Associations of Mutually Exclusive Categories of Physical Activity and Sedentary Time With Metabolic Syndrome in Older Adults: An Isotemporal Substitution Approach

2021 ◽  
pp. 1-9
Author(s):  
Miguel A. De la Cámara ◽  
Ana I. Pardos-Sevilla ◽  
Augusto Jiménez-Fuente ◽  
Thamara Hubler-Figueiró ◽  
Eleonora d’Orsi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Metabolic Syndrome ◽  
Confidence Interval ◽  
Sedentary Behavior ◽  
Odds Ratio ◽  
Vigorous Physical Activity ◽  
Future Health ◽  
Physically Active ◽  
Second Wave

The aim of this study was to examine, theoretically, how reallocating time between the intensity of mutually exclusive categories of physical activity and sedentary behavior time is associated with metabolic syndrome. Four hundred and six older adults (61.6% women) from the second wave of the EpiFloripa Aging Cohort Study were included in the study (mean age 71.7 ± 5.9 years). Isotemporal substitution analysis showed a decrease of 35% (odds ratio: 0.65; 95% confidence interval [0.45, 0.96]) in the risk for metabolic syndrome when replacing 30 min/day of sedentary behavior with an equivalent amount of moderate to vigorous physical activity. Furthermore, it has been observed that older adults classified as low sedentary behavior and physically active were 57% less likely to have metabolic syndrome than participants classified as high sedentary and physically inactive (odds ratio: 0.43; 95% confidence interval [0.19, 0.97]). This study highlights the importance of behavioral categories that may emerge concerning the interrelationships of physical activity and health in older adults, having important implications for future health intervention programs.

scholarly journals Profiles of Loneliness and Social Isolation in Physically Active and Inactive Older Adults in Rural England

2021 ◽  
Vol 18 (8) ◽  
pp. 3971
Author(s):  
Jolanthe de Koning ◽  
Suzanne H. Richards ◽  
Grace E. R. Wood ◽  
Afroditi Stathi
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Social Isolation ◽  
Physical Environment ◽  
Vigorous Physical Activity ◽  
Social Contact ◽  
Physical Activity Behaviour ◽  
Rural Setting ◽  
Structured Interviews ◽  
Physically Active

Objective: Loneliness and social isolation are associated with higher risk of morbidity and mortality and physical inactivity in older age. This study explored the socioecological context in which both physically active and inactive older adults experience loneliness and/or social isolation in a UK rural setting. Design: A mixed-methods design employed semi structured interviews and accelerometer-measured moderate-to-vigorous physical activity (MVPA). Interviews explored the personal, social and environmental factors influencing engagement with physical activities, guided by an adapted-socioecological model of physical activity behaviour. Findings: Twenty-four older adults (MeanAge = 73 (5.8 SD); 12 women) were interviewed. Transcripts were thematically analysed and seven profiles of physical activity, social isolation and loneliness were identified. The high-MVPA group had established PA habits, reported several sources of social contact and evaluated their physical environment as activity friendly. The low MVPA group had diverse experiences of past engagement in social activities. Similar to the high MVPA, they reported a range of sources of social contact but they did not perceive the physical environment as activity friendly. Conclusions: Loneliness and/or social isolation was reported by both physically active and inactive older adults. There is wide diversity and complexity in types and intensity of PA, loneliness and social isolation profiles and personal, social and environmental contexts.

scholarly journals 513Ophthalmic disease and older adults’ sedentary and physically-active behaviors: Findings from the NEIGE study

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Shiho Amagasa ◽  
Shigeru Inoue ◽  
Hiroshi Murayama ◽  
Takeo Fujiwara ◽  
Hiroyuki Kikuchi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Living Arrangement ◽  
Vigorous Physical Activity ◽  
Activity Patterns ◽  
Community Dwelling ◽  
Analysis Of Covariance ◽  
Cross Sectional ◽  
Physically Active ◽  
Reciprocal Influences

