Transition and factors associated with the level of physical activity combined with sedentary behavior of the elderly: A longitudinal study
Abstract
Introduction: Physical activity and sedentary behavior are emerging issues in public health, especially in developing countries.
Objective: To verify transition and factors related to physical activity combined with sedentary behavior among the elderly followed for 24 months.
Materials and methods: We conducted a longitudinal observational study with people aged 60 years or over living in the urban area of Uberaba, Brazil. We collected the data from sociodemographic, health, and physical tests in 2014 and 2016 using the Mini-Mental State Examination (MMSE), the Katz Index, the Lawton and Brody Scale, the Short Physical Performance Battery (SPPB), and the International Physical Activity Questionnaire (IPAQ). For the combined evaluation we considered a cutoff point of 150 minutes of physical activity per week and the percentile 75 (420 minutes/day) for sedentary behavior constituting the groups: Unsatisfactory (insufficient sum of physical activity and sedentary behavior), intermediate (loss of only one of the two components) and satisfactory (sufficient sum of physical activity and sedentary behavior). The statistical descriptive and inferential analysis was performed using the Statistical Package for Social Sciences™, version 21.0, considering p<0.05.
Results: Of the 374 elderly, 61 (16.3%) improved their physical activity and sedentary behavior condition, 226 (60.4%) remained in the same category and 87 (23.3%) got worse. Unsatisfactory levels of physical activity and sedentary behavior were related to the eldest group (p=0.031), the absence of professional activity (p<0.001), the dependence for instrumental activities of daily living (p=0.013), and a worse physical performance (p<0.001).
Conclusion: Our results showed a relationship between sociodemographic and health factors with physical activity and sedentary behavior, reiterating the need for further research on the subject.
Downloads
References
Instituto Brasileiro de Geografia e Estatística. Síntese de Indicadores Sociais: uma análise das condições de vida da população brasileira (Internet). Rio de Janeiro: IBGE; 2016. Accessed on: August 26, 2018. Available from: https://biblioteca.ibge.gov.br/visualizacao/livros/liv98965.pdf
Milanović Z, Pantelić S, Trajković N, Sporiš G, Kostić R, James N. Age-related decrease in physical activity and functional fitness among elderly men and women. Clin Interv Aging. 2013;8:549-56. https://doi.org/10.2147/CIA.S44112
Organização Mundial de Saúde. Atividade física. Geneva: WHO; 2014. Accessed on: January 16, 2018. Available from: http://actbr.org.br/uploads/conteudo/957_FactSheetAtividadeFisicaOMS2014_port_REV1.pdf
Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT, et al. Effect of physical inactivity on major non-communicable diseases worldwide: An analysis of burden of disease and life expectancy. Lancet. 2012;380:219-29. https://doi.org/10.1016/S0140-6736(12)61031-9
Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U, et al. Global physical activity levels: Surveillance progress, pitfalls, and prospects. Lancet. 2012;380:247-57. http://doi.org/10.1016/S0140-6736(12)60646-1
Wullems JA, Verschueren SM, Degens H, Morse CI, Onambélé GL. A review of the assessment and prevalence of sedentarism in older adults, its physiology/health impact and non-exercise mobility counter-measures. Biogerontology. 2016;17:547-65. https://doi.org/10.1007/s10522-016-9640-1
Sedentary Behaviour Research Network. Standardized use of the terms “sedentary” and “sedentary behaviours”. Appl Physiol Nutr Metab. 2012;37:540-42. https://doi.org/10.1139/H2012-024
Rezende LFM, Rey-López JP, Matsudo VKR, Luiz OC. Sedentary behavior and health outcomes among older adults: a systematic review. BMC Public Health. 2014;14:133. https://doi.org/10.1186/1471-2458-14-333
Farias Júnior JC. Atividade física e comportamento sedentário: estamos caminhando para uma mudança de paradigma? Rev Bras Ativ Fís Saúde. 2011;16:279-80. https://doi.org/10.12820/rbafs.v.16n4p279-280
Pate RR, O’neill JR, Lobelo F. The evolving definition of “sedentary”. Exerc Sport Sci Rev. 2008;36:173-8.
