Search PubMed⌕ Search

Biomedical subjects

I M Vuori

Publications and source records attributed to I M Vuori.

16 recordsLinked to original sources
PubMed2002

Improved functional status in 16 years of follow up of middle aged and elderly men and women in north eastern Finland.

STUDY OBJECTIVE: To investigate age, period, and cohort effects on functional status. DESIGN: A prospective cohort study with measurements in 1981, 1990, and 1996. SETTING: Three municipalities in north east Finland. PARTICIPANTS: A regionally representative sample of 19 to 63 year old men and women was drawn from the census data in 1979, of which 758 men and 1033 women initially aged 39-63 years entered the study in 1980 and completed the follow up in 1996 (90.9% of the alive cohort). MEASUREMENTS AND MAIN RESULTS: Functional status was determined based on self estimated disabilities (difficulties or not able) to walk 2 km, climb several flights of stairs, and run 100 m. The age adjusted odds of disability in stair climbing and running were lower among the men and the women in 1990 and 1996 than among the men and the women in 1981. There was a declining trend in the odds of disability with succeeding birth cohorts among both the men (odds ratios (OR) 0.79 and 95% confidence intervals (CI) 0.70 to 0.88 for stair climbing and OR 0.88 and 95% CI 0.78 to 0.98 for running) and the women (OR 0.85 and 95% CI 0.77 to 0.93 for stair climbing and OR 0.85 and 95% CI 0.76 to 0.94 for running). No statistically significant differences in walking disability were found between the study periods or the study cohorts. CONCLUSIONS: The findings depict an improved time trend in functional status in the study population, with implications for future health and social care planning.

Activities of Daily Living↗
PubMed2001

Health benefits of physical activity with special reference to interaction with diet.

Regular physical activity causes numerous and substantial performance-improving and health-enhancing effects. Most of them are highly predictable, dose-dependent and generalizable to a wide range of population groups. Many of the biological effects of regular, moderate physical activity translate into substantially reduced risk of coronary heart disease, cerebrovascular disease, hypertension, maturity onset diabetes, overweight and obesity, and osteoporosis. These effects also substantially reduce the risk of deterioration of functional capacity. In the genesis of these conditions, a lack of physical activity and inadequate nutrition act synergistically and in part additively, and they operate largely through the same pathways. It is conceivable to suggest that the prevalence of, e.g, the above mentioned metabolic diseases is so high in Europe largely because of the high prevalence of sedentariness and inadequate nutrition. Thus, both physical activity and nutrition have to be given strong emphasis in policies, strategies and programmes that will be developed and implemented for improving the health of Europeans.

Chronic Disease↗
PubMed2001

Dose-response of physical activity and low back pain, osteoarthritis, and osteoporosis.

PURPOSE: The purpose of this study was to examine the evidence for causal relationships between physical activity (PA) and low back pain (LBP), osteoarthritis (OA), and osteoporosis (OP), and for dose-response relations involved. METHODS: Computer database searches and personal retrieval systems were used to locate relevant literature. RESULTS: PA can be effective in preventing LBP (Category A) but prolonged, heavy loading can lead to LBP (Category C). Specific exercises have not been found effective in treatment of acute LBP (Category A), but PA can be effective in chronic LBP (Category B), especially for diminishing the effects of deconditioning. No evidence indicates that PA directly prevents OA. Large amounts of intensive PA involving high impacts or torsional loadings or causing injuries increases risk of OA (Category C). Light or moderate PA does not increase the risk of OA (Category C). PA can be effective in the treatment and rehabilitation of OA (Category B). High-intensity loading is osteogenic and possibly useful in prevention of OP (Category A) at the loaded site, but low to moderate loading is not osteogenic (Category D). Static efforts and slow movements are ineffective or less effective than fast application of force (Category B). The types of PA to attain the effects mentioned above are known except in the case of prevention of LBP, but dose-response relationships are poorly known; at best, semiquantitatively on the basis of just a few studies. CONCLUSION: Given the shown primary and/or secondary preventative effectiveness of PA regarding LBP, OA, and OP, research to elucidate the inadequately known dose-response relations should be given high priority.

Adult↗
PubMed2000

Prediction of change in maximal aerobic power by the 2-km walk test after walking training in middle-aged adults.