Abstract Background Physical inactivity can be associated adversely with markers of eye health, but little is known about how ophthalmic disease (OD) may be related to sedentary behaviour (SB) and different intensities of physical activity in older adults. We compared device-assessed time spent in SB, light-intensity PA (LPA), and moderate-to-vigorous physical activity (MVPA) between older adults with and without OD. Methods A randomly-recruited sample of 512 community-dwelling older adults (47% male; aged 65–84 years) in Japan wore a valid tri-axial accelerometer for seven consecutive days in 2017. Prevalence of OD was assessed by medical interview. Times spent in SB, LPA, and MVPA were compared between those with and without OD by compositional multivariate analysis of covariance, adjusting for potential confounders (gender, age, residential area, living arrangement, working, body mass index, self-rated health, and cognitive function). Results Overall, percent times spent in SB, LPA, and MVPA during waking hours were 51.0, 44.6, and 4.4, respectively; and, 167 (36.5%) had OD. Activity patterns differed significantly between those with and without OD: in those with OD, the proportion of time spent in MVPA relative to other behaviours was lower, and the proportion of time spent in SB relative to other behaviours was higher. Conclusions Older adults with OD were found to be less physically active than those without. Key messages While these cross-sectional findings need to be confirmed by evidence from prospective studies, the reciprocal influences of OD and inactivity in older adults should be addressed as scientific, clinical and public health considerations.

Combined Physical Activity and Sitting Time Association on Older Adults’ Body Mass Index: Cross-Sectional Findings From the Brazilian Longitudinal Study of Aging

2021 ◽  
pp. 1-7
Author(s):  
Juleimar S.C. Amorim ◽  
Juliana L. Torres ◽  
Sérgio V. Peixoto
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Body Mass Index ◽  
Longitudinal Study ◽  
Confidence Interval ◽  
Body Mass ◽  
Odds Ratio ◽  
Multinomial Logistic Regression ◽  
Sitting Time ◽  
Short Version

This study examined isolated and combined associations of physical activity (PA) and sitting time (ST) with body mass index (BMI) among older Brazilian adults. We have analyzed baseline data of 8,177 participants aged 50 years and older from the Brazilian Longitudinal Study of Aging. Respondents were categorized into sufficient PA/low ST, sufficient PA/high ST, insufficient PA/low ST, or insufficient PA/high ST using the Short Version of International Physical Activity Questionnaire. Multinomial logistic regression analysis examined the associations of being underweight (BMI, <18 kg/m2), overweight (BMI, 25–29.9 kg/m2), and obese (BMI, ≥30 kg/m2) with PA and ST categories. High ST (≥165 min/day) was associated with overweight (odds ratio, 1.26; 95% confidence interval [1.11, 1.44]) and obesity (odds ratio, 1.43; 95% confidence interval [1.21, 1.70]). However, no association was observed between PA and BMI. Participants in the insufficient and sufficient PA/high ST categories were more likely to be obese after adjusting for sociodemographic and health condition. Our findings call for public health initiatives that consider reducing ST in older adults.

Accelerometer-Measured Physical Activity and Sedentary Behavior: A Cross-Sectional Study of Brazilian Older Adults

2018 ◽  
Vol 15 (11) ◽  
pp. 811-818 ◽  
Author(s):  
Carla Elane Silva dos Santos ◽  
Sofia Wolker Manta ◽  
Guilherme Pereira Maximiano ◽  
Susana Cararo Confortin ◽  
Tânia Rosane Bertoldo Benedetti ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Sedentary Behavior ◽  
Vigorous Physical Activity ◽  
Cross Sectional Study ◽  
Activity Levels ◽  
Cross Sectional ◽  
Aging Study ◽  
Low Levels ◽  
Adjusted Model

Background: To examine the level of physical activity and sedentary behavior (SB), measured with accelerometers, in older adults from a city in southern Brazil according to sociodemographic and health characteristics.Methods: The sample consisted of 425 older adults (≥63 y) from the EpiFloripa Aging Study. Light physical activity (LPA), moderate to vigorous physical activity (MVPA), and SB were measured with accelerometers over a period of 7 days.Results: The older adults spent two-thirds of the time of use in SB, one-third in LPA, and only 2.1% (95% confidence interval, 1.8–2.2) in MVPA. In the final adjusted model, lower levels of MVPA were observed for women, as well as higher SB and lower LPA and MVPA for those with higher age. There were also trends toward prolonged SB and lower LPA when participants had a higher educational level and toward lower MVPA with higher body mass index.Conclusions: Constant monitoring of physical activity levels and SB using objective measures is recommended and interventions should be directed at the groups most exposed to excessive SB and low levels of MVPA.

