Haight Thaddeus, Tager Ira, Sternfeld Barbara, Satariano William, van der Laan Mark
Division of Epidemiology, School of Public Health, University of California, Berkeley, CA 94720-7360, USA.
Am J Epidemiol. 2005 Oct 1;162(7):607-17. doi: 10.1093/aje/kwi254. Epub 2005 Aug 24.
Physical activity and body composition were examined with respect to variation in functional limitation over a 6-year period (four surveys conducted between 1994 and 2000) based on a cohort of 1,655 community-dwelling older women and men living in Sonoma, California. Measures of functional limitation and physical activity were based on standard self-report questions. Measures of body composition (lean mass, fat mass) were estimated from bioelectric impedance by using population-specific prediction equations derived from dual-energy x-ray absorptiometry. For women, a one-unit gain in lean mass:fat mass ratio reduced the report of limitation at all surveys 65.5% (95% confidence interval: 21.8, 87.4). A similar reduction was not observed for men; however, there was a 3% increase in the report of no limitation at any survey. The effect of high levels of physical activity reduced new functional limitation that occurred at the last survey by 36.8% (95% confidence interval: 0.0, 92.2) for men and 52.7% (95% confidence interval: 13.5, 91.9) for women. In summary, higher levels of physical activity appeared to reduce the risk of future functional limitation conditional on the level of functioning established early in the disablement process by lean mass:fat mass ratio.
基于1655名居住在加利福尼亚州索诺马县的社区老年女性和男性组成的队列,在6年期间(1994年至2000年进行了四次调查),对身体活动和身体成分与功能受限的变化进行了研究。功能受限和身体活动的测量基于标准的自我报告问题。身体成分(瘦体重、脂肪量)的测量通过生物电阻抗法,使用从双能X线吸收法得出的针对特定人群的预测方程进行估算。对于女性,瘦体重与脂肪量之比每增加一个单位,在所有调查中功能受限报告减少65.5%(95%置信区间:21.8,87.4)。男性未观察到类似的减少;然而,在任何调查中无功能受限报告增加了3%。高水平身体活动的影响使男性在最后一次调查中出现的新功能受限减少了36.8%(95%置信区间:0.0,92.2),女性减少了52.7%(95%置信区间:13.5,91.9)。总之,较高水平的身体活动似乎降低了未来功能受限的风险,这取决于在残疾过程早期由瘦体重与脂肪量之比确定的功能水平。
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