Reallocation of time spent on sedentary behavior by time spent on physical activity reduces dynapenia in older adults: a prospective cohort study
São Paulo med. j
; São Paulo med. j;141(5): e2022188, 2023. tab, graf
Article
en En
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LILACS-Express
| LILACS
| ID: biblio-1432458
Biblioteca responsable:
BR1.1
ABSTRACT
ABSTRACT BACKGROUND:
Dynapenia is characterized by mobility limitations in the older population when combined with aggravating behavioral factors that can increase the risk of morbidity and mortality.OBJECTIVE:
To investigate the hypothetical effects of reallocation of time spent on sedentary behavior (SB), moderate-to-vigorous physical activity (MVPA), and sleep on dynapenia in older adults. DESIGN ANDSETTING:
A prospective cohort study using exploratory surveys in Alcobaça City, Bahia State, Brazil.METHODS:
In total, 176 older adults (≥ 60 years) of both sexes participated in this study. Dynapenia was assessed using the handgrip strength test with cutoff points of < 27 kg for men and < 16 kg for women. MVPA and SB were assessed using the International Physical Activity Questionnaire, and sleep was assessed using the Pittsburgh Sleep Quality Index.RESULTS:
Effects on reallocation were found for the shortest times, such as 10 minutes (odds ratio (OR) 0.92; 95% confidence interval (CI) 0.85-0.99); substituting MVPA with SB increased the chances of dynapenia by 58.0% (95% CI 1.01-2.49). Analyzing the substitution of 60 minutes/day of SB with 60 minutes/day of MVPA revealed a protective effect, with a lower OR for dynapenia of 37.0% (OR 0.63; 95% CI 0.40-0.99). The reallocation of sleep time did not significantly reduce dynapenia.CONCLUSIONS:
Substituting the time spent sitting with the same amount of time spent on MVPA can reduce dynapenia, and a longer reallocation time confers greater health benefits in older adults.
Texto completo:
1
Colección:
01-internacional
Base de datos:
LILACS
Tipo de estudio:
Etiology_studies
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Observational_studies
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Risk_factors_studies
Idioma:
En
Revista:
São Paulo med. j
Asunto de la revista:
Cirurgia Geral
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Cincia
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Ginecologia
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MEDICINA
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Medicina Interna
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Obstetr¡cia
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Pediatria
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Sa£de Mental
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Sa£de P£blica
Año:
2023
Tipo del documento:
Article
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Project document
País de afiliación:
Brasil
Pais de publicación:
Brasil