Utilizing Bioelectrical Impedance Analysis and Smart Fitness Devices in Assessing Physical Fitness and Body Composition Among Elderly Individuals

Document Type : Original research papers

Authors

1 Department of Sport Science Education, Farhangian University, Tehran, Iran

2 Department of Sports Biomechanics, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabili

3 sport biomechanics, faculty of educational sciences and psychology

4 Department of Sports Physiology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran

Abstract

Background: The global population is experiencing a significant and remarkable increase in the number and proportion of elderly individuals presenting unique challenges. This study aims to evaluate physical fitness levels among older adults, employing validated assessment tools to support evidence-based planning and the development of targeted interventions in geriatric health.
Methods: This cross-sectional study involved 210 older adults aged 60 and above, selected through cluster random sampling. Data were collected using a combination of objective and self-reported measures, including smart fitness devices (mobile fitness trackers) for real-time activity monitoring. Anthropometric assessments and bioelectrical impedance analysis (BIA) were used to evaluate body composition. The International Physical Activity Questionnaire (IPAQ) and Senior Fitness Test (SFT) assessed physical activity levels and functional fitness, with additional data gathered from structured interviews. Ethical approval and informed consent were obtained. Data analysis was performed using SPSS version 27, with descriptive statistics and Pearson’s correlation coefficient to examine the relationships between physical fitness and body composition.
Results: A significant negative correlation was identified between body fat percentage and various physical fitness parameters. Specifically, body fat percentage was negatively correlated with lower body strength (r = -0.25, p < 0.001), upper body strength (r = -0.22, p < 0.001), and lower body flexibility (r = -0.22, p < 0.001). These results suggest that increased body fat is associated with diminished strength and flexibility in older adults.
Conclusions: Our findings demonstrate that body composition, particularly elevated body fat percentage and BMI, negatively impacts physical capabilities such as strength, flexibility, and cardiovascular health in older adults. The observed decline in flexibility and cardiovascular capacity underscores the need for targeted interventions, including stretching and structured high-intensity exercise programs, to improve strength and balance and reduce fall risks. Tailored exercise strategies are essential to enhance body composition, optimize physical fitness, and improve overall health and quality of life in the elderly.

