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. 2024 Dec;15(6):1683-1689.
doi: 10.1007/s41999-024-01077-9. Epub 2024 Oct 8.

Association between willingness to exercise and incident disability in older adults: a prospective longitudinal cohort study

Chika Nakajima  1   2 , Kouki Tomida  3 , Takahiro Shimoda  3 , Ayuka Kawakami  3 , Hiroyuki Shimada  3
Affiliations

Association between willingness to exercise and incident disability in older adults: a prospective longitudinal cohort study

Chika Nakajima et al. Eur Geriatr Med. 2024 Dec.

Abstract

Purpose: To investigate whether the willingness to exercise (WTE) and exercise habits affect the incidence of disability among older adults.

Methods: This study included 8,354 individuals (72.5 ± 6.2 years, 55.9% female). The participants were divided into three categories based on their WTE: unwillingness to exercise, willingness to exercise (but without exercise habits), and exercise habits. The incidence of disability was prospectively determined within 24 months of the follow-up. Cox regression analysis was used to examine the relationship between WTE and the incidence of disability.

Results: Overall, 600 (7.2%), 4,703 (56.3%), and 3,051 (36.5%) participants were classified as unwillingness to exercise, willingness to exercise, and exercise habits, respectively. Compared with the unwillingness to exercise group, the willingness to exercise group (hazard ratio [HR] 0.71, 95%Confidence Interval [CI] 0.52-0.96) and the exercise habits group (HR 0.65, 95%CI 0.46-0.92) had a lower risk of disability incidence.

Conclusions: These results suggest that WTE reduces the risk of disability in older adults. Therefore, the importance of increasing WTE to prevent the occurrence of disabilities is clear. Our results suggest that even though physical activity declines with age, it is important to have the desire to exercise and develop exercise habits.

Keywords: Disability; Exercise habits; Long-term care insurance; Older adults; Willingness to exercise.

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Conflict of interest statement

Declarations. Conflict of interest: The authors declare no conflict of interest. Ethical approval: All parts of the trial procedures are performed in accordance with the Declaration of Helsinki. The study protocol was approved by the Ethics Committee of the National Center for Geriatrics and Gerontology (approval number: 1440–6). Informed consent: All included participants provided written informed consent.

References

    1. World Health Organization (2020) WHO guidelines on physical activity and sedentary behaviour. World Health Organization, Geneva
    1. Mora JC, Valencia WM (2018) Exercise and older adults. Clin Geriatr Med 34:145–162. https://doi.org/10.1016/j.cger.2017.08.007 - DOI - PubMed
    1. Stenholm S, Koster A, Valkeinen H, Patel KV, Bandinelli S, Guralnik JM et al (2016) Association of physical activity history with physical function and mortality in old age. J Gerontol A Biol Sci Med Sci 71:496–501. https://doi.org/10.1093/gerona/glv111 - DOI - PubMed
    1. Chen T, Chen S, Honda T, Kishimoto H, Nofuji Y, Narazaki K (2023) Accelerometer-measured sedentary behavior and risk of functional disability in older Japanese adults: a 9-year prospective cohort study. Int J Behav Nutr Phys Act 20:91. https://doi.org/10.1186/s12966-023-01490-6 - DOI - PubMed - PMC
    1. Rhodes RE, Martin AD, Taunton JE, Rhodes EC, Donnelly M, Elliot J (1999) Factors associated with exercise adherence among older adults An individual perspective. Sports Med 28:397–411. https://doi.org/10.2165/00007256-199928060-00003 - DOI - PubMed