Comportamento sedentário é associado à incapacidade e multimorbidade em idosos durante a pandemia por COVID-19: um estudo transversal

Autores

DOI:

https://doi.org/10.33448/rsd-v11i15.36104

Palavras-chave:

Idoso; COVID-19; Comportamento sedentário; CIF.

Resumo

Objetivo: Descrevemos o comportamento sedentário durante a pandemia de COVID-19 em idosos brasileiros e exploramos se o alto comportamento sedentário estava associado à multimorbidade, níveis de atividade física, adoção de distanciamento físico, isolamento social percebido, incapacidade e sintomas depressivos. Métodos: Pesquisamos 184 idosos e coletamos informações sobre comportamento sedentário, multimorbidade, atividade física, adoção de distanciamento social, isolamento social percebido, incapacidade e sintomas depressivos. Em seguida, investigamos a associação entre alto comportamento sedentário e esses fatores. Resultados: 26% dos participantes relataram altos níveis de comportamento sedentário, passando 5 horas por dia sentados (mediana). O alto comportamento sedentário durante a pandemia de COVID-19 foi associado à multimorbidade (OR: 2,78, IC 95% 1,12-6,89) e à incapacidade (OR: 1,08, IC 95% 1,02-1,16). Conclusão: A prevalência de alto comportamento sedentário em idosos durante a pandemia foi de 26%. O alto comportamento sedentário foi associado à incapacidade e multimorbidade neles. Essas descobertas podem ser usadas para orientar a academia, o setor público e os profissionais de saúde a desenvolver iniciativas integradas para monitorar e diminuir o comportamento sedentário, especialmente em idosos com deficiência e multimorbidade durante e após a pandemia de COVID-19.

Biografia do Autor

Fabianna Resende de Jesus-Moraleida, Federal University of Ceará

1Master Program in Physiotherapy and Functioning, Federal University of Ceará, Fortaleza/ Brazil

2Department of Physical Therapy, Federal University of Ceará, Fortaleza/ Brazil

Ana Carla Lima Nunes, Federal University of Ceará

Department of Physical Therapy, Federal University of Ceará, Fortaleza/ Brazil

Amabile Borges Dario, The University of Sydney

Work Integrated Learning, Faculty of Medicine and Health, University of Sydney

Juliana Souza de Oliveira, The University of Sydney

Institute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Sydney, Australia

School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia

Referências

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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09/11/2022

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JESUS-MORALEIDA, F. R. de .; NUNES, A. C. L. .; DARIO, A. B. .; OLIVEIRA, J. S. de .; MOREIRA, M. A. . Comportamento sedentário é associado à incapacidade e multimorbidade em idosos durante a pandemia por COVID-19: um estudo transversal . Research, Society and Development, [S. l.], v. 11, n. 15, p. e40111536104, 2022. DOI: 10.33448/rsd-v11i15.36104. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/36104. Acesso em: 23 nov. 2024.

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Ciências da Saúde