Vol.:(0123456789) 1 3
Aging Clinical and Experimental Research
https://doi.org/10.1007/s40520-019-01222-6
ORIGINAL ARTICLE
Resistin concentration is inversely associated with objectively
measured physical activity in healthy older women
Anni Rava
1
· Anu Pihlak
1
· Tatjana Kums
1
· Priit Purge
1
· Mati Pääsuke
1
· Jaak Jürimäe
1
Received: 18 February 2019 / Accepted: 10 May 2019
© Springer Nature Switzerland AG 2019
Abstract
Regular physical activity (PA) has been associated with decreased risk of many chronic diseases and increased longevity
among older adults. In addition, ageing has been associated with higher levels of diferent infammatory biomarkers while
the association between infammatory biomarkers and PA has remained controversial. The aim of the current investigation
was to examine the association between blood biomarkers and objectively assessed PA among a sample of healthy older
women with diferent levels of PA engagement. A total of 81 healthy women were recruited. Study participants were allo-
cated to three groups according to accelerometer-obtained PA data. Body composition was assessed with dual-energy X-ray
absorptiometry. Fasting blood samples were collected for the measurement of resistin, leptin, tumour necrosis factor alpha
(TNFα) and C-reactive protein (CRP) concentrations. There were no signifcant diferences between groups for resistin, leptin,
TNFα and for CRP concentrations; however, higher moderate-to-vigorous physical activity (MVPA) groups tended to have
lower level of blood biomarker concentrations. There was a signifcant negative relationship between resistin and steps per
day. Inverse association between leptin and MVPA was signifcant after controlling for age. In multivariate stepwise linear
regression analysis, steps per day were the strongest independent predictor for resistin, whereas for leptin, TNFα and CRP
the strongest independent predictor was whole body fat mass. In conclusion, this study demonstrated negative association
between resistin concentration and steps per day. Sedentary time and light PA had no relationship with resistin, leptin, TNFα
or CRP concentrations.
Keywords Ageing · Resistin · Leptin · Physical activity · Older women
Introduction
Healthy ageing is described as a process, which enables
older adults to take an active part in the society and enables
one to live an independent and high-quality life [1]. Physical
activity (PA) has been proven to be an important benefcial
cofounder of healthy ageing [2–4]. It is well known that age-
ing has been characterised by changes in body composition,
which includes a decrease in bone mineral density, muscle
mass and strength [5], and an increase in body fat percent-
age [6]. These age-related changes in body composition are
partially caused by lowered engagement in daily PA [3]. A
decreased PA level has been associated with an increased
risk of cardiovascular diseases in older people [7, 8] which
have been noted as one of the main causes of death in older
adults [8]. In contrast, an active lifestyle with regular PA
has been associated with a decreased risk of many chronic
diseases and increased longevity [9, 10].
Adiposity, described as one of the cofounding character-
istics of ageing [6], induces a state of low grade but chronic
infammation through the release of multiple pro-infamma-
tory cytokines [11], and ageing has also been associated with
higher levels of diferent infammatory biomarkers [11]. On
the other hand, higher PA has been associated with lower
circulating concentrations in infammatory cytokines such as
C-reactive protein (CRP) [12, 13] and tumour necrosis fac-
tor alpha (TNFα) [12] in studies conducted among healthy
elderly population. Serum CRP and TNFα concentrations
are both associated with a variety of chronic diseases and
conditions such as cardiovascular diseases [14] and osteo-
porosis [15], which are further interrelated with increasing
age [16]. In addition, another pro-infammatory cytokine,
* Anni Rava
annirava@ut.ee
1
Faculty of Medicine, Institute of Sport Sciences
and Physiotherapy, University of Tartu, Ujula 4,
51014 Tartu, Estonia