Longitudinal changes in physical capacity from adolescence to middle age in men and women

M Westerståhl, E Jansson, M Barnekow-Bergkvist, U Aasa, M Westerståhl, E Jansson, M Barnekow-Bergkvist, U Aasa

Abstract

The aim was to investigate how physical capacity changes from adolescence through early adulthood to middle age with focus on early aging. The aim was also to study if physical capacity in middle age could be predicted by factors in adolescence or early adulthood. A cohort of men and women in Sweden (SPAF-1958, n = 425) have been followed for 36 years, at 16, 34, and 52 years of age. The study includes, among other variables, objective measures of physical capacity. At age 52, 50% of the original cohort participated in exercise testing. Physical capacity increased from 16 to 34 years. From 34 to 52 years, physical capacity decreased in both genders by 15-20% in all but one test. Physical capacity at 16 and 34 years of age were better predictors of physical capacity at age 52 than body dimensions, school grades and life style factors. In conclusion, present data confirm earlier cross-sectional studies regarding the decrease in aerobic capacity and muscular strength during the early ageing period in both genders. The study has also generated novel data that show a smaller decline in muscular endurance than previously reported. Finally, physical capacity is fairly stable from adolescence to middle age.

Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
Physical capacity at 16, 34 and 52 years of age. y = years, N = Newton. Differences between groups are denoted as follows: *Significant gender difference, #significant percentage change from 16 years (gender specific), §significant percentage change from 34 years (gender specific), χsignificant gender difference in percentage change from 16 years, ¤Significant gender difference in percentage change from 34 years, (a) Absolute VO2max. All p-values < 0.001 with the exception for the percentage change in men from 16 to 52 years of age (p < 0.01). (b) Relative VO2max. All p-values < 0.001. (c) Two-hand lift. All p-values < 0.001 with the exception for the percentage change in women from 16 to 34 years of age (p < 0.01). (d) Bench press. All p-values < 0.001 with the exception for the percentage change in women in bench press from 34 to 52 years of age (p < 0.01). (e) Curl-up. All p-values < 0.001. (f) Back endurance. All p-values < 0.001 with the exception for the gender difference in percentage change (p < 0.05).

