Martin, Helen Julia (2006) Life course determinants of physical performance in older people. University of Southampton, Doctoral Thesis.
Abstract
The aim of this thesis was to explore the contribution of growth in early life and factors acting across the life course to influence PP in older people.
A retrospective cohort study was carried out on men & women with historical records of early growth who had been born in Hertfordshire between 1931 & 1939.
Size in early life was positively associated with grip strength in men & women, quadriceps torque in women & balance in men. Timed up & go & 3m walk were not associated with size in early life in men or women. Higher birth weight was associated with poorer chair rises in women but not in men.
Increasing age was negatively associated with most of the PP measures. Greater height & weight had a beneficial effect on muscle strength, but higher weight had a negative effect on PP. Muscle strength did not differ significantly among those with co-morbidity compared to those without. Presence of co-morbidities had a negative effect on PP. Muscle strength was not associated with social class in men or women but manual social class (IIM-V) was associated with poorer PP. Smoking intake & alcohol consumption were not associated with PP in men or women, with the exception of chair rises which tended to be slower in women with high alcohol consumption. When examined by cluster analysis, lower participation in physical activity was associated with poorer PP in women but not in men.
This study replicates previous findings investigating the relation of PP to age, gender, adult size, co-morbidity, lifestyle, & physical activity. It is the first study to investigate links between early growth & PP in older people & the first to use a novel approach to look at patterns of activity participation in relation to PP demonstrating gender differences.
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