Time Spent in Sedentary Behaviour as Discriminant Criterion for Frailty in Older Adults

Int J Environ Res Public Health. 2018 Jun 26;15(7):1336. doi: 10.3390/ijerph15071336.

Abstract

This paper aims to analyse whether time spent in sedentary behaviour was a discriminant criterion for frailty in older adults. This was a cross-sectional study conducted in a sample of 457 elderly individuals aged ≥60 years. Frailty was defined as the presence of three or more of the following criteria: Unintentional weight loss, low walking speed at a 4.57 m course, reduced manual grip strength, exhaustion and insufficient physical activity level. Participants were classified into two groups: Non-frail or frail. Exposure to sedentary behaviour was assessed by the time spent sitting during a typical week, according to the adapted version of the International Physical Activity Questionnaire. Descriptive (mean, frequency) and inferential statistics (Poisson regression, Pearson’s Chi-square, Receiver Operating Characteristic Curve) were used to analyse the data, comparing them to the time-related areas exposed to sedentary behaviour by gender and the presence of fragility. The prevalence of frailty was 22.1% (n = 101). The most accurate cut-off points of sitting time for predicting frailty were >495 min/day (men) or >536 min/day (women). Time spent in sedentary behaviour can be used to indicate fragility in the elderly of both sexes.

Keywords: frailty; roc curve; sedentary behaviour.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Brazil / epidemiology
  • Cross-Sectional Studies
  • Exercise
  • Fatigue
  • Female
  • Frail Elderly / psychology*
  • Frailty / epidemiology*
  • Humans
  • Male
  • Middle Aged
  • Prevalence
  • ROC Curve
  • Sedentary Behavior*
  • Weight Loss