Abstract
High amount of sedentary behavior (SB) has been associated with a multitude of adverse health events in older adults. There are limited data regarding SB in older adults living in retirement communities (RC). This study described the magnitude and composition of SB [non-screen sedentary time (NSST) and screen sedentary time (SST)] in older adults living in a RC and documented variation in this behavior as a function of demographic, health, health behavior and clinical variables. This cross sectional descriptive study enrolled and assessed 100 older males and females living a RC located in the Midwest region of United States. Participants completed a questionnaire for sample characterization and a SB questionnaire. Metric of SB (i.e., TST, NSST and SST) were analyzed overall and separated by the variables of interest. Participants reported on average 10 h/day of sedentary activity (65% on NSST and 35% on SST). Older adults reported to spend most of their awaking hours in activities such as reading, watching TV and computer use. Significant variations on NSST and SST were observed for gender, BMI, perceived health, mobility aid use and number of chronic diseases. These findings may help in the development of tailored strategies and interventions focusing on reducing SB in this particular under-researched subgroup.
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Bellettiere, J., Carlson, J. A., Rosenberg, D., Singhania, A., Natarajan, L., Berardi, V., … Kerr, J. (2015). Gender and age differences in hourly and daily patterns of sedentary time in older adults living in retirement communities. PLoS ONE. https://doi.org/10.1371/journal.pone.0136161.
Dogra, S., Ashe, M. C., Biddle, S. J. H., Brown, W. J., Buman, M. P., Chastin, S., … Copeland, J. L. (2017). Sedentary time in older men and women: An international consensus statement and research priorities. British Journal of Sports Medicine, 51(21), 1526–1532. https://doi.org/10.1136/bjsports-2016-097209.
Dunstan, D. W., Kingwell, B. A., Larsen, R., Healy, G. N., Cerin, E., Hamilton, M. T., … Owen, N. (2012). Breaking up prolonged sitting reduces postprandial glucose and insulin responses. Diabetes Care, 35(5), 976–983. https://doi.org/10.2337/dc11-1931.
García-Esquinas, E., Andrade, E., Martínez-Gómez, D., Caballero, F. F., López-García, E., & Rodríguez-Artalejo, F. (2017). Television viewing time as a risk factor for frailty and functional limitations in older adults: Results from 2 European prospective cohorts. International Journal of Behavioral Nutrition and Physical Activity. https://doi.org/10.1186/s12966-017-0511-1.
Gardiner, P. A., Healy, G. N., Eakin, E. G., Clark, B. K., Dunstan, D. W., Shaw, J. E., … Owen, N. (2011). Associations between television viewing time and overall sitting time with the metabolic syndrome in older men and women: The Australian diabetes obesity and lifestyle study. Journal of the American Geriatrics Society, 59(5), 788–796. https://doi.org/10.1111/j.1532-5415.2011.03390.x.
Gaskin, C. J., & Orellana, L. (2018). Factors associated with physical activity and sedentary behavior in older adults from six Lowand middle-income countries. International Journal of Environmental Research and Public Health. https://doi.org/10.3390/ijerph15050908.
Gennuso, K. P., Thraen-Borowski, K. M., Gangnon, R. E., & Colbert, L. H. (2016). Patterns of sedentary behavior and physical function in older adults. Aging Clinical and Experimental Research, 28(5), 943–950. https://doi.org/10.1007/s40520-015-0386-4.
George, S. M., Irwin, M. L., Matthews, C. E., Mayne, S. T., Gail, M. H., Moore, S. C., … Leitzmann, M. F. (2010). Beyond recreational physical activity: Examining occupational and household activity, transportation activity, and sedentary behavior in relation to postmenopausal breast cancer risk. American Journal of Public Health, 100(11), 2288–2295. https://doi.org/10.2105/AJPH.2009.180828.
Harada, N. D., Chiu, V., King, A. C., & Stewart, A. L. (2001). An evaluation of three self-report physical activity instruments for older adults. Medicine and Science in Sports and Exercise, 33(6), 962–970. https://doi.org/10.1097/00005768-200106000-00016.
Harvey, J. A., Chastin, S. F. M., & Skelton, D. A. (2013). Prevalence of sedentary behavior in older adults: A systematic review. International Journal of Environmental Research and Public Health, 10(12), 6645–6661. https://doi.org/10.3390/ijerph10126645.
