Physical activity and the metabolic syndrome in elderly German men and women: Results from the population based KORA survey

Abstract

Background: The optimal duration and intensity of exercise for elderly people in the prevention of the metabolic syndrome are still under debate.

Methods: Population-based survey (KORA S4, Augsburg, Germany) with 1,653 participants aged 55–74 years investigating the metabolic syndrome in relation to physical activity behaviour.

Results: 57% of men and 48% of women showed the metabolic syndrome. Leisure activities were high (>80% walked >30 min/day). Sport activity performed regularly up to 1 h weekly reduced the odds of having the metabolic syndrome (odds ratio, OR: men 0.70, 95%CI 0.49–1.02; women 0.74, 95%CI 0.53–1.04) and that exceeding 2 h weekly was even more effective (OR: men 0.62, 95%CI 0.42–0.92; women 0.59, 95%CI 0.39–0.89). In contrast, activities such as walking and cycling did not have an additional influence.

Conclusions: In the elderly intense physical activity should be promoted in addition to leisure time physical activity for the prevention of the metabolic syndrome.