance in old age. We examined 695 individuals from the Helsinki Birth Cohort Study born in Helsinki, Finland between 1934 and 1944. At a mean age of 70.7 years PA was objectively assessed with a multisensory activity monitor and physical performance with the Senior Fitness Test (SFT). Information on birth weight and gestational age was retrieved from hospital birth records. The study participants were divided in three birth weight groups, that is <3000 g, 3000-3499 g and ⩾3500 g. The volume of PA was significantly associated with the physical performance in all birth weight groups. However, the effect size of the association was large and significant only in men with a birth weight <3000 g (β 0.59; 95% confidence interval 0.37-0.81, P<0.001). Our study shows that the association between PA and physical performance is largest in men with low birth weight. Our results suggest that men with low birth weight might benefit most from engaging in PA in order to maintain a better physical performance.
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