Sedentary time in older adults: a critical review of measurement, associations with health, and interventions

Copeland, Jennifer L. and Ashe, Maureen C. and Biddle, Stuart J. H. and Brown, Wendy J. and Buman, Matthew P. and Chastin, Sebastien and Gardiner, Paul A. and Inoue, Shigeru and Jefferis, Barbara J. and Oka, Koichiro and Owen, Neville and Sardinha, Lius B. and Skelton, Dawn A. and Sugiyama, Takemi and Dogra, Shilpa (2017) Sedentary time in older adults: a critical review of measurement, associations with health, and interventions. British Journal of Sports Medicine, 51 (21 - Article 1539). ISSN 0306-3674

Abstract

Sedentary time (ST) is an important risk factor for a variety of health outcomes in older adults. Consensus is needed on future research directions so that collaborative and timely efforts can be made globally to address this modifiable risk factor. In this review, we examined current literature to identify gaps and inform future research priorities on ST and healthy ageing. We reviewed three primary topics:(1) the validity/reliability of self-report measurement tools, (2) the consequences of prolonged ST on geriatric-relevant health outcomes (physical function, cognitive function, mental health, incontinence and quality of life) and(3) the effectiveness of interventions to reduce ST in older adults. Methods A trained librarian created a search strategy that was peer reviewed for completeness. Results Self-report assessment of the context and type of ST is important but the tools tend to underestimate total ST. There appears to be an association between ST and geriatric-relevant health outcomes, although there is insufficient longitudinal evidence to determine a dose-response relationship or a threshold for clinically relevant risk. The type of ST may also affect health; some cognitively engaging sedentary behaviours appear to benefit health, while time spent in more passive activities may be detrimental. Short-term feasibility studies of individual-level ST interventions have been conducted; however, few studies have appropriately assessed the impact of these interventions on geriatric-relevant health outcomes, nor have they addressed organisation or environment level changes. Research is specifically needed to inform evidence-based interventions that help maintain functional autonomy among older adults. This consensus statement has been endorsed by the following societies: Academy of Geriatric Physical Therapy, Exercise & Sports Science Australia, Canadian Centre for Activity and Aging, Society of Behavioral Medicine, and the National Centre for Sport and Exercise Medicine.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
Faculty/School / Institute/Centre: Current - Institute for Resilient Regions
Faculty/School / Institute/Centre: Current - Institute for Resilient Regions
Date Deposited: 17 Oct 2019 04:28
Last Modified: 25 Oct 2019 05:21
Uncontrolled Keywords: aging; functional; interventions; measurement; sedentary
Fields of Research : 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified
Identification Number or DOI: 10.1136/bjsports-2016-097210
URI: http://eprints.usq.edu.au/id/eprint/36312

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