Sedentary behavior is associated with disability and multimorbidity in older adults during the COVID-19 pandemic: a cross-sectional survey
DOI:
https://doi.org/10.33448/rsd-v11i15.36104Keywords:
Aged; COVID-19; Sedentary behavior; ICF.Abstract
Objective: We described sedentary behavior during the COVID-19 pandemic in Brazilian older adults and explored whether highly sedentary behavior was associated with multimorbidity, physical activity levels, adoption of physical distancing, perceived social isolation, disability, and depressive symptoms. Methods: We surveyed 184 older adults and gathered information on sedentary behavior, multimorbidity, physical activity, adoption of social distancing, perceived social isolation, disability, and depressive symptoms. Then, we investigated the association between highly sedentary behavior and these factors. Results: 26% of participants reported high levels of sedentary behavior, spending 5 hours per day in sitting (median). Highly sedentary behavior during COVID-19 pandemic was associated with multimorbidity (OR: 2.78, 95% CI 1.12-6.89) and disability (OR: 1.08, 95% CI 1.02-1.16). Conclusion: The prevalence of highly sedentary behavior in older adults during the pandemic was 26%. High sedentary behavior was associated with disability and multimorbidity in them. These findings can be used to guide the academia, the public sector, and health professionals to develop integrated initiatives to monitor and to decrease sedentary behavior especially in older adults with disability and multimorbidity during and beyond the COVID-19 pandemic.
References
Ammar, A., Brach, M., Trabelsi, K., Chtourou, H., Boukhris, O., Masmoudi, L., Bouaziz, B., Bentlage, E., How, D., Ahmed, M., Müller, P., Müller, N., Aloui, A., Hammouda, O., Paineiras-Domingos, L. L., Braakman-Jansen, A., Wrede, C., Bastoni, S., Pernambuco, C. S., & Hoekelmann, A. (2020). Effects of COVID-19 home confinement on eating behaviour and physical activity: Results of the ECLB-COVID19 international online survey. Nutrients, 12(6). https://doi.org/10.3390/nu12061583
Aquino, E. M. L., Silveira, I. H., Pescarini, J. M., Aquino, R., & de Souza-Filho, J. A. (2020). Social distancing measures to control the COVID-19 pandemic: Potential impacts and challenges in Brazil. Ciencia e Saude Coletiva, 25. https://doi.org/10.1590/1413-81232020256.1.10502020
Bankoski, A., Harris, T. B., McClain, J. J., Brychta, R. J., Caserotti, P., Chen, K. Y., Berrigan, D., Troiano, R. P., & Koster, A. (2011). Sedentary activity associated with metabolic syndrome independent of physical activity. Diabetes Care, 34(2). https://doi.org/10.2337/dc10-0987
Batistoni, S. S. T., Neri, A. L., & Cupertino, A. P. F. B. (2007). Validade da escala de depressão do Center for Epidemiological Studies entre idosos brasileiros. Revista de Saúde Pública, 41(4). https://doi.org/10.1590/s0034-89102007000400014
Benedetti, T. R. B., Antunes, P. D. C., Rodriguez-Añez, C. R., Mazo, G. Z., & Petroski, É. L. (2007). Reprodutibilidade e validade do Questionário Internacional de Atividade Física (IPAQ) em homens idosos. Revista Brasileira de Medicina Do Esporte, 13(1). https://doi.org/10.1590/s1517-86922007000100004
Boris Cheval, et al., (2021). Relationships between changes in self-reported physical activity, sedentary behaviour and health during the coronavirus (COVID-19) pandemic in France and Switzerland. J Sports Sci, 39(6), 699–704.
