Journal of the American Geriatrics Society

Clinical Investigations

Routine Physical Activity and Mortality in Mexican Americans Aged 75 and Older

Corresponding Author

Allison J. Ottenbacher PhD

Center for Healthcare Quality and Safety, University of Texas Health Science Center, Memorial Hermann, Houston, Texas

Address correspondence to K. Ottenbacher, Division of Rehabilation Sciences, University of Texas Medical Branch, 301 University Blvd., Galveston, TX 77555. E-mail: [email protected]Search for more papers by this author

Soham A. Snih MD, PhD,

Soham A. Snih MD, PhD

Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, Texas

Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas

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Amol Karmarkar PhD,

Amol Karmarkar PhD

Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, Texas

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Jinhyung Lee PhD,

Jinhyung Lee PhD

Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas

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Rafael Samper-Ternent MD,

Rafael Samper-Ternent MD

Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas

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Amit Kumar MS, PT,

Amit Kumar MS, PT

Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, Texas

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Saad Bindawas PhD, PT,

Saad Bindawas PhD, PT

Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas

College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia

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Kyriakos S. Markides PhD,

Kyriakos S. Markides PhD

Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, Texas

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Kenneth J. Ottenbacher PhD,

Kenneth J. Ottenbacher PhD

Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, Texas

Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas

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Allison J. Ottenbacher PhD,

Corresponding Author

Allison J. Ottenbacher PhD

Center for Healthcare Quality and Safety, University of Texas Health Science Center, Memorial Hermann, Houston, Texas

Soham A. Snih MD, PhD,

Soham A. Snih MD, PhD

Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, Texas

Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas

Search for more papers by this author

Amol Karmarkar PhD,

Amol Karmarkar PhD

Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, Texas

Search for more papers by this author

Jinhyung Lee PhD,

Jinhyung Lee PhD

Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas

Search for more papers by this author

Rafael Samper-Ternent MD,

Rafael Samper-Ternent MD

Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas

Search for more papers by this author

Amit Kumar MS, PT,

Amit Kumar MS, PT

Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, Texas

Search for more papers by this author

Saad Bindawas PhD, PT,

Saad Bindawas PhD, PT

Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas

College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia

Search for more papers by this author

Kyriakos S. Markides PhD,

Kyriakos S. Markides PhD

Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, Texas

Search for more papers by this author

Kenneth J. Ottenbacher PhD,

Kenneth J. Ottenbacher PhD

Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, Texas

Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas

Search for more papers by this author

First published: 30 May 2012

https://doi.org/10.1111/j.1532-5415.2012.03995.x

Citations: 30

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Abstract

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.

