title: Association between muscle strengthening physical activities and mortality among American adults with mobility limitations.
abstract: Compared to aerobic-based physical activity, less research has evaluated the effects of muscle-strengthening physical activity (MSPA) on mortality. Additionally, limited research has evaluated this among adults with mobility limitations, which was this study's purpose. Data from the 2003-2006 NHANES, with follow-up through 2011, were used (analyzed in 2016). MSPA was assessed via self-report, with all-cause, CVD-specific, and cancer-specific mortality assessed as the outcome variables. Analyses were limited to adults with mobility limitations (N=1411), assessed via a validated questionnaire. After adjustments, those meeting MSPA guidelines (vs. not) had a 38% reduced hazard of all-cause death (HR=0.62; 95% CI: 0.41-0.95). Results were similar for CVD-specific mortality (HR=0.46; 95% CI: 0.23-0.97) and cancer-specific mortality (HR=0.27; 95% CI: 0.06-1.20). Meeting MSPA guidelines is associated with reduced all-cause and cause-specific mortality among adults with mobility limitations. This is an encouraging observation as adults with mobility limitations may be unable to engage in sufficient amounts of aerobic-based physical activity. Thus, promotion of MSPA among this population may be of critical importance.
authors.affiliation: Physical Activity Epidemiology Laboratory, Exercise Psychology Laboratory, Department of Health, Exercise Science and Recreation Management, University of Mississippi, United States. Electronic address: pdloprin@olemiss.edu.
authors.forename: Paul D
authors.initials: PD
authors.lastname: Loprinzi
authors.affiliation: Physical Activity Epidemiology Laboratory, Exercise Psychology Laboratory, Department of Health, Exercise Science and Recreation Management, University of Mississippi, United States.
authors.forename: Ovuokerie
authors.initials: O
authors.lastname: Addoh
authors.affiliation: Department of Preventive Medicine, University of Mississippi Medical Center, United States.
authors.forename: Joshua R
authors.initials: JR
authors.lastname: Mann
mesh_terms: D002318:Cardiovascular Diseases / Q000401:mortality; D015444:Exercise / Q000502:physiology* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D051346:Mobility Limitation; D009026:Mortality / Q000639:trends*; D053580:Muscle Strength / Q000502:physiology*; D009369:Neoplasms / Q000401:mortality; D009749:Nutrition Surveys; D011795:Surveys and Questionnaires
keywords: Epidemiology; Resistance training; Survival