Sedentary Behavior and Cardiovascular Risk in Older Adults: a Scoping Review

Hajduk, Alexandra M.; Chaudhry, Sarwat I.

doi:10.1007/s12170-016-0485-6

Cited by 25 publications

(17 citation statements)

References 48 publications

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“…Physical activity is associated with many health-related outcomes. For older adults, physical activity has been found to be related to cognitive performance [8], frailty [9], weight control, and diabetes [10,11]. Additionally, physical inactivity among older adults to be associated with a higher risk for cardiovascular disease (CVD) mortality and cancer mortality [12].…”

Section: Introductionmentioning

confidence: 99%

A prospective study on the effect of self-reported health and leisure time physical activity on mortality among an ageing population: results from the Tromsø study

et al. 2020

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Background: The prevailing Western ideal of ageing in place, with the option to stay at home as one ages, has led to the development of physical activity guidelines for people of advanced age to increase their quality of life and promote their functional abilities. This study investigates the effect of self-reported health and physical activity on mortality and examines how levels of age-specific physical activity affect self-reported health trajectories in an ageing cohort. Methods: The sample cohort of the population-based Tromsø Study consists of 24,309 participants aged 25-97 years at baseline. This study involved a survival analysis from 1994 to 2015 and included those who completed two or more surveys (n = 12,241) between 1994 and 2008. The purpose was to examine the relationship between physical activity and self-reported health throughout life using a random coefficient model analysis. Results: Being sedentary was associated with an increased risk of mortality in the ageing cohort. Subjects who reported neither light physical activity nor hard physical activity had a 57% (OR 1.57, 1.07-2.31) increased risk of allcause death. Both hard (OR 2.77, 2.35-3.26) and light (OR 1.52, 1.32-1.76) physical activity were positively associated with self-reported health. The effect was age dependent. Vigorous physical activity was most beneficial for individuals younger than 40 years old, while moderate physical activity levels prolonged the period in which good self-reported health was likely. Conclusions: Poor self-reported health and being sedentary were independently associated with an increased risk of mortality in the participants. Furthermore, physical activity prolonged the period of good self-reported health among older adults in two ways: physical activity habits from early adulthood and onwards were beneficial to selfreported health at an advanced age, and self-reported health was dependent on engagement in moderate intensity physical activity after approximately 65 years of age.

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Section: Introductionmentioning

confidence: 99%

A prospective study on the effect of self-reported health and leisure time physical activity on mortality among an ageing population: results from the Tromsø study

et al. 2020

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“…Managing sedentary time is important for the prevention of disease and disability 14–16 and also for the management of existing conditions. 17 18 Too much sitting may have particularly deleterious consequences for older adults, in part because they accumulate the least physical activity of any age group. 4 Very few older adults are engaging in the relatively high volume of daily moderate-to-vigorous intensity physical activity that appears to be necessary to counteract the adverse effects of too much sitting 19 and may have neither the physical capacity nor the desire to achieve such a goal.…”

Section: Introductionmentioning

confidence: 99%

Sedentary time in older men and women: an international consensus statement and research priorities

et al. 2017

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Sedentary time is a modifiable determinant of poor health, and in older adults, reducing sedentary time may be an important first step in adopting and maintaining a more active lifestyle. The primary purpose of this consensus statement is to provide an integrated perspective on current knowledge and expert opinion pertaining to sedentary behaviour in older adults on the topics of measurement, associations with health outcomes, and interventions. A secondary yet equally important purpose is to suggest priorities for future research and knowledge translation based on gaps identified. A five-step Delphi consensus process was used. Experts in the area of sedentary behaviour and older adults (n=15) participated in three surveys, an in-person consensus meeting, and a validation process. The surveys specifically probed measurement, health outcomes, interventions, and research priorities. The meeting was informed by a literature review and conference symposium, and it was used to create statements on each of the areas addressed in this document. Knowledge users (n=3) also participated in the consensus meeting. Statements were then sent to the experts for validation. It was agreed that self-report tools need to be developed for understanding the context in which sedentary time is accumulated. For health outcomes, it was agreed that the focus of sedentary time research in older adults needs to include geriatric-relevant health outcomes, that there is insufficient evidence to quantify the dose–response relationship, that there is a lack of evidence on sedentary time from older adults in assisted facilities, and that evidence on the association between sedentary time and sleep is lacking. For interventions, research is needed to assess the impact that reducing sedentary time, or breaking up prolonged bouts of sedentary time has on geriatric-relevant health outcomes. Research priorities listed for each of these areas should be considered by researchers and funding agencies.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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“…Older people (≥65 years old) are the most sedentary segment of the population (Leask, Harvey, Skelton, & Chastin, ). Estimates suggest that older people spend >75% of the waking day demonstrating sedentary behaviours (Hajduk & Chaudhry, ), which may be one factor contributing to the disproportionate CVD incidence and CVD‐related mortality noted in this population. In fact, sedentary time is higher among older people with CVD, in comparison with older people without CVD (Hajduk & Chaudhry, ).…”

Section: Statement Of the Problemmentioning

confidence: 99%

A review of reviews: Sedentary behaviour and cardiovascular disease specific to older people

Dickins

Buchholz

Rivero

et al. 2018

Int J Older People Nursing

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Background The incidence of sedentary behaviour and cardiovascular disease impacts the health of older people, potentially leading to serious and negative health consequences. Aim The purpose of this umbrella review was to identify the systematic reviews that explore the association between sedentary behaviour and cardiovascular disease specific to older people. Methods An umbrella review was undertaken to systematically search five databases. Papers included were published between 2011 and 2015. Results A search yielded 2,163 results. Six reviews met the inclusion criteria. While all six systematic reviews included older people in the overall sample, only one systematic review focused on an entirely older person population. Three of the six systematic reviews provided a meta‐analysis, but none of the reviews reported a separate subgroup analysis for a discrete sample of older people Conclusion This umbrella review demonstrates that while sedentary behaviour is associated with cardiovascular disease, a gap exists in the analysis on the relationship specific to older persons. Implications for Practice Interventions aimed at reducing sedentary behaviour may improve cardiovascular health and well‐being among older people.

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Sedentary Behavior and Cardiovascular Risk in Older Adults: a Scoping Review

Cited by 25 publications

References 48 publications

A prospective study on the effect of self-reported health and leisure time physical activity on mortality among an ageing population: results from the Tromsø study

A prospective study on the effect of self-reported health and leisure time physical activity on mortality among an ageing population: results from the Tromsø study

Sedentary time in older men and women: an international consensus statement and research priorities

A review of reviews: Sedentary behaviour and cardiovascular disease specific to older people

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