Bailey DP. Sedentary behavior in human health and disease. Front Physiol. 2017;8:901. https://doi.org/10.3389/fphys.2017.00901
Aparicio-Ugarriza R, Pedrero-Chamizo R, Bibiloni MD, Palacios G, Sureda A, Meléndez-Ortega A, et al. A novel physical activity and sedentary behavior classification and its relationship with physical fitness in spanish older adults: The PHYSMED study. J Phys Act Health. 2017;14:815-22. https://doi.org/10.1123/jpah.2016-0263
Dogra S, Ashe MC, Biddle SJ, Brown WJ, Buman MP, Chastin S, et al. Sedentary time in older men and women: an international consensus statement and research priorities. Br J Sports Med. 2017;51:1526-32. https://doi.org/10.1136/bjsports-2016-097210
Tavares DMS, Pelizaro PB, Pegorari MS, Paiva MM, Marchiori GF. Functional disability and associated factors in urban elderly: A population-based study. Rev Bras Cineantropom Desempenho Hum. 2016;18:499-508. https://doi.org/10.5007/1980-0037.2016v18n5p499
Bertolucci PF, Brucki SM, Campassi SR, Juliano Y. O miniexame do estado mental em uma população geral: impacto da escolaridade. Arq Neuropsiquiatr. 1994;52:1-7. https://doi.org/10.1590/S0004-282X1994000100001
Lino VJ, Pereira SE, Camacho IA, Ribeiro Filho ST, Buksman S. Adaptação transcultural da Escala de Independência em Atividades de Vida Diária (Escala de Katz). Cad Saúde Pública. 2008;24:103-12. https://doi.org/10.1590/S0102-311X2008000100010
Santos RL, Virtuoso Júnior JS. Confiabilidade da versão brasileira da escala de atividades instrumentais da vida diária. Rev Bras Promoç Saúde. 2008;21:290-6.
Nakano MM. Versão Brasileira da Short Physical Performance Battery – SPPB: adaptação cultural e estudo da confiabilidade (dissertação). Campinas, SP: Universidade Estadual de Campinas; 2007. p. 181.
Benedetti TR, Mazo GZ, Barros MV. Aplicação do Questionário Internacional de Atividades Físicas para avaliação do nível de atividades físicas de mulheres idosas: validade concorrente e reprodutibilidade teste-reteste. Rev Bras Ciênc Mov. 2004;12:25-34.
Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, et al. Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA. 1995;273:402-7. https://doi.org/10.1001/jama.1995.03520290054029
Camilo BF. Comportamento sedentário, atividade física e estado nutricional de idosos (dissertação). Uberaba, MG: Universidade Federal do Triângulo Mineiro; 2017. p. 71.
Inoue S, Sugiyama T, Takamiya T, Oka K, Owen N, Shimomitsu T. Television viewing time is associated with overweight/obesity among older adults, independent of meeting physical activity and health guidelines. J Epidemiol. 2012;22:50-6. https://doi.org/10.2188/jea.JE20110054
Santos DA. Atividade física, comportamento sedentário e a sintomatologia depressiva em idosos (dissertação). Uberaba, MG: Universidade Federal do Triângulo Mineiro; 2013. p. 77.
McPhee JS, French DP, Jackson D, Nazroo J, Pendleton N, Degens H. Physical activity in older age: perspectives for healthy ageing and frailty. Biogerontology. 2016;17:567-80. https://doi.org/10.1007/s10522-016-9641-0
Sousa NF, Lima MG, Cesar CL, Barros MB. Envelhecimento ativo: prevalência e diferenças de gênero e idade em estudo de base populacional. Cad Saúde Pública. 2018;34:e00173317. https://doi.org/10.1590/0102-311x00173317
Santos DA, Silva AM, Baptista F, Santos R, Vale S, Mota J, et al. Sedentary behavior and physical activity are independently related to functional fitness in older adults. Exp Gerontol. 2012;47:908-12. https://doi.org/10.1016/j.exger.2012.07.011
Heseltine R, Skelton DA, Kendrick D, Morris RW, Griffin M, Haworth D, et al. “Keeping Moving”: Factors associated with sedentary behaviour among older people recruited to an exercise promotion trial in general practice. BMC Fam Pract. 2015;16:67. https://doi.org/10.1186/s12875-015-0284-z
Gaskin C, Orellana L. Factors associated with physical activity and sedentary behavior in older adults from six low- and middle-income countries. Int J Environ Res Public Health. 2018;15:E908. https://doi.org/10.3390/ijerph15050908
Guerra PH, Mielke GI, Garcia LM. Comportamento sedentário. Corpoconsciência. 2014;18:23-36.
