Sedentary behavior and health outcomes among older adults: a systematic review

BMC Public Health

Olinda do Carmo Luiz²  Victor Keihan Rodrigues Matsudo¹  Juan Pablo Rey-López²  Leandro Fornias Machado de Rezende¹ 

[1]Center of Studies and Physical Fitness Laboratory from São Caetano do Sul (CELAFISCS), Rua Heloisa Pamplona, 269 Bairro Fundação, São Caetano do Sul, SP Brazil

[2]Department of Preventive Medicine, University of São Paulo School of Medicine, Av. Dr Arnaldo 455 São Paulo, SP Brazil

关键词: Mortality;    Health status;    Aged;    Risk factors;    Television;    Sitting time;    Sedentary lifestyle;   

Others  :  1135475
DOI  :  10.1186/1471-2458-14-333

 received in 2013-11-08, accepted in 2014-03-31,  发布年份 2014

【 摘 要 】

Background

In the last decade, sedentary behavior has emerged as a new risk factor for health. The elderly spend most of their awake time in sedentary activities. Despite this high exposure, the impact of this sedentary behavior on the health of this population has not yet been reviewed. We systematically reviewed evidence for associations between sedentary behavior and multiple health outcomes in adults over 60 years of age.

Methods

We searched the Medline, Embase, Web of Science, SPORTDiscus, PsycINFO, CINAHL, LILLACS, and Sedentary Research Database for observational studies published up to May 2013. Additionally, we contacted members of the Sedentary Behaviour Research Network to identify articles that were potentially eligible. After inclusion, the methodological quality of the evidence was assessed in each study.

Results

We included 24 eligible articles in our systematic review, of which only 2 (8%) provided high-quality evidence. Greater sedentary time was related to an increased risk of all-cause mortality in the older adults. Some studies with a moderate quality of evidence indicated a relationship between sedentary behavior and metabolic syndrome, waist circumference, and overweightness/obesity. The findings for other outcomes such as mental health, renal cancer cells, and falls remain insufficient to draw conclusions.

Conclusion

This systematic review supports the relationship between sedentary behavior and mortality in older adults. Additional studies with high methodological quality are still needed to develop informed guidelines for addressing sedentary behavior in older adults.

【 授权许可】

   
2014 Rezende et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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