Keywords

Main Subjects


  1. Bloom DE, Canning D, Lubet A. Global Population Aging: Facts, Challenges, Solutions & Perspectives. Daedalus. 2015;144(2):80-92. https://doi.org/10.1162/DAED_a_00332
  2. Kinsella KG, Phillips DR. Global aging: The challenge of success. vol 1. Population Reference Bureau Washington, DC; 2005.
  3. Noroozian M. The elderly population in iran: an ever growing concern in the health system. Iran J Psychiatry Behav Sci. 2012;6(2):1-6.
  4. Kalache A, Barreto SM, Keller I. Global ageing: The demographic revolution in all cultures and societies. na; 2005.
  5. Araj-Khodaei M, Sanaie S, Nejadghaderi SA, Sullman MJM, Samei-Sis S, Taheri-Targhi S, et al. Profile of Tabriz Older People Health Survey (TOPS-2019): a representative community-based cross-sectional study. Sci Rep. 2022;12(1):17879. https://doi.org/10.1038/s41598-022-22710-2.
  6. Teixeira E, Fonseca H, Diniz-Sousa F, Veras L, Boppre G, Oliveira J, et al. Wearable Devices for Physical Activity and Healthcare Monitoring in Elderly People: A Critical Review. Geriatrics (Basel). 2021;6(2). https://doi.org/10.3390/geriatrics6020038.
  7. Baumgartner RN. Body composition in healthy aging. Ann N Y Acad Sci. 2000;904:437-48. https://doi.org/10.1111/j.1749-6632.2000.tb06498.x.
  8. St-Onge MP, Gallagher D. Body composition changes with aging: the cause or the result of alterations in metabolic rate and macronutrient oxidation? Nutrition. 2010;26(2):152-5. https://doi.org/10.1016/j.nut.2009.07.004.
  9. Xu L, Zhang J, Shen S, Hong X, Zeng X, Yang Y, et al. Association Between Body Composition and Frailty in Elder Inpatients. Clin Interv Aging. 2020;15:313-20. https://doi.org/10.2147/CIA.S243211.
  10. Ponti F, Santoro A, Mercatelli D, Gasperini C, Conte M, Martucci M, et al. Aging and Imaging Assessment of Body Composition: From Fat to Facts. Front Endocrinol (Lausanne). 2019;10:861. https://doi.org/10.3389/fendo.2019.00861.
  11. Valizadeh A, Khajehlandi M, Mohammadi R, Kheirollahi H. Investigating the effect of eight weeks of high-intensity interval training and moderate-intensity continuous training with quercetin supplementation on the PLIN2 and ATGL gene expression in the liver of diabetic obese rats. Journal of Applied Health Studies in Sport Physiology. 2024;11(1):237-50. https://doi.org/10.22049/jahssp.2024.29164.1604.
  12. Behrooz Damirchi F, Kheirollahi Meidani H, Imani Brouj S, Hesari S. The Effectiveness of Electrotherapy and Exercise Therapy on Pain and Balance in Elderly Women with Knee Osteoarthritis. Journal of Sport Biomechanics. 2023;8(4):344-55. https://doi.org/10.61186/JSportBiomech.8.4.344.
  13. Andreoli A, Garaci F, Cafarelli FP, Guglielmi G. Body composition in clinical practice. Eur J Radiol. 2016;85(8):1461-8. https://doi.org/10.1016/j.ejrad.2016.02.005.
  14. Asejeje FO, Ogunro OB. Deciphering the mechanisms, biochemistry, physiology, and social habits in the process of aging Aging process: Deciphering the mechanisms, biochemistry, physiology, and social habits. Archives of Gerontology and Geriatrics Plus. 2023:100003.
  15. Ryff CD, Singer B. Psychological well-being: meaning, measurement, and implications for psychotherapy research. Psychother Psychosom. 1996;65(1):14-23. https://doi.org/10.1159/000289026.
  16. Mabe-Castro D, Castillo-Aguilar M, Mabe-Castro M, Mendez Munoz R, Basualto-Alarcon C, Nunez-Espinosa CA. Associations between physical fitness, body composition, and heart rate variability during exercise in older people: exploring mediating factors. PeerJ. 2024;12:e18061. https://doi: 10.7717/peerj.18061.
  17. Medrano-Urena MDR, Ortega-Ruiz R, Benitez-Sillero JD. Physical Fitness, Exercise Self-Efficacy, and Quality of Life in Adulthood: A Systematic Review. Int J Environ Res Public Health. 2020;17(17). https://doi.org/ 10.3390/ijerph17176343.
  18. Activity NRCCoP, Use L, Board TR. Does the Built Environment Influence Physical Activity?: Examining the Evidence--Special Report 282. Transportation Research Board; 2005.
  19. Langhammer B, Bergland A, Rydwik E. The Importance of Physical Activity Exercise among Older People. Biomed Res Int. 2018;2018:7856823. https://doi.org/10.1155/2018/7856823.
