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Relationship between Arterial Stiffness and Physical Activity Level Assessed by International Physical Activity Questionnaireshort form (IPAQSF) in the Elderly
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Research Article
Relationship between Arterial Stiffness and Physical Activity Level Assessed by International Physical Activity Questionnaireshort form (IPAQSF) in the Elderly
HyunJu Lee, JiYeon Gwak, HaYeon Jun, EunKyung Kim
Korean Journal of Community Nutrition 2020;25(3):236-245.
DOI: https://doi.org/10.5720/kjcn.2020.25.3.236
Published online: June 30, 2020
1Clinical Dietitian, Department of Nutrition and Dietetics, Gangneung Asan Hospital, Gangneung, Korea
2Graduate Student, Department of Food and Nutrition, GangneungWonju National University, Gangneung, Korea
3Professor, Department of Food and Nutrition, GangneungWonju National University, Gangneung, Korea
Corresponding author:  EunKyung Kim,
Email: ekkim@gwnu.ac.kr
Received: 15 May 2020   • Revised: 18 June 2020   • Accepted: 19 June 2020
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Abstract

Objectives
Cardiovascular disease is a major cause of death in the elderly in Korea. Increased arterial stiffness is linked to risk of cardiovascular disease and mortality. The purpose of this study was to investigate the relationship between arterial stiffness and physical activity in the elderly.
Methods
A total of 209 older adults (110 men and 99 women) participated in this study. Arterial stiffness of subjects such as brachial–ankle pulse wave velocity (baPWV) and ankle brachial pressure index (ABI) was measured using a non-invasive vascular screening device (VP-1000 Plus, Omron, Kyoto, Japan). The interviewed Korean version of the international physical activity questionnaire short form (IPAQ-SF) was used to evaluate subject’s physical activity level and classify subjects as active or inactive group based on the time spent doing moderate to vigorous physical activity (MVPA).
Results
The mean age of total subjects was 75.3 ± 5.6 years. There was no significant difference in sex distribution between the active group (39.7%) and inactive group (60.3%). The baPWV (1,758.1 ± 375.2cm /sec) of the active group was significantly lower than that (1,969.7 ± 372.3 cm/sec) of the inactive group (P < 0.05). There was a significant inverse association between time spent in MVPA and baPWV (r = -0.245, P < 0.01).
Conclusions
This study suggests that physical activity programs for older adults are needed to prevent arteriosclerosis.


Korean J Community Nutr. 2020 Jun;25(3):236-245. Korean.
Published online Jun 30, 2020.
https://doi.org/10.5720/kjcn.2020.25.3.236
Copyright © 2020 The Korean Society of Community Nutrition
Original Article

Relationship between Arterial Stiffness and Physical Activity Level Assessed by International Physical Activity Questionnaire-short form (IPAQ-SF) in the Elderly

Hyun-Ju Lee,1 Ji-Yeon Gwak,2 Ha-Yeon Jun,2 and Eun-Kyung Kim3
    • 1Clinical Dietitian, Department of Nutrition and Dietetics, Gangneung Asan Hospital, Gangneung, Korea.
    • 2Graduate Student, Department of Food and Nutrition, GangneungWonju National University, Gangneung, Korea.
    • 3Professor, Department of Food and Nutrition, GangneungWonju National University, Gangneung, Korea.
  • Corresponding author: EunKyung Kim. Department of Food and Nutrition, Gangneung-Wonju National University, 7 Jukheongil, Gangneung, Gangwon 25457, Korea. Tel: (033) 6402336, Fax: (033) 6402330, Email: ekkim@gwnu.ac.kr
Received May 15, 2020; Revised June 18, 2020; Accepted June 19, 2020.

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives

Cardiovascular disease is a major cause of death in the elderly in Korea. Increased arterial stiffness is linked to risk of cardiovascular disease and mortality. The purpose of this study was to investigate the relationship between arterial stiffness and physical activity in the elderly.

Methods

A total of 209 older adults (110 men and 99 women) participated in this study. Arterial stiffness of subjects such as brachial–ankle pulse wave velocity (baPWV) and ankle brachial pressure index (ABI) was measured using a non-invasive vascular screening device (VP-1000 Plus, Omron, Kyoto, Japan). The interviewed Korean version of the international physical activity questionnaire short form (IPAQ-SF) was used to evaluate subject's physical activity level and classify subjects as active or inactive group based on the time spent doing moderate to vigorous physical activity (MVPA).

Results

The mean age of total subjects was 75.3 ± 5.6 years. There was no significant difference in sex distribution between the active group (39.7%) and inactive group (60.3%). The baPWV (1,758.1 ± 375.2cm /sec) of the active group was significantly lower than that (1,969.7 ± 372.3 cm/sec) of the inactive group (P < 0.05). There was a significant inverse association between time spent in MVPA and baPWV (r = −0.245, P < 0.01).

Conclusions

This study suggests that physical activity programs for older adults are needed to prevent arteriosclerosis.

Keywords
arterial stiffness; pulse wave velocity; physical activity

Figures

Fig. 1
Correlation between MVPA and baPWV
1) Moderate to vigorous physical activity, 2) Brachial–ankle pulse wave velocity.

