Objective assessment of the association between frailty and sedentary behavior in older adults: a cross-sectional study

European Review of Aging and Physical Activity

Research Article

Wei-Jia Huang¹  Wen-Ning Chang¹  Chiung-Jung Wen²  Yi-Chun Chou²  Pei-Lin Tzeng³  Ding-Cheng Chan⁴  Kun-Pei Lin⁴  Yu-Hung Lin⁵  Ming-Chun Hsueh⁶  Yung Liao⁷ 

[1] Department of Geriatrics and Gerontology, National Taiwan University Hospital, No. 7, Chungshan S. Rd, 100225, Taipei, Taiwan;Department of Geriatrics and Gerontology, National Taiwan University Hospital, No. 7, Chungshan S. Rd, 100225, Taipei, Taiwan;Department of Family Medicine, College of Medicine, National Taiwan University, No. 7, Chungshan S. Rd, 100225, Taipei, Taiwan;Department of Geriatrics and Gerontology, National Taiwan University Hospital, No. 7, Chungshan S. Rd, 100225, Taipei, Taiwan;Department of Health Promotion and Health Education, National Taiwan Normal University, No 162, Section 1, Heping E. Rd, 106209, Taipei, Taiwan;Department of Geriatrics and Gerontology, National Taiwan University Hospital, No. 7, Chungshan S. Rd, 100225, Taipei, Taiwan;Department of Internal Medicine, National Taiwan University Hospital, No. 7, Chungshan S. Rd, 100225, Taipei, Taiwan;Department of Health Promotion and Health Education, National Taiwan Normal University, No 162, Section 1, Heping E. Rd, 106209, Taipei, Taiwan;National Taiwan University Hospital, Bei-Hu Branch, No. 87 Neijiang Street, 108206, Taipei, Taiwan;Graduate Institute of Sport Pedagogy, University of Taipei, No. 101, Sec. 2, Zhongcheng Rd, 111036, Taipei, Taiwan;Graduate Institute of Sport, Leisure and Hospitality Management, National Taiwan Normal University, No. 162, Section 1, Heping E. Rd, 106209, Taipei, Taiwan;

关键词: Older adults;    Frailty;    Sedentary behavior;    Accelerometer;   

DOI  :  10.1186/s11556-023-00324-5

 received in 2022-12-13, accepted in 2023-07-27,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundGiven 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.MethodsData 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.ResultsAmong 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.ConclusionsRegardless 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.

【 授权许可】

CC BY   
© European Group for Research into Elderly and Physical Activity (EGRIPA) 2023

【 图 表 】

Fig. 3