  20. Paranhos Amorim DN, Nascimento DDC, Stone W, Alves VP, Coelho Vilaca ESKH. Body composition and functional performance of older adults. Osteoporos Sarcopenia. 2022;8(2):86-91. https://doi.org/10.1016/j.afos.2022.04.002.
  21. Kolnes KJ, Petersen MH, Lien-Iversen T, Hojlund K, Jensen J. Effect of Exercise Training on Fat Loss-Energetic Perspectives and the Role of Improved Adipose Tissue Function and Body Fat Distribution. Front Physiol. 2021;12:737709. https://doi.org/10.3389/fphys.2021.737709.
  22. Meidani HK, Moharamzade M, hassanzadeh n. Investigating the Role of Aesthetic Dimensions of Health-Oriented Sidewalks in Ardabil City on People&#039;s Tendency to Participate in Physical Activity. Sociological Studies in Sport. 2024;3(4):0-. https://doi.org/10.30486/4s.2023.1983814.1117.
  23. Moharram Zadeh M, Kheirollahi Meidani H, Hasanzadeh N. Investigating the Impact of the Environmental and Spatial Dimension of the Health Sidewalks of Ardabil on People's Tendency to Participate in Physical Activity. Research in Sport Management and Marketing. 2023;5(1):1-12. https://doi.org/10.22098/rsmm.2023.12498.1211.
  24. Militello R, Luti S, Gamberi T, Pellegrino A, Modesti A, Modesti PA. Physical Activity and Oxidative Stress in Aging. Antioxidants (Basel). 2024;13(5). https://doi.org/10.3390/antiox13050557.
  25. Chia F, Huang WY, Huang H, Wu CE. Promoting Healthy Behaviors in Older Adults to Optimize Health-Promoting Lifestyle: An Intervention Study. Int J Environ Res Public Health. 2023;20(2). https://doi.org/10.3390/ijerph20021628.
  26. Drazich BF, Kim N, Gurlu M, Boltz M, Kuzmik A, Galik E, et al. Examining the association of physical activity and mortality among recently hospitalized older adults with dementia. Geriatr Nurs. 2024;58:506-11. https://doi.org/10.1016/j.gerinurse.2024.06.024.
  27. Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985;100(2):126-31.
  28. Brach JS, Simonsick EM, Kritchevsky S, Yaffe K, Newman AB, Health A, et al. The association between physical function and lifestyle activity and exercise in the health, aging and body composition study. J Am Geriatr Soc. 2004;52(4):502-9. https://doi.org/10.1111/j.1532-5415.2004.52154.x.
  29. Burns RW. Exercise guidelines for adults: past, present & future. Mo Med. 2010;107(1):65-8.
  30. Qiu Y, Fernandez-Garcia B, Lehmann HI, Li G, Kroemer G, Lopez-Otin C, et al. Exercise sustains the hallmarks of health. J Sport Health Sci. 2023;12(1):8-35. https://doi.org/10.1016/j.jshs.2022.10.003.
  31. Murray KO, Mahoney SA, Venkatasubramanian R, Seals DR, Clayton ZS. Aging, aerobic exercise, and cardiovascular health: Barriers, alternative strategies and future directions. Exp Gerontol. 2023;173:112105. https://doi.org/10.1016/j.exger.2023.112105.
  32. Di Lorito C, Long A, Byrne A, Harwood RH, Gladman JRF, Schneider S, et al. Exercise interventions for older adults: A systematic review of meta-analyses. J Sport Health Sci. 2021;10(1):29-47. https://doi.org/10.1016/j.jshs.2020.06.003.
  33. Davis AJ, MacCarron P, Cohen E. Social reward and support effects on exercise experiences and performance: Evidence from parkrun. PLoS One. 2021;16(9):e0256546. https://doi.org/10.1371/journal.pone.0256546.
  34. Spahillari A, Mukamal KJ, DeFilippi C, Kizer JR, Gottdiener JS, Djousse L, et al. The association of lean and fat mass with all-cause mortality in older adults: The Cardiovascular Health Study. Nutr Metab Cardiovasc Dis. 2016;26(11):1039-47. https://doi.org/10.1016/j.numecd.2016.06.011.
  35. Chin YR, Lee IS, Lee HY. Effects of hypertension, diabetes, and/or cardiovascular disease on health-related quality of life in elderly Korean individuals: a population-based cross-sectional survey. Asian Nurs Res (Korean Soc Nurs Sci). 2014;8(4):267-73. https://doi.org/10.1016/j.anr.2014.10.002.
  36. Agha-Alinejad H, Farzad B, Salari M, Kamjoo S, Harbaugh BL, Peeri M. Prevalence of overweight and obesity among Iranian preschoolers: Interrelationship with physical fitness. J Res Med Sci. 2015;20(4):334-41.