References

    1. Garber Carol Ewing, Blissmer Bryan, Deschenes Michael R., Franklin Barry A., Lamonte Michael J., Lee I-Min, Nieman David C., Swain David P. Quantity and Quality of Exercise for Developing and Maintaining Cardiorespiratory, Musculoskeletal, and Neuromotor Fitness in Apparently Healthy Adults. Medicine & Science in Sports & Exercise. 2011;43(7):1334–1359. doi: 10.1249/MSS.0b013e318213fefb.
    1. Van Oort C, et al. Tracking of aerobic fitness from adolescence to mid-adulthood. Annals of human biology. 2013;40:547–553. doi: 10.3109/03014460.2013.817606.
    1. Taeymans J, Clarys P, Abidi H, Hebbelinck M, Duquet W. Developmental changes and predictability of static strength in individuals of different maturity: a 30-year longitudinal study. Journal of sports sciences. 2009;27:833–841. doi: 10.1080/02640410902874711.
    1. Soric M, Jembrek Gostovic M, Gostovic M, Hocevar M, Misigoj-Durakovic M. Tracking of BMI, fatness and cardiorespiratory fitness from adolescence to middle adulthood: the Zagreb Growth and Development Longitudinal Study. Annals of human biology. 2014;41:238–243. doi: 10.3109/03014460.2013.851739.
    1. Mikkelsson L, et al. School fitness tests as predictors of adult health-related fitness. American journal of human biology: the official journal of the Human Biology Council. 2006;18:342–349. doi: 10.1002/ajhb.20498.
    1. Matton L, et al. Tracking of physical fitness and physical activity from youth to adulthood in females. Medicine and science in sports and exercise. 2006;38:1114–1120. doi: 10.1249/01.mss.0000222840.58767.40.
    1. Kemper HC, de Vente W. van Mechelen, W. & Twisk, J. W. Adolescent motor skill and performance: is physical activity in adolescence related to adult physical fitness? American journal of human biology: the official journal of the Human Biology Council. 2001;13:180–189. doi: 10.1002/1520-6300(200102/03)13:2<180::AID-AJHB1027>;2-R.
    1. Fleg JL, et al. Accelerated longitudinal decline of aerobic capacity in healthy older adults. Circulation. 2005;112:674–682. doi: 10.1161/CIRCULATIONAHA.105.545459.
    1. Boreham C, et al. Associations between physical fitness and activity patterns during adolescence and cardiovascular risk factors in young adulthood: the Northern Ireland Young Hearts Project. International journal of sports medicine. 2002;23(Suppl 1):S22–26. doi: 10.1055/s-2002-28457.
    1. Andersen LB. Changes in physical activity are reflected in changes in fitness during late adolescence. A 2-year follow-up study. J Sports Med Phys Fitness. 1994;34:390–397.
    1. Chodzko-Zajko WJ, et al. American College of Sports Medicine position stand. Exercise and physical activity for older adults. Medicine and science in sports and exercise. 2009;41:1510–1530. doi: 10.1249/MSS.0b013e3181a0c95c.
    1. Ross R, et al. Importance of Assessing Cardiorespiratory Fitness in Clinical Practice: A Case for Fitness as a Clinical Vital Sign: A Scientific Statement From the American Heart Association. Circulation. 2016;134:e653–e699. doi: 10.1161/CIR.0000000000000461.
    1. Rantanen T, et al. Muscle strength and body mass index as long-term predictors of mortality in initially healthy men. The journals of gerontology. Series A, Biological sciences and medical sciences. 2000;55:M168–173. doi: 10.1093/gerona/55.3.M168.
    1. FitzGerald Shannon J., Barlow Carolyn E., Kampert James B., Morrow James R., Jackson Allen W., Blair Steven N. Muscular Fitness and All-Cause Mortality: Prospective Observations. Journal of Physical Activity and Health. 2004;1(1):7–18. doi: 10.1123/jpah.1.1.7.
    1. Aasa U, Lundell S, Barnekow-Bergkvist M, Jansson E, Westerstahl M. The Swedish physical activity and fitness cohort born in 1958 - dropout analysis and overview at 36-year follow-up. Scandinavian journal of medicine & science in sports. 2017;27:418–429. doi: 10.1111/sms.12665.
    1. Hedberg, G. & Jansson, E. Skeletal muscle fibre distribution, capacity and interest in different physical activities among students in high school [in Swedish]. (Universitetet och lärarhögskolan i Umeå, 1976).
    1. Barnekow-Bergkvist M, Hedberg G, Janlert U, Jansson E. Development of muscular endurance and strength from adolescence to adulthood and level of physical capacity in men and women at the age of 34 years. Scandinavian journal of medicine & science in sports. 1996;6:145–155. doi: 10.1111/j.1600-0838.1996.tb00082.x.
    1. Barnekow-Bergkvist M, Hedberg G, Janlert U, Jansson E. Prediction of physical fitness and physical activity level in adulthood by physical performance and physical activity in adolescence–an 18-year follow-up study. Scandinavian journal of medicine & science in sports. 1998;8:299–308. doi: 10.1111/j.1600-0838.1998.tb00486.x.
    1. Barnekow-Bergkvist M, Hedberg G, Janlert U, Jansson E. Physical activity pattern in men and women at the ages of 16 and 34 and development of physical activity from adolescence to adulthood. Scandinavian journal of medicine & science in sports. 1996;6:359–370. doi: 10.1111/j.1600-0838.1996.tb00108.x.
    1. Jansson, E. & Hedberg, G. Skeletal muscle fibres in teenagers: relationship to physical performance and physical activity. Scand J Med Sci Sports. 31–44 (1991).
