Relação entre alto comportamento sedentário no lazer e baixa funcionalidade de idosos

Abstract

-Sedentary behavior refers to activities with low energy expenditure, usually performed in sitting or lying positions, and includes behavior belonging to the current lifestyle, such as watching television. In the course of aging, this activity is performed for longer periods by individuals on a daily basis. This is worrying, since aging associated with sedentary behavior accentuates functionality decline. The aim of this study was to analyze the relationship between high leisure-time sedentary behavior and low functionality in older adults. The sample consisted of 375 older adults aged 60-97 years (70 ± 7 years), and of these, 114 (30%) were men and 261 (70%) women. Functionality was assessed by two functional tests and information related to sedentary behavior was obtained using the self-reported physical activity questionnaire proposed by Baecke et al. The chi-square test was used to verify the association between sedentary behavior and functionality, and binary logistic regression analysis was used to build the multiple model. Older individuals with high leisure-time sedentary behavior were more likely to have low functionality [OR 2.57; 95% CI 1.40 to 4.71] and [OR 2.35; 95% CI 1.29 to 4.29] regardless of gender, age, smoking, osteoporosis, arthritis / osteoarthritis, low back pain and physical activity. Extended permanence in sedentary behavior was associated with low functionality in older subjects. Preventive measures to stimulate the practice of physical activities and encourage the reduction of time spent in sedentary activities such as watching television should be adopted by health professionals in an attempt to maintain functionality among older adults. [OR:2,57; IC95% 1,71] e [OR:2,35; IC95% 1,29]

Indicadores socioculturais e histórias de vida de idosos longevos: heterogeneidade e ressignificações de hábitos na velhice.

“…Diante desse cenário, mesmo aqueles que mencionaram realizar exercício físico, passar longos períodos em frente à TV também contribuiu com maior chance de perda da funcionalidade. A ocupação do tempo livre com a televisão pode significar solidão e reclusão vividas por idosos (Bertolini, et al, 2016).…”

Transition and factors associated with the level of physical activity combined with sedentary behavior of the elderly: A longitudinal study

“…The absence of muscle contraction and visible motor stimuli in sitting and lying positions reduced the amount of muscle mass and quality of movement and influenced the physical capacity, and, therefore, the functionality of the elderly 42 .…”

“…A sample of 375 older adults living in Presidente Prudente (São Paulo) that spent a long time in sedentary behavior during leisure had a greater chance of low physical performance (OR=2.35) regardless of the physical activity level (42). Along 12.3 years of follow-up, physical function suffered loss among the women aged 50 to 79 who reported a long time spent on sedentary behavior at baseline (43).…”

Estado mental, funcionalidade e atividade física de idosos usuários das unidades básicas de saúde do município de Maringá, PR

“…Foi verificado que, quanto maior o tempo de comportamento sedentário, pior a funcionalidade (figura 3). Isto vai de acordo com Bertolini et al (2016) (Heer, Wilkinson, Strong, Bondy & Koehly, 2010).…”

“…Como principais METs)41 . E como vimos, as associações entre comportamento sedentário e atividade física em idosos têm indicado que independentemente do nível de atividade física, o elevado tempo despendido em atividades sentadas é um indicador de diminuição da funcionalidade42 .…”