Sedentary Behavior and Nutritional Status Among Older Adults: A Meta-Analysis

Camilo, Bruno de Freitas; Resende, Talita Inácio Martins; Moreira, Édimo Fernando Alves; Damião, Renata

doi:10.1590/1517-869220182404183390

Cited by 6 publications

(7 citation statements)

References 44 publications

(66 reference statements)

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“…The absence of associations of sedentary behavior and physical activity with obesity and abdominal obesity is in agreement with the meta-analysis by Camilo et al 3 . The authors identified four studies examining the association association between sedentary behavior and overweight.…”

Section: Discussionsupporting

confidence: 92%

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Association of sedentary behavior with overweight and abdominal obesity in older adults

Resende

Meneguci

Sasaki

et al. 2019

Rev Bras Ativ Fís Saúde

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The aim of this study was to examine the association of sedentary behavior with overweight and abdominal obesity in older adults. This was a cross-sectional study with older men and women residing in the municipalities of the Regional Health Superintendency of Uberaba, Minas Gerais. Sedentary behavior was assessed according to the time spent sitting on a weekday and a weekend day. Body mass, height and waist circumference were measured. Excess weight was determined by means of body mass index, while abdominal obesity by waist circumference. Poisson regression analyzes with robust variance were used to examine the association of sedentary behavior with overweight and abdominal obesity. The total sample consisted of 3223 older people (61.3% women), with a mean age of 70 ± 7.26 years. There was no association between quartiles of sedentary behavior and overweight (2nd quartile: PR = 0.99; 95%CI: 0.94–1.05; 3rd quartile: PR = 0.99; 95%CI: 0.93–1.07; 4th quartile: PR = 1.07; 95%CI: 1.00–1.13) and abdominal obesity (2nd quartile: PR = 1.04; 95%CI: 1.00–1.08; 3rd quartile: PR = 1.03; 95%CI: 0.98–1.08; 4th quartile: PR = 0.98; 95%CI: 0.94–1.03) when analyses were adjusted for sociodemographic, health perception and behavioral variables. The sedentary behavior was not associated with overweight and abdominal obesity in the elderly.

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Section: Discussionsupporting

confidence: 92%

“…Recent studies highlighted that sedentary behavior is associated with adverse health outcomes in older adults, including overweight/obesity and increased waist circumference 2 . However, few studies have examined associations of sedentary behavior with overweight/obesity in older adults in developing countries 3 .…”

Section: Introductionmentioning

confidence: 99%

Association of sedentary behavior with overweight and abdominal obesity in older adults

Resende

Meneguci

Sasaki

et al. 2019

Rev Bras Ativ Fís Saúde

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“…Although it is evident that long-term exposure to sedentary behavior throughout life is associated with an unhealthy diet [ 72 ], the relationship between sedentary behavior and malnutrition is not yet clear. As previously verified in a meta-analysis, there are no studies that have evaluated the relationship between the time exposed to sedentary behavior and malnutrition in older adults [ 73 ]. However, a systematic review investigated the possible modifying determinants of malnutrition in older adults, and the level of physical activity, physical function and self-rated health were moderately related to the risk of malnutrition [ 74 ].…”

Section: Discussionmentioning

confidence: 99%

Physical activity, sedentary behavior and functionality in older adults: A cross-sectional path analysis

Meneguci

Sasaki

et al. 2021

PLoS ONE

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Disability is negatively associated with the health of older adults, and it can be mediated by healthy lifestyles and behaviors throughout one’s life. In this context, understanding the interrelationships between sedentary behavior, physical activity and functionality may assist in the implementation of effective public health actions. Thus, the aim of the present study was to investigate the relationships between both physical activity and sedentary behavior and functionality in older adults and the possible mediators. The variables analyzed were selected according to the content analysis of International Classification of Functioning, Disability and Health model, and included activity, participation, health conditions, body functions and structures, environmental factors and personal factors. 419 individuals participated in the study. Physical activity was directly associated with disability in instrumental activities of daily living (IADL), and the association was mediated by self-esteem, aerobic endurance, and agility/balance. Sedentary behavior was indirectly associated with IADL disability, and the association was mediated by aerobic resistance, nutritional status, and agility/balance. Regarding the basic activities of daily living (BADL), physical activity showed an indirect association mediated by aerobic resistance and IADL. The association of sedentary behavior with BADL was mediated by aerobic resistance and lower limb flexibility. These results reinforce the idea that functionality is multidimensional, and the mediating factors must be considered when strategies for promoting physical activity and reducing sedentary behavior are designed.

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“…37 Abdominal obesity is also a threat to the emergence of these conditions, 34 which are associated with disability and years of life lost due to premature death. 35 Although a meta-analysis showed that time spent in sedentary behavior did not increase the chances of being overweight or obese in older adults, 38 there are greater barriers for older people with these conditions to reducing time in sedentary behavior.…”

Section: Discussionmentioning

confidence: 99%

Use of structural models to elucidate the occurrence of falls among older adults according to abdominal obesity: a cross-sectional study

et al. 2023

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INTRODUCTIONFalls are a public health problem at the global level due to the associated repercussions, such as a large number of years of disability, the need for long-term care, and high mortality rates. 1 In the Brazilian population there is a prevalence of 27% for falls among older adults, with advanced age among the risk factors with strong scientific evidence for falls. 2,3 Falls have also been associated with the presence of morbidities, 4,5 depressive symptoms, 3,6 changes in balance and reduction in muscle strength, 7-9 use of medicines, 10,11 disabilities in basic activities (BADL) and instrumental activities (IADL) of daily living, 12,13 lower levels of physical activity, 14 prolonged sedentary behavior, 15 female sex 2,3 and obesity. [16][17][18] Among these factors, obesity, which is also currently a public health problem, requires further investigation. However, the effects of body fat distribution on the occurrence of falls are not yet well established. 18 The scientific literature shows that excess fat in the central region contributes to the anterior displacement of the body's center of mass, making it difficult to stabilize in an upright posture, shifting the line of gravity that approaches the body's base of support. 19 Based on studies in older adults, it appears that falls are associated with sociodemographic, health, and behavioral characteristics. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] However, which of these factors act directly or indirectly to mediate the occurrence of falls in older adults with and without abdominal obesity remains unclear.Obesity is a common condition in the elderly population and is associated with higher morbidity and mortality, risk of institutionalization, and poorer quality of life. 20 Additionally, advanced age is one of the main factors associated with falls. 1 Thus, it is necessary to expand on the understanding of the association between obesity and falls in this population, aiming to identify individuals at greater risk and propose preventive measures. 18

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Sedentary Behavior and Nutritional Status Among Older Adults: A Meta-Analysis

Cited by 6 publications

References 44 publications

Association of sedentary behavior with overweight and abdominal obesity in older adults

Association of sedentary behavior with overweight and abdominal obesity in older adults

Physical activity, sedentary behavior and functionality in older adults: A cross-sectional path analysis

Use of structural models to elucidate the occurrence of falls among older adults according to abdominal obesity: a cross-sectional study

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