Physical Activity and Physical Function : Moving and Aging - 29/10/18

Doi : 10.1016/j.ogc.2018.07.009

Sheila A. Dugan, MD ^a,^b,^⁎ , Kelley Pettee Gabriel, MS, PhD ^c,^d, Brittney S. Lange-Maia, MPH, PhD ^b,^e, Carrie Karvonen-Gutierrez, MPH, PhD ^f
^a Department of Physical Medicine and Rehabilitation, Rush University Medical Center, 1725 W. Harrison Street, Suite 885, Chicago, IL 60612, USA
^b Department of Preventive Medicine, Rush University Medical Center, 1700 W. Van Buren, Suite 470, Chicago, IL 60612, USA
^c Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas Health Science Center at Houston, School of Public Health, Austin Campus, Michael and Susan Dell Center for Healthy Living, 1616 Guadalupe Street, Suite 6.300, Austin, TX 78701, USA
^d Department of Women’s Health, The University of Texas at Austin, Dell Medical School, Medical Park Tower, 1301 W. 38th Street, Suite 705, Austin, TX 78705, USA
^e Rush University Medical Center, Center for Community Health Equity, 600 S. Paulina Street, Suite 480, AAC, Chicago, IL 60612, USA
^f Department of Epidemiology, University of Michigan, School of Public Health, 1415 Washington Heights, Room 6618, Ann Arbor, MI 48109-2029, USA

^∗Corresponding author. Rush University Medical Center, 1725 W. Harrison Street, Suite 855, Chicago, IL 60612.Rush University Medical Center1725 W. Harrison StreetSuite 855ChicagoIL60612

Résumé

Evidence supports that the physical disablement process starts earlier than previously thought, in midlife when women still have many years to live. Physical activity participation and interventions have been successful in preventing disability in older adults and may be promising for maintaining function at younger ages. Changing the conversation to more relevant topics in midlife, like positive changes in body composition, sleep, and improved mood, may move the dial on participation, as midlife women do not meet guidelines for physical activity. Exploring the role of reproductive aging beyond chronologic aging may provide gender-specific insights on both disablement and participation.

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Keywords : Physical activity, Physical functioning, Midlife women, Aging

Plan

Key points

Introduction

Physical activity

Adherence to Physical Activity Guidelines in Midlife

Vasomotor Symptoms and Physical Activity

Sleep and Physical Activity

Body Composition and Physical Activity

Mental Health and Physical Activity

Physical Activity and Physical Functioning

Physical functioning

Reproductive Aging and Physical Functioning

Body Composition Changes During Midlife and Physical Functioning

Inflammation Changes During Midlife and Physical Functioning

Midlife Mental and Physical Health and Physical Functioning

Midlife Sociodemographic Factors and Physical Functioning

Summary

Disclosure Statement: The authors have no commercial or financial conflicts of interest to disclose.

Funding: The Study of Women's Health Across the Nation (SWAN) has grant support from the National Institutes of Health (NIH), DHHS, through the National Institute on Aging (NIA), the National Institute of Nursing Research (NINR), and the NIH Office of Research on Women's Health (ORWH) (Grants U01NR004061, U01AG012505, U01AG012535, U01AG012531, U01AG012539, U01AG012546, U01AG012553, U01AG012554, U01AG012495). The content of this article is solely the responsibility of the authors and does not necessarily represent the official views of the NIA, NINR, ORWH or the NIH.