Harvey, J. A., Chastin, S. F. M., & Skelton, D. A. (2014). How sedentary are older people? A systematic review of the amount of sedentary behavior. Journal of Aging and Physical Activity, 23(3), 471–487. https://doi.org/10.1123/japa.2014-0164.
Júdice, P. B., Silva, A. M., Santos, D. A., Baptista, F., & Sardinha, L. B. (2015). Associations of breaks in sedentary time with abdominal obesity in Portuguese older adults. Age (Dordrecht, Netherlands), 37(2), 23. https://doi.org/10.1007/s11357-015-9760-6.
Keadle, S. K., Moore, S. C., Sampson, J. N., Xiao, Q., Albanes, D., & Matthews, C. E. (2015). Causes of death associated with prolonged TV viewing: NIH-AARP diet and health study. American Journal of Preventive Medicine, 49(6), 811–821. https://doi.org/10.1016/j.amepre.2015.05.023.
Keys, A., Fidanza, F., Karvonen, M. J., Kimura, N., & Taylor, H. L. (1972). Indices of relative weight and obesity. Journal of Chronic Diseases, 25(6–7), 329–343. https://doi.org/10.1016/0021-9681(72)90027-6.
Leask, C. F., Harvey, J. A., Skelton, D. A., & Chastin, S. F. (2015). Exploring the context of sedentary behaviour in older adults (what, where, why, when and with whom). European Review of Aging and Physical Activity, 12(1), 4. https://doi.org/10.1186/s11556-015-0146-7.
Leung, P. M., Ejupi, A., Van Schooten, K. S., Aziz, O., Feldman, F., MacKey, D. C., … Robinovitch, S. N. (2017). Association between sedentary behaviour and physical, cognitive, and psychosocial status among older adults in assisted living. BioMed Research International. https://doi.org/10.1155/2017/9160504.
Marshall, S., Kerr, J., Carlson, J., Cadmus-Bertram, L., Patterson, R., Wasilenko, K., … Natarajan, L. (2015). Patterns of weekday and weekend sedentary behavior among older adults. Journal of Aging and Physical Activity, 23(4), 534–541. https://doi.org/10.1123/japa.2013-0208.
Matthews, C. E., Chen, K. Y., Freedson, P. S., Buchowski, M. S., Beech, B. M., Pate, R. R., & Troiano, R. P. (2008). Amount of time spent in sedentary behaviors in the United States, 2003-2004. American Journal of Epidemiology, 167(7), 875–881. https://doi.org/10.1093/aje/kwm390.
Matthews, C. E., Keadle, S. K., Troiano, R. P., Kahle, L., Koster, A., Brychta, R., … Berrigan, D. (2016). Accelerometer-measured dose-response for physical activity, sedentary time, and mortality in US adults. American Journal of Clinical Nutrition, 104(5), 1424–1432. https://doi.org/10.3945/ajcn.116.135129.
Nelson, M. E., Rejeski, W. J., Blair, S. N., Duncan, P. W., Judge, J. O., King, A. C., … Castaneda-Sceppa, C. (2007). Physical activity and public health in older adults: Recommendation from the American College of Sports Medicine and the American Heart Association. Medicine and Science in Sports and Exercise, 39(8), 1435–1445. https://doi.org/10.1249/mss.0b013e3180616aa2.
Owen, N., Sparling, P. B., Healy, G. N., Dunstan, D. W., & Matthews, C. E. (2010). Sedentary behavior: Emerging evidence for a new health risk. Mayo Clinic Proceedings, 85(12), 1138–1141. https://doi.org/10.4065/mcp.2010.0444.
Ramires, V. V., Wehrmeister, F. C., Böhm, A. W., Galliano, L., Ekelund, U., Brage, S., & da Silva, I. C. M. (2017). Physical activity levels objectively measured among older adults: A population-based study in a Southern city of Brazil. International Journal of Behavioral Nutrition and Physical Activity. https://doi.org/10.1186/s12966-017-0465-3.
Rosenberg, D. E., Gell, N. M., Jones, S. M. W., Renz, A., Kerr, J., Gardiner, P. A., & Arterburn, D. (2015). The feasibility of reducing sitting time in overweight and obese older adults. Health Education and Behavior, 42(5), 669–676. https://doi.org/10.1177/1090198115577378.
Santos, D. A., Silva, A. M., Baptista, F., Santos, R., Vale, S., Mota, J., & Sardinha, L. B. (2012). Sedentary behavior and physical activity are independently related to functional fitness in older adults. Experimental Gerontology, 47(12), 908–912. https://doi.org/10.1016/j.exger.2012.07.011.
