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Age and Ageing, Vol 29, 433-439, Copyright © 2000 by British Geriatrics Society


ARTICLES

Low-intensity physical activity benefits blood lipids and lipoproteins in older adults living at home

L Pescatello, D Murphy and D Costanzo
School of Allied Health, University of Connecticut, 358 Mansfield Road, Storrs, CT 06269-2101, USA; Department of Health Promotion, New Britain General Hospital, New Britain, CT, USA; Corresponding author; Fax: +1 860 4861588; E-mail: Pescatell@Uconnvm.uconn.edu

Objective. To examine the influence of low-intensity, habitual physical activity on blood lipids and lipoproteins and other cardiovascular risk factors in older adults living at home.Design. Cross-sectional observational study.Participants. A convenience sample of healthy, older adults (n155) who were mainly non-Hispanic, white (96.8%), female (65.2%) and on medications for cardiometabolic-related disorders (60.6%) and had an average age of 74.20.5 years.Method. We used a question from the Yale Physical Activity Survey to assess the typical number of hours per day spent in motion during the past month, collapsing responses into <5 and 5h/day. We determined blood lipids, lipoproteins and glucose with Kodak Ektachem serum oxidase assays or finger stick using the Cholestech LDX system enzymatic technique, and measured blood pressure by auscultation. Waist circumference was the indicator of abdominal fat distribution and body mass index the measure of overall adiposity.Results. After adjusting for age, sex, adiposity, postprandial state, medication use and method of blood sampling, greater amounts of daily accumulated movement were associated with more favourable blood-lipid-lipoprotein profiles. Subjects reporting 5 h of daily movement had higher levels of high-density lipoprotein cholesterol [mean differences (95% confidence interval): 0.23 mmol/l (0.07, 0.39); P0.002] and a lower ratio of total to high-density lipoprotein cholesterol [average difference: -0.92 (-1.36, -0.48); P0.003]. They had lower levels of low-density lipoprotein cholesterol [mean difference: -0.39 mmol/l (-0.80, 0.03); P0.074)] and a lower ratio of cholesterol was similar in the two groups (P<0.02), independent of age, sex, adiposity, medication use and postprandial state.Conclusion. Low-intensity, habitual physical activity is a sufficient stimulus to enhance blood lipids/lipoproteins and glucose in older adults, independent of abdominal and overall adiposity.Keywords: ageing, blood glucose, exercise, high-density lipoprotein
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