Dogra S, Stathokostas L. Correlates of extended sitting time in older adults: An exploratory cross-sectional analysis of the Canadian Community Health Survey Healthy Aging Cycle. Int J Public Health. 2014;59:983-91. https://doi.org/10.1007/s00038-014-0540-3
Ku P-W, Fox KR, Chen L-J. Leisure-time physical activity, sedentary behaviors and subjective well-being in older adults: an eight-year longitudinal research. Soc Indic Res. 2016;127:1349-61. https://doi.org/10.1007/s11205-015-1005-7
Meneguci J, Sasaki JE, Santos AS, Scatena LM, Damião R. Socio-demographic, clinical and health behavior correlates of sitting time in older adults. BMC Public Health. 2015;15:65. https://doi.org/10.1186/s12889-015-1426-x
Queiroz BM, Coqueiro RS, Leal Neto JS, Borgatto AF, Barbosa AR, Fernandes MH. Inatividade física em idosos não institucionalizados: estudo de base populacional. Ciênc Saúde Colet. 2014;19:3489-96. https://doi.org/10.1590/1413-81232014198.19882013
Shiroma EJ, Freedson PS, Trost SG, Lee IM. Patterns of accelerometer-assessed sedentary behavior in older women. JAMA. 2013;310:2562-3. https://doi.org/10.1001/jama.2013.278896
Mourão AR, Novais FV, Andreoni S, Ramos LR. Atividade física de idosos relacionada ao transporte e lazer, Maceió, Brasil. Revista de Saúde Pública. 2013;47:1112-22. https://doi.org/10.1590/S0034-8910.2013047004904
Leask CF, Harvey JA, Skelton DA, Chastin SFM. Exploring the context of sedentary behaviour in older adults (what, where, why, when and with whom). Eur Rev Aging Phys Act. 2015;12:4. https://doi.org/10.1186/s11556-015-0146-7
Tsuji T, Amemiya A, Shirai K, Stenholm S, Pentti J, Oksanen, T, et al. Association between education and television viewing among older working and retired people: A comparative study of Finland and Japan. BMC Public Health. 2018;18:917. https://doi.org/10.1186/s12889-018-5860-4
Cano-Gutiérrez C, Borda MG, Reyes-Ortiz C, Arciniegas AJ, Samper-Ternent R. Evaluación de factores asociados al estado funcional en ancianos de 60 años o más en Bogotá, Colombia. Biomédica. 2017;37(Supl.1):57-65 https://doi.org/10.7705/biomedica.v37i1.3197
Copeland JL, Ashe MC, Biddle SJ, Brown WJ, Buman MP, Chastin S, et al. Sedentary time in older adults: A critical review of measurement, associations with health, and interventions. Br J Sports Med. 2017;51:1539. https://doi.org/10.1136/bjsports-2016-097209
Fielding RA, Guralnik JM, King AC, Pahor M, McDermott MM, Tudor-Locke C, et al. Dose of physical activity, physical functioning and disability risk in mobility-limited older adults: Results from the LIFE study randomized trial. PLOS ONE. 2017;12:e0182155. https://doi.org/10.1371/journal.pone.0182155
Hagströmer M, Kwak L, Oja P, Sjöström M. A 6-year longitudinal study of accelerometer measured physical activity and sedentary time in Swedish adults. J Sci Med Sport. 2015; 18:553-57. https://doi.org/10.1016/j.jsams.2014.07.012
Bertolini GN, Santos VR, Alves MJ, Cervellini PC, Christofaro DG, Santana LF, et al. Relação entre alto comportamento sedentário no lazer e baixa funcionalidade de idosos. Rev Bras ineantropom Desempenho Hum. 2016;18:713-21. https://doi.org/10.5007/1980-0037.2016v18n6p713
Seguin R, LaMonte M, Tinker L, Liu J, Woods N, Michael YL, et al. Sedentary behavior and physical function decline in older women: findings from the Women’s Health Initiative. J Aging Res. 2012;2012:271589. https://doi.org/10.1155/2012/271589
Morales S, Gómez-Cabello A, González-Agüero A, Casajús JA, Ara I, Vicente-Rodríguez G. Sedentarismo Y condición física en mujeres posmenopáusicas. Nutr Hosp. 2013;28:1053-59. https://doi.org/10.3305/nh.2013.28.4.6459
World Health Organization. Global action plan on physical activity 2018–2030: more active people for a healthier world. Geneva: WHO; 2018. Accessed on: November 10, 2018. Available from: https://apps.who.int/iris/bitstream/handle/10665/272722/9789241514187-eng.pdf
Safons M, Pereira MM, Costa JN, Lima RM. Metodologias gerontológicas aplicadas ao exercício físico para o idoso. In: Freitas EV, Py L, editors. Tratado de geriatria e gerontologia. 4ed. Rio de Janeiro: Guanabara Koogan; 2017. p. 1410-9.