  37. Shetty P. Grey matter: ageing in developing countries. Lancet. 2012;379(9823):1285-7. https://doi.org/10.1016/s0140-6736(12)60541-8.
  38. Mohammad R, Hatamzadeh N, Fattahi M, Zahra A. Study of cardiovascular factors, quality of life and body composition in physically active and sedentary women. 2019. https://doi.org/10.12715/har.2019.8.5.
  39. Shin G, Jarrahi MH, Karami A, Gafinowitz N, Byun A, Lu X. Wearable Activity Trackers, Accuracy, Adoption, Acceptance and Health Impact: A Systematic Literature Review. 2018.
  40. Tomioka K, Iwamoto J, Saeki K, Okamoto N. Reliability and validity of the International Physical Activity Questionnaire (IPAQ) in elderly adults: the Fujiwara-kyo Study. J Epidemiol. 2011;21(6):459-65. https://doi.org/10.2188/jea.je20110003.
  41. Petrovics P, Sandor B, Palfi A, Szekeres Z, Atlasz T, Toth K, et al. Association between Obesity and Overweight and Cardiorespiratory and Muscle Performance in Adolescents. Int J Environ Res Public Health. 2020;18(1). https://doi.org/ 10.3390/ijerph18010134.
  42. Porter Starr KN, McDonald SR, Bales CW. Obesity and physical frailty in older adults: a scoping review of lifestyle intervention trials. J Am Med Dir Assoc. 2014;15(4):240-50. https://doi.org/10.1016/j.jamda.2013.11.008.
  43. Boyer KA, Hayes KL, Umberger BR, Adamczyk PG, Bean JF, Brach JS, et al. Age-related changes in gait biomechanics and their impact on the metabolic cost of walking: Report from a National Institute on Aging workshop. Exp Gerontol. 2023;173:112102. https://doi.org/10.1016/j.exger.2023.112102.
  44. Ronsky JL, Nigg BM, Fisher V. Correlation between physical activity and the gait characteristics and ankle joint flexibility of the elderly. Clin Biomech (Bristol). 1995;10(1):41-9. https://doi.org/10.1016/0268-0033(95)90436-d.
  45. Stathokostas L, Little RM, Vandervoort AA, Paterson DH. Flexibility training and functional ability in older adults: a systematic review. J Aging Res. 2012;2012:306818. https://doi.org/10.1155/2012/306818.
  46. Behm DG, Alizadeh S, Daneshjoo A, Konrad A. Potential Effects of Dynamic Stretching on Injury Incidence of Athletes: A Narrative Review of Risk Factors. Sports Med. 2023;53(7):1359-73. https://doi.org/10.1007/s40279-023-01847-8.
  47. Ramirez-Campillo R, Castillo A, de la Fuente CI, Campos-Jara C, Andrade DC, Alvarez C, et al. High-speed resistance training is more effective than low-speed resistance training to increase functional capacity and muscle performance in older women. Exp Gerontol. 2014;58:51-7. https://doi.org/10.1016/j.exger.2014.07.001.
  48. Tian D, Meng J. Exercise for Prevention and Relief of Cardiovascular Disease: Prognoses, Mechanisms, and Approaches. Oxid Med Cell Longev. 2019;2019:3756750. https://doi.org/10.1155/2019/3756750.
  49. Sadaqa M, Nemeth Z, Makai A, Premusz V, Hock M. Effectiveness of exercise interventions on fall prevention in ambulatory community-dwelling older adults: a systematic review with narrative synthesis. Front Public Health. 2023;11:1209319. https://doi.org/10.3389/fpubh.2023.1209319.
  50. Gine-Garriga M, Roque-Figuls M, Coll-Planas L, Sitja-Rabert M, Salva A. Physical exercise interventions for improving performance-based measures of physical function in community-dwelling, frail older adults: a systematic review and meta-analysis. Arch Phys Med Rehabil. 2014;95(4):753-69 e3. https://doi.org/10.1016/j.apmr.2013.11.007.
  51. Zhong YJ, Meng Q, Su CH. Mechanism-Driven Strategies for Reducing Fall Risk in the Elderly: A Multidisciplinary Review of Exercise Interventions. Healthcare (Basel). 2024;12(23):2394. https://doi.org/10.3390/healthcare12232394.
  52. Distefano LJ, Distefano MJ, Frank BS, Clark MA, Padua DA. Comparison of integrated and isolated training on performance measures and neuromuscular control. J Strength Cond Res. 2013;27(4):1083-90. https://doi.org/10.1519/JSC.0b013e318280d40b.
  53. Izquierdo M, Merchant RA, Morley JE, Anker SD, Aprahamian I, Arai H, et al. International Exercise Recommendations in Older Adults (ICFSR): Expert Consensus Guidelines. J Nutr Health Aging. 2021;25(7):824-53. https://doi.org/10.1007/s12603-021-1665-8.