Risk for losing physical independence in older adults: The role of sedentary time, light, and moderate to vigorous physical activity

Maturitas ◽  
2014 ◽  
Vol 79 (1) ◽  
pp. 91-95 ◽  
Author(s):  
Elisa A. Marques ◽  
Fátima Baptista ◽  
Diana A. Santos ◽  
Analiza M. Silva ◽  
Jorge Mota ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Sedentary Time ◽  
Vigorous Physical Activity ◽  
Physical Independence

scholarly journals Relationship between Physical Performance and Frailty Syndrome in Older Adults: The Mediating Role of Physical Activity, Sedentary Time and Body Composition

2020 ◽  
Vol 18 (1) ◽  
pp. 203
Author(s):  
Irene Rodríguez-Gómez ◽  
Asier Mañas ◽  
José Losa-Reyna ◽  
Luis M. Alegre ◽  
Leocadio Rodríguez-Mañas ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Body Composition ◽  
Physical Performance ◽  
Healthy Aging ◽  
Sedentary Time ◽  
Vigorous Physical Activity ◽  
Skeletal Muscle Index ◽  
The Relationship

The objectives were to clarify whether the relationship between physical performance and frailty was independently and jointly mediated by movement behaviors and body composition. We analyzed 871 older adults (476 women) from The Toledo Study for Healthy Aging. Skeletal muscle index (SMI) and fat index (FI) were determined using bone densitometry. Sedentary time (ST) and moderate-to-vigorous physical activity (MVPA) were assessed using accelerometry. The Frailty Trait Scale and The Short Physical Performance Battery (SPPB) were used to evaluate frailty and physical performance, respectively. Simple and multiple mediation analyses were carried out to determine the role of movement behaviors and body composition, adjusted for potential confounders. ST and MVPA acted independently as mediators in the relationship between SPPB and frailty (0.06% for ST and 16.89% for MVPA). FI also acted as an independent mediator in the same relationship (36.47%), while the mediation role of SMI was not significant. MVPA and FI both acted jointly as mediators in this previous relationship explaining 58.15% of the model. Our data support the fact that interventions should simultaneously encourage the promotion of MVPA and strategies to decrease the FI in order to prevent or treat frailty through physical performance improvement.

scholarly journals Changes in Objectively Measured Lifestyle Factors During the COVID-19 Pandemic in Community-Dwelling Older Adults

2021 ◽  
Author(s):  
Takuya Ataka ◽  
Noriyuki Kimura ◽  
Atsuko Eguchi ◽  
Etsuro Matsubara
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Sedentary Time ◽  
Vigorous Physical Activity ◽  
Wearable Sensors ◽  
Lifestyle Factors ◽  
Community Dwelling ◽  
Activity Level ◽  
Objectively Measured ◽  
Community Dwelling Older Adults

Abstract Background: In this manuscript, we aimed at investigating whether objectively measured lifestyle factors, including walking steps, sedentary time, amount of unforced physical activity, level of slight and energetic physical activity, conversation time, and sleep parameters altered before and during the COVID-19 pandemic among community-dwelling older adults.Methods: Data were obtained from a prospective cohort study conducted from 2015 to 2019 and a subsequent dementia prevention study undertaken in September 2020. Community-dwelling adults aged ≥65 years wore wearable sensors before and during the pandemic.Results: A total of 56 adults were enrolled in this study. The mean age was 74.2±3.9 years, and 58.9% (n=33) of the participants were female. The moderate and vigorous physical activity time significantly decreased and sedentary time significantly increased during the pandemic. Conclusions: This is the first study to demonstrate differences in objectively assessed lifestyle factors before and during the COVID-19 pandemic among community-dwelling older adults. The findings show that the pandemic has adversely affected physical activity among older adults living on their own in Japan.

scholarly journals Physical Activity Intensity Cut-Points for Wrist-Worn GENEActiv in Older Adults

