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Association between sedentary behavior and dynapenic abdominal obesity among older adults from low- and middle-income countries

  • Lee Smith
  • , Guillermo F López Sánchez
  • , Masoud Rahmati
  • , Mark A Tully
  • , Damiano Pizzol
  • , Nicola Veronese
  • , Pinar Soysal
  • , Karel Kostev
  • , Dong Keon Yon
  • , Laurie Butler
  • , Jae Il Shin
  • , Ai Koyanagi

Research output: Contribution to journalArticlepeer-review

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Abstract

BACKGROUND: Sedentary behavior, or time spent sitting, may increase risk for dynapenic abdominal obesity (DAO), but there are currently no studies on this topic.

AIMS: Therefore, we investigated the association between sedentary behaviour and DAO in a nationally representative sample of older adults from six low- and middle-income countries.

METHODS: Cross-sectional data from the Study on Global AGEing and Adult Health were analysed. Dynapenia was defined as handgrip strength < 26 kg for men and < 16 kg for women. Abdominal obesity was defined as waist circumference of > 88 cm (> 80 cm for Asian countries) for women and > 102 cm (> 90 cm) for men. DAO was defined as having both dynapenia and abdominal obesity. Self-reported sedentary behavior was categorized as ≥ 8 h/day (high sedentary behaviour) or < 8 h/day. Multivariable multinomial logistic regression was conducted.

RESULTS: Data on 20,198 adults aged ≥ 60 years were analyzed [mean (SD) age 69.3 (13.1) years; 54.1% females]. In the overall sample, ≥ 8 h of sedentary behavior per day (vs. <8 h) was significantly associated with 1.52 (95%CI = 1.11-2.07) times higher odds for DAO (vs. no dynapenia and no abdominal obesity), and this was particularly pronounced among males (OR = 2.27; 95%CI = 1.42-3.62). Highly sedentary behavior was not significantly associated with dynapenia alone or abdominal obesity alone.

DISCUSSION: High sedentary behaviour may increase risk for DAO among older adults.

CONCLUSIONS: Interventions to reduce sedentary behaviour may also lead to reduction of DAO and its adverse health outcomes, especially among males, pending future longitudinal research.

Original languageEnglish
Article number109
Pages (from-to)1-9
Number of pages9
JournalAging Clinical and Experimental Research
Volume36
Issue number1
Early online date11 May 2024
DOIs
Publication statusPublished online - 11 May 2024

Bibliographical note

Publisher Copyright:
© The Author(s) 2024.

Data Availability Statement

No datasets were generated or analysed during the current study.

Funding

Dr. Guillermo F. López Sánchez is funded by the European Union – Next Generation EU. Open Access funding provided thanks to the CRUE-CSIC agreement with Springer Nature.

FundersFunder number
European Commission
National Institute on AgingR01-AG034479, YA1323–08-CN-0020, OGHA 04034785, Y1-AG-1005–01, R21-AG034263
National Institute on Aging

    UN SDGs

    This output contributes to the following UN Sustainable Development Goals (SDGs)

    1. SDG 3 - Good Health and Well-being
      SDG 3 Good Health and Well-being

    Keywords

    • Humans
    • Sedentary Behavior
    • Male
    • Obesity, Abdominal/epidemiology
    • Female
    • Aged
    • Cross-Sectional Studies
    • Middle Aged
    • Hand Strength/physiology
    • Developing Countries
    • Aged, 80 and over
    • Waist Circumference
    • Dynapenic abdominal obesity
    • Sitting time
    • Older adults
    • Low- and middle-income countries
    • Epidemiology

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