Sedentary behavior as a predictor of functional disability in older adults
DOI:
https://doi.org/10.12820/rbafs.23e0010Keywords:
Behavior, Aged, Disabled personsAbstract
The aim of this study was to identify the amount of time spent in sedentary behavior that may be critically related to functional disability in older adults. A cross-sectional study was conducted with a random sample of 624 older adults (65.1% women) aged 60 to 96 years. Perceived limitations in instrumental activities of daily living were used as indication of functional disability. Time spent in sedentary behavior was assessed using the International Physical Activity Questionnaire (IPAQ). The prevalence of functional disability was 29.4%. The mean total time spent in sedentary behavior was 576.51 ± 5.14 min/day. Receiver Operating Characteristic (ROC) curves were used to identify cut-points for time spent in sedentary behavior that could discriminate functional disability in older adults. The results suggested that spending > 600.00 min/day and > 614.00 min/day in sedentary behavior, for men and women, respectively, was a discriminator for functional disability in the current study. These cut-points can be used to identify older adults who are most vulnerable to functional disability in future studies.
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References
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2. Bonsdor MB von, Rantanen T. Progression of functional limitations in relation to physical activity: a life course approach. Eur Rev Aging Phys Act. 2011;8(1):23–30.
3. Anderson WL, Armour BS, Finkelstein EA, Wiener JM. Estimates of state-level health-care expenditures associated with disability. Public Health Rep Wash DC 1974. 2010;125(1):44–51.
4. Morey MC, Pieper CF, Cornoni-Huntley J. Physical fitness and functional limitations in community-dwelling older adults. Med Sci Sports Exerc. 1998;30(5):715–23.
5. American College of Sports Medicine, Chodzko-Zajko WJ, Proctor DN, Fiatarone Singh MA, Minson CT, Nigg CR, et al. American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc. 2009;41(7):1510–30.
6. Fielding RA, Rejeski WJ, Blair S, Church T, Espeland MA, Gill TM, et al. The Lifestyle Interventions and independence for elders study: design and methods. J Gerontol A Biol Sci Med Sci. 2011;66(11):1226–37.
7. Owen N, Healy GN, Matthews CE, Dunstan DW. Too much sitting: the population health science of sedentary behavior. Exerc Sport Sci Rev. 2010;38(3):105–13.
8. Meneguci J, Santos DAT, Silva RB, Santos RG, Sasaki JE, Tribess S, et al. Comportamento sedentário: conceito, implicações siológicas e os procedimentos de avaliação. Motricidade. 2015;11(1):160–74.
9. Cawthon PM, Blackwell TL, Cauley JA, Ensrud KE, Dam T-T, Harrison SL, et al. Objective assessment of activity, energy expenditure, and functional limitations in older men: the osteoporotic fractures in men study. J Gerontol A Biol Sci Med Sci. 2013;68(12):1518–24.
10. Sousa RM, Ferri CP, Acosta D, Albanese E, Guerra M, Huang Y, et al. Contribution of chronic diseases to disability in elderly people in countries with low and middle incomes: a 10/66 Dementia Research Group population-based survey. Lancet Lond Engl. 2009;374(9704):1821–30.
11. Zunzunegui MV. [Evolution of disability and dependency. An international perspective]. Gac Sanit. 2011;25Suppl 2:12–20.
12. Paulo T RS, Tribess S, Sasaki JE, Meneguci J, Martins CA, Freitas IF, et al. A cross sectional study of the relationship of physical activity with depression and cognitive deficit in older adults. J Aging Phys Act. 2016;24(2):311-21.
13. Associação Brasileira de Empresas de Pesquisa. Critério de Classificação Econômica Brasil 2008 [Internet]. 2008 [cited 2010 Mar 10]. Available from: http://www.abep.org/.
14. Benedetti TB, Mazo GZ, Barros MVG. Aplicação do questionário internacional de atividades físicas para avaliação de mulheres idosas: validade concorrente e reprodutibilidade teste-reteste. Rev Bras Ciên Mov. 2004;12(1):25–34.