2021 ◽  
Vol 2 ◽  
Author(s):  
François Fraysse ◽  
Dannielle Post ◽  
Roger Eston ◽  
Daiki Kasai ◽  
Alex V. Rowlands ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Classification Accuracy ◽  
Operating Characteristic ◽  
Sedentary Time ◽  
Vigorous Physical Activity ◽  
Physical Activity Intensity ◽  
Characteristic Analysis ◽  
Free Living ◽  
Activity Intensity

Purpose: This study aims to (1) establish GENEActiv intensity cutpoints in older adults and (2) compare the classification accuracy between dominant (D) or non-dominant (ND) wrist, using both laboratory and free-living data.Methods: Thirty-one older adults participated in the study. They wore a GENEActiv Original on each wrist and performed nine activities of daily living. A portable gas analyzer was used to measure energy expenditure for each task. Testing was performed on two occasions separated by at least 8 days. Some of the same participants (n = 13) also wore one device on each wrist during 3 days of free-living. Receiver operating characteristic analysis was performed to establish the optimal cutpoints.Results: For sedentary time, both dominant and non-dominant wrist had excellent classification accuracy (sensitivity 0.99 and 0.97, respectively; specificity 0.91 and 0.86, respectively). For Moderate to Vigorous Physical Activity (MVPA), the non-dominant wrist device had better accuracy (ND sensitivity: 0.90, specificity 0.79; D sensitivity: 0.90, specificity 0.64). The corresponding cutpoints for sedentary-to-light were 255 and 375 g · min (epoch independent: 42.5 and 62.5 mg), and those for the light-to-moderate were 588 and 555 g · min (epoch-independent: 98.0 and 92.5 mg) for the non-dominant and dominant wrist, respectively. For free-living data, the dominant wrist device resulted in significantly more sedentary time and significantly less light and MVPA time compared to the non-dominant wrist.

scholarly journals Sedentary Patterns and Systemic Inflammation: Sex-Specific Links in Older Adults

2021 ◽  
Vol 12 ◽  
Author(s):  
Oscar Bergens ◽  
Andreas Nilsson ◽  
Konstantinos-Georgios Papaioannou ◽  
Fawzi Kadi
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Sedentary Time ◽  
Inflammatory Marker ◽  
Vigorous Physical Activity ◽  
Older Men ◽  
Inflammatory Biomarkers ◽  
Low Grade ◽  
Linear Regression Models ◽  
Anti Inflammatory

The study aimed to examine sex-specific associations between objectively measured sedentary patterns and pro- and anti-inflammatory biomarkers in older adults when considering the moderating impact of physical activity (PA). Accelerometer-based monitoring of sedentary patterns and PA was conducted in a population of older men (n = 83; age: 67.4 ± 1.5; height: 178.7 ± 6.6 cm; weight: 80.9 ± 10.6 kg) and women (n = 146; age: 67.4 ± 1.6; height: 164.2 ± 6.1 cm; weight: 64.6 ± 10.1 kg) aged 65–70. Blood samples were collected for the assessment of the inflammatory biomarkers C-reactive protein (CRP), fibrinogen, interleukin-6 (IL-6), IL-10, IL-18, and monocyte chemoattractant protein-1 (MCP-1). Data were analyzed using multiple linear regression models. Total and bouts of ≥10 min of sedentary time were inversely associated with the anti-inflammatory marker IL-10 in older men (accumulated sedentary time: β = −0.116; bouts: β = −0.099; all p < 0.05). Associations were independent of moderate-to-vigorous physical activity (MVPA) and total PA volume. In women, total and bouts of ≥10 min of sedentary time were detrimentally associated with the pro-inflammatory marker fibrinogen (accumulated sedentary time: β = −0.130; bouts: β = −0.085; all p < 0.05). Associations remained between accumulated sedentary time and fibrinogen when adjusting for MVPA and total PA volume. This study highlights sex-specific routes by which sedentary patterns impact on pro- and anti-inflammatory biomarkers in older adults. The findings support efforts to promote accumulation of time spent in PA at the expense of time in sedentary pursuits on low-grade inflammation in older men and women.

