Impact of habitual physical activity and type of exercise on physical performance across ages in community-living people

PLoS One. 2018 Jan 25;13(1):e0191820. doi: 10.1371/journal.pone.0191820. eCollection 2018.

Abstract

The maintenance of muscle function into late life protects against various negative health outcomes. The present study was undertaken to evaluate the impact of habitual physical activity and exercise types on physical performance across ages in community-living adults. The Longevity check-up 7+ (Lookup 7+) project is an ongoing cross-sectional survey conducted in unconventional settings (e.g., exhibitions, malls, and health promotion campaigns across Italy) that began on June 1st 2015. The project was designed to raise awareness in the general population on major lifestyle behaviors and risk factors for chronic diseases. Candidate participants are eligible for enrolment if they are at least 18 years of age and provide written informed consent. Physical performance is evaluated through the 5-repetition chair stand test. Analyses were conducted in 6,242 community-living adults enrolled between June 1st 2015 and June 30th 2017, after excluding 81 participants for missing values of the variables of interest. The mean age of the 6,242 participants was 54.4 years (standard deviation 15.2, range 18-98 years), and 3552 (57%) were women. The time to complete the chair stand test was similar from 18 to 40-44 years, and declined progressively across subsequent age groups. Overall, the performance on the chair stand test was better in physically active participants, who completed the test with a mean of 0.5 s less than sedentary enrollees (p < .001). After adjusting for potential confounders, a different distribution of physical performance across exercise intensities was observed, with better performance being recorded in participants engaged in more vigorous activities. Our findings suggest that regular physical activity modifies the age-related pattern of decline in physical performance, with greater benefits observed for more intensive activities. Efforts are needed from health authorities and healthcare providers to promote the large-scale adoption of an active lifestyle throughout the life course.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Aging / physiology*
  • Cross-Sectional Studies
  • Exercise / physiology*
  • Female
  • Health Promotion
  • Humans
  • Italy
  • Life Style
  • Male
  • Middle Aged
  • Physical Fitness / physiology*
  • Residence Characteristics
  • Sedentary Behavior
  • Young Adult

Grants and funding

The Lookup 7+ project was supported by Italia Longeva, Marche Region, Ferrarini, Tedaldi, Fileni, Elanco, Danone Italia, and Merck Sharp & Dohme Italia. The study was also partly supported by Fondazione Roma (NCDs call for proposals 2013; A.P., R.B.), Innovative Medicine Initiative-Joint Undertaking (IMI-JU #115621; E.M., F.L., M.T., R.B., R.C.), Intramural Research Grant from the Catholic University of the Sacred Heart (D3.2 2013 and D3.2 2015; F.L.), and the nonprofit research foundation “Centro Studi Achille e Linda Lorenzon” (A.P., E.M., R.C.). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.