References

1Plies JR, Ward BW, Lucas JW. Summary health statistics for U.S. adults: National Health Interview Survey, 2009. Vital Health Stat 2010; 10: 249.
Google Scholar
2Warburton D, Nicol C, Bredin S. Health benefits of physical activity: The evidence. Can Med Assoc J 2006; 174: 801–809.
10.1503/cmaj.051351
PubMedWeb of Science®Google Scholar
3Nelson ME, Rejeski WJ, Blair SN et al. Physical activity and public health in older adults. Recommendation from the American College of Sports Medicine and the American Heart Association. Circulation 2007; 116: 1094–1105.
10.1161/CIRCULATIONAHA.107.185650
PubMedWeb of Science®Google Scholar
4Chodzko-Zajko WJ, Proctor DN, Fiatarone Singh MA et al. Exercise and physical activity for older adults. Med Sci Sports Exerc 2009; 41: 1510–1530.
10.1249/MSS.0b013e3181a0c95c
PubMedWeb of Science®Google Scholar
5Stessman J, Maaravi Y, Hammerman-Rozenberg R et al. The effects of physical activity on mortality in the Jerusalem 70-year-olds longitudinal study. J Am Geriatr Soc 2000; 48: 499–504.
10.1111/j.1532-5415.2000.tb04995.x
CASPubMedWeb of Science®Google Scholar
6Khaw K, Jakes R, Bingham S et al. Work and leisure time physical activity assessed using a simple, pragmatic, validated questionnaire and incident cardiovascular disease and all-cause mortality in men and women: The European prospective investigation into cancer in Norfolk Prospective Population Study. Int J Epidemiol 2006; 35: 1034–1043.
10.1093/ije/dyl079
PubMedWeb of Science®Google Scholar
7Bijnen FC, Caspersen CJ, Feskens EJ et al. Physical activity and 10-year mortality from cardiovascular diseases and all causes. Arch Intern Med 1998; 158: 1499–1505.
10.1001/archinte.158.14.1499
CASPubMedWeb of Science®Google Scholar
8Chipperfield JG. Everyday physical activity as a predictor of late-life mortality. Gerontologist 2008; 48: 349–357.
10.1093/geront/48.3.349
PubMedWeb of Science®Google Scholar
9Gillum RF, Obisesan TO. Physical activity, cognitive function, and mortality in a US national cohort. Ann Epidemiol 2010; 20: 251–257.
10.1016/j.annepidem.2010.01.005
CASPubMedWeb of Science®Google Scholar
10Hrobonova E, Breeze E, Fletcher AE. Higher levels of intensity of physical activity are associated with reduced mortality among community dwelling older people. J Aging Res 2011; 2011: 651931.
10.4061/2011/651931
PubMedGoogle Scholar
11Espino DV, Parra EO, Kriehbiel R. Mortality differences between elderly Mexican Americans and non-Hispanic whites in San Antonio, Texas. J Am Geriatr Soc 1994; 42: 604–608.
10.1111/j.1532-5415.1994.tb06857.x
CASPubMedWeb of Science®Google Scholar
12Neighbors CJ, Marquez DX, Marcus BH. Leisure-time physical activity disparities among Hispanic subgroups in the United States. Am J Public Health 2008; 98: 1460–1464.
10.2105/AJPH.2006.096982
PubMedWeb of Science®Google Scholar
13Swenson CJ, Marshall JA, Mikulich-Gilbertson SK et al. Physical activity in older, rural, Hispanic, and non-Hispanic white adults. Med Sci Sports Exerc 2005; 37: 995–1002.
PubMedWeb of Science®Google Scholar
14 U.S. Census Bureau. 2010 Census Data [on-line]. Available at http://2010.census.gov/2010census/data/index.php Accessed September 14, 2011.
Google Scholar
15 U.S. Census Bureau. U.S. Interim Projections by Age, Sex, Race, and Hispanic Origin: 2000–2050 [on-line]. Available at http://www.census.gov/population/www/projections/usinterimproj/ Accessed October 16, 2011.
Google Scholar
16Ramirez RR, Patricia de la Cruz G. The Hispanic Population in the United States: March 2002. Current Population Reports (Publication P20–545). Washington, DC: U.S. Census Bureau, 2002.
Google Scholar
17Washburn RA, Smith KW, Jette AM et al. The Physical Activity Scale for the Elderly (PASE): Development and evaluation. J Clin Epidemiol 1993; 46: 153–162.
10.1016/0895-4356(93)90053-4
CASPubMedWeb of Science®Google Scholar
18Washburn RA, McAuley E, Katula J et al. The Physical Activity Scale for the Elderly (PASE): Evidence for validity. J Clin Epidemiol 1999; 52: 643–651.
10.1016/S0895-4356(99)00049-9
CASPubMedWeb of Science®Google Scholar
