Walking in old age and development of metabolic syndrome: the health, aging, and body composition study.

Peterson, Matthew J

Morey, Miriam C

Giuliani, Carol

Pieper, Carl F

Evenson, Kelly R

Mercer, Vicki

Visser, Marjolein

Brach, Jennifer S

Kritchevsky, Stephen B

Goodpaster, Bret H

Rubin, Susan

Satterfield, Suzanne

Simonsick, Eleanor M

Health ABC Study

United States

2011-04-15T16:46:32Z

2010-08

BACKGROUND: The specific health benefits of meeting physical activity guidelines are unclear in older adults. We examined the association between meeting, not meeting, or change in status of meeting physical activity guidelines through walking and the 5-year incidence of metabolic syndrome in older adults. METHODS: A total of 1,863 Health, Aging, and Body Composition (Health ABC) Study participants aged 70-79 were followed for 5 years (1997-1998 to 2002-2003). Four walking groups were created based on self-report during years 1 and 6: Sustained low (Year 1, <150 min/week, and year 6, <150 min/week), decreased (year 1, >150 min/week, and year 6, <150 min/week), increased (year 1, <150 min/week, and year 6, >150 min/week), and sustained high (year 1, >150 min/week, and year 6, >150 min/week). Based on the Adult Treatment Panel III (ATP III) panel guidelines, the metabolic syndrome criterion was having three of five factors: Large waist circumference, elevated blood pressure, triglycerides, blood glucose, and low high-density lipoprotein (HDL) levels. RESULTS: Compared to the sustained low group, the sustained high group had a 39% reduction in odds of incident metabolic syndrome [adjusted odds ratio (OR) = 0.61; 95% confidence interval (CI), 0.40-0.93], and a significantly lower likelihood of developing the number of metabolic syndrome risk factors that the sustained low group developed over 5 years (beta = -0.16, P = 0.04). CONCLUSIONS: Meeting or exceeding the physical activity guidelines via walking significantly reduced the odds of incident metabolic syndrome and onset of new metabolic syndrome components in older adults. This protective association was found only in individuals who sustained high levels of walking for physical activity.

Version of Record

http://www.ncbi.nlm.nih.gov/pubmed/20367219

1557-8518

https://hdl.handle.net/10161/3323

eng

en_US

Mary Ann Liebert Inc

Metab Syndr Relat Disord

10.1089/met.2009.0090

Metabolic Syndrome and Related Disorders

Activities of Daily Living

Aged

Aging

Body Composition

Cohort Studies

Exercise

Female

Humans

Logistic Models

Male

Metabolic Syndrome X

Socioeconomic Factors

Walking

Walking in old age and development of metabolic syndrome: the health, aging, and body composition study.

Journal article

Pieper, Carl F|0000-0003-4809-1725

2010-8-0

4

8

http://www.ncbi.nlm.nih.gov/pubmed/20367219

317

322

4

Basic Science Departments

Biostatistics & Bioinformatics

Center for the Study of Aging and Human Development

Clinical Science Departments

Duke

Faculty

Institutes and Centers

Medicine

Medicine, Geriatrics

School of Medicine

Published

8