Objective assessment of the association between frailty and sedentary behavior in older adults: a cross-sectional study.
Eur Rev Aging Phys Act
; 20(1): 14, 2023 Aug 07.
Article
en En
| MEDLINE
| ID: mdl-37550620
ABSTRACT
BACKGROUND:
Given the inconsistent findings of the association between frailty and sedentary behavior in older adults, this cross-sectional study investigated the aforementioned association using four different frailty criteria and two sedentary behavior indices in older adults.METHODS:
Data from older adults (age ≥ 65 y) who participated in health examinations or attended outpatient integrated clinics at a medical center in Taipei, Taiwan, were collected. Frailty was measured using the modified Fried Frailty Phenotype (mFFP), Clinical Frailty Scale in Chinese Translation (CFS-C), Study of Osteoporotic Fractures (SOF) index, and Clinical Frailty-Deficit Count (CF-DC) index; sedentary behavior was assessed with a waist-worn accelerometer. Adjusted linear regression ascertained the association between frailty and both sedentary behavior outcomes.RESULTS:
Among the 214 participants (mean age 80.82 ± 7.14 y), 116 were women. The average total sedentary time and number of sedentary bouts were 609.74 ± 79.29 min and 5.51 ± 2.09 times per day, respectively. Frail participants had a longer total sedentary time (odds ratio [OR] 30.13, P = .01 and 39.43, P < .001) and more sedentary bouts (OR 3.50 and 5.86, both P < .001) on mFFP and CFS-C assessments, respectively. The SOF index revealed more sedentary bouts among frail than in robust participants (OR 2.06, P = .009), without a significant difference in the total sedentary time. Frail participants defined by the CF-DC index were more likely to have frequent sedentary bouts (OR 2.03, P = .016), but did not have a longer total sedentary time.CONCLUSIONS:
Regardless of the frailty criteria adopted, frailty was positively associated with the number of sedentary bouts per day in older adults. A significant correlation between frailty and total sedentary time was detected only with mFFP and CFS-C indices. Further research may target decreasing the sedentary bouts in older adults as a strategy to improve frailty.
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Banco de datos:
MEDLINE
Tipo de estudio:
Observational_studies
/
Prevalence_studies
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Risk_factors_studies
Idioma:
En
Revista:
Eur Rev Aging Phys Act
Año:
2023
Tipo del documento:
Article
País de afiliación:
Taiwán