Brown, L., Mossabir, R., Harrison, N., Brundle, C., Smith, J., & Clegg, A. (2021). Life in lockdown: a telephone survey to investigate the impact of COVID-19 lockdown measures on the lives of older people (≥75 years). Age and Ageing, 50(2), 341–346. https://doi.org/10.1093/ageing/afaa255
Browne, R. A. V, Macêdo, G. A. D., Cabral, L. L. P., Oliveira, G. T. A., Vivas, A., Fontes, E. B., Elsangedy, H. M., & Costa, E. C. (2020). Initial impact of the COVID-19 pandemic on physical activity and sedentary behavior in hypertensive older adults: An accelerometer-based analysis. Experimental Gerontology, 142. https://doi.org/10.1016/j.exger.2020.111121
Bull, F. C., Al-Ansari, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., Carty, C., Chaput, J. P., Chastin, S., Chou, R., Dempsey, P. C., Dipietro, L., Ekelund, U., Firth, J., Friedenreich, C. M., Garcia, L., Gichu, M., Jago, R., Katzmarzyk, P. T., & Willumsen, J. F. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. In British Journal of Sports Medicine (54(24)). https://doi.org/10.1136/bjsports-2020-102955
Castro, S. S., & Leite, C. F. (2017). Translation and cross-cultural adaptation of the World Health Organization Disability Assessment Schedule - WHODAS 2.0. Fisioterapia e Pesquisa, 24(4). https://doi.org/10.1590/1809-2950/17118724042017
Constandt, B., Thibaut, E., Bosscher, V. De, Scheerder, J., Ricour, M., & Willem, A. (2020). Exercising in times of lockdown: An analysis of the impact of COVID-19 on levels and patterns of exercise among adults in Belgium. International Journal of Environmental Research and Public Health, 17(11). https://doi.org/10.3390/ijerph17114144
Cunningham, C., Sullivan, R. O., Caserotti, P., & Tully, M. A. (2020). Consequences of physical inactivity in older adults: A systematic review of reviews and meta-analyses. In Scandinavian Journal of Medicine and Science in Sports (Vol. 30, Issue 5). https://doi.org/10.1111/sms.13616
Dogra, S., Ashe, M. C., Biddle, S. J. H., Brown, W. J., Buman, M. P., Chastin, S., Gardiner, P. A., Inoue, S., Jefferis, B. J., Oka, K., Owen, N., Sardinha, L. B., Skelton, D. A., Sugiyama, T., & 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
Ekelund, U., Steene-Johannessen, J., Brown, W. J., Fagerland, M. W., Owen, N., Powell, K. E., Bauman, A., Lee, I. M., Ding, D., Heath, G., Hallal, P. C., Kohl, H. W., Pratt, M., Reis, R., Sallis, J., Aadahl, M., Blot, W. J., Chey, T., Deka, A., & Yi-Park, S. (2016). Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? A harmonised meta-analysis of data from more than 1 million men and women. The Lancet, 388(10051). https://doi.org/10.1016/S0140-6736(16)30370-1
Eysenbach, G. (2004). Improving the quality of web surveys: The Checklist for Reporting Results of Internet E-Surveys (CHERRIES). In Journal of Medical Internet Research (Vol. 6, Issue 3). https://doi.org/10.2196/jmir.6.3.e34
FIOCRUZ. (2020). ConVid Pesquisa de Comportamentos. In FIOCRUZ.
