Sedentary behavior and functional disability in older adults with low economic status: Monidi Study

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DOI:

https://doi.org/10.1590/1980-0037.2019v21e55944

Abstract

Excess time spent in sedentary activities may intensify functional losses among the elderly; however, information on the amount of time in sedentary activities related to these losses is still incipient. The aim of this study was to determine the predictive power of sedentary behavior (SB) and to establish cutoff points for functional disability (FD) discriminators in the elderly. A cross-sectional study was carried out with sample of 310 older adults with mean age of 71.62 ± 8.15 years, randomly selected and residents in the municipality of Ibicuí-BA. Sedentary behavior was assessed by measuring the time spent sitting on a usual week day and FD weekend and FD by the Lawton scale. Receiver Operating Characteristic (ROC) curves were constructed and SB discriminant criterion for FD was determined. The areas under the curve showed that SB has reasonable potential to discriminate FD. The times spent in SB that best discriminated FD were > 330 minutes / day and > 270 minutes / day for men and women respectively. Time spent in SB is an important health indicator and can be used in the screening of FD in the elderly.

References

Nasri, F. O envelhecimento populacional no Brasil. Einstein 2008; 6(1): S4-S6.

Veras R. Envelhecimento populacional contemporâneo: demandas, desafios e inovações. Rev Saúde Pública 2009;43(3):548-554.

IBGE. Projeção da população do brasil e das unidades da federação. 2017. Disponível em http://www.ibge.gov.br/apps/populacao/projecao/ [08 maio 2017].

SBGG. Avaliação do estado funcional do idoso. Disponível em: http://sbgg.org.br/wp-content/uploads/2014/10/avaliacao-estado-idoso.pdf [11 maio 2017].

Virtuoso‐Júnior JS, Tribess S, Smith Menezes A, Meneguci J, Sasaki JE. Fatores associados à incapacidade funcional em idosos brasileiros. Rev Andaluza Med Deporte 2016;1-7.

Gupta P, Mani K, Rai SK, Nongkynrih B, Gupta SK. Functional disability among elderly persons in a rural area of Haryana. Indian J Public Health 2014;58(1):11-16.

Yoshida D, Ninomiya T, Doi Y, Hata J, Fukuhara M, Ikeda F, et al. Prevalence and causes of functional disability in an elderly general population of Japanese: the Hisayama study. J Epidemiol 2012;22(3):222-9.

Alves, LC; Leite, IC; Machado, CJ. Conceituando e mensurando a incapacidade funcional da população idosa: uma revisão de literatura. Ciênc Saúde Colet 2008;13:1199-1207.

Meneguci J, Santos DAT, Silva RB, Santos RG, Sasaki JE, Tribess S, et al. Comportamento sedentário: conceito, implicações fisiológicas e os procedimentos de avaliação. Motri 2015;11(1):160-174.

Nogueira S, Ribeiro R, Rosado L, Franceschini S, Ribeiro A, Pereira E. Fatores determinantes da capacidade funcional em idosos longevos. Rev Bras fisioter 2010;14(4):322-329.

Owen N, Healy GN, Matthews CE, Dunstan DW. Too much sitting: the population health science of sedentary behavior. Exerc Sport Sci Rev 2010;38(3):105–13.

Katzmarzyk PT, Church TS, Craig CL, Bouchard, C. Sitting Time and Mortality from All Causes, Cardiovascular Disease, and Cancer. Med Sci Sports Exerc 2009;41(5):998–1005.

Hamilton DG, Zderic TW. Role of low energy expenditure and sitting in obesity, metabolic syndrome, type 2 diabetes, and cardiovascular disease. Diabetes 2007;56(11):2655–2667.

Lima JS, Matsudo SMM, Araújo TL. Sedentary Behavior and muscle strength in elderly residents of institutions for the aged. J Aging Innov 2014;3 (3):28-38.

Silva MA, Oliveira EA, Barros SEB, Menezes SC, Brito WSS. Análise da capacidade funcional de idosas sedentárias na pré-intervenção terapêutica. Encontro unificado de ensino pesquisa e extensão, João Pessoa, 2013, p.1-7.

Pedreira RBS, Rocha SV, Santos CA, Vasconcelos LRC, Reis MC. Validade de conteúdo do instrumento de avaliação da saúde do idoso. Einstein 2016;14(2):158-177.

Lipschitz DA. Screening for nutritional status in the elderly. Primary care 1994;21(1), 55-67.

Bertolucci PHF, Brucki SMD, Campacci SR, Juliano Y. O miniexame do estado mental em uma população geral: impacto da escolaridade. Arq Neuropsiquiatr 1994;52(1):1-7.

Van der Ploeg HP, Chey T, Korda RJ, Banks E, Bauman A. Sitting Time and All-Cause Mortality Risk in 222 497 Australian Adults. Arch Intern Med 2012;172(6):494–500.

Harvey JA, Chastin SF, Skelton DA. How sedentary are older people? A systematic review of the amount of sedentary behavior. J Aging Phys Act 2015;23(3):471–87.

Santos RG, Medeiros JC, Schmitt BD, Meneguci J, Santos DAT, Damião R, et al. Comportamento Sedentário em Idosos: Uma Revisão Sistemática. Motri 2015; 11(3):171-86.

Bertolini GN, Santos VR dos, Alves MJ, Cervellini PCM, Christofaro DGD, Santana Lfide, et al. Relation between high leisure-time sedentary behavior and low functionality in older adults. Rev Bras Cineantropom Desempenho Hum 2016;18(6):713–21.

Cawthon PM, Blackwell TL, Cauley JA, Ensrud KE, Dam T-T, Harrison SL, et al. Objective assessment of activity, energy expenditure, and functional limitations in older men: the Osteoporotic Fractures in Men study. J Gerontol A Biol Sci Med Sci 2013;68(12):1518–24.

Garcia LMT, Barros MVG, Silva KS, Del DGF, Costa FF, Oliveira ESA et al. Aspectos sociodemográficos associados a três comportamentos sedentários em trabalhadores brasileiros. Cad Saúde Pública 2015;31(5):1015-1024.

Arnardottir NY, Koster A, Van Domelen DR, Brychta RJ, Caserotti P, Eiriksdottir, G, et al. Objective measurements of daily physical activity patterns and sedentary behaviour in older adults: Age, Gene/Environment Susceptibility-Reykjavik Study. Age ageing 2013;42(2):222-229.

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2019-12-31

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