A1 Journal article (refereed)
The Impact of Multimorbidity Patterns on Changes in Physical Activity and Physical Capacity Among Older Adults Participating in a Year-Long Exercise Intervention (2024)

Savikangas, T., Savolainen, T., Tirkkonen, A., Alén, M., Hautala, A. J., Laukkanen, J. A., Rantalainen, T., Törmäkangas, T., & Sipilä, S. (2024). The Impact of Multimorbidity Patterns on Changes in Physical Activity and Physical Capacity Among Older Adults Participating in a Year-Long Exercise Intervention. Journal of Aging and Physical Activity, 32(2), 213-224. https://doi.org/10.1123/japa.2022-0397

JYU authors or editors

Publication details

All authors or editors: Savikangas, Tiina; Savolainen, Taija; Tirkkonen, Anna; Alén, Markku; Hautala, Arto J.; Laukkanen, Jari A.; Rantalainen, Timo; Törmäkangas, Timo; Sipilä, Sarianna

Journal or series: Journal of Aging and Physical Activity

ISSN: 1063-8652

eISSN: 1543-267X

Publication year: 2024

Volume: 32

Issue number: 2

Pages range: 213-224

Publisher: Human Kinetics

Publication country: United States

Publication language: English

DOI: https://doi.org/10.1123/japa.2022-0397

Publication open access: Openly available

Publication channel open access: Partially open access channel

Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/92275

Abstract

This study investigated the impact of multimorbidity patterns on physical activity and capacity outcomes over the course of a year-long exercise intervention, and on physical activity 1 year later. Participants were 314 physically inactive communitydwelling men and women aged 70–85 years, with no contraindications for exercise at baseline. Physical activity was selfreported. Physical capacity measurements included five-time chair-stand time, 6-minute walking distance, and maximal isometric knee-extension strength. The intervention included supervised and home-based strength, balance, and walking exercises. Multimorbidity patterns comprised physician-diagnosed chronic disease conditions as a predictor cluster and body mass index as a measure of obesity. Multimorbidity patterns explained 0%–12% of baseline variance and 0%–3% of the change in outcomes. The magnitude and direction of the impact of unique conditions varied by outcome, time point, and sex. Multimorbid older adults with no contraindications for exercise may benefit from multimodal physical training.

Keywords: older people; physical training; physical functioning; performance (capacity); functional capacity; intervention study

Free keywords: physical training; physical functioning; physical performance; chronic conditions; community-dwelling

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Ministry reporting: Yes

VIRTA submission year: 2023

JUFO rating: 1