Sedentary Time and Disability in Older Adults: A Systematic Review and Meta-Analysis

Scher, Luria Melo de Lima; Guarda, Flávio Renato Barros da; Barros, Mauro VirgÃ­lio Gomes de; Chen, Zhiguo; Anton, Stephen D.

doi:10.35248/2329-884.19.07.206

Cited by 5 publications

(7 citation statements)

References 37 publications

(87 reference statements)

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“…Similar findings indicated that the low level of physical activity was a predisposing factor for developing a disability among individuals aged 60 years or older [23], [31]. This was supported by results of literature systematic reviews and metaanalyses that suggested the association between a sedentary life and physical disability in older adults [32]. It was difficult to made causality inferences in our study.…”

Section: Discussionsupporting

confidence: 84%

The Prevalence of Functional Disability and Associated Factors among Older People Attending Primary Health-care Centers in Riyadh City

Alhalafi

Al-Amoud

Aldahman

et al. 2021

Open Access Maced J Med Sci

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BACKGROUND: The burden of disability among the older population is increasing as older people grow with significant social and economic negative impacts. AIM: This study examines functional disability and its associated risk factors among older Saudi citizens attending primary health-care centers (PHCCs) in Riyadh city. METHODS: This descriptive cross-sectional study was carried out on 504 older Saudi citizens aged ≥60 years who attended a PHCC in Riyadh city between December 2019 and May 2020. Interviewer-administered questionnaire was used to assessing the disability in activities of daily living (ADL) and instrumental activities of daily living (IADL) using the Katz Index and Lawton scale. RESULTS: The prevalence of ADL and IADL disability among participants was 24.6% and 58.5%, respectively. Smoking (p = 0.019), dyslipidemia (p = 0.018), rheumatoid arthritis (p = 0.028), history of falls (p = 0.014), and an emergency visit (p = 0.049) were risk factors associated with ADL disability. Predictors of IADL disability were advanced age (p = 0.004), being female (p = 0.029), and the need for a caregiver (p = 0.000). The need for homecare was positively associated with ADL dependency (p = 0.008) and IADL dependency (p = 0.003). Furthermore, regular physical activity was a protective factor against ADL functional disabilities (p = 0.002) and IADL functional disabilities (p = 0.000). CONCLUSION: This study found a high prevalence of ADL and IADL disability among elderly Saudis. Disability was associated with several sociodemographic and health status factors. The findings of this study highlight the priority of effective and targeted preventive interventions for disability.

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Section: Discussionsupporting

confidence: 84%

The Prevalence of Functional Disability and Associated Factors among Older People Attending Primary Health-care Centers in Riyadh City

Alhalafi

Al-Amoud

Aldahman

et al. 2021

Open Access Maced J Med Sci

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“…These results are consistent with previous studies which also proved that majority of individuals with disabilities have sedentary behavior and longer sitting hours (30,31). For example, a metaanalysis published in 2019 indicated that most of the people with disabilities spent more than 5.8 h sitting during wake up time which was higher than non-disabled people (4.6 h/day) (30). A previous analysis including adults with disabilities reported that individuals with mean sitting time of more than 6 h/day had 1.55 times more hazard of mortality as compared to the ones with <4 h of sitting time (32).…”

Section: Discussionsupporting

confidence: 94%

“…Our analysis revealed that there were no significant differences in the PA status of both groups of participants whereas people with disabilities (6.1 h) had significantly longer sitting time per day as compared to the ones without disabilities (5.3 h). These results are consistent with previous studies which also proved that majority of individuals with disabilities have sedentary behavior and longer sitting hours ( 30 , 31 ). For example, a meta-analysis published in 2019 indicated that most of the people with disabilities spent more than 5.8 h sitting during wake up time which was higher than non-disabled people (4.6 h/day) ( 30 ).…”

Section: Discussionsupporting

confidence: 94%

Effect of physical activity and sedentary sitting time on psychological quality of life of people with and without disabilities; A survey from Saudi Arabia

