TY - JOUR
T1 - Objective assessment of the association between frailty and sedentary behavior in older adults
T2 - a cross-sectional study
AU - Chang, Wen Ning
AU - Tzeng, Pei Lin
AU - Huang, Wei Jia
AU - Lin, Yu Hung
AU - Lin, Kun Pei
AU - Wen, Chiung Jung
AU - Chou, Yi Chun
AU - Liao, Yung
AU - Hsueh, Ming Chun
AU - Chan, Ding Cheng
N1 - Publisher Copyright:
© 2023, European Group for Research into Elderly and Physical Activity (EGRIPA).
PY - 2023/12
Y1 - 2023/12
N2 - Background: Given the inconsistent findings of the association between frailty and sedentary behavior in older adults, this cross-sectional study investigated the aforementioned association using four different frailty criteria and two sedentary behavior indices in older adults. Methods: Data from older adults (age ≥ 65 y) who participated in health examinations or attended outpatient integrated clinics at a medical center in Taipei, Taiwan, were collected. Frailty was measured using the modified Fried Frailty Phenotype (mFFP), Clinical Frailty Scale in Chinese Translation (CFS-C), Study of Osteoporotic Fractures (SOF) index, and Clinical Frailty-Deficit Count (CF-DC) index; sedentary behavior was assessed with a waist-worn accelerometer. Adjusted linear regression ascertained the association between frailty and both sedentary behavior outcomes. Results: Among the 214 participants (mean age 80.82 ± 7.14 y), 116 were women. The average total sedentary time and number of sedentary bouts were 609.74 ± 79.29 min and 5.51 ± 2.09 times per day, respectively. Frail participants had a longer total sedentary time (odds ratio [OR]: 30.13, P =.01 and 39.43, P <.001) and more sedentary bouts (OR: 3.50 and 5.86, both P <.001) on mFFP and CFS-C assessments, respectively. The SOF index revealed more sedentary bouts among frail than in robust participants (OR: 2.06, P =.009), without a significant difference in the total sedentary time. Frail participants defined by the CF-DC index were more likely to have frequent sedentary bouts (OR: 2.03, P =.016), but did not have a longer total sedentary time. Conclusions: Regardless of the frailty criteria adopted, frailty was positively associated with the number of sedentary bouts per day in older adults. A significant correlation between frailty and total sedentary time was detected only with mFFP and CFS-C indices. Further research may target decreasing the sedentary bouts in older adults as a strategy to improve frailty.
AB - Background: Given the inconsistent findings of the association between frailty and sedentary behavior in older adults, this cross-sectional study investigated the aforementioned association using four different frailty criteria and two sedentary behavior indices in older adults. Methods: Data from older adults (age ≥ 65 y) who participated in health examinations or attended outpatient integrated clinics at a medical center in Taipei, Taiwan, were collected. Frailty was measured using the modified Fried Frailty Phenotype (mFFP), Clinical Frailty Scale in Chinese Translation (CFS-C), Study of Osteoporotic Fractures (SOF) index, and Clinical Frailty-Deficit Count (CF-DC) index; sedentary behavior was assessed with a waist-worn accelerometer. Adjusted linear regression ascertained the association between frailty and both sedentary behavior outcomes. Results: Among the 214 participants (mean age 80.82 ± 7.14 y), 116 were women. The average total sedentary time and number of sedentary bouts were 609.74 ± 79.29 min and 5.51 ± 2.09 times per day, respectively. Frail participants had a longer total sedentary time (odds ratio [OR]: 30.13, P =.01 and 39.43, P <.001) and more sedentary bouts (OR: 3.50 and 5.86, both P <.001) on mFFP and CFS-C assessments, respectively. The SOF index revealed more sedentary bouts among frail than in robust participants (OR: 2.06, P =.009), without a significant difference in the total sedentary time. Frail participants defined by the CF-DC index were more likely to have frequent sedentary bouts (OR: 2.03, P =.016), but did not have a longer total sedentary time. Conclusions: Regardless of the frailty criteria adopted, frailty was positively associated with the number of sedentary bouts per day in older adults. A significant correlation between frailty and total sedentary time was detected only with mFFP and CFS-C indices. Further research may target decreasing the sedentary bouts in older adults as a strategy to improve frailty.
KW - Accelerometer
KW - Frailty
KW - Older adults
KW - Sedentary behavior
UR - https://www.scopus.com/pages/publications/85167522447
UR - https://www.scopus.com/pages/publications/85167522447#tab=citedBy
U2 - 10.1186/s11556-023-00324-5
DO - 10.1186/s11556-023-00324-5
M3 - Article
AN - SCOPUS:85167522447
SN - 1813-7253
VL - 20
JO - European Review of Aging and Physical Activity
JF - European Review of Aging and Physical Activity
IS - 1
M1 - 14
ER -