Are Physical Activity Levels predictors of Aerobic Capacity in Active Senior Adults?
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Palavras-chave

AGING
ACTIVE ELDERLY PEOPLE
CARDIORESPIRATORY FITNESS
Health Promotion

Como Citar

Are Physical Activity Levels predictors of Aerobic Capacity in Active Senior Adults?. (2025). RIAGE - Revista Ibero-Americana De Gerontologia, 8(8), 636-651. https://doi.org/10.61415/riage.425

Resumo

Introduction: Worldwide, elderly people fail to meet minimum physical activity requirements for their age group, increasing the risks of cardiovascular disease, metabolic disorders, osteoporosis, obesity, and muscle weakness. Age-related decline and comorbidities further compromise aerobic capacity. Purpose: To assess aerobic capacity and physical activity levels in older adults participating in a physical activity program, to analyse the relationship between aerobic capacity and physical activity levels, and to examine the association between these measures and individual characteristics. Methods: A cross-sectional analytical study was carried out (Ethics approval no. CE/IPSN/CESPU-27/22) in a sample of 60 older adults (mean age 71.7 (3.87) years) enrolled in a physical activity program. Participants characteristics were collected by questionnaire; physical activity level were evaluated with the Brief Physical Activity Assessment Tool (n=27) and aerobic capacity by the Six Minute Walk Test (n=60). Data was analysed using Mann-Whitney U, Spearman correlation, independent t-test and chi-square tests, with a 95% confidence interval. Results: Participants had an aerobic capacity lower than predicted values (476.3m vs 514.1m). Fourteen participants were insufficiently active. No association was found between aerobic capacity and physical activity levels (p=0.752). Younger age and earlier retirement were independently associated with higher aerobic capacity (p=0.001 and p=0.003, respectively), with younger age also linked to greater physical activity level (p=0.048). Conclusion: Participants had below-predicted aerobic capacity, with most being insufficiently active. No association was found between physical activity levels and aerobic capacity. Younger age correlated with both higher aerobic capacity and physical activity levels, and earlier retirement with higher aerobic capacity

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Referências

Akinci, B., Yeldan, I., Satman, I., Dirican, A., & Ozdincler, A. R. (2018). The effects of Internet-based exercise compared with supervised group exercise in people with type 2 diabetes: a randomized controlled study. Clinical Rehabilitation, 32(6), 799–810. https://doi.org/10.1177/0269215518757052

Allender, S., Hutchinson, L., & Foster, C. (2008). Life-change events and participation in physical activity: a systematic review. Health Promotion International, 23(2), 160–172. https://doi.org/10.1093/HEAPRO/DAN012

Almeida, E.J. (2019). Aptidão Cardiorrespiratória: Conceitos, Protocolos e Aplicação [ [Dissertação de Mestrado, Universidade Pitágoras UNOPAR de Londrina-Paraná]. Repositório Cogna. https://repositorio.pgsscogna.com.br//handle/123456789/23511

Angulo, J., El Assar, M., Álvarez-Bustos, A., & Rodríguez-Mañas, L. (2020). Physical activity and exercise: Strategies to manage frailty. Redox Biology, 35. https://doi.org/10.1016/J.REDOX.2020.101513

Barnett, I., Guell, C., & Ogilvie, D. (2013). How do couples influence each other’s physical activity behaviours in retirement? An exploratory qualitative study. BMC Public Health, 13(1), 1197. https://doi.org/10.1186/1471-2458-13-1197

Bárrios, M. J., Marques, R., & Fernandes, A. A. (2020). Aging with health: aging in place strategies of a Portuguese population aged 65 years or older. Revista de Saúde Pública, 54, 1–11. https://doi.org/10.11606/S1518-8787.2020054001942

Bautmans, I., Lambert, M., & Mets, T. (2004). The six-minute walk test in community dwelling elderly: Influence of health status. BMC Geriatrics, 4(1), 1–9. https://doi.org/10.1186/1471-2318-4-6/FIGURES/3

Bellia, A., Iellamo, F., De Carli, E., Andreadi, A., Padua, E., Lombardo, M., Annino, G., Campoli, F., Tartaglione, S., D’Ottavio, S., Della-Morte, D., & Lauro, D. (2017). Exercise individualized by TRIMPi method reduces arterial stiffness in early onset type 2 diabetic patients: A randomized controlled trial with aerobic interval training. International Journal of Cardiology, 248, 314–319. https://doi.org/10.1016/J.IJCARD.2017.06.065

Biswas, D., Dey, A., Chakraborty, M., Dey, S. K., Sengupta, A., Bhattacharjee, S., Kundu, S., & Rath, S. (2013). Habitual physical activity score as a predictor of the 6-min walk test distance in healthy adults. Respiratory Investigation, 51(4), 250–256. https://doi.org/10.1016/J.RESINV.2013.04.008

Borg G. A. (1982). Psychophysical bases of perceived exertion. Medicine and science in sports and exercise, 14(5), 377–381.