19Markides KS, Stroup-Benham CA, Black SA et al. The health of Mexican American elderly: Selected findings from the Hispanic EPESE. In: ML Wykle, AB Ford, eds. Serving Minority Elderly in the 21st Century. New York: Springer Publishing, 1999, pp 72–90.
Web of Science®Google Scholar
20Markides KS, Stroup-Benham CA, Goodwin JS et al. The effect of medical conditions on the functional limitations of Mexican-American elderly. Ann Epidemiol 1996; 6: 386–391.
10.1016/S1047-2797(96)00061-0
CASPubMedWeb of Science®Google Scholar
21Ottenbacher KJ, Graham JE, Al Snih S et al. Mexican-Americans and frailty: Findings from the Hispanic established population's epidemiologic studies of the elderly. Am J Public Health 2009; 99: 673–679.
10.2105/AJPH.2008.143958
PubMedWeb of Science®Google Scholar
22Cornoni-Huntley JC, Blazer D, Lafferty ME et al. Established Populations for the Epidemiologic Studies of the Elderly, II. Resource Data Book (NIA Publication 90–495). Washington, DC: National Institute on Aging, 1990.
Google Scholar
23 Inter-University Consortium for Political and Social Research, The University of Michigan, Institute for Social Research [on-line]. Available at http://www.icpsr.umich.edu/icpsrweb/ICPSR/studies/4314?q=Hispanic+Epese&searchIn=ALL Accessed November 20, 2011.
Google Scholar
24Fried LP, Kronmal RA, Newman AB et al. Risk factors for 5-year mortality in older adults: The Cardiovascular Health Study. JAMA 1998; 279: 585–592.
10.1001/jama.279.8.585
CASPubMedWeb of Science®Google Scholar
25Branch LG, Katz S, Kniepmann K et al. A prospective-study of functional status among community elders. Am J Public Health 1984; 74: 266–268.
10.2105/AJPH.74.3.266
CASPubMedWeb of Science®Google Scholar
26Radloff LS. The CES-D Scale: A self-report depression scale for research in the general population. Appl Psychol Meas 1977; 1: 385–401.
10.1177/014662167700100306
PubMedWeb of Science®Google Scholar
27Folstein MF, Folstein SE, McHugh PR. ‘Mini-mental state’. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12: 189–198.
10.1016/0022-3956(75)90026-6
CASPubMedWeb of Science®Google Scholar
28Chad KE, Reeder BA, Harrison EL et al. Profile of physical activity levels in community-dwelling older adults. Med Sci Sports Exerc 2005; 37: 1774–1784.
10.1249/01.mss.0000181303.51937.9c
PubMedWeb of Science®Google Scholar
29Janney CA, Cauley JA, Cawthon PM et al. Longitudinal physical activity changes in older men in the osteoporotic fractures in men study. J Am Geriatr Soc 2010; 58: 1128–1133.
10.1111/j.1532-5415.2010.02861.x
PubMedWeb of Science®Google Scholar
30Brawley LR, Rejeski WJ, King AC. Promoting physical activity for older adults: The challenges for changing behavior. Am J Prev Med 2003; 25: 172–183.
10.1016/S0749-3797(03)00182-X
PubMedWeb of Science®Google Scholar
31O'Neill K, Reid G. Perceived barriers to physical activity by older adults. Can J Public Health 1991; 82: 392–396.
CASPubMedWeb of Science®Google Scholar
32Pereira MA, Kriska AM, Day RD et al. A randomized walking trial in postmenopausal women: Effects on physical activity and health 10 years later. Arch Intern Med 1998; 158: 1695–1701.
10.1001/archinte.158.15.1695
CASPubMedWeb of Science®Google Scholar
33Cohen-Mansfield J, Marx MS, Guralnik JM. Motivators and barriers to exercise in an older community-dwelling population. J Aging Phys Act 2003; 11: 242–253.
10.1123/japa.11.2.242
Web of Science®Google Scholar
34 Centers for Disease Control and Prevention (CDC). Neighborhood safety and prevention of physical inactivity—selected states, 1996. MMWR Morb Mortal Wkly Rep 1999; 48: 143–146.
PubMedGoogle Scholar
35Sallis JF, Johnson MF, Calfas KJ et al. Assessing perceived physical variables that may influence physical activity. Res Q Exerc Sport 1997; 68: 345–351.
10.1080/02701367.1997.10608015
CASPubMedWeb of Science®Google Scholar

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Volume60, Issue6

June 2012

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Routine Physical Activity and Mortality in Mexican Americans Aged 75 and Older

Abstract

Objectives

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Measurements

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Routine Physical Activity and Mortality in Mexican Americans Aged 75 and Older

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