scholarly journals Leisure-Time Physical Activity and Metabolic Syndrome in Older Adults

2019 ◽  
Vol 16 (18) ◽  
pp. 3358 ◽  
Author(s):  
Gallardo-Alfaro ◽  
Bibiloni ◽  
Mateos ◽  
Ugarriza ◽  
Tur
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Metabolic Syndrome ◽  
Energy Expenditure ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Vigorous Physical Activity ◽  
Cross Sectional Study ◽  
Moderate Physical Activity ◽  
Cross Sectional

Background: Metabolic syndrome (MetS) is a cluster of risk factors for cardiovascular disease, atherosclerosis and diabetes mellitus type 2 which may be reduced by practicing regular physical activity. Objective: To assess the leisure-time physical activity (LTPA) of older adults with MetS and without MetS. Methods: Cross-sectional study of older adults (55–80 years old) from Balearic Islands (Spain) with MetS (n = 333; 55% men) and without MetS (n = 144; 43.8% men). LTPA was assessed with the validated Spanish version of the Minnesota LTPA Questionnaire. Two criteria of physically active were used: >150 min/week of moderate physical activity or >75 min/week of vigorous physical activity or a combination of both, and total leisure-time energy expenditure of >300 MET·min/day. Sociodemographic and lifestyle characteristics, anthropometric variables, MetS components, and adherence to the Mediterranean diet (MD) were also measured. Results: MetS subjects showed lower energy expenditure in LTPA, lower adherence to the MD, higher obesity and waist circumference, and were less active than non-MetS peers. LTPA increased as participants got older and there was higher LTPA intensity as educational level increased. Adherence to MD was as high as LTPA was. Conclusions: MetS is associated with physical inactivity and unhealthy diet. To increase LTPA recommendations and raise awareness in the population about the health benefits of PA and high adherence to MD is highly recommended.

scholarly journals Bi-Directional, Day-to-Day Associations between Objectively-Measured Physical Activity, Sedentary Behavior and Sleep among Office Workers

2021 ◽  
Vol 18 (15) ◽  
pp. 7999
Author(s):  
Emerald G. Heiland ◽  
Örjan Ekblom ◽  
Emil Bojsen-Møller ◽  
Lisa-Marie Larisch ◽  
Victoria Blom ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sedentary Behavior ◽  
Mixed Models ◽  
Vigorous Physical Activity ◽  
Sleep Time ◽  
Office Workers ◽  
Sedentary Behaviors ◽  
Physically Active ◽  
Objectively Measured ◽  
Objectively Measured Physical Activity

The bi-directional, day-to-day associations between daytime physical activity and sedentary behavior, and nocturnal sleep, in office workers are unknown. This study investigated these associations and whether they varied by weekday or weekend day. Among 324 Swedish office workers (mean age 42.4 years; 33.3% men), moderate-to-vigorous physical activity (MVPA), and sedentary behaviors and sleep (total sleep time (TST) and sleep efficiency (SE)) were ascertained by using accelerometers (Actigraph GT3X) over 8 days. Multilevel linear mixed models were used to assess the bi-directional, day-to-day, within-person associations. Additional analyses stratified by weekend/weekday were performed. On average, participants spent 6% (57 min) of their day in MVPA and 59% (9.5 h) sedentary, and during the night, TST was 7 hours, and SE was 91%. More daytime sedentary behavior was associated with less TST that night, and reciprocally, more TST at night was associated with less sedentary behavior on the following weekday. Greater TST during the night was also associated with less MVPA the next day, only on weekdays. However, daytime MVPA was not associated with TST that night. Higher nighttime SE was associated with greater time spent sedentary and in MVPA on the following day, regardless if weekday or weekend day. Sleep may be more crucial for being physically active the following day than vice versa, especially on weekdays. Nevertheless, sedentary behavior’s relation with sleep time may be bi-directional. Office workers may struggle with balancing sleep and physical activity time.

scholarly journals Compliance of the 24-Hour Movement Guidelines in 9- to 11-Year-Old Children From a Low-Income Town in Chile

