Association between flexibility activity and blood-pressure change among older adults in Japan : A 5-year longitudinal study
(2023) In Scandinavian Journal of Medicine and Science in Sports 33(8). p.1552-1559- Abstract
This longitudinal study examined the relationship between flexibility-activity and blood-pressure (BP) change among older adults in Japan. Our study included 452 older adults who took part in our survey in both 2012/2013 and 2017/2018. The seated systolic blood pressure (SBP) and diastolic BP (DBP) were measured both at baseline and at the 5 years follow-up. The frequencies of the different physical activities at baseline were assessed using a questionnaire. A generalized linear mixed model was used to estimate the non-standardized coefficient (B) of BP change associated with flexibility activity, after adjustments for sex, age, body mass index, smoking status, alcohol consumption, antihypertensive medication use, history of heart... (More)
This longitudinal study examined the relationship between flexibility-activity and blood-pressure (BP) change among older adults in Japan. Our study included 452 older adults who took part in our survey in both 2012/2013 and 2017/2018. The seated systolic blood pressure (SBP) and diastolic BP (DBP) were measured both at baseline and at the 5 years follow-up. The frequencies of the different physical activities at baseline were assessed using a questionnaire. A generalized linear mixed model was used to estimate the non-standardized coefficient (B) of BP change associated with flexibility activity, after adjustments for sex, age, body mass index, smoking status, alcohol consumption, antihypertensive medication use, history of heart disease, walking time, and muscle-strengthening activity as a fixed-effect, and area of residence as a random-effect. Higher flexibility-activity frequency was significantly associated with reduced SBP (B = -0.77 [95% confidence intervals = −1.36, −0.18], p for linear trend = 0.01, p for quadratic trend = 0.85) and DBP (−0.33 [−0.71, 0.05], p for linear trend = 0.09, p for quadratic trend = 0.04). Engaging in flexibility activity for 3 days per week was significantly associated with a reduction in DBP (B = −4.16, 95% CI [−7.53, −0.79], p = 0.02) compared with that in the reference group (0 days per week). Interaction tests were not significant between basic variables (sex, age, BMI, and antihypertensive medication) and flexibility. In conclusion, higher flexibility activity frequency was associated with a reduction in BP in older adults. Future longitudinal and interventional studies should examine the effects of flexibility activity on cardiovascular disease prevention.
(Less)
- author
- Abe, Takafumi ; Okuyama, Kenta LU ; Kamada, Masamitsu ; Kitayuguchi, Jun ; Hamano, Tsuyoshi ; Waki, Hidefumi ; Nabika, Toru ; Isomura, Minoru and Sundquist, Kristina LU
- organization
- publishing date
- 2023-08
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- cohort, hypertension, physical activity, strength training, stretching
- in
- Scandinavian Journal of Medicine and Science in Sports
- volume
- 33
- issue
- 8
- pages
- 8 pages
- publisher
- Wiley-Blackwell
- external identifiers
-
- pmid:37167066
- scopus:85159085869
- ISSN
- 0905-7188
- DOI
- 10.1111/sms.14386
- language
- English
- LU publication?
- yes
- id
- 186a9cb8-7821-4da2-8210-d8f3261e8508
- date added to LUP
- 2023-08-15 10:31:21
- date last changed
- 2024-04-20 00:34:52
@article{186a9cb8-7821-4da2-8210-d8f3261e8508,
abstract = {{<p>This longitudinal study examined the relationship between flexibility-activity and blood-pressure (BP) change among older adults in Japan. Our study included 452 older adults who took part in our survey in both 2012/2013 and 2017/2018. The seated systolic blood pressure (SBP) and diastolic BP (DBP) were measured both at baseline and at the 5 years follow-up. The frequencies of the different physical activities at baseline were assessed using a questionnaire. A generalized linear mixed model was used to estimate the non-standardized coefficient (B) of BP change associated with flexibility activity, after adjustments for sex, age, body mass index, smoking status, alcohol consumption, antihypertensive medication use, history of heart disease, walking time, and muscle-strengthening activity as a fixed-effect, and area of residence as a random-effect. Higher flexibility-activity frequency was significantly associated with reduced SBP (B = -0.77 [95% confidence intervals = −1.36, −0.18], p for linear trend = 0.01, p for quadratic trend = 0.85) and DBP (−0.33 [−0.71, 0.05], p for linear trend = 0.09, p for quadratic trend = 0.04). Engaging in flexibility activity for 3 days per week was significantly associated with a reduction in DBP (B = −4.16, 95% CI [−7.53, −0.79], p = 0.02) compared with that in the reference group (0 days per week). Interaction tests were not significant between basic variables (sex, age, BMI, and antihypertensive medication) and flexibility. In conclusion, higher flexibility activity frequency was associated with a reduction in BP in older adults. Future longitudinal and interventional studies should examine the effects of flexibility activity on cardiovascular disease prevention.</p>}},
author = {{Abe, Takafumi and Okuyama, Kenta and Kamada, Masamitsu and Kitayuguchi, Jun and Hamano, Tsuyoshi and Waki, Hidefumi and Nabika, Toru and Isomura, Minoru and Sundquist, Kristina}},
issn = {{0905-7188}},
keywords = {{cohort; hypertension; physical activity; strength training; stretching}},
language = {{eng}},
number = {{8}},
pages = {{1552--1559}},
publisher = {{Wiley-Blackwell}},
series = {{Scandinavian Journal of Medicine and Science in Sports}},
title = {{Association between flexibility activity and blood-pressure change among older adults in Japan : A 5-year longitudinal study}},
url = {{http://dx.doi.org/10.1111/sms.14386}},
doi = {{10.1111/sms.14386}},
volume = {{33}},
year = {{2023}},
}