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Health in Madeira: a comprehensive study of aging, body composition, physical activity and functional fitness

dc.contributor.advisorFreitas, Duarte Luís de
dc.contributor.advisorMaia, José António Ribeiro
dc.contributor.advisorBeunen, Gaston Prudence Corneal
dc.contributor.authorGouveia, Élvio Rúbio Quintal
dc.date.accessioned2014-03-25T14:59:02Z
dc.date.available2014-03-25T14:59:02Z
dc.date.issued2014-03-25
dc.date.submitted2011
dc.description.abstractPhysical Activity (PA) and functional fitness (FF) are predictors of a healthy and independent lifestyle in older adults. The purpose of this study was: (1) to construct reference values for FF; (2) to describe sex- and age-related changes in FF, balance, gait, PA, body composition, and bone health/strength; and (3) to determine their variation and co-variation with respect to PA. This cross-sectional study included 401 males and 401 females aged 60-79 years old. FF was assessed using the Senior Fitness test and balance by the Fullerton Advance Balance scale (FAB). Gait parameters: gait velocity (GV), stride length (SL), cadence and gait stability ratio (GSR) were measured. Femoral strength index (FSI) and bone mineral density (BMD) of the total body, lumbar spine, hip region and total lean tissue mass (TLTM) and total fat mass (TFM) were determined by dual-energy x-ray absorptiometry-DXA. PA was assessed during face-to-face interviews using the Baecke questionnaire. Demographic and health history information were obtained by structured telephone interview. In both sexes, a significant main effect for age-group was found for FF parameters, balance scores, gait performances, TLTM and hip, LS and total BMD and FSI. Likewise there were significant main effects for age-group for total PA in women and sports related PA in men. Men scored significantly better than women in FF (except in upper- and lower-body flexibility), balance, GV, SL, GSR and had higher BMD and TLTM compared with women. Active subjects scored better in FF, balance, and gait than their average and non-active peers. PA and FF exerted only a minor influence in the differentiation of BMD and FSI among the elderly while constitutive factors like age, height, body mass, TLTM and TFM entered as the most significant contributors. This study gives scientific support to public policies at the community level, targeted to increase PA, FF and TLTM, thereby contributing to improved quality of life in older adults.por
dc.description.sponsorshipFundação para a Ciência e Tecnologia e Universidade da Madeirapor
dc.identifier.tid101244541
dc.identifier.urihttp://hdl.handle.net/10400.13/567
dc.language.isoengpor
dc.subjectAgingpor
dc.subjectPhysical activitypor
dc.subjectFunctional fitnesspor
dc.subjectBone mineral densitypor
dc.subjectBody compositionpor
dc.subjectCiências do Desportopor
dc.subjectMadeira (Portugal)por
dc.subject.por
dc.subjectCentro de Ciências Sociaispor
dc.titleHealth in Madeira: a comprehensive study of aging, body composition, physical activity and functional fitnesspor
dc.typedoctoral thesis
dspace.entity.typePublication
person.familyNameGouveia
person.givenNameÉlvio Rúbio
person.identifier.ciencia-id3B10-8BDF-0D67
person.identifier.orcid0000-0003-0927-692X
rcaap.rightsopenAccesspor
rcaap.typedoctoralThesispor
relation.isAuthorOfPublicationbac4d787-0647-4e23-82d0-0a905ddcd3e1
relation.isAuthorOfPublication.latestForDiscoverybac4d787-0647-4e23-82d0-0a905ddcd3e1
thesis.degree.disciplineCiências do Desportopor
thesis.degree.levelDoutoramentopor
thesis.degree.nameDoutoramento em Ciências do Desportopor

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