15. Santos RL, Júnior JSV. Con abilidade da versão brasileira da escala de atividades instrumentais da vida diária. Rev Bras em Promoção Saúde. 2008;21(4):290–6.
16. Bertolini GN, Santos VR, Alves MJ, Cervellini PCM, Christofaro DGD, Santana LFD, et al. Relation between high leisure-time sedentary behavior and low functionality in older adults. Rev Bras Cineantropom Desempenho Hum. 2016;18(6):713–21.
17. Barbosa AR, Souza JMP, Lebrão ML, Marucci M de FN. Estado nutricional e desempenho motor de idosos de São Paulo. Rev Assoc Médica Bras. 2007;53(1):75–9.
18. Sagiv M. The role of physical activity in the elderly as primary prevention. Eur Rev Aging Phys Act. 2007;4(2):59.
19. Schultz-Larsen K, Rahmanfard N, Holst C. Physical activity (PA) and the disablement process: a 14-year follow-up study of older non-disabled women and men. Arch Gerontol Geriatr. 2012;55(1):25–30.
20. McDermott MM, Liu K, Ferrucci L, Tian L, Guralnik JM, Liao Y, et al. Greater sedentary hours and slower walking speed outside the home predict faster declines in functioning and adverse calf muscle changes in peripheral arterial disease. J Am Coll Cardiol. 2011;57(23):2356–64.
21. Hamer M, Stamatakis E. Screen-based sedentary behavior, physical activity, and muscle strength in the English longitudinal study of ageing. PloS One. 2013;8(6):e66222.
22. Santos DA, Silva AM, Baptista F, Santos R, Vale S, Mota J, et al. Sedentary behavior and physical activity are independently related to functional fitness in older adults. Exp Gerontol. 2012;47(12):908–12.
23. Chen T, Narazaki K, Haeuchi Y, Chen S, Honda T, Kumagai S. Associations of sedentary time and breaks in sedentary time with disability in instrumental activities of daily living in community-dwelling older adults. J Phys Act Health. 2016;13(3):303–9.
24. Dunlop DD, Song J, Arnston EK, Semanik PA, Lee J, Chang RW, et al. Sedentary time in US older adults associated with disability in activities of daily living independent of physical activity. J Phys Act Health. 2015;12(1):93–101.
25. WHO | Global recommendations on physical activity for health [Internet]. WHO. [cited 2015 May 8]. Available from: http://www.who.int/dietphysicalactivity/factsheet_ recommendations/en/.
26. Matthews CE, Chen KY, Freedson PS, Buchowski MS, Beech BM, Pate RR, et al. Amount of time spent in sedentary behaviors in the United States, 2003-2004. Am J Epidemiol. 2008;167(7):875–81.
27. Zaitune MPA, Barros MBA, César CLG, Carandina L, Goldbaum M. Variables associated with sedentary leisure time in the elderly in Campinas, São Paulo State, Brazil. Cad Saúde Pública. 2007;23(6):1329–38.
28. Sardinha LB, Santos DA, Silva AM, Baptista F, Owen N. Breaking-up sedentary time is associated with physical function in older adults. J Gerontol A Biol Sci Med Sci. 2015;70(1):119–24.
29. Sardinha LB, Ekelund U, dos Santos L, Cyrino ES, Silva AM, Santos DA. Breaking-up sedentary time is associated with impairment in activities of daily living. Exp Gerontol. 2015;72:57–62.
30. Gerst K, Michaels-Obregon A, Wong R. e Impact of Physical Activity on Disability Incidence among Older Adults in Mexico and the United States. J Aging Res. 2011;2011:420714.
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Published
2018-08-14
How to Cite
1.
Virtuoso Júnior JS, Tribess S, Vasconcelos Rocha S, Sasaki JE, Aparecida Garcia C, Meneguci J, et al. Sedentary behavior as a predictor of functional disability in older adults. Rev. Bras. Ativ. Fís. Saúde [Internet]. 2018 Aug. 14 [cited 2024 May 26];23:1-7. Available from: https://rbafs.org.br/RBAFS/article/view/11518
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