Résumé :
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[BDSP. Notice produite par INIST-CNRS o9R0x9mD. Diffusion soumise à autorisation]. In this study, the authors aimed to determine whether higher activity energy expenditure, assessed by using doubly labeled water, was associated with a reduced decline in mobility limitation among 248 older community-dwelling US adults aged 70-82 years enrolled in 1998-1999. Activity energy expenditure was calculated as total energy expenditure (assessed over 2 weeks by using doubly labeled water) minus resting metabolic rate (measured with indirect calorimetry), with adjustment for the thermic effect of food. Across sex-specific tertiles of activity energy expenditure, men in the lowest activity group experienced twice the rate of mobility limitation as men in the highest activity group (41% (n=18) vs. 18% (n=8)). Conversely, women in the lowest and highest activity groups exhibited similarly high rates of mobility limitation (40% (n=16) vs. 38% (n=15)). After adjustment for potential confounders, men with higher activity energy expenditure levels continued to show reduced risk of mobility limitation (per standard deviation (284 kcal/day) : hazard ratio=0.61,95% confidence interval : 0.41,0.92). Women showed no association (per standard deviation (226 kcal/day) : hazard ratio=1.34,95% confidence interval : 0.98,1.85). Greater energy expenditure from any and all physical activity was significantly associated with reduced risk of developing mobility limitation among men, but not among women.
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