Some similar items:
- Luz Elena Velásquez, Catalina Gómez, Erika Valencia, Laura Salazar, Eudoro Casas, Paragonimosis in the peri-urban zone of Medellín, Antioquia , Biomedica: Vol. 28 No. 3 (2008)
- Sandra Milena Arias, Lina Marcela Salazar, Eudoro Casas, Alexandra Henao, Luz Elena Velásquez, Paragonimus sp. in crabs and awareness of the educational community to aquatic ecosystems in La Miel and La Clara, Caldas, Antioquia , Biomedica: Vol. 31 No. 2 (2011)
- Jaiberth Cardona-Arias, Luz Peláez-Vanegas, Juan López-Saldarriaga, Marcela Duque-Molina, Oscar Leal-Álvarez, Health related quality of life in adults with HIV/AIDS in Colombia , Biomedica: Vol. 31 No. 4 (2011)
- Diana Castillo, Marta Wolff, Triatomine (Hemiptera: Rediviidae) behavioral aspects: Chagas disease vectors , Biomedica: Vol. 20 No. 1 (2000)
- Claudia Lucía Figueroa, Margarita Gélvez, Jürg Niederbacher, Regulators of endothelial integrity as severity predictors in dengue , Biomedica: Vol. 36 (2016): Suplemento 2, Enfermedades virales
- Isabel Pérez-Olmos, Delia Bustamante, Milcíades Ibáñez-Pinilla, Serotonin transporter gene (5-HTT) polymorphism and major depressive disorder in patients in Bogotá, Colombia , Biomedica: Vol. 36 No. 2 (2016)
- Marlene Reyes, Ángela Torres, Lyda Esteban, Mónica Flórez, Víctor Manuel Angulo, Risk of transmission of Chagas disease by intrusion of triatomines and wild mammals in Bucaramanga, Santander, Colombia , Biomedica: Vol. 37 No. 1 (2017)
- Luz Helena Cano, María Natalia Acosta, Adriana Pulido, Adaptation to Spanish and criterion validity of a scale for the screening of emotional and behavioral problems in early childhood , Biomedica: Vol. 38 No. Sup.1 (2018): Suplemento 1, Enfermedades crónicas
- Nicolás Castellanos-Perilla, Miguel Germán Borda , Álvaro Fernández-Quilez, Vera Aarsland, Hogne Soennesyn, Carlos Alberto Cano-Gutiérrez, Factors associated with functional loss among community-dwelling Mexican older adults , Biomedica: Vol. 40 No. 3 (2020)
- Wilson Bautista-Molano, Liza González, Daniel Fernández-Ávila, Rosa Cardozo, Óscar Ruiz, Frequency of positivity of the tuberculin intradermorreaction test in a cohort of patients with rheumatoid arthritis , Biomedica: Vol. 41 No. 3 (2021)

Article metrics | |
---|---|
Abstract views | |
Galley vies | |
PDF Views | |
HTML views | |
Other views |