Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Geriatric Original Article
  • Published:

Physical activity and weight gain prevention in older men

Abstract

Background:

Physical activity and adiposity are important predictors of mortality, even in older individuals. However, it is unclear how much physical activity is needed to prevent weight gain in older persons.

Purpose:

To examine the associations of different amounts of physical activity with weight gain prevention in older men.

Methods:

A total of 5973 healthy men (mean age, 65.0 years) from the Harvard Alumni Health Study were followed from 1988 to 1998. At baseline (1988), in 1993 and 1998, men reported their recreational physical activity and body weight. Physical activity was categorized as: <7.5 metabolic equivalent (MET)-h per week (7.5 MET-h per week corresponds to the minimum required by the 2008 US federal guidelines), 7.5 to <21 MET-h per week (21 MET-h per week corresponds to the 2002 Institute of Medicine (IOM) guideline) and 21 MET-h per week. Meaningful weight gain was defined as an increase of 3% of body weight.

Results:

Overall, weight tended to be stable over any 5-year period; mean change, −0.08 (s.d.=4.44) kg. However, 21% of men experienced meaningful weight gain over any 5-year period. In multivariate analyses, compared with men expending 21 MET-h per week, those expending 7.5 to <21 MET-h per week had an odds ratio (OR) of 1.35 (95% confidence interval: 1.03, 1.77) for meaningful weight gain, and men expending <7.5 MET-h per week, an OR of 1.16 (1.01, 1.33; P trend=0.09).

Conclusions:

Among older men, those with lesser levels of physical activity were more likely to gain weight than men satisfying the 2002 IOM guidelines of 21 MET-h per week (60 min day−1 of moderate-intensity physical activity).

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Flegal KM, Carroll MD, Ogden CL, Curtin LR . Prevalence and trends in obesity among US adults, 1999–2008. JAMA 2010; 303: 235–241.

    CAS  PubMed  Google Scholar 

  2. Berrington de Gonzalez A, Hartge P, Cerhan JR, Flint AJ, Hannan L, MacInnis RJ et al. Body-mass index and mortality among 1.46 million white adults. N Engl J Med 2010; 363: 2211–2219.

    Article  CAS  PubMed  Google Scholar 

  3. Pontiroli AE, Morabito A . Long-term prevention of mortality in morbid obesity through bariatric surgery. A systematic review and meta-analysis of trials performed with gastric banding and gastric bypass. Ann Surg 2011; 253: 484–487.

    Article  PubMed  Google Scholar 

  4. Nelson ME, Rejeski WJ, Blair SN, Duncan PW, Judge JO, King AC et al. Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc 2007; 39: 1435–1445.

    Article  PubMed  Google Scholar 

  5. Lee IM, Djousse L, Sesso HD, Wang L, Buring JE . Physical activity and weight gain prevention. JAMA 2010; 303: 1173–1179.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Shiroma EJ, Lee IM . Physical activity and cardiovascular health: lessons learned from epidemiological studies across age, gender, and race/ethnicity. Circulation 2010; 122: 743–752.

    Article  PubMed  Google Scholar 

  7. Bales CW, Buhr G . Is obesity bad for older persons? A systematic review of the pros and cons of weight reduction in later life. J Am Med Dir Assoc 2008; 9: 302–312.

    Article  PubMed  Google Scholar 

  8. Katan MB . Weight-loss diets for the prevention and treatment of obesity. N Engl J Med 2009; 360: 923–925.

    Article  CAS  PubMed  Google Scholar 

  9. Kumanyika SK, Obarzanek E, Stettler N, Bell R, Field AE, Fortmann SP et al. Population-based prevention of obesity: the need for comprehensive promotion of healthful eating, physical activity, and energy balance: a scientific statement from American Heart Association Council on Epidemiology and Prevention, Interdisciplinary Committee for Prevention (formerly the expert panel on population and prevention science). Circulation 2008; 118: 428–464.

    Article  PubMed  Google Scholar 

  10. Shaw K, Gennat H, O’Rourke P, Del Mar C . Exercise for overweight or obesity. Cochrane Database Syst Rev 2006; (4): CD003817.

    Google Scholar 

  11. Jakicic JM, Otto AD, Lang W, Semler L, Winters C, Polzien K et al. The effect of physical activity on 18-month weight change in overweight adults. Obesity (Silver Spring) 2010; 19: 100–109.

    Article  Google Scholar 

  12. US Department of Health and Human Services. 2008 Physical Activity Guidelines for Americans. US Department of Health and Human Services: Washington, DC, 2008.

  13. Blair SN, LaMonte MJ, Nichaman MZ . The evolution of physical activity recommendations: how much is enough? Am J Clin Nutr 2004; 79: 913S–920S.

    Article  CAS  PubMed  Google Scholar 

  14. Wareham NJ, van Sluijs EM, Ekelund U . Physical activity and obesity prevention: a review of the current evidence. Proc Nutr Soc 2005; 64: 229–247.

