Age and gender differences in correlations of leisure-time, household, and work-related physical activity with physical performance in older Japanese adults

摘要

Aim: This study aimed to compare relationships of leisure-time, household, and work-related physical activity (PA) with physical performance by age and gender in older Japanese adults. Methods: This cross-sectional study included 525 community-dwelling older adults (73.3±5.2 years) recruited in 2009-2011 in Kasama City, rural Japan. We used the Physical Activity Scale for the Elderly to assess PA variables. Physical performance was evaluated by 11 performance tests: grip strength, single-leg balance, functional reach, sit-and-reach, standing time from long sitting position, sit-to-stand, timed up and go, habitual walk, hand working, and simple and choice reaction times. Results: After adjusting for potential confounders, leisure-time PA in young-old (≤74 years) men correlated significantly with eight performance tests (absolute value of Spearman's partial rank correlation coefficient: r=0.18-0.39), whereas in old-old (≥75 years) men it correlated with three performance tests (r=0.20-0.23). Although leisure-time PA correlated with six performance tests (r=0.19-0.22) in young-old women, there were no significant correlations between leisure-time PA and performance tests in old-old women. Household PA of young-old men (r=0.20-0.23) and old-old women (r=0.26-0.34) correlated with four performance tests. In old-old men and young-old women, no significant correlation was found between household PA and performance tests. Work-related PA did not relate significantly to any performance tests in any groups. Conclusion: This study showed that leisure-time PA is related to physical performance, especially in young-old men and women, and household PA is especially related in young-old men and old-old women. Our findings suggest that supporting strategies for maintaining physical functions would differ by gender and age. Geriatr Gerontol Int 2013; 13: 919-927.