Borg G. (1990). Psychophysical scaling with applications in physical work and the perception of exertion. Scandinavian journal of work, environment & health, 16 Suppl 1, 55–58. https://doi.org/10.5271/sjweh.1815

Britto, R. R., Probst, V. S., Dornelas De Andrade, A. F., Samora, G. A. R., Hernandes, N. A., Marinho, P. E. M., Karsten, M., Pitta, F., & Parreira, V. F. (2013). Reference equations for the six-minute walk distance based on a Brazilian multicenter study. Brazilian Journal of Physical Therapy, 17(6), 556–563. https://doi.org/10.1590/S1413-35552012005000122

Brun, J. F., Bordenave, S., Mercier, J., Jaussent, A., Picot, M. C., & Préfaut, C. (2008). Cost-sparing effect of twice-weekly targeted endurance training in type 2 diabetics: A one-year controlled randomized trial. Diabetes & Metabolism, 34(3), 258–265. https://doi.org/10.1016/J.DIABET.2008.01.010

Buchman, A. S., Boyle, P. A., Wilson, R. S., Gu, L., Bienias, J. L., & Bennett, D. A. (2008). Pulmonary function, muscle strength and mortality in old age. Mechanisms of Ageing and Development, 129(11), 625–631. https://doi.org/10.1016/J.MAD.2008.07.003

Camarri, B., Eastwood, P. R., Cecins, N. M., Thompson, P. J., & Jenkins, S. (2006). Six minute walk distance in healthy subjects aged 55-75 years. Respiratory Medicine, 100(4), 658–665. https://doi.org/10.1016/J.RMED.2005.08.003

Casano, H. A. M., & Anjum, F. (2023). Six-Minute Walk Test. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK576420/

Cervi, A., Franceschini, S. D. C. C., & Priore, S. E. (2005). Análise crítica do uso do índice de massa corporal para idosos. Revista de Nutrição, 18(6), 765–775. https://doi.org/10.1590/S1415-52732005000600007

Cieza, A., Sabariego, C., Bickenbach, J., & Chatterji, S. (2018). Rethinking Disability. BMC Medicine, 16(1). https://doi.org/10.1186/S12916-017-1002-6

Cleland, C., Ferguson, S., Ellis, G., & Hunter, R. F. (2018). Validity of the International Physical Activity Questionnaire (IPAQ) for assessing moderate-to-vigorous physical activity and sedentary behaviour of older adults in the United Kingdom. BMC Medical Research Methodology, 18(1). https://doi.org/10.1186/S12874-018-0642-3

Cruz, J., Jácome, C., Oliveira, A., Paixão, C., Rebelo, P., Flora, S., Januário, F., Valente, C., Andrade, L., & Marques, A. (2021). Construct validity of the brief physical activity assessment tool for clinical use in COPD. The Clinical Respiratory Journal, 15(5), 530–539. https://doi.org/10.1111/CRJ.13333

Delbressine, J. M., Machado, F. V. C., Goërtz, Y. M. J., Van Herck, M., Meys, R., Houben-Wilke, S., Burtin, C., Franssen, F. M. E., Spies, Y., Vijlbrief, H., van ’t Hul, A. J., Janssen, D. J. A., Spruit, M. A., & Vaes, A. W. (2021). The Impact of Post-COVID-19 Syndrome on Self-Reported Physical Activity. International Journal of Environmental Research and Public Health, 18(11). https://doi.org/10.3390/IJERPH18116017

Demers, C., McKelvie, R. S., Negassa, A., & Yusuf, S. (2001). Reliability, validity, and responsiveness of the six-minute walk test in patients with heart failure. American Heart Journal, 142(4), 698–703. https://doi.org/10.1067/MHJ.2001.118468

Di Gessa, G., Glaser, K., & Tinker, A. (2016). The impact of caring for grandchildren on the health of grandparents in Europe: A lifecourse approach. Social Science & Medicine, 152, 166–175. https://doi.org/10.1016/J.SOCSCIMED.2016.01.041