scholarly journals Sedentary Time in US Older Adults Associated With Disability in Activities of Daily Living Independent of Physical Activity

2015 ◽  
Vol 12 (1) ◽  
pp. 93-101 ◽  
Author(s):  
Dorothy D. Dunlop ◽  
Jing Song ◽  
Emily K. Arntson ◽  
Pamela A. Semanik ◽  
Jungwha Lee ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Activities Of Daily Living ◽  
Sedentary Behavior ◽  
Daily Living ◽  
Sedentary Time ◽  
Vigorous Physical Activity ◽  
Strong Relationship ◽  
Vigorous Activity ◽  
Adl Disability

Background:The harmful relationship of sedentary behavior to health may reflect an exchange of sedentary activity for moderateto- vigorous physical activity (MVPA), or sedentary behavior may be a separate risk factor. We examined whether time spent in sedentary behavior is related to disability in activities of daily living (ADL), independent of time spent in MVPA in older adults.Methods:The nationally representative 2003−2006 National Health and Nutrition Examinations Surveys (NHANES) included 2286 adults aged 60 years and older in whom physical activity was assessed by accelerometer. The association between ADL task disability and the daily percentage of sedentary time was evaluated by multiple logistic regression.Results:These adults on average spent 9h/d being sedentary during waking hours and 4.5% reported ADL disability. The odds of ADL disability were 46% greater (odds ratio, 1.46; 95% confidence interval, 1.07−1.98) for each daily hour spent in sedentary behavior, adjusted for MVPA and socioeconomic and health factors.Conclusion:These US national data show a strong relationship between greater time spent in sedentary behavior and the presence of ADL disability, independent of time spent in moderate or vigorous activity. These findings support programs encouraging older adults to decrease sedentary behavior regardless of their engagement in moderate or vigorous activity.

scholarly journals Considerations in Processing Accelerometry Data to Explore Physical Activity and Sedentary Time in Older Adults

2020 ◽  
Vol 28 (4) ◽  
pp. 623-633
Author(s):  
Claire L. Cleland ◽  
Sara Ferguson ◽  
Paul McCrorie ◽  
Jasper Schipperijn ◽  
Geraint Ellis ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Sedentary Time ◽  
Vigorous Physical Activity ◽  
Low Frequency ◽  
Correlation Coefficients ◽  
Population Surveillance ◽  
Rank Test ◽  
Cut Points ◽  
The Impact

Processing decisions for accelerometry data can have important implications for outcome measures, yet little evidence exists exploring these in older adults. The aim of the current study was to investigate the impact of three potentially important criteria on older adults, physical activity, and sedentary time. Participants (n = 222: mean age 71.75 years [SD = 6.58], 57% male) wore ActiGraph GT3X+ for 7 days. Eight data processing combinations from three criteria were explored: low-frequency extension (on/off), nonwear time (90/120 min), and intensity cut points (moderate-to-vigorous physical activity ≥1,041 and >2,000 counts/min). Analyses included Wilcoxon signed-rank test, paired t tests, and correlation coefficients (significance, p < .05). Results for low-frequency extension on 90-min nonwear time and >1,041 counts/min showed significantly higher light and moderate-to-vigorous physical activity and lower sedentary time. Cut points had the greatest impact on physical activity and sedentary time. Processing criteria can significantly impact physical activity and/or sedentary time, potentially leading to data inaccuracies, preventing cross-study comparisons and influencing the accuracy of population surveillance.

