scholarly journals How Acceptable is Reducing Sedentary Behavior to Older Adults? Perceptions and Experiences Across Diverse Socioeconomic Areas

2019 ◽  
Vol 27 (5) ◽  
pp. 642-652 ◽  
Author(s):  
Laura J. McGowan ◽  
Rachael Powell ◽  
David P. French

Sedentary behavior is associated with negative health outcomes, and older adults represent the most sedentary age group. There is currently little qualitative evidence to inform the development of sedentary behavior interventions targeting older adults. This study explored factors affecting older adults’ sedentary behaviors and the acceptability of potential strategies to reduce sedentary time. Semistructured interviews with 22 older adults with diverse socioeconomic backgrounds in Manchester, England were conducted. An inductive thematic analysis was structured using the framework approach. Limited availability of community resources was identified in deprived areas. Local environments impacted sedentary behavior, including sense of community belonging, crime, and physical infrastructure. Enjoyment, socializing, and feeling a sense of achievement were key motivations to engage in nonsedentary activities. As older adults desire social interaction and enjoyment, community interventions in urban settings should try to reduce sedentary behavior by offering group-based activities, particularly in deprived areas where current provision is limited.

Author(s):  
Wendell C. Taylor

The study of sedentary behaviors requires taxonomies (classification schemes) to standardize data collection, measurements, and outcomes. Three taxonomies of sedentary behaviors have been identified, but none address an important challenge in sedentary behavior research, which is to distinguish between beneficial and detrimental health effects of various sedentary behaviors. Some sedentary behaviors (e.g., reading) are associated with positive health outcomes, whereas other sedentary behaviors (e.g., television viewing) are associated with adverse health outcomes. To address directly this complexity and present a different conception and understanding of discrepant findings related to health outcomes, a new taxonomy is needed. The development of the new taxonomy is guided by analysis of literature and selection of a relevant and informative behavioral sciences theoretical framework (i.e., self-determination theory). Because older adults are an increasing percentage of the population and report a high prevalence of sedentary behaviors, the new taxonomy was designed for older adults with potential application to all age groups. Taylor’s taxonomy of sedentary behaviors is parsimonious with four domains: social interaction (i.e., not solitary, companionship, interacting, and connecting with others); novelty (i.e., refreshingly new, unusual, or different); choice (i.e., volition, preferred option or alternative, the power, freedom, or decision to choose); and cognition (i.e., mentally stimulating and engaging).


2020 ◽  
Author(s):  
Sofie Compernolle ◽  
Ilse De Bourdeaudhuij ◽  
Greet Cardon ◽  
Delfien Van Dyck

Abstract Background. Some types of sedentary behaviors tend to cluster in individuals or groups of older adults. Insight into how these different types of sedentary behavior cluster is needed, as recent research suggests that not all types of sedentary behavior may have the same negative effects on physical and mental health. Therefore, the aim of this study was to identify gender-specific typologies of older adults’ sedentary behavior, and to examine their associations with health-related and socio-demographic factors. Methods. Cross-sectional data were collected as part of the BEPAS Seniors, and the Busschaert study among 696 Flemish older adults (60+). Typologies of self-reported sedentary behavior were identified using latent profile analysis, and associations with health-related and sociodemographic factors were examined using analyses of variances. Results. Five distinct typologies were identified from seven sedentary behaviors (television time, computer time, transport-related sitting time, sitting for reading, sitting for hobbies, sitting for socializing and sitting for meals) in men, and three typologies were identified from six sedentary behaviors (television time, transport-related sitting time, sitting for reading, sitting for hobbies, sitting for socializing and sitting for meals) in women. Typologies that are characterized by high television time seem to be related to more negative health outcomes, like a higher BMI, less grip strength, and a lower physical and mental health-related quality-of-life. Typologies that are represented by high computer time and motorized transport seem to be related to more positive health outcomes, such as a lower body mass index, more grip strength and a higher physical and mental health-related quality-of-life.Conclusions. Although causal direction between identified typologies and health outcomes remains uncertain, our results suggests that future interventions should better focus on specific types of sedentary behavior (e.g. television time), or patterns of sedentary behavior, rather than on total sedentary behavior.


