Association of objective sedentary behaviour and self-rated health in English older adults

Wilson, Jason J.; Blackburn, Nicole E.; O’Reilly, Rachel; Kee, Frank; Caserotti, Paolo; Tully, Mark A.

doi:10.1186/s13104-019-4050-5

Cited by 29 publications

(28 citation statements)

References 42 publications

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“…Our study confirms that older adults spent most of the day in SED. In our study, SED (12.7 h/d) was higher than previously described for older people from Iceland (10.2 h/d), Norway (9.2 h/d), UK (10.3 h/d), Brazil (10.5 h/d), Canada (10.0 h/d), and United States (8.5 h/d) . Nonetheless, in these studies accelerometers were worn only during waking hours, and the non‐wear time was deleted, which could underestimate SED .…”

Section: Discussioncontrasting

confidence: 71%

Twenty four‐hour activity cycle in older adults using wrist‐worn accelerometers: The seniors‐ENRICA‐2 study

Cabanas‐Sánchez

Esteban‐Cornejo

Migueles

et al. 2020

Scandinavian Med Sci Sports

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Objectives This study aimed: (a) to provide a detailed description of sleep, sedentary behavior (SED), light physical activity (LPA), and moderate‐to‐vigorous physical activity (MVPA) over the complete 24‐hours period using raw acceleration data in older adults; and (b) to examine the differences in the 24‐hours activity cycle by sex, age, education, and body mass index (BMI). Methods Population‐based cohort comprising 3273 community‐dwelling individuals (1739 women), aged 71.8 ± 4.5 years, participating in the Seniors‐ENRICA‐2 study. Participants wore a wrist‐worn ActiGraph GT9X accelerometer for 7 consecutive days, and the raw signal was processed using the R‐package GGIR. Results Participants reached 21.5 mg as mean acceleration over the whole day; 32.3% (7.7 h/d) of time was classified as sleep, 53.2% (12.7 h/d) as SED, 10.4% (148.6 min/d) as LPA, and 4.1% (59.0 min/d) as MVPA. No marked differences were found in sleep‐related variables between socio‐demographic and BMI groups. However, women showed higher LPA but lower SED and MVPA than men. Moreover, SED increased whereas LPA and MVPA decreased with age. Participants with obesity (BMI ≥ 30 kg/m2) accumulated more SED and less LPA and MVPA than those without obesity. As expected, adherence to physical activity recommendations varied widely (9.2%‐76.6%) depending on the criterion of MVPA accumulation. Conclusion Objective assessment of the 24‐hour activity cycle provides extensive characterization of daily activities distribution in older adults and may inform health‐promotion interventions in this population. Women, the oldest old, and those with obesity offer relevant targets of strategies to improve lifestyle patterns.

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Section: Discussioncontrasting

confidence: 71%

Twenty four‐hour activity cycle in older adults using wrist‐worn accelerometers: The seniors‐ENRICA‐2 study

Cabanas‐Sánchez

Esteban‐Cornejo

Migueles

et al. 2020

Scandinavian Med Sci Sports

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“…A better understanding of the distribution of movement behavior across the awake-time span will benefit and inform the development of cost-effective public health interventions. Reducing sitting could potentially improve older adults’ subjectively and objectively measured health status ( 46 , 47 ) and well-being ( 48 ). Thus, focusing on ways to reduce sitting with nonsitting activities (eg, doing some activities that are usually completed in a seated position by standing up) may be a promising first step to address sedentary time among older adults.…”

Section: Discussionmentioning

confidence: 99%

Accelerometer-Measured Sedentary and Physical Activity Time and Their Correlates in European Older Adults: The SITLESS Study

Giné-Garriga

Sansano-Nadal

Tully

et al. 2020

The Journals of Gerontology: Series A

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Background Sedentary behavior (SB) and physical activity (PA) are important determinants of health in older adults. This study aimed to describe the composition of accelerometer-measured SB and PA in older adults, to explore self-reported context-specific SB, and to assess sociodemographic and functional correlates of engaging in higher levels of SB in participants of a multicenter study including four European countries. Method One thousand three hundred and sixty community-dwelling older adults from the SITLESS study (61.8% women; 75.3 ± 6.3 years) completed a self-reported SB questionnaire and wore an ActiGraph accelerometer for 7 days. Accelerometer-determined compositional descriptive statistics were calculated. A fixed-effects regression analysis was conducted to assess the sociodemographic (country, age, sex, civil status, education, and medications) and functional (body mass index and gait speed) correlates. Results Older adults spent 78.8% of waking time in SB, 18.6% in light-intensity PA, and 2.6% in moderate-to-vigorous PA. Accelerometry showed that women engaged in more light-intensity PA and walking and men engaged in higher amounts of moderate-to-vigorous PA. Watching television and reading accounted for 47.2% of waking time. Older age, being a man, single, taking more medications, being obese and overweight, and having a slower gait speed were statistically significant correlates of more sedentary time. Conclusions The high amount of SB of our participants justifies the need to develop and evaluate interventions to reduce sitting time. A clinically relevant change in gait speed can decrease almost 0.45 percentage points of sedentary time. The distribution of context-specific sedentary activities by country and sex showed minor differences, albeit worth noting.

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“…In a US-based study [36], 46% of 4411 older people assessed their SRH as excellent or very good. Wilson et al [37] report that 63.3% of 578 older people in England rate their health in the top two categories. In the third category, they use the word "fair" where we and the other aforementioned studies use "good" which might explain the difference.…”

Section: Discussionmentioning

confidence: 99%

Self-rated health and socio-economic status among older adults in Northern Iceland

Sigurðardóttir

Kristófersson

Gústafsdóttir

et al. 2019

International Journal of Circumpolar Health

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Little is known about self-rated health (SRH) of older people living in more remote and Arctic areas. Iceland is a high-income country with one of the lowest rates of income inequality in the world, which may influence SRH. The research aim was to study factors affecting SRH, in such a population living in Northern Iceland. Stratified random sample according to the place of residency, age and gender was used and data collected via face-to-face interviews. Inclusion criteria included community-dwelling adults ≥65 years of age. Response rate was 57.9% (N = 175), average age 74.2 (sd 6.3) years, range 65-92 years and 57% were men. The average number of diagnosed diseases was 1.5 (sd 1.3) and prescribed medications 3.0 (sd 1.7). SRH ranged from 5 (excellent) to 1 (bad), with an average of 3.26 (sd 1.0) and no difference between the place of residency. Lower SRH was independently explained by depressed mood (OR = 0.88, 95% CI = 0.80-0.96), higher body mass index (OR = 0.93, 95% CI = 0.87-0.99), number of prescribed medications (OR = 0.88, 95% CI = 0.78-1.00) and perception of inadequate income (OR = 0.45, 95% CI = 0.21-0.98). The results highlight the importance of physical and mental health promotion for general health and for ageing in place and significance of economic factors as predictors of SRH.

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Association of objective sedentary behaviour and self-rated health in English older adults

Cited by 29 publications

References 42 publications

Twenty four‐hour activity cycle in older adults using wrist‐worn accelerometers: The seniors‐ENRICA‐2 study

Twenty four‐hour activity cycle in older adults using wrist‐worn accelerometers: The seniors‐ENRICA‐2 study

Accelerometer-Measured Sedentary and Physical Activity Time and Their Correlates in European Older Adults: The SITLESS Study

Self-rated health and socio-economic status among older adults in Northern Iceland

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