The aim was to study the 2-km walk test's accuracy in predicting maximal aerobic power (VO2max) and its changes during 15-week walking training in 108 healthy middle-aged adults. Training prescription was 65-75% of VO2max 50 min/session, four times weekly. VO2max was measured walking on a treadmill and predicted from the 2-km walk test using gender-specific equations including age, body mass index, performance time and heart rate. The difference in VO2max between the walk test and the maximal exercise test before training was -0.9 ml x min(-1) x kg(-1) (SD 4.4) in men and -2.2 (3.5) in women. The total error was from 4.1 to 4.5 ml x min(-1) x kg(-1). After training the increase in measured VO2max was 2.9 ml x min(-1) x kg(-1) more in the walkers compared to the controls. The difference between the predicted and measured changes in VO2max during training ranged from -1.8 to -1.0 ml x min(-1) x kg(-1) between the study groups except in walking men, for whom the walk test overestimated the difference. The total error was from 3.1 to 4.9 ml x min(-1) x kg(-1). The 2-km walk test can be used as a reasonably accurate field test to predict changes in VO2max due to aerobic training in healthy nonathletic adults.

Adult↗
PubMed1999

Health-related fitness test battery for middle-aged adults: associations with physical activity patterns.

To evaluate the validity of a health-related fitness (HRFI) test battery with respect to physical activity (PA), we studied how PA patterns of adults are related to different components of HRFI with special interest in musculoskeletal and motor fitness. Subjects (n = 498) were middle-aged (37-57 years) men and women, evenly selected from five age cohorts of a representative population sample. PA was assessed with a questionnaire and classified into three PA groups. Fitness assessment included 9 simple field tests. The odds ratio of low fitness (least fit 40 %) of the measured dimension of HRFI for three PA groups with reference to inactive group were analysed. All PA groups were strongly related to Walk Test results in both genders, and to BMI in women. Muscular type exercise was associated with modified push-ups strength and static back extension endurance in both genders, and with one-leg standing balance in women. One-leg squat for leg strength, jump-and-reach for leg power, trunk side-bending flexibility and hamstring muscle extensibility tests were not associated with PA. Five of the nine fitness tests demonstrated plausible associations with PA patterns among adults suggesting activity-related validity. An exercise intervention study is needed to evaluate the sensitivity of the tests to fitness changes.

Adult↗
PubMed1998

Health-related fitness test battery for adults: associations with perceived health, mobility, and back function and symptoms.

OBJECTIVE: To evaluate the health-related content validity of nine fitness tests by studying how low, mid, and high levels of fitness are associated with perceived health and musculoskeletal functioning. DESIGN: Cross-sectional methodological study. SETTING: A research institute for health promotion. PARTICIPANTS: Middle-aged (37 to 57 years) men (n = 245) and women (n = 253), evenly selected from five age cohorts of a random population sample. MAIN OUTCOME MEASURES: The odds ratios (ORs) of selected health outcomes for low (least fit 20%), mid (next 40%), and high (most fit 40%) fitness categories in the different tests adjusted for several possible confounders. RESULTS: Cardiorespiratory fitness, as measured by 2-km walk test, was strongly and consistently associated with perceived health and mobility (stair climbing) in both genders (range of ORs, 2.4 to 17.6), and a somewhat weaker relationship was found with leg power and with leg strength (ORs, 2.5 to 7.2). Low fitness in back muscular endurance and upper-body strength were associated with mobility disability (ORs, 2.8 to 8.5) and with back dysfunction and pain (ORs, 2.9 to 6.1). High fitness in back endurance in men and in balance in women were related to positive back health (ORs, 2.5 to 3.7). Body mass index was associated with musculoskeletal disability in women (ORs, 2.4 to 5.3). Balance, leg strength, and leg flexibility in men; and leg power, trunk and leg flexibility in women were not associated with health outcomes. CONCLUSIONS: Among a middle-aged population, the majority of the evaluated fitness tests demonstrated health-related validity by strong associations with perceived health and musculoskeletal functioning, and by weaker associations with back symptoms.

Adult↗
PubMed1998

Safety and feasibility of a health-related fitness test battery for adults.