2020 ◽  
Author(s):  
Sofie Compernolle ◽  
Ilse De Bourdeaudhuij ◽  
Greet Cardon ◽  
Delfien Van Dyck

Abstract Background. The aim of this study was to identify gender-specific typologies of older adults’ sedentary behavior, and to examine their associations with health-related and socio-demographic factors. Methods. Cross-sectional data were collected as part of the BEPAS Seniors, and the Busschaert study among 696 Flemish older adults (60+). Typologies of self-reported sedentary behavior were identified using latent profile analysis, and associations with health-related and sociodemographic factors were examined using analyses of variances. Results. Five distinct typologies were identified from seven sedentary behaviors (television time, computer time, transport-related sitting time, sitting for reading, sitting for hobbies, sitting for socializing and sitting for meals) in men, and three typologies were identified from six sedentary behaviors (television time, transport-related sitting time, sitting for reading, sitting for hobbies, sitting for socializing and sitting for meals) in women. Typologies that are characterized by high television time seem to be related to more negative health outcomes, like a higher BMI, less grip strength, and a lower physical and mental health-related quality-of-life. Typologies that are represented by high computer time and motorized transport seem to be related to more positive health outcomes, such as a lower BMI, more grip strength and a higher physical and mental health-related quality-of-life. Conclusions. Although causal direction between identified typologies and health outcomes remains uncertain, our results suggests that future interventions should better focus on specific types of sedentary behavior (e.g. television time), or patterns of sedentary behavior, rather than on total sedentary behavior.


Author(s):  
Derek J Hevel ◽  
Eric S Drollette ◽  
Genevieve F Dunton ◽  
Jaclyn P Maher

Abstract Objectives Older adults engage in excessive sedentary behaviors which hold significant health implications. Examining affect responses during sedentary behavior is not well understood despite the wealth of evidence linking affect and motivation. Contextual influences (i.e., social and physical) likely influence affective responses during sedentary behavior and therefore warrant further investigation. Method Older adults (n = 103, Mage = 72, range: 60–98) participated in a 10-day study where they received 6 randomly timed, smartphone-based Ecological Momentary Assessment (EMA) prompts/day. Participants reported their affect, current behavior, and context at each EMA prompt. Participants also wore an activPAL accelerometer to measure their sedentary behavior duration. Separate multilevel models examined the extent to which the context influences affective responses during self-report sedentary (vs nonsedentary) behaviors. Results The social context moderated the association between sedentary behavior and negative affect. The physical context moderated the association between sedentary behavior and positive affect. Discussion Interventions should consider the context of behaviors when designing interventions to reduce sedentary behavior as some contextual factors may attenuate, while other contexts may exacerbate, associations between activity-related behaviors and indicators of well-being.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sofie Compernolle ◽  
Ilse De Bourdeaudhuij ◽  
Greet Cardon ◽  
Delfien Van Dyck

Abstract Background Some types of sedentary behaviors tend to cluster in individuals or groups of older adults. Insight into how these different types of sedentary behavior cluster is needed, as recent research suggests that not all types of sedentary behavior may have the same negative effects on physical and mental health. Therefore, the aim of this study was to identify sex-specific typologies of older adults’ sedentary behavior, and to examine their associations with health-related and socio-demographic factors. Methods Cross-sectional data were collected as part of the BEPAS Seniors, and the Busschaert study among 696 Flemish older adults (60+). Typologies of self-reported sedentary behavior were identified using latent profile analysis, and associations with health-related and sociodemographic factors were examined using analyses of variances. Results Five distinct typologies were identified from seven sedentary behaviors (television time, computer time, transport-related sitting time, sitting for reading, sitting for hobbies, sitting for socializing and sitting for meals) in men, and three typologies were identified from six sedentary behaviors (television time, transport-related sitting time, sitting for reading, sitting for hobbies, sitting for socializing and sitting for meals) in women. Typologies that are characterized by high television time seem to be related to more negative health outcomes, like a higher BMI, less grip strength, and a lower physical and mental health-related quality-of-life. Typologies that are represented by high computer time and motorized transport seem to be related to more positive health outcomes, such as a lower body mass index, more grip strength and a higher physical and mental health-related quality-of-life. Conclusions Although causal direction between identified typologies and health outcomes remains uncertain, our results suggests that future interventions should better focus on specific types of sedentary behavior (e.g. television time), or patterns of sedentary behavior, rather than on total sedentary behavior.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rod L. Walker ◽  
Mikael Anne Greenwood-Hickman ◽  
John Bellettiere ◽  
Andrea Z. LaCroix ◽  
David Wing ◽  
...  

Abstract Background Research supports that moderate-to-vigorous intensity physical activity (MVPA) is key to prolonged health and function. Among older adults, substantial changes to MVPA may be infeasible, thus a growing literature suggests a shift in focus to whole-day activity patterns. Methods With data from 795 older adults aged 65–100 in the Adult Changes in Thought Activity Monitoring study, we used linear regression to estimate associations between ActiGraph and activPAL measured activity patterns – including light intensity physical activity, steps, standing, and sedentary behaviors – and physical function as measured by a short Performance-based Physical Function (sPPF) score (range 0–12), a composite score based on three standardized physical performance tasks: gait speed, timed chair stands, and grip strength. We examined whether relationships persisted when controlling for MVPA or differed across age, gender, or quartiles of MVPA. Results In models unadjusted for MVPA, a 1-standard deviation (SD) increment of daily sitting (1.9 h more), mean sitting bout duration (8 min longer average), or time spent in sedentary activity (1.6 h more) was associated with ~ 0.3–0.4 points lower mean sPPF score (all p < 0.05). A 1-SD increment in daily steps (~ 3500 more steps) was associated with ~ 0.5 points higher mean sPPF score (95% CI: 0.22 to 0.73). MVPA adjustment attenuated all relationships. The association between physical function and steps was strongest among adults aged 75+; associations of worse function with greater sedentary behavior were more pronounced in participants with the lowest levels of MVPA. Conclusions We found associations between function and activity metrics other than MVPA in key subgroups, findings that support research on broader activity patterns and may offer ideas regarding practical intervention opportunities for improving function in older adults.


