Reduced Body Flexibility Is Associated With Poor Survival in Middle-Aged Men and Women: A Prospective Cohort Study

被引:0
|
作者
Araujo, Claudio Gil S. [1 ]
de Souza e Silva, Christina G. [1 ]
Kunutsor, Setor K. [2 ,3 ]
Franklin, Barry A. [4 ]
Laukkanen, Jari A. [5 ,6 ]
Myers, Jonathan [7 ,8 ]
Singh, Maria A. Fiatarone [9 ,10 ]
Franca, Joao Felipe [1 ]
Castro, Claudia Lucia B. [1 ]
机构
[1] Exercise Med Clin CLINIMEX, Rio De Janeiro, Brazil
[2] Univ Leicester, Leicester Gen Hosp, Diabet Res Ctr, Leicester, England
[3] Univ Manitoba, Max Rady Coll Med, Rady Fac Hlth Sci, Sect Cardiol,Dept Internal Med, Winnipeg, MB, Canada
[4] William Beaumont Univ Hosp, Corewell Hlth East, Royal Oak, MI USA
[5] Univ Eastern Finland, Inst Clin Med, Dept Med, Kuopio, Finland
[6] Wellbeing Serv Cty Cent Finland, Dept Med, Jyvaskyla, Finland
[7] VA Palo Alto Hlth Care Syst, Div Cardiol, Palo Alto, CA USA
[8] Stanford Univ, Palo Alto, CA USA
[9] Univ Sydney, Fac Med & Hlth, Sch Hlth Sci, Exercise & Sport Sci, Sydney, Australia
[10] Univ Sydney, Sydney Med Sch, Sydney, Australia
关键词
Flexitest; joint motion; mortality studies; physical fitness; stretching; INJURY PREVENTION; SIT; FLEXITEST; MORTALITY; FITNESS; ABILITY; MOTION; RANGE; RISK;
D O I
10.1111/sms.14708
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
Objectives: Flexibility is recognized as one of the components of physical fitness and commonly included as part of exercise prescriptions for all ages. However, limited data exist regarding the relationship between flexibility and survival. We evaluated the sex-specific nature and magnitude of the associations between body flexibility and natural and non-COVID-19 mortality in a middle-aged cohort of men and women. Design: Prospective cohort study. Methods: Anthropometric, health and vital data from 3139 (66% men) individuals aged 46-65 years spanning from March 1994 to October 2022 were available. A body flexibility score, termed Flexindex, was derived from a combination of 20 movements (scored 0-4) involving seven different joints, resulting in a score range of 0-80. Kaplan-Meier survival curves were obtained, and unadjusted and adjusted hazard ratios (HRs) for mortality estimated. Results: During a mean follow-up of 12.9 years, 302 individuals (9.6%) comprising 224 men/78 women died. Flexindex was 35% higher in women compared to men (mean +/- SD: 41.1 +/- 9.4 vs. 30.5 +/- 8.7; p < 0.001) and exhibited an inverse relationship with mortality risk in both sexes (p < 0.001). Following adjustment for age, body mass index, and health status, the HR (95% CI) for mortality comparing upper and bottom of distributions of Flexindex were 1.87 (1.50-2.33; p < 0.001) for men and 4.78 (1.23-31.71; p = 0.047) for women. Conclusions: A component of physical fitness-body flexibility-as assessed by the Flexindex is strongly and inversely associated with natural and non-COVID-19 mortality risk in middle-aged men and women. Future studies should assess whether training-induced flexibility gains are related to longer survival.
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页数:11
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