BACKGROUND AND PURPOSE: Health-related fitness (HRFI) assessment may be useful in promoting physical activity. Health-related fitness refers to those components of fitness that are related to health status. The safety and feasibility of a test battery designed for the assessment of HRFI were evaluated. SUBJECTS AND METHODS: Middle-aged men (n = 246) and women (n = 254), evenly selected from five age cohorts of a random sample (N = 826), were tested. The subjects had a mean age of 47.0 years (SD = 7.9, range = 37-57). Screening to identify subjects with health limitations was conducted by fitness testers who had master's degrees in sport or health sciences. Safety was assessed in terms of acute complications, delayed-onset muscle soreness (DOMS), and heart rate after each test. Subject exclusion and time costs were evaluated for feasibility. RESULTS: No acute complications occurred. The leg function test caused severe DOMS among inactive women. The overall exclusion rate increased with age. Up to 27% of subjects aged 52 and 57 years were excluded from muscle endurance tests, mainly due to self-reported heart disease or elevated blood pressures. Over 90% of the subjects, however, qualified for balance, flexibility, muscle force, and walk tests. CONCLUSION AND DISCUSSION: The test battery offers a safe and feasible method for the assessment of HRFI in working-aged adults, with the limitation that the one-leg squat function test may cause DOMS, particularly in inactive women.

Adult↗
PubMed1996

Health-related fitness test battery for adults: aspects of reliability.

OBJECTIVE: In two studies, the reliability of 3 balance, 2 flexibility, and 4 muscular strength tests proposed as test items were investigated in a health-related fitness (HRF) test battery for adults. DESIGN: Methodological study. SETTING: A health promotion research institute. SUBJECTS: In study A, volunteers (n=42) from two worksites participated. In study B, a population sample (n=510) of 37-to 57-year-old men and women was selected. MAIN OUTCOME MEASURES: Intraclass correlation coefficient of repeated measures was used to assess inter-rater reliability. The degree of measurement error was expressed as the standard error of measurement. The mean difference with 95% confidence intervals between the testing days or test trials was used to assess test-retest or trial-to-trial reproducibility. The coefficient of variation(CV=[SD/mean] x 100%) from day to day was also calculated. RESULTS: The following tests appeared to provide acceptable reliability as methods for field assessment of HRF: standing on one leg with eyes open for balance, side-bending of the trunk for spinal flexibility, modified push-ups for upper body muscular function, and jump and reach and one leg squat for leg muscular function. CONCLUSIONS: This reliability assessment provided useful information on the characteristics of potential test items in a HRF test battery for adults and on the limitations of its practical use. Testers must be properly trained to ensure reliable assessment of HRF of adults.

Adult↗
PubMed1996

Body composition assessment in lean and normal-weight young women.

Using percentage body fat (BF%) from a three-compartment (3C) model (body density from underwater weighing (UWW) and bone-mineral mass from dual-energy X-ray absorptiometry (DXA) as a criterion, we studied the accuracy of UWW, DXA, two skinfold equations, and two bioimpedance (BIA) equations. Thirty-four women (aged 16-20 years) with BF% 13.5-31.1 volunteered. UWW underestimated BF% by -0.5 BF% (95% CI: -1.0; -0.02), whereas DXA overestimated it by 7.3 BF% (95% CI 5.8; 8.8). Skinfolds underestimated and BIA overpredicted BF%. The differences between 3C and UWW, skinfolds (Durnin & Womersley, 1974) and BIA (Deurenberg et al. 1990) were dependent (range of r values: -0.63 to -0.79; P < 0.0001) on BF%, causing an overestimation of lean subjects' (UWW, BIA) or an underestimation of normal-weight subjects' (UWW, skinfolds) BF%. The 3C model and UWW gave comparable body-composition results for healthy young women with BF% of approximately 20-25. Based on a significant mean difference from the 3C model, and a large standard error of the estimate, we do not regard DXA as superior to skinfolds or BIA to assess BF%.

Absorptiometry, Photon↗
PubMed1995

Resting metabolic rate and energy intake in female gymnasts, figure-skaters and soccer players.