2020 ◽  
Vol 17 (10) ◽  
pp. 1034-1041
Author(s):  
Marcelo Toledo-Vargas ◽  
Patricio Perez-Contreras ◽  
Damian Chandia-Poblete ◽  
Nicolas Aguilar-Farias
Keyword(s):  
Physical Activity ◽  
Mixed Methods ◽  
Sedentary Behavior ◽  
Low Income ◽  
Vigorous Physical Activity ◽  
Sixth Grade ◽  
The Self ◽  
Self Report ◽  
Physically Active ◽  
Valid Data

Background: The purpose was to determine the proportion of 9- to 11-year-old children meeting the 24-hour movement guidelines (24-HMG) in a low-income town from Chile. Methods: Physical activity, sedentary behavior (recreational screen), and sleep times were measured with both questionnaire and accelerometer in 258 children from third to sixth grade. Meeting the 24-HMG was defined as having ≥60 minutes per day of moderate to vigorous physical activity, ≤2 hour day of screen time, and 9 to 11 hours of sleep per night. Compliance rates were calculated as self-reported 24-HMG, with all estimations based on questionnaires, and mixed 24-HMG, in which physical activity and sleep were determined with an accelerometer and sedentary behavior was determined with a questionnaire. Results: About 198 children (10.1 [0.8] y, range 9–11 y) provided valid data for estimating self-reported 24-HMG, and 141 for mixed 24-HMG. Only 3.2% and 0.7% met the 24-HMG when using the self-reported and mixed methods, respectively. When assessing individual recommendations, 13.1% and 3.7% of the sample were physically active based on the self-report and accelerometer, respectively. About a quarter met the sedentary behavior recommendations, while around 50% met the sleep recommendations with both self-reported and mixed methods. Conclusions: An extremely low percentage of the participants met the 24-HMG. Multicomponent initiatives must be implemented to promote healthy movement behaviors in Chilean children.

scholarly journals Physical Activity in Relation to Sleep Among Community-Dwelling Older Adults in China

2018 ◽  
Vol 26 (4) ◽  
pp. 647-654 ◽  
Author(s):  
Junxin Li ◽  
Binbin Yang ◽  
Miranda Varrasse ◽  
Xiaopeng Ji ◽  
MaoChun Wu ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Confidence Interval ◽  
Sex Education ◽  
Odds Ratio ◽  
Family Income ◽  
Community Dwelling ◽  
Poor Sleep ◽  
Household Activity ◽  
Cross Sectional

This cross-sectional study was conducted to describe the physical activity and sleep in 290 community-dwelling Chinese older adults and to examine the association between physical activity and poor sleep outcomes. Almost half of the samples were poor sleepers. The majority of the samples regularly participated in walking, some household activity, and light sports, yet only a small portion were involved in work-related activity or in strenuous sports. A greater level of overall physical activity (odds ratio = 0.79; 95% confidence interval = [0.73, 0.86]), leisure-time exercise (odds ratio = 0.77; 95% confidence interval = [0.68, 0.85]), and household activity (odds ratio = 0.66; 95% confidence interval = [0.56, 0.78]) were associated with reduced likelihood of being poor sleepers and other poor sleep outcomes, independent of covariates including age, sex, education, family income, the number of children, drinking, and sleep hygiene. Future larger-scale studies that incorporate both objective and subjective measures are needed to further examine the association and to explore the effects of different types of activity on sleep and other well-beings in older adults.

scholarly journals A systematic review of studies that included both measures of physical activity and sedentary behaviour in older adults

2019 ◽  
Author(s):  
Armando Raimundo ◽  
José Marmeleira ◽  
Soraia Ferreira
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Older Adults ◽  
Sedentary Behavior ◽  
Vigorous Physical Activity ◽  
The Elderly ◽  
Health Conditions ◽  
Inclusion Criteria ◽  
Care Facilities ◽  
Reported Data

Objective: The main aim of this study is to identify, appraise and synthesize evidence on the level of physical activity and sedentary behavior in older adults. Method: This review was restricted to studies published between January 2006 and January 2019 and included studies that reported physical activity and sedentary behavior in older adults (≥65 years old) without chronical health conditions. Results: Twenty studies met the inclusion criteria. Two studies reported data for older adults residing at assisted care facilities, showing results of moderate to vigorous physical activity  much lower than those reported in studies with older adults living in the community (2 min/per day and 37.2 min/per day, respectively). Conclusion: Sedentary behavior is high in the elderly, with men presenting higher values than women. moderate to vigorous physical activity has very low values, and with the advancing age there is a decrease in the same.

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