Dourado, V. Z. (2011). Equações de referência para o teste de caminhada de seis minutos em indivíduos saudáveis. Arquivos Brasileiros de Cardiologia, 96(6), e128–e138. https://doi.org/10.1590/S0066-782X2011005000024

Duke, J. W., & Lovering, A. T. (2020). Respiratory and cardiopulmonary limitations to aerobic exercise capacity in adults born preterm. Journal of Applied Physiology, 129(4), 718. https://doi.org/10.1152/JAPPLPHYSIOL.00419.2020

Duncan, M. J., Mota, J., Carvalho, J., & Nevill, A. M. (2015). An Evaluation of Prediction Equations for the 6 Minute Walk Test in Healthy European Adults Aged 50-85 Years. PLoS ONE, 10(9). https://doi.org/10.1371/JOURNAL.PONE.0139629

Evenson, K. R., Rosamond, W. D., Cai, J., Diez-Roux, A. V., & Brancati, F. L. (2002). Influence of retirement on leisure-time physical activity: the atherosclerosis risk in communities study. American Journal of Epidemiology, 155(8), 692–699. https://doi.org/10.1093/AJE/155.8.692

Healy, G. N., Dunstan, D. W., Salmon, J., Shaw, J. E., Zimmet, P. Z., & Owen, N. (2008). Television time and continuous metabolic risk in physically active adults. Medicine and Science in Sports and Exercise, 40(4), 639–645. https://doi.org/10.1249/MSS.0B013E3181607421

Hegendörfer, E., Doukhopelnikoff, A., & Degryse, J. M. (2021). Validity and reliability of the Multidimensional Dyspnoea Profile in older adults. ERJ Open Research, 7(2). https://doi.org/10.1183/23120541.00606-2020

Herdy, A. H., Ritt, L. E. F., Stein, R., de Araújo, C. G. S., Milani, M., Meneghelo, R. S., Ferraz, A. S., Hossri, C., de Almeida, A. E. M., da Silva, M. M. F., & Serra, S. M. (2016). Cardiopulmonary Exercise Test: Background, Applicability and Interpretation. Arquivos Brasileiros de Cardiologia, 107(5), 467–481. https://doi.org/10.5935/ABC.20160171

Holland, A. E., Spruit, M. A., Troosters, T., Puhan, M. A., Pepin, V., Saey, D., McCormack, M. C., Carlin, B. W., Sciurba, F. C., Pitta, F., Wanger, J., MacIntyre, N., Kaminsky, D. A., Culver, B. H., Revill, S. M., Hernandes, N. A., Andrianopoulos, V., Camillo, C. A., Mitchell, K. E., … Singh, S. J. (2014). An official European Respiratory Society/American Thoracic Society technical standard: field walking tests in chronic respiratory disease. The European Respiratory Journal, 44(6), 1428–1446. https://doi.org/10.1183/09031936.00150314

Jimeno-Almazán, A., Pallarés, J. G., Buendía-Romero, Á., Martínez-Cava, A., Franco-López, F., Sánchez-Alcaraz Martínez, B. J., Bernal-Morel, E., & Courel-Ibáñez, J. (2021). Post-COVID-19 Syndrome and the Potential Benefits of Exercise. International Journal of Environmental Research and Public Health, 18(10). https://doi.org/10.3390/IJERPH18105329

Karas, M., Muschelli, J., Leroux, A., Urbanek, J. K., Wanigatunga, A. A., Bai, J., Crainiceanu, C. M., & Schrack, J. A. (2022). Comparison of Accelerometry-Based Measures of Physical Activity: Retrospective Observational Data Analysis Study. JMIR MHealth and UHealth, 10(7). https://doi.org/10.2196/38077

Kirkwood, T. B. L. (2017). Why and how are we living longer? Experimental Physiology, 102(9), 1067–1074. https://doi.org/10.1113/EP086205

Legrand, D., Vaes, B., Matheï, C., Adriaensen, W., Van Pottelbergh, G., & Degryse, J. M. (2014). Muscle strength and physical performance as predictors of mortality, hospitalization, and disability in the oldest old. Journal of the American Geriatrics Society, 62(6), 1030–1038. https://doi.org/10.1111/JGS.12840

Löllgen, H., & Leyk, D. (2018). Exercise Testing in Sports Medicine. Deutsches Ärzteblatt International, 115(24), 409. https://doi.org/10.3238/ARZTEBL.2018.0409

McPhee, J. S., French, D. P., Jackson, D., Nazroo, J., Pendleton, N., & Degens, H. (2016). Physical activity in older age: perspectives for healthy ageing and frailty. Biogerontology, 17(3), 567. https://doi.org/10.1007/S10522-016-9641-0