2020 ◽  
Author(s):  
Sofie Compernolle ◽  
Ilse De Bourdeaudhuij ◽  
Greet Cardon ◽  
Delfien Van Dyck

Abstract Background. Some types of sedentary behaviors tend to cluster in individuals or groups of older adults. Insight into how these different types of sedentary behavior cluster is needed, as recent research suggests that not all types of sedentary behavior may have the same negative effects on physical and mental health. Therefore, the aim of this study was to identify gender-specific typologies of older adults’ sedentary behavior, and to examine their associations with health-related and socio-demographic factors. Methods. Cross-sectional data were collected as part of the BEPAS Seniors, and the Busschaert study among 696 Flemish older adults (60+). Typologies of self-reported sedentary behavior were identified using latent profile analysis, and associations with health-related and sociodemographic factors were examined using analyses of variances. Results. Five distinct typologies were identified from seven sedentary behaviors (television time, computer time, transport-related sitting time, sitting for reading, sitting for hobbies, sitting for socializing and sitting for meals) in men, and three typologies were identified from six sedentary behaviors (television time, transport-related sitting time, sitting for reading, sitting for hobbies, sitting for socializing and sitting for meals) in women. Typologies that are characterized by high television time seem to be related to more negative health outcomes, like a higher BMI, less grip strength, and a lower physical and mental health-related quality-of-life. Typologies that are represented by high computer time and motorized transport seem to be related to more positive health outcomes, such as a lower BMI, more grip strength and a higher physical and mental health-related quality-of-life.Conclusions. Although causal direction between identified typologies and health outcomes remains uncertain, our results suggests that future interventions should better focus on specific types of sedentary behavior (e.g. television time), or patterns of sedentary behavior, rather than on total sedentary behavior.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Jong-Hwan Park ◽  
Jung-Hoon Park ◽  
Seunghwan Song ◽  
Ting-Fu Lai ◽  
Yung Liao

Background. Neighborhood destinations play important roles in daily activity levels of older adults. However, little is known about how specific destinations are associated with these activities and/or sedentary behaviors, especially in Asia. This study investigated how neighborhood destinations were associated with physical activity recommendations and excessive sedentary time among older adults. Methods. A telephone-based survey was conducted to collect cross-sectional data on the sociodemographic variables, residential neighborhoods, physical activities, and sedentary behaviors of 1,040 adults aged 65 years and above. Using data derived from Geographic Information Systems (GIS), an adjusted logistic regression was performed to examine the relationships between five neighborhood destination types (i.e., recreational facilities, utilitarian destinations, transit stops, temples, and schools) and both overall physical activity level and sedentary behavior. Results. Significant interactions related to physical activity and sedentary behavior were observed based on both gender and neighborhood destinations. After adjusting for potential confounders, older men living in neighborhoods containing higher numbers of temples were more likely to achieve physical activity recommendations (OR=1.85; 95% CI: 1.16–2.96). On the other hand, older women living in neighborhoods containing higher numbers of utilitarian destinations were more likely to engage in excessive sedentary time (OR=1.70; 95% CI: 1.12–2.56). Conclusions. In Asia, the presence of favorable local neighborhood temples may support physical activity levels for older men, while utilitarian destinations (which have previously been found to support activeness) may be related to excessive sedentary behaviors in older women.


Retos ◽  
2021 ◽  
Vol 42 ◽  
pp. 198-210
Author(s):  
André Ramalho ◽  
João Petrica ◽  
João Serrano ◽  
Rui Paulo ◽  
Pedro Duarte-Mendes ◽  
...  

