The Association Between Sedentary Behavior and Sarcopenia Among Adults Aged ?65 Years in Low- and Middle-Income Countries

Lee Smith, Mark Tully, Louis Jacob, Nicole Blackburn, Deepti Adlakha, Paolo Caserotti, Pinar Soysal, Nicola Veronese, Guillermo F. López Sánchez, Davy Vancampfort and Ai Koyanagi
Additional contact information
Lee Smith: The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge CB1 1PT, UK
Mark Tully: Institute of Mental Health Sciences, School of Health Sciences, Ulster University, Newtownabbey BT37 0QB, UK
Louis Jacob: Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, 78180 Montigny-le-Bretonneux, France
Nicole Blackburn: Institute of Nursing and Health Research, School of Health Sciences, Ulster University, Newtownabbey BT37 0QB, UK
Deepti Adlakha: School of Natural and Built Environment, Queen’s University Belfast, Belfast BT9 5AG, UK
Paolo Caserotti: Center for Active and Healthy Ageing, Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, 5230 Odense, Denmark
Pinar Soysal: Department of Geriatric Medicine, Faculty of Medicine, Bezmialem Vakif University, 34093 Istanbul, Turkey
Nicola Veronese: Geriatric Unit, Deptartment of Internal Medicine and Geriatrics, University of Palermo, 90133 Palermo, Italy
Guillermo F. López Sánchez: Faculty of Sport Sciences, University of Murcia, 30720 Murcia, Spain
Davy Vancampfort: KU Leuven Department of Rehabilitation Sciences, 3000 Leuven, Belgium
Ai Koyanagi: Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, 08830 Barcelona, Spain

IJERPH, 2020, vol. 17, issue 5, 1-10

Abstract: The present study aimed to assess the association between sedentary behavior and sarcopenia among adults aged ≥65 years. Cross-sectional data from the Study on Global Ageing and Adult Health were analyzed. Sarcopenia was defined as having low skeletal muscle mass and either a slow gait speed or a weak handgrip strength. Self-reported sedentary behavior was assessed as a continuous variable (hours per day) and also as a categorical variable (0–<4, 4–<8, 8–<11, ≥11 hours/day). Multivariable logistic regression was conducted to assess the association between sedentary behavior and sarcopenia. Analyses using the overall sample and country-wise samples were conducted. A total of 14,585 participants aged ≥65 years were included in the analysis. Their mean age was 72.6 (standard deviation, 11.5) years and 55% were females. Compared to sedentary behavior of 0–<4 hours/day, ≥11 hours/day was significantly associated with 2.14 (95% CI = 1.06–4.33) times higher odds for sarcopenia. The country-wise analysis showed that overall, a one-hour increase in sedentary behavior per day was associated with 1.06 (95% CI = 1.04–1.10) times higher odds for sarcopenia, while the level of between-country heterogeneity was low (I 2 = 12.9%). Public health and healthcare practitioners may wish to target reductions in sedentary behavior to aid in the prevention of sarcopenia in older adults.

Keywords: sarcopenia; sedentary behavior; older adults; low- and middle-income countries (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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