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

doi:10.5720/kjcn.2020.25.3.236

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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.

Keywords: arterial stiffness; pulse wave velocity; physical activity

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

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 Kim

Author information

Author notes

- 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.

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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.

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Tables

Table 1
Anthropometric and clinical characteristics of subjects by sex

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

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

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

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Acknowledgments

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

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