The Association Between Sedentary Behavior and Cognitive Function Among Older Adults May Be Attenuated With Adequate Physical Activity

2017 ◽  
Vol 14 (1) ◽  
pp. 52-58 ◽  
Author(s):  
Meghan K. Edwards ◽  
Paul D. Loprinzi
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Cognitive Function ◽  
Sedentary Behavior ◽  
Sedentary Time ◽  
Vigorous Physical Activity ◽  
Adult Population ◽  
Digit Symbol Substitution Test ◽  
Independent Association ◽  
Adjusted Model

Objective:Examine the independent association of sedentary behavior and cognitive function in older adults, as well as whether physical activity attenuates this potential association.Methods:Data from the 1999–2002 National Health and Nutrition Examination Survey were used (N = 2472 adults 60 to 85 yrs). Sedentary behavior was subjectively assessed and the Digit Symbol Substitution Test (DSST) was employed to assess cognitive function.Results:Among an unadjusted and an adjusted model not accounting for physical activity, only 5+ hrs/day (vs. < 1 hr) of sedentary time was independently associated with lower DSST scores (β = –3.1; 95% CI: –5.8 to –0.4; P= .02). However, a fully adjusted model (adding in moderate-to-vigorous physical activity as a covariate) did not yield a statistically significant association between 5+ hrs/day of sedentary time and DSST scores (β = –2.5; 95% CI: –5.1 to 0.2; P = .07).Conclusion:Accumulated daily sedentary behavior of 5+ hrs is associated with lower cognitive function in an older adult population when physical activity is not taken into account. However, physical activity may account for 19% of the total association between sedentary behavior and cognitive function, thus attenuating the sedentary-cognitive function association. Efforts should be made to promote physical activity in the aging population.

scholarly journals Calibration and Cross-Validation of Accelerometer Cut-Points to Classify Sedentary Time and Physical Activity from Hip and Non-Dominant and Dominant Wrists in Older Adults

Sensors ◽  
2021 ◽  
Vol 21 (10) ◽  
pp. 3326
Author(s):  
Jairo H. Migueles ◽  
Cristina Cadenas-Sanchez ◽  
Juan M. A. Alcantara ◽  
Javier Leal-Martín ◽  
Asier Mañas ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Cross Validation ◽  
Sedentary Time ◽  
Vigorous Physical Activity ◽  
Area Under The Curve ◽  
Cut Points ◽  
Metabolic Equivalents ◽  
Sample Characteristics ◽  
Accelerometer Cut Points

Accelerometers’ accuracy for sedentary time (ST) and moderate-to-vigorous physical activity (MVPA) classification depends on accelerometer placement, data processing, activities, and sample characteristics. As intensities differ by age, this study sought to determine intensity cut-points at various wear locations people more than 70 years old. Data from 59 older adults were used for calibration and from 21 independent participants for cross-validation purposes. Participants wore accelerometers on their hip and wrists while performing activities and having their energy expenditure measured with portable calorimetry. ST and MVPA were defined as ≤1.5 metabolic equivalents (METs) and ≥3 METs (1 MET = 2.8 mL/kg/min), respectively. Receiver operator characteristic (ROC) analyses showed fair-to-good accuracy (area under the curve [AUC] = 0.62–0.89). ST cut-points were 7 mg (cross-validation: sensitivity = 0.88, specificity = 0.80) and 1 count/5 s (cross-validation: sensitivity = 0.91, specificity = 0.96) for the hip; 18 mg (cross-validation: sensitivity = 0.86, specificity = 0.86) and 102 counts/5 s (cross-validation: sensitivity = 0.91, specificity = 0.92) for the non-dominant wrist; and 22 mg and 175 counts/5 s (not cross-validated) for the dominant wrist. MVPA cut-points were 14 mg (cross-validation: sensitivity = 0.70, specificity = 0.99) and 54 count/5 s (cross-validation: sensitivity = 1.00, specificity = 0.96) for the hip; 60 mg (cross-validation: sensitivity = 0.83, specificity = 0.99) and 182 counts/5 s (cross-validation: sensitivity = 1.00, specificity = 0.89) for the non-dominant wrist; and 64 mg and 268 counts/5 s (not cross-validated) for the dominant wrist. These cut-points can classify ST and MVPA in older adults from hip- and wrist-worn accelerometers.

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