3) Partial correlation coefficient, adjusted for sex, age, BMI, SBP, DBP, medical history and sedentary behavior.

Fig. 2
baPWV group distribution by physical activity level
Significantly different between active and inactive group by chi-square test.

Normal group: < mean + 1SD of baPWV; slight sclerosis group: ≥ mean + 1SD and < mean + 2SD; sclerosis group: ≥ mean + 2SD according to age and sex.

Tables

Table 1
Anthropometric and clinical characteristics of subjects by sex

Table 2
Blood pressure, arterial stiffness indicators and physical activity of subjects by sex

Table 3
Comparison of anthropometric and clinical characteristics between active and inactive groups

Table 4
Comparison of arterial stiffness indicators between active and inactive groups

Acknowledgments

This study was supported by 2018 Academic Research Support Program in Gangneung-Wonju National University (2018100259).

References

    1. GBD 2017 Disease and Injury Incidence and Prevalence Collaborators.. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990?: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 2018;392:1789–1858.
    1. O'Donnella CJ, Elosuab R. Cardiovascular risk factors. Insights from Framingham heart study. Rev Esp Cardiol 2008;61(3):299–310.
    1. Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT. Effect of physical inactivity on major noncommunicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet 2012;380(9838):219–229.
    1. Durstine JL, Grandjean PW, Davis PG, Ferguson MA, Alderson NL, DuBose KD. Blood lipid and lipoprotein adaptations to exercise: a quantitative analysis. Sports Med 2001;31(15):1033–1062.
    1. Thune I, Njolstad I, Lochen ML, Ford OH. Physical activity improves the metabolic risk profiles in men and women: the Tromso Study. Arch Intern Med 1998;158(15):1633–1640.
    1. Vlachopoulos C, Aznaouridis K, Stefanadis C. Prediction of cardiovascular events and all-cause mortality with arterial stiffness: a systematic review and meta-analysis. J Am Coll Cardiol 2010;55(13):1318–1327.
    1. Payne RA, Wilkinson IB, Webb DJ. Arterial stiffness and hypertension: emerging concepts. Hypertension 2010;55(1):9–14.
    1. Lee NB, Im JJ, Park YB, Jeon YJ. Development of a pulse wave velocity measurement system and assessment of the system reproducibility for the diagnosis of arteriosclerosis. J Korean Inst Orient Med Diagn 2005;9(1):112–124.
    1. Laurent S, Cockcroft J, Van BL, Boutouyrie P, Giannattasio C, Hayoz D. Expert consensus document on arterial stiffness: methodological issues and clinical applications. Eur Heart J 2006;27(21):2588–2605.
    1. Carter SA. Indirect systolic pressures and pulse waves in arterial occlusive diseases of the lower extremities. Circulation 1968;37(4):624–637.
    1. Tanko LB, Bagger YZ, Christiansen C. Low bone mineral density in the hip as a marker of advanced atherosclerosis in elderly women. Calcif Tissue Int 2003;73(1):15–20.
    1. Shin JW, Seok SJ, Lee GH, Choi SC, Hyun KY. Correlation between arterial stiffness and physiological parameters. Korean J Health Serv Manag 2013;7(3):71–82.
    1. Munakata M, Ito N, Nunokawa T, Yoshinaga K. Utility of automated brachial ankle pulse wave velocity measurements in hypertensive patients. Am J Hypertens 2003;16(8):653–657.
    1. Korean Vascular Research Working Group. Clinical angiology. 1st revision. Seoul: Korean Vascular Research Working Group; 2009. pp. 109-124.
    1. Ndahimana D, Kim EK. Measurement methods for physical activity and energy expenditure: a review. Clin Nutr Res 2017;6(2):68–80.
    1. Bonomi AG, Goris AH, Yin B, Westerterp KR. Detection of type, duration, and intensity of physical activity using an accelerometer. Med Sci Sports Exerc 2009;41(9):1770–1777.
    1. Riegel GR, Martins GB, Schmidt AG, Rodrigues MP, Nunes GS, Correa V. Self-reported adherence to physical activity recommendations compared to the IPAQ interview in patients with hypertension. Patient Prefer Adherence 2019;13:209–214.
    1. Iemitsu M, Maeda S, Otsuki T, Sugawara J, Kuno S, Ajisaka R. Arterial stiffness, physical activity, and atrial natriuretic peptide gene polymorphism in older subjects. Hypertens Res 2008;31(4):767–774.
    1. O'Donovan C, Lithander FE, Raftery T, Gormley J, Mahmud A, Hussey J. Inverse relationship between physical activity and arterial stiffness in adults with hypertension. J Phys Act Health 2014;11(2):272–277.
    1. Parsons TJ, Sartini C, Ellins EA, Halcox JP, Smith KE, Ash S. Objectively measured physical activity and sedentary behaviour and ankle brachial index: cross-sectional and longitudinal associations in older men. Atherosclerosis 2016;247:28–34.
