Physical activity in centenarians beyond cut-point-based accelerometer metrics

Hernández-Vicente, A. (Universidad de Zaragoza) ; Marín Puyalto, J. (Universidad de Zaragoza) ; Pueyo, E. (Universidad de Zaragoza) ; Vicente Rodríguez, G. (Universidad de Zaragoza) ; Garatachea, N. (Universidad de Zaragoza)

Resumen: This study described and compared physical activity (PA) characteristics at the end of the human lifespan using conventional cut-point-based versus cut-point-free accelerometer metrics. Eighteen institutionalized centenarians (101.5 ± 2.1 years, 72.2% female, 89% frail) wore the wrist GENEActiv accelerometer for 7 days. Conventional metrics, such as time spent in light-intensity PA (LiPA) and moderate-to-vigorous intensity PA (MVPA) were calculated according to published cut-points for adults and older adults. The following cut-point-free metrics were evaluated: average acceleration, intensity gradient and Mx metrics. Depending on the cut-point, centenarians accumulated a median of 15–132 min/day of LiPA and 3–15 min/day of MVPA. The average acceleration was 9.2 mg [Q1: 6.7 mg–Q3: 12.6 mg] and the intensity gradient was −3.19 [−3.34–−3.12]. The distribution of Z-values revealed positive skew for MVPA, indicating a potential floor effect, whereas the skew magnitude was attenuated for cut-point-free metrics such as intensity gradient or M5. However, both cut-point-based and cut-point-free metrics were similarly positively associated with functional independence, cognitive and physical capacities. This is the first time that PA has been described in centenarians using cut-point-free metrics. Our results suggest that new analytical approaches could overcome cut-point limitations when studying the oldest-old. Future studies using these new cut-point-free PA metrics are warranted to provide more complete and comparable information across groups and populations.

Idioma: Inglés

DOI: 10.3390/ijerph191811384

Año: 2022

Publicado en: International journal of environmental research and public health 19, 18 (2022), 11384[13 pp.]
ISSN: 1661-7827

Factor impacto CITESCORE: 5.4 - Medicine (Q2) - Environmental Science (Q2)

Factor impacto SCIMAGO: 0.828 - Health, Toxicology and Mutagenesis (Q2) - Public Health, Environmental and Occupational Health (Q2) - Pollution (Q2)

Financiación: info:eu-repo/grantAgreement/ES/DGA-FSE/T39-20R
Financiación: info:eu-repo/grantAgreement/ES/DGA/LMP 24-18
Financiación: info:eu-repo/grantAgreement/ES/DGA/LMP 94-21
Financiación: info:eu-repo/grantAgreement/EC/H2020/638284/EU/Is your heart aging well? A systems biology approach to characterize cardiac aging from the cell to the body surface/MODELAGE
Financiación: info:eu-repo/grantAgreement/ES/MECD/FPU16-05879
Financiación: info:eu-repo/grantAgreement/ES/MICIU/PID2019-105674RB-I00
Financiación: info:eu-repo/grantAgreement/ES/MINECO/DEP2016-78309-R
Financiación: info:eu-repo/grantAgreement/ES/UZ/UZ2021-BIO-05

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Área Educación Física y Depor. (Dpto. Fisiatría y Enfermería)
Área (Departamento): Área Teoría Señal y Comunicac. (Dpto. Ingeniería Electrón.Com.)