Mendes, R., Silva, M. N., Silva, C. S., Marques, A., Godinho, C., Tomás, R., Agostinho, M., Madeira, S., Rebelo-Marques, A., Martins, H., Teixeira, P. J., & Cruz, D. (2020). Physical Activity Promotion Tools in the Portuguese Primary Health Care: An Implementation Research. International Journal of Environmental Research and Public Health, 17(3), 815. https://doi.org/10.3390/IJERPH17030815

Mielke, G.I. (2012). Comportamento sedentário em adultos [Dissertação de Mestrado, Universidade Federal de Pelotas]. Repositório UFPEL. https://guaiaca.ufpel.edu.br/handle/123456789/1954

Oliveira, M. J., Marçôa, R., Moutinho, J., Oliveira, P., Ladeira, I., Lima, R., & Guimarães, M. (2019). Reference equations for the 6-minute walk distance in healthy Portuguese subjects 18–70 years old. Pulmonology, 25(2), 83–89. https://doi.org/10.1016/J.PULMOE.2018.04.003

Oliveira, M. R., Sudati, I. P., Konzen, V. D. M., de Campos, A. C., Wibelinger, L. M., Correa, C., Miguel, F. M., Silva, R. N., & Borghi-Silva, A. (2022). Covid-19 and the impact on the physical activity level of elderly people: A systematic review. Experimental Gerontology, 159. https://doi.org/10.1016/J.EXGER.2021.111675

Parreira, V. F., Janaudis-Ferreira, T., Evans, R. A., Mathur, S., Goldstein, R. S., & Brooks, D. (2014). Measurement properties of the incremental shuttle walk test. a systematic review. Chest, 145(6), 1357–1369. https://doi.org/10.1378/CHEST.13-2071

Pieczyńska, A., Zasadzka, E., Trzmiel, T., & Pawlaczyk, M. (2019). Physical Activity and Fitness in White- and Blue-Collar Retired Men. American Journal of Men’s Health, 13(6). https://doi.org/10.1177/1557988319891360

Pitanga, F. J. G., & Lessa, I. (2005). [Prevalence and variables associated with leisure-time sedentary lifestyle in adults]. Cadernos de Saude Publica, 21(3), 870–877. https://doi.org/10.1590/S0102-311X2005000300021

Reychler, G., Beaumont, M., Latiers, A. C., Pieters, T., & Fremault, A. (2021). Dyspnea could be accurately assessed by a caregiver in hospitalized patients with respiratory diseases: Interrater reliability and agreement study. Brazilian Journal of Physical Therapy, 25(6), 735–740. https://doi.org/10.1016/J.BJPT.2021.04.010

Sánchez-Sánchez, J. L., Mañas, A., García-García, F. J., Ara, I., Carnicero, J. A., Walter, S., & Rodríguez-Mañas, L. (2019). Sedentary behaviour, physical activity, and sarcopenia among older adults in the TSHA: isotemporal substitution model. Journal of Cachexia, Sarcopenia and Muscle, 10(1), 188–198. https://doi.org/10.1002/JCSM.12369

Silveira, E. A., Mendonça, C. R., Delpino, F. M., Elias Souza, G. V., Pereira de Souza Rosa, L., de Oliveira, C., & Noll, M. (2022). Sedentary behavior, physical inactivity, abdominal obesity and obesity in adults and older adults: A systematic review and meta-analysis. Clinical nutrition ESPEN, 50, 63–73. https://doi.org/10.1016/j.clnesp.2022.06.001

Skloot, G. S. (2017). The Effects of Aging on Lung Structure and Function. Clinics in Geriatric Medicine, 33(4), 447–457. https://doi.org/10.1016/J.CGER.2017.06.001

Sociedade Brasileira de Cardiologia. (2010). [III Guidelines of Sociedade Brasileira de Cardiologia on the exercise test]. Arquivos Brasileiros de Cardiologia, 95(5 Suppl 1), 1–26. https://doi.org/10.1590/S0066-782X2010000800001

Sorino, C., Battaglia, S., Scichilone, N., Pedone, C., Antonelli-Incalzi, R., Sherrill, D., & Bellia, V. (2012). Diagnosis of airway obstruction in the elderly: contribution of the SARA study. International Journal of Chronic Obstructive Pulmonary Disease, 7, 389–395. https://doi.org/10.2147/COPD.S31630