    1. Endes S, Schaffner E, Caviezel S, Dratva J, Autenrieth CS, Wanner M. Long-term physical activity is associated with reduced arterial stiffness in older adults: longitudinal results of the SAPALDIA cohort study. Age Ageing 2016;45(1):110–115.
    1. Ahmadi-Abhari S, Sabia S, Shipley MJ, Kivimäki M, Singh-Manoux A, Tabak A. Physical activity, sedentary behavior, and long-term changes in aortic stiffness: the Whitehall II study. J Am Heart Assoc 2017;6(8):e005974
    1. Maddock J, Ziauddeen N, Ambrosini GL, Wong A, Hardy R, Ray S. Adherence to a dietary approaches to stop hypertension (DASH)-type diet over the life course and associated vascular function: a study based on the MRC 1946 British birth cohort. Br J Nutr 2018;119(5):581–589.
    1. Koshiba H, Maeshima E. Effects of exercise intervention on arterial stiffness in middle-aged and older females: evaluation by measuring brachial-ankle pulse wave velocity and cardio-ankle vascular index. J Phys Ther Sci 2019;31(1):88–92.
    1. Deiseroth A, Streese L, Kochli S, Wust RS, Infanger D, Schmidt-Trucksass A. Exercise and arterial stiffness in the elderly: a combined cross-sectional and randomized controlled trial (EXAMIN AGE). Front Physiol 2019;10:1119
    1. Jang DG, Shin SK, Park SH. Relationship between Korean undergraduate students' arterial stiffness and their continuous physical activity and sitting scores. Korean J Phys Educ 2013;52(6):477–486.
    1. Lee RD, Kanf YJ, Hwang MH. The relationship between physical activity level and arterial stiffness in young female adults. Exerc Sci 2019;28(3):232–239.
    1. Shin HK, Lee SH, Yang JH. Effects of physical activity level on blood pressure response during graded exercise test and pulse wave velocity in the healthy middle-aged women. Korean J Growth Dev 2014;22(2):143–149.
    1. Lee JW, Kim DS, Cho EK. Interrelationships and differences of brachial-ankle pulse wave velocity (baPWV), body composition and cardiovascular variables between genders who have been exercised or not in elderly. Korean J Clin Lab Sci 2016;48(4):378–387.
    1. Chun MY. Validity and reliability of Korean version of international physical activity questionnaire short form in the elderly. Korean J Fam Med 2012;33(3):144–151.
    1. World Health Organization, Regional Office for the Western Pacific. The Asia-Pacific perspective: redefining obesity and its treatment. 1st revision. Australia: World Health Organization, Regional Office for the Western Pacific; 2000. pp. 15-20.
    1. World Health Organization. Global recommendations on physical activity for health. Geneva: World Health Organization; 2010.
    1. IPAQ Research Committee. Guidelines for Data Processing and Analysis of the International Physical Activity Questionnaire (IPAQ) – Short and Long Forms. 2005. pp. 1-15.
    1. Tomiyama H, Yamashina A, Arai T, Hirose K, Koji Y, Chikamori T. Influence of age and gender on result of noninvasive brachial ankle pulse wave velocity measurement a survey 12517 subjects. Atherosclerosis 2003;166(2):303–309.
    1. Winsor T. Influence of arterial disease on the systolic blood pressure gradients of the extremity. Am J Med Sci 1950;220:117–126.
    1. Aboyans V, Criqui MH, Abraham P, Allison MA, Creager MA, Diehm C. Measurement and interpretation of the anklebrachial index: a scientific statement from the American Heart Association. Circulation 2012;126(24):2890–2909.
    1. Korea National Health and Nutrition Examination Surveys. Korea health statistics 2018 [Internet]. Korea National Health and Nutrition Examination Survey; 2020 [cited 2020 Jan 16].
      Available from: http://knhanes.cdc.go.kr/.
    1. Choi HS, Cho YH, Lee SY, Park EJ, Kim YJ, Lee JG. Association between new anthropometric parameters and arterial stiffness based on brachial-ankle pulse wave velocity. Diabetes Metab Syndr Obes 2019;12:1727–1733.
    1. Kim SW, Kim KH, Hwang SY, Choi SH, Lee SJ, Choi YC. The relationship between brachial ankle pulse wave velocity and atherosclerotic risk factors. J Korean Soc Vasc Surg 2008;24(1):6–10.
    1. Yamamoto A, Katayama Y, Tomiyama K, Hosoai H, Hirata F, Yasuda H. A short-term admission improved brachial-ankle pulse wave velocity in type 2 diabetic patients. Diabetes Res Clin Pract 2005;70(3):248–252.
    1. Krishnan MN, Geevar Z, Mohanan PP, Venugopal K, Devika S. Prevalence of peripheral artery disease and risk factors in the elderly: A community based cross-sectional study from northern Kerala, India. Indian Heart J 2018;70(6):808–815.
    1. He Y, Jiang Y, Wang J, Fan L, Li X, Hu FB. Prevalence of peripheral arterial disease and its association with smoking in a population-based study in Beijing. China J Vasc Surg 2006;44(2):333–338.

Figure & Data

References

    Citations

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