Galloza, J., Castillo, B., & Micheo, W. (2017). Benefits of Exercise in the Older Population. In Physical Medicine and Rehabilitation Clinics of North America (Vol. 28, Issue 4). https://doi.org/10.1016/j.pmr.2017.06.001
Handschin, C., & Spiegelman, B. M. (2008). The role of exercise and PGC1α in inflammation and chronic disease. In Nature (Vol. 454, Issue 7203). https://doi.org/10.1038/nature07206
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. (2015). How sedentary are older people? A systematic review of the amount of sedentary behavior. In Journal of Aging and Physical Activity (Vol. 23, Issue 3). https://doi.org/10.1123/japa.2014-0164
Hill, K. D., Hunter, S. W., Batchelor, F. A., Cavalheri, V., & Burton, E. (2015). Individualized home-based exercise programs for older people to reduce falls and improve physical performance: A systematic review and meta-analysis. Maturitas, 82(1), 72–84. https://doi.org/10.1016/j.maturitas.2015.04.005
Lima, D. L. F., Dias, A. A., Rabelo, R. S., da Cruz, I. D., Costa, S. C., Nigri, F. M. N., & Neri, J. R. (2020). COVID-19 in the state of Ceará: Behaviors and beliefs in the arrival of the pandemic. Ciencia e Saude Coletiva, 25(5), 1575–1586. https://doi.org/10.1590/1413-81232020255.07192020
Livingston, G., Huntley, J., Sommerlad, A., Ames, D., Ballard, C., Banerjee, S., Brayne, C., Burns, A., Cohen-Mansfield, J., Cooper, C., Costafreda, S. G., Dias, A., Fox, N., Gitlin, L. N., Howard, R., Kales, H. C., Kivimäki, M., Larson, E. B., Ogunniyi, A., & Mukadam, N. (2020). Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. The Lancet, 396(10248), 413–446. https://doi.org/10.1016/S0140-6736(20)30367-6
Moreira, A. D., Claro, R. M., Felisbino-Mendes, M. S., & Velasquez-Melendez, G. (2017). Validade e reprodutibilidade de inquérito telefônico de atividade física no Brasil. Revista Brasileira de Epidemiologia, 20(1). https://doi.org/10.1590/1980-5497201700010012
Muir Gray, W. B. (n.d.). Covid-19 will be followed by a deconditioning pandemic. BMJ Open. https://blogs.bmj.com/bmj/2020/06/15/covid-19-will-be-followed-by-a-deconditioning-pandemic/
Opdal, I. M., Larsen, L. S., Hopstock, L. A., Schirmer, H., & Lorem, G. F. (2021). Correction to: A prospective study on the effect of self-reported health and leisure time physical activity on mortality among an ageing population: results from the Tromsø study (BMC Public Health, (2020), 20, 1, (575), 10.1186/s12889-020-08681-x). BMC Public Health, 21(1), 1–15. https://doi.org/10.1186/s12889-021-10840-7
Patterson, R., McNamara, E., Tainio, M., de Sá, T. H., Smith, A. D., Sharp, S. J., Edwards, P., Woodcock, J., Brage, S., & Wijndaele, K. (2018). Sedentary behaviour and risk of all-cause, cardiovascular and cancer mortality, and incident type 2 diabetes: a systematic review and dose response meta-analysis. In European Journal of Epidemiology (Vol. 33, Issue 9). https://doi.org/10.1007/s10654-018-0380-1
Prince, S. A., Adamo, K. B., Hamel, M. E., Hardt, J., Connor Gorber, S., & Tremblay, M. (2008). A comparison of direct versus self-report measures for assessing physical activity in adults: A systematic review. International Journal of Behavioral Nutrition and Physical Activity, 5(December). https://doi.org/10.1186/1479-5868-5-56
Rezende, L. F. M. De, Rey-López, J. P., Matsudo, V. K. R., & Luiz, O. D. C. (2014). Sedentary behavior and health outcomes among older adults: A systematic review. In BMC Public Health (Vol. 14, Issue 1). https://doi.org/10.1186/1471-2458-14-333
Sangha, O., Stucki, G., Liang, M. H., Fossel, A. H., & Katz, J. N. (2003). The Self-Administered Comorbidity Questionnaire: A new method to assess comorbidity for clinical and health services research. Arthritis Care and Research, 49(2). https://doi.org/10.1002/art.10993
