The most active people twice as likely to “age successfully”
Eight articles on PainSci cite Gopinath 2018: 1. Quite a Stretch 2. A Guide to Sciatica Treatment for Patients 3. Complete Guide to Plantar Fasciitis 4. Shin Splints Treatment, The Complete Guide 5. Strength Training for Pain & Injury Rehab 6. Complete Guide to Frozen Shoulder 7. A Rational Guide to Fibromyalgia 8. Get in the Pool for Pain
PainSci commentary on Gopinath 2018: ?This page is one of thousands in the PainScience.com bibliography. It is not a general article: it is focused on a single scientific paper, and it may provide only just enough context for the summary to make sense. Links to other papers and more general information are provided wherever possible.
If you want to age well, move around a lot!
We already know that physical activity reduces the risk of several of the major chronic diseases and increases lifespan. “Successful aging” is a broader concept, harder to measure, which encompasses not only a reduced risk of disease but also the absence of “depressive symptoms, disability, cognitive impairment, respiratory symptoms and systemic conditions.” (No doubt disability from pain is part of that equation.)
In this study of 1584 older Australians, 249 “aged successfully” over ten years. The most active Aussies, “well above the current recommended level,” were twice as likely to be in that group. Imagine how much better they’ll do over 20 years …
original abstract †Abstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.
We aimed to examine the temporal association between physical activity and successful aging. The analyses involved 1,584 adults aged 49 + years living west of Sydney (Australia), who did not have cancer, coronary artery disease and stroke at baseline and who were followed over 10 years. Participants provided information on the performance of moderate or vigorous activities and walking exercise and this was used to determine total metabolic equivalents (METs) minutes of activity per week. Successful aging status was determined through interviewer-administered questionnaire and was classified as the absence of: depressive symptoms, disability, cognitive impairment, respiratory symptoms and systemic conditions (e.g. cancer, coronary artery disease). 249 (15.7%) participants (mean age 59.9 ± 6.1) had aged successfully 10 years later. After multivariable adjustment; older adults in the highest level of total physical activity (≥5000 MET minutes/week; n = 71) compared to those in the lowest level of total physical activity (<1000 MET minutes/week; n = 934) had 2-fold greater odds of aging successfully than normal aging, odds ratio, OR, 2.08 (95% confidence intervals, CI, 1.12-3.88). Older adults who engaged in high levels of total physical activity, well above the current recommended minimum level had a greater likelihood of aging successfully 10 years later.
related content
- “Exercise: The miracle cure and the role of the doctor in promoting it,” {Academy of Medical Royal Colleges}, AOMRC.org.uk, 2015.
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Exercise is Power: Resistance Training for Older Adults on YouTube.com.- “Exercise as medicine - evidence for prescribing exercise as therapy in 26 different chronic diseases,” B K Pedersen and B Saltin, Scandinavian Journal of Medicine & Science in Sports, 2015.
- “Physical activity protects from incident anxiety: A meta-analysis of prospective cohort studies,” Felipe B Schuch, Brendon Stubbs, Jacob Meyer, Andreas Heissel, Philipp Zech, Davy Vancampfort, Simon Rosenbaum, Jeroen Deenik, Joseph Firth, Philip B Ward, Andre F Carvalho, and Sarah A Hiles, Depress Anxiety, 2019.
- “Semantic memory functional MRI and cognitive function after exercise intervention in mild cognitive impairment,” J Carson Smith, Kristy A Nielson, Piero Antuono, Jeri-Annette Lyons, Ryan J Hanson, Alissa M Butts, Nathan C Hantke, and Matthew D Verber, J Alzheimers Dis, 2013.
- “Beneficial associations of low and large doses of leisure time physical activity with all-cause, cardiovascular disease and cancer mortality: a national cohort study of 88,140 US adults,” Min Zhao, Sreenivas P Veeranki, Shengxu Li, Lyn M Steffen, and Bo Xi, British Journal of Sports Medicine, 2019.
This page is part of the PainScience BIBLIOGRAPHY, which contains plain language summaries of thousands of scientific papers & others sources. It’s like a highly specialized blog. A few highlights:
- No long-term effects after a three-week open-label placebo treatment for chronic low back pain: a three-year follow-up of a randomized controlled trial. Kleine-Borgmann 2022 Pain.
- Exercise and education versus saline injections for knee osteoarthritis: a randomised controlled equivalence trial. Bandak 2022 Ann Rheum Dis.
- Association of Lumbar MRI Findings with Current and Future Back Pain in a Population-based Cohort Study. Kasch 2022 Spine (Phila Pa 1976).
- A double-blinded randomised controlled study of the value of sequential intravenous and oral magnesium therapy in patients with chronic low back pain with a neuropathic component. Yousef 2013 Anaesthesia.
- Is Neck Posture Subgroup in Late Adolescence a Risk Factor for Persistent Neck Pain in Young Adults? A Prospective Study. Richards 2021 Phys Ther.