Physical activity and walking performance across the lifespan among adults with multiple sclerosis.


Journal

Multiple sclerosis and related disorders
ISSN: 2211-0356
Titre abrégé: Mult Scler Relat Disord
Pays: Netherlands
ID NLM: 101580247

Informations de publication

Date de publication:
Oct 2019
Historique:
received: 11 02 2019
revised: 12 06 2019
accepted: 04 07 2019
pubmed: 16 7 2019
medline: 3 4 2020
entrez: 15 7 2019
Statut: ppublish

Résumé

There is consistent evidence of an association between physical activity and walking performance in persons with multiple sclerosis (MS). To date, this relationship has been predominantly examined in young and middle-aged adults rather than in the rapidly-growing population of older adults with MS who often times have greater walking problems and are less physically active. This study examined whether physical activity was differentially associated with walking performance across three age groups of young (20-39 years), middle-aged (40-59 years), and older (60-79 years) adults with MS. The sample included 124 persons with MS who attended one testing session and provided demographic information, completed the Timed 25-Foot Walk (T25FW) and the Six Minute Walk (6MW) as measures of walking speed and walking endurance, respectively, and wore an accelerometer for a 7-day period. Trend analysis indicated light physical activity did not significantly differ with increasing age; however, moderate-to-vigorous physical activity (MVPA), walking speed, and walking endurance declined with increasing age. Partial spearman's rank-order correlations between physical activity and walking outcomes that controlled for disease duration, race, and ambulatory disability within each age group indicated that the relationship between MVPA and walking performance was strong among older adults with MS (pr Interventions targeting MVPA may be an appropriate approach for managing walking impairment, particularly in older adults with MS.

Sections du résumé

BACKGROUND BACKGROUND
There is consistent evidence of an association between physical activity and walking performance in persons with multiple sclerosis (MS). To date, this relationship has been predominantly examined in young and middle-aged adults rather than in the rapidly-growing population of older adults with MS who often times have greater walking problems and are less physically active. This study examined whether physical activity was differentially associated with walking performance across three age groups of young (20-39 years), middle-aged (40-59 years), and older (60-79 years) adults with MS.
METHODS METHODS
The sample included 124 persons with MS who attended one testing session and provided demographic information, completed the Timed 25-Foot Walk (T25FW) and the Six Minute Walk (6MW) as measures of walking speed and walking endurance, respectively, and wore an accelerometer for a 7-day period.
RESULTS RESULTS
Trend analysis indicated light physical activity did not significantly differ with increasing age; however, moderate-to-vigorous physical activity (MVPA), walking speed, and walking endurance declined with increasing age. Partial spearman's rank-order correlations between physical activity and walking outcomes that controlled for disease duration, race, and ambulatory disability within each age group indicated that the relationship between MVPA and walking performance was strong among older adults with MS (pr
CONCLUSION CONCLUSIONS
Interventions targeting MVPA may be an appropriate approach for managing walking impairment, particularly in older adults with MS.

Identifiants

pubmed: 31302502
pii: S2211-0348(19)30287-1
doi: 10.1016/j.msard.2019.07.003
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

36-41

Informations de copyright

Copyright © 2019 Elsevier B.V. All rights reserved.

Auteurs

Jessica F Baird (JF)

Department of Physical Therapy, University of Alabama at Birmingham, Birmingham, AL, USA; University of Alabama at Birmingham Center for Exercise Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.

Katie L J Cederberg (KLJ)

Department of Physical Therapy, University of Alabama at Birmingham, Birmingham, AL, USA.

E Morghen Sikes (EM)

Department of Physical Therapy, University of Alabama at Birmingham, Birmingham, AL, USA.

Stephanie L Silveira (SL)

Department of Physical Therapy, University of Alabama at Birmingham, Birmingham, AL, USA.

Brenda Jeng (B)

Department of Physical Therapy, University of Alabama at Birmingham, Birmingham, AL, USA.

Jeffer E Sasaki (JE)

Graduate Program in Physical Education, Federal University of Triangulo Mineiro, Uberaba, Minas Gerais, Brazil.

Brian M Sandroff (BM)

Department of Physical Therapy, University of Alabama at Birmingham, Birmingham, AL, USA; University of Alabama at Birmingham Center for Exercise Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.

Robert W Motl (RW)

Department of Physical Therapy, University of Alabama at Birmingham, Birmingham, AL, USA; University of Alabama at Birmingham Center for Exercise Medicine, University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: robmotl@uab.edu.

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Classifications MeSH