Isotemporal substitution of sedentary time with physical activity and its associations with frailty status.
Clin Interv Aging
; 13: 1831-1836, 2018.
Article
em En
| MEDLINE
| ID: mdl-30288035
ABSTRACT
OBJECTIVES:
Recently, isotemporal substitution has been developed to substitute activity time for an equivalent amount of another activity. This study employed this method to demonstrate the effects of replacing sedentary behavior (SB) time with an equivalent amount of light-intensity physical activity (LPA) and moderate-to-vigorous intensity physical activity (MVPA) on the risk for different severities of frailty.METHODS:
A total of 886 older adults (average age 73.6 years, female 70%) participated in this cross-sectional study. Frailty status was assessed according to the cardiovascular health study criteria. MAIN OUTCOMEMEASURES:
Wrist-worn accelerometers were used to measure SB, LPA, and MVPA. Isotemporal substitution models were applied to show the estimated effects of substituting 30 min of SB with an equal amount of time spent in LPA or MVPA on the risk for pre-frailty and frailty.RESULTS:
The physical activity level and SB were not associated with the incidence of pre-frailty. However, a 16% (OR 0.84; 95% CI 0.78-0.90) and 42% (OR 0.58; 95% CI 0.37-0.92) decrease in frailty risk was noted when SB was substituted with LPA and MVPA, respectively, in the crude model. In the adjusted model, the significant effect was sustained for LPA (OR 0.86; 95% CI 0.80-0.92) but not for MVPA (OR 0.74; 95% CI 0.47-1.17).CONCLUSIONS:
This study indicates that replacing 30 min of SB with an equivalent amount of LPA decreases the risk for frailty in older adults. Moreover, increasing LPA seems more feasible than increasing MVPA in older adults, with substantial benefit.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
/
2_ODS3
Base de dados:
MEDLINE
Assunto principal:
Exercício Físico
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Comportamento de Redução do Risco
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Comportamento Sedentário
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Fragilidade
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Equity_inequality
/
Patient_preference
Limite:
Aged
/
Female
/
Humans
/
Male
País/Região como assunto:
Asia
Idioma:
En
Revista:
Clin Interv Aging
Ano de publicação:
2018
Tipo de documento:
Article