Walking for transport and all-cause mortality: a prospective cohort study of Australian community-dwelling older adults
Background Walking for transport may prolong survival in younger and middle-aged adults; however, evidence for older adults is scarce. We examined a prospective relationship between transport-related walking and all-cause mortality among adults aged 70 years and over.Methods Community-dwelling, appa...
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BMJ Publishing Group
2024-04-01
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| Series: | BMJ Public Health |
| Online Access: | https://bmjpublichealth.bmj.com/content/2/1/e000709.full |
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| author | Rory Wolfe Neville Owen Ben Beck Yang Chen David W Dunstan Alice Owen Robyn L Woods Danijela Gasevic Joanne Ryan Shivangi Shah Carlene Britt |
| author_facet | Rory Wolfe Neville Owen Ben Beck Yang Chen David W Dunstan Alice Owen Robyn L Woods Danijela Gasevic Joanne Ryan Shivangi Shah Carlene Britt |
| author_sort | Rory Wolfe |
| collection | DOAJ |
| description | Background Walking for transport may prolong survival in younger and middle-aged adults; however, evidence for older adults is scarce. We examined a prospective relationship between transport-related walking and all-cause mortality among adults aged 70 years and over.Methods Community-dwelling, apparently healthy older adults (n=11 539; mean age 75.1 years, 53.1% females), participants of the ASPirin in Reducing Events in the Elderly Longitudinal Study of Older Persons, reported their frequency of transport-related walking (never, rarely/once a week, more than once a week or every day). All-cause mortality was verified by two independent sources. Cox proportional-hazards models (HR and 95% CI) assessed the association between transport-related walking and all-cause mortality.Results Of participants, 44.1% reported walking every day, 31.5% more than once a week, 21.7% rarely or once a week and 2.7% never engaged in transport-related walking. During the median follow-up of 8.6 years (IQR: 7.4–10.1), 1599 participants (13.9%) died. Compared with those who reported never walking for transport, the risk of all-cause mortality was lower for those walking rarely or once a week (HR 0.73, 95% CI 0.56 to 0.96); more than once a week (HR 0.76, 95% CI 0.59 to 0.99) and every day (HR 0.74, 95% CI 0.57 to 0.96). Analyses were adjusted for age, sex, education, smoking, alcohol consumption, living status, rurality, household income, socioeconomic status, chronic conditions, body mass index and overall physical activity levels.Conclusions Engaging in any weekly transport-related walking helps older adults prolong survival. Public health campaigns and urban planning should promote and support transport-related walking to boost physical activity levels of older adults and support healthier ageing. |
| format | Article |
| id | doaj-art-152b0923851f4028a4f8132a76431148 |
| institution | Kabale University |
| issn | 2753-4294 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Public Health |
| spelling | doaj-art-152b0923851f4028a4f8132a764311482025-01-29T05:20:10ZengBMJ Publishing GroupBMJ Public Health2753-42942024-04-012110.1136/bmjph-2023-000709Walking for transport and all-cause mortality: a prospective cohort study of Australian community-dwelling older adultsRory Wolfe0Neville Owen1Ben Beck2Yang Chen3David W Dunstan4Alice Owen5Robyn L Woods6Danijela Gasevic7Joanne Ryan8Shivangi Shah9Carlene Britt10School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, AustraliaBaker Heart and Diabetes Institute, Melbourne, Victoria, AustraliaNeuroscience Research Australia, Randwick, New South Wales, AustraliaDepartment of Cardiology, Huadong Hospital Affiliated to Fudan University, Shanghai, ChinaBaker Heart and Diabetes Institute, Melbourne, Victoria, AustraliaSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, AustraliaSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, AustraliaSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, AustraliaSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, AustraliaSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, AustraliaSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, AustraliaBackground Walking for transport may prolong survival in younger and middle-aged adults; however, evidence for older adults is scarce. We examined a prospective relationship between transport-related walking and all-cause mortality among adults aged 70 years and over.Methods Community-dwelling, apparently healthy older adults (n=11 539; mean age 75.1 years, 53.1% females), participants of the ASPirin in Reducing Events in the Elderly Longitudinal Study of Older Persons, reported their frequency of transport-related walking (never, rarely/once a week, more than once a week or every day). All-cause mortality was verified by two independent sources. Cox proportional-hazards models (HR and 95% CI) assessed the association between transport-related walking and all-cause mortality.Results Of participants, 44.1% reported walking every day, 31.5% more than once a week, 21.7% rarely or once a week and 2.7% never engaged in transport-related walking. During the median follow-up of 8.6 years (IQR: 7.4–10.1), 1599 participants (13.9%) died. Compared with those who reported never walking for transport, the risk of all-cause mortality was lower for those walking rarely or once a week (HR 0.73, 95% CI 0.56 to 0.96); more than once a week (HR 0.76, 95% CI 0.59 to 0.99) and every day (HR 0.74, 95% CI 0.57 to 0.96). Analyses were adjusted for age, sex, education, smoking, alcohol consumption, living status, rurality, household income, socioeconomic status, chronic conditions, body mass index and overall physical activity levels.Conclusions Engaging in any weekly transport-related walking helps older adults prolong survival. Public health campaigns and urban planning should promote and support transport-related walking to boost physical activity levels of older adults and support healthier ageing.https://bmjpublichealth.bmj.com/content/2/1/e000709.full |
| spellingShingle | Rory Wolfe Neville Owen Ben Beck Yang Chen David W Dunstan Alice Owen Robyn L Woods Danijela Gasevic Joanne Ryan Shivangi Shah Carlene Britt Walking for transport and all-cause mortality: a prospective cohort study of Australian community-dwelling older adults BMJ Public Health |
| title | Walking for transport and all-cause mortality: a prospective cohort study of Australian community-dwelling older adults |
| title_full | Walking for transport and all-cause mortality: a prospective cohort study of Australian community-dwelling older adults |
| title_fullStr | Walking for transport and all-cause mortality: a prospective cohort study of Australian community-dwelling older adults |
| title_full_unstemmed | Walking for transport and all-cause mortality: a prospective cohort study of Australian community-dwelling older adults |
| title_short | Walking for transport and all-cause mortality: a prospective cohort study of Australian community-dwelling older adults |
| title_sort | walking for transport and all cause mortality a prospective cohort study of australian community dwelling older adults |
| url | https://bmjpublichealth.bmj.com/content/2/1/e000709.full |
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