The Copenhagen consensus statement 2019: physical activity and ageing

Emmanuelle Tulle, Bangsbo Jens, Joanna Blackwell, Carl-Johan Boraxbekk, Paolo Caserotti, Flemming Dela, Adam B Evans, Astrid P Jesperson, Lasse Glieman, Arthur F Kramer, Jesper Lundbye-Jensen, Aske Juul Lassen, Alan Gow, Stephen D R Harridge, Ylva Hellsten, Michael Kjaer, Urho M Kujala, Ryan Rhodes, Elizabeth Pike, Timothy SkinnerThomas Skovgaard, Jens Troelsen, Mark Tully, Jannique G Z van Uffelen, Jose Viña

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Abstract

From 19th to 22nd November 2018, 26 researchers representing nine countries and a variety of academic disciplines met in Snekkersten, Denmark, to reach evidence-based consensus about physical activity and older adults. It was recognised that the term “older adults” represents a highly heterogeneous population. It encompasses those that remain highly active and healthy throughout the life-course with a high intrinsic capacity to the very old and frail with low intrinsic capacity.
The consensus is drawn from a wide range of research methodologies within epidemiology, medicine, physiology, neuroscience, psychology and sociology, recognising the strength and limitations of each of the methods. Much of the evidence presented in the statements is based on longitudinal associations from observational and randomised controlled intervention studies, as well as quantitative and qualitative social studies in relatively healthy community-dwelling older adults. Nevertheless, we also considered research with frail older adults and those with age-associated neurodegenerative diseases, such as Alzheimer’s and Parkinson’s disease, and in a few cases molecular and cellular outcome measures from animal studies.
The consensus statements distinguish between physical activity and exercise. Physical activity is used as an umbrella term that includes both structured and unstructured forms of leisure, transport, domestic and work-related activities. Physical activity entails body movement that increases energy expenditure relative to rest, and is often characterized in terms of intensity from light, to moderate to vigorous. Exercise is defined as a subset of structured physical activities that are more specifically designed to improve cardio-respiratory fitness, cognitive function, flexibility balance, strength and/or power.
This statement presents the consensus on the effects of physical activity on older adults’ fitness, health, cognitive functioning, functional capacity, engagement, motivation, psychological well-being and social inclusion. It also covers the consensus on physical activity implementation strategies. While it is recognised that adverse events can occur during exercise, the risk can be minimised by carefully choosing the type of activity undertaken and by consultation with the individual’s physician when warranted, e.g. when the individual is frail, has a number of co-morbidities, or has exercise-related symptoms, such as chest pain, heart arrhythmia or dizziness.
The consensus was obtained through an iterative process that began with the presentation of the state-of-the-science in each domain, followed by group and plenary discussions. Ultimately, the participants reached agreement on the 30-item consensus statements.
Original languageEnglish
JournalBritish Journal of Sports Medicine
DOIs
Publication statusPublished - 21 Feb 2019

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Consensus
Exercise
Psychology
Independent Living
Frail Elderly
Sociology
Leisure Activities
Dizziness
Denmark
Neurosciences
Chest Pain
Neurodegenerative Diseases
Cognition
Energy Metabolism
Parkinson Disease
Motivation
Cardiac Arrhythmias
Alzheimer Disease
Epidemiology
Research Design

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Tulle, Emmanuelle ; Jens, Bangsbo ; Blackwell, Joanna ; Boraxbekk, Carl-Johan ; Caserotti, Paolo ; Dela, Flemming ; Evans, Adam B ; Jesperson, Astrid P ; Glieman, Lasse ; Kramer, Arthur F ; Lundbye-Jensen, Jesper ; Lassen, Aske Juul ; Gow, Alan ; Harridge, Stephen D R ; Hellsten, Ylva ; Kjaer, Michael ; Kujala, Urho M ; Rhodes, Ryan ; Pike, Elizabeth ; Skinner, Timothy ; Skovgaard, Thomas ; Troelsen, Jens ; Tully, Mark ; van Uffelen, Jannique G Z ; Viña, Jose. / The Copenhagen consensus statement 2019: physical activity and ageing. In: British Journal of Sports Medicine. 2019.
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Tulle, E, Jens, B, Blackwell, J, Boraxbekk, C-J, Caserotti, P, Dela, F, Evans, AB, Jesperson, AP, Glieman, L, Kramer, AF, Lundbye-Jensen, J, Lassen, AJ, Gow, A, Harridge, SDR, Hellsten, Y, Kjaer, M, Kujala, UM, Rhodes, R, Pike, E, Skinner, T, Skovgaard, T, Troelsen, J, Tully, M, van Uffelen, JGZ & Viña, J 2019, 'The Copenhagen consensus statement 2019: physical activity and ageing', British Journal of Sports Medicine. https://doi.org/10.1136/bjsports-2018-100451

The Copenhagen consensus statement 2019: physical activity and ageing. / Tulle, Emmanuelle; Jens, Bangsbo; Blackwell, Joanna; Boraxbekk, Carl-Johan; Caserotti, Paolo; Dela, Flemming; Evans, Adam B; Jesperson, Astrid P; Glieman, Lasse; Kramer, Arthur F; Lundbye-Jensen, Jesper; Lassen, Aske Juul; Gow, Alan; Harridge, Stephen D R; Hellsten, Ylva; Kjaer, Michael; Kujala, Urho M; Rhodes, Ryan; Pike, Elizabeth; Skinner, Timothy; Skovgaard, Thomas; Troelsen, Jens; Tully, Mark; van Uffelen, Jannique G Z ; Viña, Jose.