Stathi, A., Greaves, C. J., Thompson, J. L., Withall, J., Ladlow, P., Taylor, G., Medina-Lara, A., Snowsill, T., Gray, S., Green, C., Johansen-Berg, H., Sexton, C. E., Bilzon, J. L. J., deKoning, J., Bollen, J. C., Moorlock, S. J., Western, M. J., Demnitz, N., Seager, P., … Fox, K. R. (2022). Effect of a physical activity and behaviour maintenance programme on functional mobility decline in older adults: the REACT (Retirement in Action) randomised controlled trial. The Lancet Public Health, 7(4), e316–e326. https://doi.org/10.1016/S2468-2667(22)00004-4

Sykes, K., & Roberts, A. (2004). The Chester step test—a simple yet effective tool for the prediction of aerobic capacity. Physiotherapy, 90(4), 183–188. https://doi.org/10.1016/J.PHYSIO.2004.03.008

Tan, S., Li, W., & Wang, J. (2012). Effects of Six Months of Combined Aerobic and Resistance Training for Elderly Patients with a Long History of Type 2 Diabetes. Journal of Sports Science & Medicine, 11(3), 495. /pmc/articles/PMC3737933/

Tebar, W. R., Ritti-Dias, R. M., Fernandes, R. A., Damato, T. M. M., De Barros, M. V. G., Mota, J., Andersen, L. B., & Christofaro, D. G. D. (2022). Validity and reliability of the Baecke questionnaire against accelerometer-measured physical activity in community dwelling adults according to educational level. PloS One, 17(8). https://doi.org/10.1371/JOURNAL.PONE.0270265

Troosters, T., Gosselink, R., & Decramer, M. (1999). Six minute walking distance in healthy elderly subjects. The European Respiratory Journal, 14(2), 270–274. https://doi.org/10.1034/J.1399-3003.1999.14B06.X

Vagetti, G. C., De Oliveira, V., Pereira Silva, M., Pacífico, A. B., Rocha, T., Costa, A., & De Campos, W. (2017). Association of body mass index with the functional fitness of elderly women attending a physical activity program. Revista Brasileira de Geriatria e Gerontologia, 20(2), 214-224. https://doi.org/10.1590/1981-22562017020.160160

Vermote, M., Deliens, T., Deforche, B., & D’Hondt, E. (2021). The impact of non-residential grandchild care on physical activity and sedentary behavior in people aged 50 years and over: study protocol of the Healthy Grandparenting Project. BMC Public Health, 21(1), 1–9. https://doi.org/10.1186/S12889-020-10024-9/TABLES/1

Vilarinho, R., Amorim, L., Gomes, D., Teixeira, P., Alves da Silva, A., Santos, J., Bernardo, F., Correia de Sousa, J., Fonseca, J. & Jácome, C. (2025) Validation of the brief physical activity assessment tool: Comparison of telephone and in-person administration. PLoS ONE 20(1): e0317614. https://doi.org/10.1371/journal.pone.0317614

Wang, X., Yang, T., Li, Y., Ma, C., Yang, M., Qian, Q., Ma, G., Pei, H., Feng, J., Yan, F., Fan, X., Cao, J., & Ma, Y. (2024). Intrinsic capacity decline as a predictor of functional disability in the elderly: A systematic review and meta-analysis. Archives of gerontology and geriatrics, 126, 105550. https://doi.org/10.1016/j.archger.2024.105550

Weyh, C., Krüger, K., & Strasser, B. (2020). Physical Activity and Diet Shape the Immune System during Aging. Nutrients, 12(3). https://doi.org/10.3390/NU12030622

Zhou, J., Mao, W., Lee, Y., & Chi, I. (2017). The Impact of Caring for Grandchildren on Grandparents’ Physical Health Outcomes: The Role of Intergenerational Support. Research on Aging, 39(5), 612–634. https://doi.org/10.1177/0164027515623332

Zhou, M., Kuang, L., & Hu, N. (2023). The Association between Physical Activity and Intrinsic Capacity in Chinese Older Adults and Its Connection to Primary Care: China Health and Retirement Longitudinal Study (CHARLS). International Journal of Environmental Research and Public Health, 20(7). https://doi.org/10.3390/IJERPH20075361

Zou, H., Zhang, J., Zou, Y., Chen, X., Wang, Y., Chen, H., Ye, F., & Yu, H. (2020). Six-minute walking distance in healthy Chinese people older than 60 years. BMC Pulmonary Medicine, 20(1). https://doi.org/10.1186/S12890-020-01211-W

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