Schrack, J. A., Kuo, P. L., Wanigatunga, A. A., Di, J., Simonsick, E. M., Spira, A. P., Ferrucci, L., & Zipunnikov, V. (2019). Active-to-Sedentary Behavior Transitions, Fatigability, and Physical Functioning in Older Adults. Journals of Gerontology - Series A Biological Sciences and Medical Sciences, 74(4). https://doi.org/10.1093/gerona/gly243
Schrempft, S., Jackowska, M., Hamer, M., & Steptoe, A. (2019). Associations between social isolation, loneliness, and objective physical activity in older men and women. BMC Public Health, 19(1). https://doi.org/10.1186/s12889-019-6424-y
Sherrington, C., Michaleff, Z. A., Fairhall, N., Paul, S. S., Tiedemann, A., Whitney, J., Cumming, R. G., Herbert, R. D., Close, J. C. T., & Lord, S. R. (2017). Exercise to prevent falls in older adults: An updated systematic review and meta-analysis. In British Journal of Sports Medicine (Vol. 51, Issue 24). https://doi.org/10.1136/bjsports-2016-096547
Silva, V. D. Da, Tribess, S., Meneguci, J., Sasaki, J. E., Garcia-Meneguci, C. A., Carneiro, J. A. O., & Virtuoso, J. S. (2019). Association between frailty and the combination of physical activity level and sedentary behavior in older adults. BMC Public Health, 19(1). https://doi.org/10.1186/s12889-019-7062-0
Silva, F. G., Oliveira, C. B., Hisamatsu, T. M., Negrão Filho, R. F., Rodrigues, C. R. D., Franco, M. R., & Pinto, R. Z. (2020). Critical evaluation of physical activity questionnaires translated to Brazilian-Portuguese: a systematic review on cross-cultural adaptation and measurements properties. Brazilian Journal of Physical Therapy, 24(3), 187–218. https://doi.org/10.1016/j.bjpt.2019.04.002
Sun, F., Norman, I. J., & While, A. E. (2013). Physical activity in older people: A systematic review. BMC Public Health, 13(1). https://doi.org/10.1186/1471-2458-13-449
Vancampfort, D., Hallgren, M., Schuch, F., Stubbs, B., Smith, L., Rosenbaum, S., Firth, J., Damme, T. Van, & Koyanagi, A. (2020). Sedentary behavior and depression among community-dwelling adults aged ≥50 years: Results from the irish longitudinal study on Ageing. Journal of Affective Disorders, 262. https://doi.org/10.1016/j.jad.2019.11.066
Vancampfort, D., Stubbs, B., & Koyanagi, A. (2017). Physical chronic conditions, multimorbidity and sedentary behavior amongst middle-aged and older adults in six low- and middle-income countries. International Journal of Behavioral Nutrition and Physical Activity, 14(1). https://doi.org/10.1186/s12966-017-0602-z
Vandenbroucke, J. P., Elm, E. Von, Altman, D. G., Gøtzsche, P. C., Mulrow, C. D., Pocock, S. J., Poole, C., Schlesselman, J. J., Egger, M., & Initiative, S. (2007). Strengthening the Reporting of Observational Studies in Epidemiology ( STROBE ): Explanation and Elaboration. 4(10). https://doi.org/10.1371/journal.pmed.0040297
Vieira, C. M., Franco, O. H., Restrepo, C. G., & Abel, T. (2020). COVID-19: The forgotten priorities of the pandemic. Maturitas, 136. https://doi.org/10.1016/j.maturitas.2020.04.004
Wullems, J. A., Verschueren, S. M. P., Degens, H., Morse, C. I., & Onambélé, G. L. (2016). A review of the assessment and prevalence of sedentarism in older adults, its physiology/health impact and non-exercise mobility counter-measures. In Biogerontology (Vol. 17, Issue 3). https://doi.org/10.1007/s10522-016-9640-1
Yamada, K., Yamaguchi, S., Sato, K., Fuji, T., & Ohe, T. (2020). The COVID-19 outbreak limits physical activities and increases sedentary behavior: A possible secondary public health crisis for the elderly. Journal of Orthopaedic Science, 25(6). https://doi.org/10.1016/j.jos.2020.08.004
Younan, B. (2018). Cognitive Functioning Differences Between Physically Active and Sedentary Older Adults. Journal of Alzheimer’s Disease Reports, 2(1). https://doi.org/10.3233/adr-180053
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Copyright (c) 2022 Fabianna Resende de Jesus-Moraleida; Ana Carla Lima Nunes; Amabile Borges Dario; Juliana Souza de Oliveira; Mayle Andrade Moreira
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