Sedentary behaviour among older adults residing in flat and hilly neighbourhoods and its association with frailty and chronic disease status

BMC Public Health

Research

Hafiz T. A. Khan¹  Janvier Gasana²  Edgar Ramos Vieira³  Simon Mawulorm Agyemang⁴  Nestor Asiamah⁵ 

[1] College of Nursing, Midwifery, and Healthcare, University of West London, Paragon House, Boston Manor Road, TW8 9GB, Brentford, UK;Department of Community Health, Kuwait University, Kuwait City, Kuwait;Department of Physical Therapy, Nicole Wertheim College of Nursing & Health Sciences, Florida International University, Miami, FL, USA;Department of Science/Health, Physical Education and Sports, Abetifi Presbyterian College of Education, P.O. Box 19, Abetifi – Kwahu, E/R, Ghana;School of Health and Social Care, Division of Interdisciplinary Research and Practice, University of Essex, CO4 3SQ, Colchester, Essex, UK;

关键词: Ageing;    Sedentary behaviour;    Older adults;    Frailty;    Poor health;    Chronic disease status;    Ghana;   

DOI  :  10.1186/s12889-023-17029-0

 received in 2023-04-28, accepted in 2023-10-20,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundLiving in hilly neighbourhoods can be associated with sedentary behaviour, but no study has compared sedentary behaviour and its associations with frailty, chronic diseases, and poor health between flat and hilly neighbourhoods among older adults. This study, therefore, compared older adults’ sedentary behaviour and its association with frailty, poor health, and chronic disease status between low and hilly neighbourhoods.MethodsThis study utilised a STROBE-compliant cross-sectional design with sensitivity analyses and a common methods bias assessment. The participants were 1,209 people aged 50+ years who resided in flat (Ablekuma North, n = 704) and hilly (Kwahu East, n = 505) neighbourhoods in Ghana. The data were analysed with the independent samples t-test and hierarchical linear regression.ResultsOlder adults in the hilly neighbourhood were more sedentary than those in the flat neighbourhood. The association between sedentary behaviour and chronic disease status was significant in both neighbourhoods, but this relationship was stronger in the hilly neighbourhood. Older adults in the flat neighbourhood reported lower sedentary behaviour at higher frailty (β = -0.18; t = -3.2, p < 0.001), but those in the hilly neighbourhood reported higher sedentary behaviour at higher frailty (β = 0.16; t = 3.54, p < 0.001).ConclusionsOlder adults living in the hilly neighbourhood reported higher sedentary behaviour. In the hilly neighbourhood, sedentary behaviour was more strongly associated with frailty and chronic disease status. Older adults in hilly neighbourhoods may need extra support to avoid sedentary behaviour.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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