
Engaging in physical activity and maintaining healthy Vitamin D levels have been shown to significantly lower the risk of death from all causes and cardiovascular issues among elderly Chinese adults, particularly those over the age of 80. The study utilized a robust methodology, including a physical activity score and measurements of serum 25-hydroxyvitamin D, to establish these life-extending benefits clearly.
Interestingly, Vitamin D levels mediated the beneficial effects of physical activity on mortality rates, with a notable percentage of the effect attributed directly to Vitamin D levels. This mediating role was especially pronounced in daily activities like housework and animal care, suggesting that routine, accessible activities can be just as impactful as formal exercise routines in enhancing senior health through Vitamin D enhancement.
The implications of these findings underscore the interconnected nature of physical and nutritional health strategies in aging populations. By fostering an environment that supports active living and adequate nutrition, we can significantly improve the quality and length of life for older adults, making the golden years not just longer but healthier.
Article Information
Published in BMC Geriatrics. Mingrui Chen et al.
Background: Physical activity was associated with the risk of all-cause and cardiovascular mortality. However, little is known about older adults, especially those aged over 80 years.
Methods: 2863 older adults in the Chinese Longitudinal Healthy Longevity Survey (CLHLS) were enrolled. Physical activity score was used to evaluate the physical activity. Serum 25-hydroxyvitamin D and demographic characteristics were collected at baseline. We used multivariable-adjusted Cox regression models and stratified analysis to determine the association between physical activity, vitamin D and all-cause/cardiovascular mortality. Mediation analysis was performed to evaluate the mediating effect of vitamin D between physical activity and all-cause/cardiovascular mortality.
Results: The median age of this population was 87 years, and 70.27% were the oldest-old (age ≥ 80 years). We observed a tendency for a higher vitamin D concentration in participants with higher physical activity score levels. Both physical activity and vitamin D levels were inversely associated with all-cause and cardiovascular mortality in all participants. Between physical activity and all-cause/cardiovascular mortality, the mediation proportions of vitamin D were 7.76% (P < 0.001) and 4.13% (P < 0.001), respectively. The mediating effect of vitamin D remained all significant in various types of physical activities. Furthermore, vitamin D accounted for a greater mediating proportion in the physical activities of housework and raising domestic animals/pets.
Conclusions: Physical activity could reduce the risk of all-cause/cardiovascular mortality and was mediated by vitamin D in older Chinese adults.