We examined the hypothesis that lean female athletes, as compared to other female athletes and controls, have a greater deficit between reported energy intake (EI) and estimated energy expenditure (EE), and a reduction in resting energy expenditure adjusted to fat free and fat masses (REEADJ). The subjects were 12 gymnasts and figure-skaters (lean athletes), 12 soccer players (normal-weight athletes) and 10 normal-weight, untrained, controls. Body composition was calculated from a 3-compartment model (underwater weighing and dual energy x-ray absorptiometry). REE was assessed by indirect calorimetry. Physical activity and EI were estimated from 7-day records. EE was calculated using activity records and REE. REEADJ was similar in all groups (p > 0.05). EI was 8.29 (SD 1.84), 7.04 (SD 2.23) and 8.95 (SD 1.68) MJ.d-1 in controls, gymnasts and soccer players, respectively (p = 0.06). In gymnasts, reported EI was 3.19 (SD 2.63) MJ.d-1 lower than estimated EE. EI minus EE in controls was -0.18 (SD 1.80; different from gymnasts, p < 0.01) MJ.d-1, and in soccer players -0.47 (SD 1.89; different from gymnasts, p < 0.05) MJ.d-1. Low reported energy intake in gymnasts might reflect their attitudes on diet and body image.

Adolescent↗
PubMed1994

Physically active commuting to work--testing its potential for exercise promotion.

Physical activity has considerable health-enhancing potential. It will be realized, however, only if large number of people participate in adequate activity. This summary report describes the main results of four studies aimed to find out whether physically active commuting to work (PACW) meets the requirements of health and fitness enhancing activity. Three successive mail inquiries (N = 2014) indicated that PACW provided habitual exercise to one-third of employed urban population, and that more than one-fifth expressed willingness and being able to increase PACW. A randomized controlled trial on 68 inactive middle-aged men and women revealed that PACW (1 h daily for 10 wk) increased VO2max by 4.5% (P = 0.02), maximal treadmill time by 10.3% (P = 0.0007), and HDL cholesterol by 5% (P = 0.06). A demonstration project in a large industrial plant showed that PACW can be successfully promoted by low cost measures. In conclusion, these studies suggest that PACW may offer substantial potential as health and fitness enhancing measure provided that it can be practiced safely.

Bicycling↗
PubMed1992

Feasibility of a 2-km walking test for fitness assessment in a population study.

A simple 2-km Walking Test has been developed for determining the cardiorespiratory fitness of healthy adults. In the present study the following aspects of the feasibility of this test for population assessment were investigated: participation willingness, the percentage of test qualified subjects, the percentage of acceptable test performances and the resources needed for field test administration. A representative sample was drawn from the 27 to 65-year-old population in a rural municipality in northeastern Finland. Subjects were recruited on the basis of the results of health questionnaires and interviews. One fourth of the volunteers were excluded from the test because of health problems. The 2-km walking tests were administered outdoors in the municipality center. More than 50% of the subjects successfully completed two consecutive walking tests. This study indicated that the 2-km Walking Test is a feasible alternative as a measure of cardiovascular fitness for large population groups and could potentially be used in exercise related health promotion programmes.

Adult↗
PubMed1991

Training effects of cross-country skiing and running on maximal aerobic cycle performance and on blood lipids.

Two experiments were carried out to compare the cardiorespiratory and metabolic effects of cross-country skiing and running training during two successive winters. Forty-year-old men were randomly assigned into skiing (n = 15 in study 1, n = 16 in study 2), running (n = 16 in study 1 and n = 16 in study 2) and control (n = 17 in study 1 and n = 16 in study 2) groups. Three subjects dropped out of the programme. The training lasted 9-10 weeks with 40-min exercise sessions three times each week. The training intensity was controlled at 75%-85% of the maximal oxygen consumption (VO2max) using portable heart rate metres and the mean heart rate was 156-157 beats.min-1 in the training groups. In the pooled data of the two studies the mean increase in the VO2max (in ml.min-1.kg-1) on a cycle ergometer was 17% for the skiing group, 13% for the running group and 2% for the control group. The increase in VO2max was highly significant in the combined exercise group compared to the control group but did not differ significantly between the skiing and running groups. The fasting serum concentrations of lipoproteins and insulin did not change significantly in any of the groups. These results suggested that training by cross-country skiing and running of the same duration and intensity at each session for 9-10 weeks improved equally the cardiorespiratory fitness of untrained middle-aged men.

Adult↗