Zahra

Hassan²,

Hassan³

et al. 2022

Front. Public Health

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BackgroundMental and psychological health issues are on the rise globally. People with disabilities are at greater risk of poor psychological quality of life especially after covid-19 pandemic. Along with other factors physical activity (PA) may have a significant effect on mental health. This study aims to analyze the difference of PA participation and sitting time among people with and without disabilities and their association with psychological quality of life.MethodsA standard questionnaire was used to collect the data from disabled and non-disabled participants above 15 years of age. Bivariate and multivariate analysis was performed to yield statistical results.ResultsTotal study sample consisted of 359 participants (67.7% without disability and 32.3% with disability). Participants without disabilities reported a significantly better psychological quality of life (QOL) (Mean score = 68) as compared to the ones with disabilities (Mean score = 61), (p < 0.01). There was significant difference between the sitting time of two groups with longer sitting time among people with disabilities (6.1 h/day) as compared to non-disabled (5.3 h). Optimum level of PA was strongly associated with better psychological quality of life among individuals without disabilities (p = 0.00). Younger age (p = 0.00) and being single (p = 0.01) were significant predictors of poor psychological health among non-disables. Increase in sedentary sitting time was significantly associated with poor psychological quality of life among both groups.ConclusionsTailored health policies to encourage PA and reduce sitting hours should be formulated to improve psychological health with special focus on individuals with disabilities. Future studies with large sample size are recommended to validate the current results and further explore the difference in association of PA and psychological wellbeing in people with and without disabilities.

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“…However, the associations of sedentary time and patterns with functional disability remain unclear. Two recent systematic reviews of objectively measured sedentary time showed that higher levels of total sedentary time are associated with increased odds of disability [ 14 , 15 ]. However, most existing studies have been limited by cross-sectional designs [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Accelerometer-measured sedentary behavior and risk of functional disability in older Japanese adults: a 9-year prospective cohort study

Chen

Honda

et al. 2023

Int J Behav Nutr Phys Act

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Background The associations of sedentary time and patterns with functional disability among older adults remain unclear, and few studies have accounted for the co-dependency of sedentary behavior and physical activities when modeling sedentary behavior with risk of functional disability. We aimed to examine the associations between sedentary time and patterns and risk of incident functional disability, and assess whether replacing sedentary time with light physical activity (LPA) or moderate-to-vigorous intensity physical activity (MVPA) is associated with reduced risk of functional disability in community-dwelling older adults. Methods A total of 1,687 Japanese adults aged ≥ 65 years without functional disability at baseline were prospectively followed-up for 9 years (2011–2020). Functional disability was ascertained using the national database of Japan’s Long-term Care Insurance System. Sedentary time and patterns, LPA, and MVPA were measured using a tri-axial accelerometer secured to participants’ waists. Results During follow-up, 466 participants developed functional disability. Compared with the lowest quartile of total sedentary time, the multivariable-adjusted hazard ratios (95% confidence intervals) of functional disability for the second, third, and top quartiles were 1.21 (0.91‒1.62), 1.45 (1.10‒1.92), and 1.40 (1.05‒1.88) (p for trend = 0.01). After further adjusting for MVPA, total sedentary time was no longer significantly associated with the risk of functional disability (p for trend = 0.41). Replacing 10 min/day of sedentary time with the same amount of MVPA (but not LPA) was significantly associated with a 12% reduced risk of functional disability (hazard ratio [95% confidence interval]: 0.88 [0.84‒0.92]). No significant association was observed between sedentary bout length and functional disability. Conclusion Higher levels of total sedentary time were associated with an increased risk of incident functional disability. However, this association was not independent of MVPA. Replacing sedentary time with MVPA, but not LPA, was associated with reduced risk of functional disability in older adults.

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Sedentary Time and Disability in Older Adults: A Systematic Review and Meta-Analysis

Cited by 5 publications

References 37 publications

The Prevalence of Functional Disability and Associated Factors among Older People Attending Primary Health-care Centers in Riyadh City

The Prevalence of Functional Disability and Associated Factors among Older People Attending Primary Health-care Centers in Riyadh City

Effect of physical activity and sedentary sitting time on psychological quality of life of people with and without disabilities; A survey from Saudi Arabia

Accelerometer-measured sedentary behavior and risk of functional disability in older Japanese adults: a 9-year prospective cohort study

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