  As evidências científicas sugerem que o excesso de comportamento sedentário é um fator de risco para a saúde física dos idosos, independentemente dos seus níveis de atividade física. No entanto, o conhecimento acerca das consequências do comportamento sedentário em diversos indicadores psicossociais na população idosa, está, ainda, pouco explorado. O objetivo do estudo foi identificar e compreender as consequências do comportamento sedentário no bem-estar psicossocial de idosos residentes em Portugal. Participaram no estudo 14 idosos com idades compreendidas entre os 65 e os 73 anos.  Com a finalidade de descrever os participantes entrevistados, utilizou-se questionários que permitiram estimar o tempo médio diário utilizado em diferentes comportamentos sedentários e o nível habitual de atividade física. Além disso, os dados foram recolhidos através de entrevistas semiestruturadas e analisados em função dos procedimentos da análise temática. Foi identificado que as diferentes dimensões do comportamento sedentário (o tipo de comportamento sedentário, a interrupção do comportamento sedentário, o tempo ininterrupto sentado e a frequência) podem ter influência no bem-estar psicossocial dos idosos. Além disso, foram identificados três temas (a perceção de melhoria e de manutenção de funções cognitivas, a perceção de estados afetivos positivos e a interação social percebida) associados à promoção do bem-estar psicossocial dos idosos e dois temas (a perceção da diminuição de relações sociais e a perceção de sintomas de fadiga mental) que podem contribuir para a deterioração do mesmo. Os resultados deste estudo são úteis para a compreensão da experiência dos idosos em relação ao comportamento sedentário e as implicações deste na dimensão cognitiva, emocional e social, das suas vidas.  Abstract. Scientific evidence suggests that excessive sedentary behavior is a risk factor for physical health in older adults, regardless of their activity level. However, knowledge about the consequences of sedentary behavior on various psychosocial indicators in the older population is still poor. The aim of this study was to identify and understand the consequences of sedentary behavior on the psychosocial well-being of older adults in Portugal. Fourteen older people, aged between 65 and 73 years, participated in the study. Questionnaires were used to determine the average daily time spent in different sedentary behaviors and the usual level of physical activity. Data were also collected through semi-structured interviews and analyzed using thematic analysis techniques. It was found that the different dimensions of sedentary behavior (type of sedentary behavior, interruption of sedentary behavior, time of uninterrupted sitting, and the frequency) may influence the psychosocial well-being of older adults. In addition, three themes (perceived improvement and maintenance of cognitive function, perceived positive affective states, and perceived social interaction) were associated with promoting psychosocial well-being in older adults, and two themes (perceived decreased social relationships and perceived symptoms of mental fatigue) may contribute to the decline in psychosocial well-being. The findings of this study are useful for understanding older adults’ experiences of sedentary behavior and its impact on the cognitive, emotional, and social dimensions of their lives.  Resumen. Las pruebas científicas sugieren que un comportamiento sedentario excesivo es un factor de riesgo para la salud física de las personas mayores, independientemente de sus niveles de actividad física. Sin embargo, el conocimiento sobre las consecuencias del comportamiento sedentario en varios indicadores psicosociales en la población de edad avanzada está todavía poco explorado. El objetivo del estudio era identificar y comprender las consecuencias del comportamiento sedentario en el bienestar psicosocial de las personas mayores residentes en Portugal. Catorce personas mayores de entre 65 y 73 años participaron en el estudio.  Para describir a los participantes entrevistados, se utilizaron cuestionarios para estimar el tiempo medio diario dedicado a diferentes comportamientos sedentarios y el nivel habitual de actividad física. Además, los datos se recogieron mediante entrevistas semiestructuradas y se analizaron según los procedimientos del análisis temático. Se identificó que las diferentes dimensiones del comportamiento sedentario (el tipo de comportamiento sedentario, la interrupción del comportamiento sedentario, el tiempo ininterrumpido sentado y la frecuencia) pueden tener una influencia en el bienestar psicosocial de las personas mayores. Además, se identificaron tres temas (percepción de mejora y mantenimiento de las funciones cognitivas, percepción de estados afectivos positivos y percepción de interacción social) asociados a la promoción del bienestar psicosocial en las personas mayores y dos temas (percepción de disminución de las relaciones sociales y percepción de síntomas de fatiga mental) que pueden contribuir a su deterioro. Los resultados de este estudio son útiles para comprender la experiencia de las personas mayores en relación con el comportamiento sedentario y sus implicaciones en las dimensiones cognitiva, emocional y social de sus vidas.


2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512515340p1-7512515340p1
Author(s):  
Allison Naber ◽  
Whitney Lucas Molitor ◽  
Michaela Dendinger ◽  
Vitoria Heier ◽  
Madison Michels ◽  
...  

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. Engagement in prolonged sedentary behaviors negatively impacts health. Sedentary behavior and perceived occupational performance were explored among community-dwelling older adults. In this pretest–posttest study, a goal-based approach to OT was used for intervention. While additional research is needed, participant-developed goals involving meaningful occupations may impact occupational performance and sedentary behavior among community-dwelling older adults. Primary Author and Speaker: Allison Naber Additional Authors and Speakers: Whitney Lucas Molitor Contributing Authors: Michaela Dendinger, Vitoria Heier, Madison Michels, and Dana Vandenberg


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