In: British Journal of Sports Medicine, 21.02.2019.

Research output: Contribution to journalArticle

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T1 - The Copenhagen consensus statement 2019: physical activity and ageing

AU - Tulle, Emmanuelle

AU - Jens, Bangsbo

AU - Blackwell, Joanna

AU - Boraxbekk, Carl-Johan

AU - Caserotti, Paolo

AU - Dela, Flemming

AU - Evans, Adam B

AU - Jesperson, Astrid P

AU - Glieman, Lasse

AU - Kramer, Arthur F

AU - Lundbye-Jensen, Jesper

AU - Lassen, Aske Juul

AU - Gow, Alan

AU - Harridge, Stephen D R

AU - Hellsten, Ylva

AU - Kjaer, Michael

AU - Kujala, Urho M

AU - Rhodes, Ryan

AU - Pike, Elizabeth

AU - Skinner, Timothy

AU - Skovgaard, Thomas

AU - Troelsen, Jens

AU - Tully, Mark

AU - van Uffelen, Jannique G Z

AU - Viña, Jose

N1 - Acceptance in SAN OA article

PY - 2019/2/21

Y1 - 2019/2/21

N2 - From 19th to 22nd November 2018, 26 researchers representing nine countries and a variety of academic disciplines met in Snekkersten, Denmark, to reach evidence-based consensus about physical activity and older adults. It was recognised that the term “older adults” represents a highly heterogeneous population. It encompasses those that remain highly active and healthy throughout the life-course with a high intrinsic capacity to the very old and frail with low intrinsic capacity. The consensus is drawn from a wide range of research methodologies within epidemiology, medicine, physiology, neuroscience, psychology and sociology, recognising the strength and limitations of each of the methods. Much of the evidence presented in the statements is based on longitudinal associations from observational and randomised controlled intervention studies, as well as quantitative and qualitative social studies in relatively healthy community-dwelling older adults. Nevertheless, we also considered research with frail older adults and those with age-associated neurodegenerative diseases, such as Alzheimer’s and Parkinson’s disease, and in a few cases molecular and cellular outcome measures from animal studies. The consensus statements distinguish between physical activity and exercise. Physical activity is used as an umbrella term that includes both structured and unstructured forms of leisure, transport, domestic and work-related activities. Physical activity entails body movement that increases energy expenditure relative to rest, and is often characterized in terms of intensity from light, to moderate to vigorous. Exercise is defined as a subset of structured physical activities that are more specifically designed to improve cardio-respiratory fitness, cognitive function, flexibility balance, strength and/or power. This statement presents the consensus on the effects of physical activity on older adults’ fitness, health, cognitive functioning, functional capacity, engagement, motivation, psychological well-being and social inclusion. It also covers the consensus on physical activity implementation strategies. While it is recognised that adverse events can occur during exercise, the risk can be minimised by carefully choosing the type of activity undertaken and by consultation with the individual’s physician when warranted, e.g. when the individual is frail, has a number of co-morbidities, or has exercise-related symptoms, such as chest pain, heart arrhythmia or dizziness.The consensus was obtained through an iterative process that began with the presentation of the state-of-the-science in each domain, followed by group and plenary discussions. Ultimately, the participants reached agreement on the 30-item consensus statements.

AB - From 19th to 22nd November 2018, 26 researchers representing nine countries and a variety of academic disciplines met in Snekkersten, Denmark, to reach evidence-based consensus about physical activity and older adults. It was recognised that the term “older adults” represents a highly heterogeneous population. It encompasses those that remain highly active and healthy throughout the life-course with a high intrinsic capacity to the very old and frail with low intrinsic capacity. The consensus is drawn from a wide range of research methodologies within epidemiology, medicine, physiology, neuroscience, psychology and sociology, recognising the strength and limitations of each of the methods. Much of the evidence presented in the statements is based on longitudinal associations from observational and randomised controlled intervention studies, as well as quantitative and qualitative social studies in relatively healthy community-dwelling older adults. Nevertheless, we also considered research with frail older adults and those with age-associated neurodegenerative diseases, such as Alzheimer’s and Parkinson’s disease, and in a few cases molecular and cellular outcome measures from animal studies. The consensus statements distinguish between physical activity and exercise. Physical activity is used as an umbrella term that includes both structured and unstructured forms of leisure, transport, domestic and work-related activities. Physical activity entails body movement that increases energy expenditure relative to rest, and is often characterized in terms of intensity from light, to moderate to vigorous. Exercise is defined as a subset of structured physical activities that are more specifically designed to improve cardio-respiratory fitness, cognitive function, flexibility balance, strength and/or power. This statement presents the consensus on the effects of physical activity on older adults’ fitness, health, cognitive functioning, functional capacity, engagement, motivation, psychological well-being and social inclusion. It also covers the consensus on physical activity implementation strategies. While it is recognised that adverse events can occur during exercise, the risk can be minimised by carefully choosing the type of activity undertaken and by consultation with the individual’s physician when warranted, e.g. when the individual is frail, has a number of co-morbidities, or has exercise-related symptoms, such as chest pain, heart arrhythmia or dizziness.The consensus was obtained through an iterative process that began with the presentation of the state-of-the-science in each domain, followed by group and plenary discussions. Ultimately, the participants reached agreement on the 30-item consensus statements.

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