Comportamento sedentário e declínio cognitivo em idosos comunitários
DOI:
https://doi.org/10.12820/rbafs.26e0190Keywords:
Função cognitiva, Envelhecimento, Comportamento sedentárioAbstract
Sedentary behavior is associated with cardiovascular disease, loss of autonomy and functional independence,
worse quality of life and increased mortality. Preliminary evidence supports that sedentary behavior is associated with cognitive decline, however the magnitude and direction of these associations are not completely understood. The aim of this study was to verify the association between sedentary behavior and cognitive decline community-dwelling older adults. Cross-sectional study with a probabilistic and home-based sample of older adults registered in Primary Care in the municipality of Balneário Arroio do Silva, Santa Catarina, Brazil. Sedentary behavior was assessed by the question “time spent sitting” in the International Physical Activity Questionnaire and categorized into: 0 to 3 hours; 4 to 7 hours; 8 to 10 hours; and 11 or more hours a day. Cognitive decline was assessed by the Mini Mental State Examination, considering the cutoff points recommended by Brucki et al.14. Crude and adjusted Multivariate Logistic Regression models were performed, presenting the odds ratio and 95% CI values. A total of 308 older adults were evaluated, 57.8% of whom were female and with a mean age of 60.8 years (SD = 7.06 years). The prevalence of cognitive decline was 57.7%, with a predominance of women, with a lower age range and worse health behaviors. The final regression model pointed out that the older adults who remained seated 11 or more hours/day were five times more likely to have cognitive decline (OR = 5.03; 95% CI: 1.07; 23.61) when compared to those who remained for up to 3 hours/day sitting. In conclusion, there was a positive and significate association between greater sedentary behavior and cognitive decline in the elderly evaluated.
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