    1. Hedberg, G. Utprövning av ett uthållighetsprov för skolelever (A try-out of a test of endurance for pupils). (Lärarhögskolan, Umeå, 1976).
    1. Åstrand, P.-O. Textbook of work physiology: physiological bases of exercise. 4. edn, (Human Kinetics, 2003).
    1. Chaffin DB, Herrin GD, Keyserling WM. Preemployment strength testing: an updated position. J Occup Med. 1978;20:403–408.
    1. Bergkvist, M., H. G. & Rahm, M. Utvärdering av test för bedömning av styrka, rörlighet och koordination. (Arbetsmiljöinstitutet, 1992:5).
    1. Hedberg, G. Utprövning av styrketest för skolelever (A try-out of tests of strength for pupils). (Umeå, 1975).
    1. Bulmer, M. In Principles of Statistics 108–123 (Dover Publications Inc, New York, 1979).
    1. Malina RM. Physical activity and fitness: pathways from childhood to adulthood. American journal of human biology: the official journal of the Human Biology Council. 2001;13:162–172. doi: 10.1002/1520-6300(200102/03)13:2<162::AID-AJHB1025>;2-T.
    1. Schmidt, T. In Handbook of Research Methods in Developmental Science (ed Douglas M. Teti) (Wiley Online Library 2008).
    1. Twisk JW, Kemper HC. & van Mechelen, W. Tracking of activity and fitness and the relationship with cardiovascular disease risk factors. Medicine and science in sports and exercise. 2000;32:1455–1461. doi: 10.1097/00005768-200008000-00014.
    1. Trudeau F, Shephard RJ, Arsenault F, Laurencelle L. Tracking of physical fitness from childhood to adulthood. Canadian journal of applied physiology = Revue canadienne de physiologie appliquee. 2003;28:257–271. doi: 10.1139/h03-020.
    1. RM Malina, R., Bouchard, C. & Bar-Or, O. Growth, Maturation, and Physical Activity. Vol. 2nd (Human Kinetics, 2004).
    1. Geithner CA, et al. Growth in peak aerobic power during adolescence. Medicine and science in sports and exercise. 2004;36:1616–1624. doi: 10.1249/01.MSS.0000139807.72229.41.
    1. Aspenes ST, et al. Peak oxygen uptake and cardiovascular risk factors in 4631 healthy women and men. Medicine and science in sports and exercise. 2011;43:1465–1473. doi: 10.1249/MSS.0b013e31820ca81c.
    1. Brown DA, Miller WC. Normative data for strength and flexibility of women throughout life. European journal of applied physiology and occupational physiology. 1998;78:77–82. doi: 10.1007/s004210050390.
    1. Payne N, Gledhill N, Katzmarzyk PT, Jamnik VK, Keir PJ. Canadian musculoskeletal fitness norms. Canadian journal of applied physiology = Revue canadienne de physiologie appliquee. 2000;25:430–442. doi: 10.1139/h00-028.
    1. Alaranta H, Hurri H, Heliovaara M, Soukka A, Harju R. Non-dynamometric trunk performance tests: reliability and normative data. Scandinavian journal of rehabilitation medicine. 1994;26:211–215.
    1. Sidney K, Jetté M. The partial curl‐up to assess abdominal endurance: Age and sex standards. Sports Medicine, Training and Rehabilitation. 1990;2:47–56. doi: 10.1080/15438629009511897.
    1. Adedoyin RA, Mbada CE, Farotimi AO, Johnson OE, Emechete AA. Endurance of low back musculature: normative data for adults. Journal of back and musculoskeletal rehabilitation. 2011;24:101–109. doi: 10.3233/BMR-2011-0282.
    1. McIntosh G, Wilson L, Affleck M, Hall H. Trunk and lower extremity muscle endurance: Normative data. J Rehabil Outcome Meas. 1998;2:20–39.
    1. Andersen LB, Haraldsdottir J. Tracking of cardiovascular disease risk factors including maximal oxygen uptake and physical activity from late teenage to adulthood. An 8-year follow-up study. J Intern Med. 1993;234:309–315.
    1. Beunen GP, et al. Skeletal maturation, somatic growth and physical fitness in girls 6-16 years of age. International journal of sports medicine. 1997;18:413–419. doi: 10.1055/s-2007-972657.
    1. Campbell PT, et al. Prediction of physical activity and physical work capacity (PWC150) in young adulthood from childhood and adolescence with consideration of parental measures. American journal of human biology: the official journal of the Human Biology Council. 2001;13:190–196. doi: 10.1002/1520-6300(200102/03)13:2<190::AID-AJHB1028>;2-N.
    1. LM E. Who is physically active? Cultural capital and sports participation from adolescence to middle age—a 38-year follow-up study. Physical Education and Sport Pedagogy. 2008;13:319–343. doi: 10.1080/17408980802400510.
    1. Ombrellaro KJ, et al. Socioeconomic Correlates and Determinants of Cardiorespiratory Fitness in the General Adult Population: a Systematic Review and Meta-Analysis. Sports medicine - open. 2018;4:25. doi: 10.1186/s40798-018-0137-0.
    1. Volaklis KA, Halle M, Meisinger C. Muscular strength as a strong predictor of mortality: A narrative review. European journal of internal medicine. 2015;26:303–310. doi: 10.1016/j.ejim.2015.04.013.
    1. Shin H, Panton LB, Dutton GR, Ilich JZ. Relationship of Physical Performance with Body Composition and Bone Mineral Density in Individuals over 60 Years of Age: A Systematic Review. Journal of aging research. 2011;2011:191896. doi: 10.4061/2011/191896.

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