    Article  PubMed  Google Scholar 

  15. Lee I-M, Paffenbarger Jr RS . Design of present-day epidemiologic studies of physical activity and health. In: Lee I-M (eds). Epidemiologic Methods in Physical Studies. Oxford University Press: New York, NY, 2009, pp 100–123.

    Google Scholar 

  16. Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ et al. Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 2000; 32 (Suppl 9): S498–S504.

    Article  CAS  PubMed  Google Scholar 

  17. Ainsworth BE, Leon AS, Richardson MT, Jacobs DR, Paffenbarger Jr RS . Accuracy of the College Alumnus Physical Activity Questionnaire. J Clin Epidemiol 1993; 46: 1403–1411.

    Article  CAS  PubMed  Google Scholar 

  18. Jacobs Jr DR, Ainsworth BE, Hartman TJ, Leon AS . A simultaneous evaluation of 10 commonly used physical activity questionnaires. Med Sci Sports Exerc 1993; 25: 81–91.

    Article  PubMed  Google Scholar 

  19. Institute of Medicine. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids (Macronutrients). Institute of Medicine: Washington, DC, 2002.

  20. Jakicic JM . The effect of physical activity on body weight. Obesity (Silver Spring) 2009; 17 (Suppl 3): S34–S38.

    Article  Google Scholar 

  21. World Health Organization. Physical Status: the Use and Intrepretation of Anthropometry. Report of a WHO Expert Committee. World Health Organization: Geneva, 1995.

  22. Hankinson AL, Daviglus ML, Bouchard C, Carnethon M, Lewis CE, Schreiner PJ et al. Maintaining a high physical activity level over 20 years and weight gain. JAMA 2010; 304: 2603–2610.

    Article  CAS  PubMed  Google Scholar 

  23. Hankinson AL, Bouchard C, Liu K . Physical activity and weight gain over 20 years - reply. JAMA 2010; 305: 1297–1298.

    Article  Google Scholar 

  24. Department of Health and Human Services. Physical Activity Guidelines Advisory Committee Report. Department of Health and Human Services: Washington, DC, 2008.

  25. Katan MB . Weight-loss diets for the prevention and treatment of obesity. N Engl J Med 2009; 360: 923–925.

    Article  CAS  PubMed  Google Scholar 

  26. Phelan S, Wing RR, Loria CM, Kim Y, Lewis CE . Prevalence and predictors of weight-loss maintenance in a biracial cohort: results from the coronary artery risk development in young adults study. Am J Prev Med 2010; 39: 546–554.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Riebe D, Blissmer BJ, Greaney ML, Garber CE, Lees FD, Clark PG . The relationship between obesity, physical activity, and physical function in older adults. J Aging Health 2009; 21: 1159–1178.

    Article  PubMed  Google Scholar 

  28. Villareal DT, Chode S, Parimi N, Sinacore DR, Hilton T, Armamento-Villareal R et al. Weight loss, exercise, or both and physical function in obese older adults. N Engl J Med 2011; 364: 1218–1229.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Lee IM, Sesso HD, Paffenbarger Jr RS . Physical activity and coronary heart disease risk in men: does the duration of exercise episodes predict risk? Circulation 2000; 102: 981–986.

    Article  CAS  PubMed  Google Scholar 

  30. Sesso HD, Paffenbarger Jr RS, Lee IM . Physical activity and coronary heart disease in men: the Harvard Alumni Health Study. Circulation 2000; 102: 975–980.

    Article  CAS  PubMed  Google Scholar 

  31. Fillenbaum GG, Kuchibhatla MN, Whitson HE, Batch BC, Svetkey LP, Pieper CF et al. Accuracy of self-reported height and weight in a community-based sample of older African Americans and whites. J Gerontol A Biol Sci Med Sci 2010; 65: 1123–1129.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

We are grateful to Sarah E Freeman and Alvin L Wing for their help with the College Alumni Health Study. This study is supported by research grants DK081141 and CA130068 from the National Institutes of Health, Bethesda, MD, USA.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to E J Shiroma.

Ethics declarations

Competing interests

Drs Lee, Sesso and Mr Shiroma's work have been funded by the NIH. Dr Lee has served as a consultant to Virgin HealthMiles. Dr Sesso and Mr Shiroma have no commercial associations or sources of support that might post a conflict of interest.

Additional information

The manuscript has not been published nor is it under consideration for publication elsewhere, and will not be published elsewhere while under consideration by Int J Obesity. All authors have made substantive contributions to the study and will sign a statement attesting authorships, disclosing all potential conflicts of interest, and releasing copyright should the manuscript be acceptable for publication.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Shiroma, E., Sesso, H. & Lee, IM. Physical activity and weight gain prevention in older men. Int J Obes 36, 1165–1169 (2012). https://doi.org/10.1038/ijo.2011.266

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ijo.2011.266

Keywords

This article is cited by

Search

Quick links