Scully, T., Rey-López, J. P., Matsudo, V. K. R., do Carmo Luiz O, Scully, T., Dishman, R., … Royston, P. (2014). Sedentary behavior and health outcomes among older adults: A systematic review. BMC Public Health, 14(1), 333. https://doi.org/10.1038/492S2a.
Sebastião, E., Bobitt, J., Papini, C. B., Nakamura, P. M., Kokubun, E., & Gobbi, S. (2018). Sedentary behavior is associated with low leisure-time physical activity and high body fatness in older Brazilian adults. American Journal of Lifestyle Medicine. https://doi.org/10.1177/1559827617753355.
Sebastião, E., Galvez, P. A. E., Nakamura, P. M., Papini, C. B., Kokubun, E., & Gobbi, S. (2017). Activity behavior, nutritional status and perceived health in older Brazilian adults: Does the number of chronic diseases matter? Geriatrics and Gerontology International, 17(12), 2376–2382. https://doi.org/10.1111/ggi.13078.
Shippee, T. P. (2012). On the edge: Balancing health, participation, and autonomy to maintain active independent living in two retirement facilities. Journal of Aging Studies, 26(1), 1–15. https://doi.org/10.1016/j.jaging.2011.05.002.
Silva, R. D. C. D., Meneguci, J., Martins, T. I., Santos, Á. D. S., Sasaki, J. E., Tribess, S., … Damião, R. (2015). Association between time spent sitting and diabetes mellitus in older adults: A population-based study. Revista Brasileira de Cineantropometria E Desempenho Humano, 17(4), 379–388. https://doi.org/10.5007/1980-0037.2015v17n4p379.
Thøgersen-Ntoumani, C., Ntoumanis, N., Uren, H., Stathi, A., Wold, C., & Hill, K. D. (2017). Perceptions of group-based walks and strategies to inform the development of an intervention in retirement villages: Perspectives of residents and village managers. Journal of Aging and Physical Activity, 25(2), 261–268. https://doi.org/10.1123/japa.2015-0138.
Troiano, R. P., Berrigan, D., Dodd, K. W., Masse, L. C., Tilert, T., & Mcdowell, M. (2008). Physical activity in the United States measured by accelerometer. Medicine and Science in Sports and Exercise, 40(1), 181–188. https://doi.org/10.1249/mss.0b013e31815a51b3.
US Department of Health and Human Services. (2009). Physical Activity Guidelines Advisory Committee report. 2008. Nutrition Reviews, 67(2), 114–120. https://doi.org/10.1111/j.1753-4887.2008.00136.x.
van der Ploeg, H. P., Chey, T., Korda, R. J., Banks, E., & Bauman, A. (2012). Sitting time and all-cause mortality risk in 222 497 Australian adults. Archives of Internal Medicine, 172(6), 494–500. https://doi.org/10.1001/archinternmed.2011.2174.
Visser, M., & Koster, A. (2013). Development of a questionnaire to assess sedentary time in older persons—A comparative study using accelerometry. BMC Geriatrics. https://doi.org/10.1186/1471-2318-13-80.
Washburn, R. A., & Ficker, J. L. (1999). Physical Activity Scale for the Elderly (PASE): The relationship with activity measured by a portable accelerometer. Journal of Sports Medicine and Physical Fitness, 39(4), 336–340. https://doi.org/10.1097/00005768-199706001-00022.
Yu, H., & Schwingel, A. (2018). Associations between sedentary behavior, physical activity, and out-of-pocket health care expenditure: Evidence from Chinese older adults. Journal of Aging and Physical Activity. https://doi.org/10.1123/japa.2017-0206.
Acknowledgements
The authors would like to thank Dr. Clayton Camic from the Department of Kinesiology and Physical Education at Northern Illinois University for proof reading the present manuscript.
Funding
This work was supported by the Dean’s Office, College of Education, Northern Illinois University (Dean’s Research Grant CoE-NIU 2017-2018).
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Sebastião, E., Pak, J., Benner, D. et al. Magnitude and Composition of Sedentary Behavior in Older Adults Living in a Retirement Community. J Community Health 44, 805–814 (2019). https://doi.org/10.1007/s10900-019-00633-w
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DOI: https://doi.org/10.1007/s10900-019-00633-w