Exercise preserves lung function in individuals with asthma
*Healthy lifestyle in old age shortens end-of-life disability
In a study of adults with asthma, active individuals had slightly less lung function decline than inactive individuals.
The study titled “Physical activity and lung function decline in adults with asthma: The HUNT Study” was published in the journal Respirology.
The study included 1329 adults in Norway who were followed for an average of 11.6 years. On average, active asthmatic adults had 1.5 to 2.1 percent less decline in the FEV1/FVC ratio (forced expiratory volume 1/forced vital capacity) and 44 to 88 mL less decline in peak expiratory flow during follow-up.
If confirmed in other studies, the findings would contribute to the understanding of modifiable lifestyle factors, other than smoking cessation, for protecting the lungs of people with asthma.
“Generally we observed similar annual declines in lung function between physically active and inactive adults with asthma, however there was a slight tendency for the results to favor the active,” said Dr. Ben Brumpton, lead author of the Respirology study.
Also, leading a healthy lifestyle not only extends one’s lifespan, but it also shortens the time that is spent disabled – a finding that had previously eluded public health scientists and demonstrates the value of investing in healthy lifestyle promotion, even among the elderly.
An analysis of a quarter century of data by scientists at the University of Pittsburgh Graduate School of Public Health, United States (U.S.), and their colleagues nationwide revealed that older adults with the healthiest lifestyles could expect to spend about 1.7 fewer years disabled at the end of their lives, compared to their unhealthiest counterparts. The study results are online and scheduled for the October issue of the Journal of the American Geriatrics Society.
“The duration of the disabled period near the end of one’s life has enormous personal and societal implications, ranging from quality of life to health care costs,” said senior author Dr. Anne B. Newman, chair of the Department of Epidemiology at Pitt Public Health and Katherine M. Detre Professor of Population Health Sciences. “We discovered that, fortunately, by improving lifestyle we can postpone both death and disability. In fact, it turns out that we’re compressing that disabled end-of-life period.”
Newman and her colleagues examined data collected by the Cardiovascular Health Study, which followed 5,888 adults from Sacramento County, Calif.; Forsyth County, N.C.; Washington County, Md.; and Allegheny County, Pa., for 25 years. All of the participants were aged 65 or older and were not institutionalized or wheelchair-dependent when they enrolled.
The participants reported or were assessed for various lifestyle factors, including smoking habits, alcohol consumption, physical activity, diet, weight and their social support system. The researchers took into account and adjusted results for such factors as participants’ age, sex, race, education, income, marital status and chronic health conditions.
Across all the participants, the average number of disabled years directly preceding death – years when the person had difficulty eating, bathing, toileting, dressing, getting out of bed or a chair, or walking around the home – averaged 4.5 years for women and 2.9 years for men.
For each gender and race group, those with the healthiest lifestyle (those who were nonsmokers of a healthy weight and diet and getting regular exercise) not only lived longer, but had fewer disabled years at the end of their lives. For example, a white man in the healthiest lifestyle group could expect to live 4.8 years longer than his counterpart in the unhealthiest group, and at the end of his life, he’d likely spend only two of those years disabled, compared to 3.7 years for his unhealthy counterpart.
Put another way, that man’s healthy lifestyle has given him nearly three more years of active life free of disability than his unhealthy counterpart, who not only died earlier but spent the last three-and-a-half years of his life disabled – a larger percentage of those remaining years.
“This clearly demonstrates the great value of investing in the promotion of a healthy lifestyle and encouraging people to maintain healthy behaviors into old age,” said lead author Mini E. Jacob, M.D., Ph.D., who completed this project during her doctoral studies at Pitt Public Health and currently is of the Boston University School of Public Health, Harvard Medical School and Veterans Affairs Boston Healthcare System. “We are not discounting the role of factors like income and chronic conditions, which we adjusted for in our analyses. However, our results do indicate that increasing obesity levels of older Americans can herald a disability epidemic, and by urging healthy lifestyles, we may still be able to reduce the public health burden due to disability as more adults reach old age.”