Is education level, as a proxy for socio-economic position, related to device-measured and self-reported sedentary behavior in European older adults? A cross-sectional study from the SITLESS project

Beatriz Rodriguez Roca, Mark A. Tully, Oriol Sansano-Nadal, Paolo Caserotti, Laura Coll-Planas, Marta Roqué, Jan Brønd, Nicole E. Blackburn, Jason J. Wilson, Dietrich Rothenbacher, Emma McIntosh, Manuela Deidda, Elena Andrade-Gómez, Maria Giné-Garriga

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Sedentary behavior (SB) is a determinant of health in older adult people. Educational level is a primary driver of health disparities and is demonstrated to be a reliable measure of socioeconomic position. We aimed to examine the associations between educational level and self-reported along with device-measured SB in older adults living in Europe and the association of mentally active and passive SB domains with the educational level and gender in these associations.

Methods: The design is cross-sectional. One thousand three hundred and sixty participants aged 65 and over (75.3±6.3 years old, 61.8% women) participated. Inclusion criteria were scored with the Short Physical Performance Battery. Variables that describe the sample were assessed with an interview, and device-measured SB was assessed with an accelerometer. SB was assessed with the Sedentary Behavior Questionnaire and an accelerometer. Multiple linear regression models were used to study the association between the level of education and SB.

Results
: Participants self-reported an average of 7.82 (SD: 3.02) daily waking hours of SB during weekend days, and the average of device-measured SB was 11.39 (1.23) h. Total mentally active SB (weekdays and weekends) was associated with the education level (p < 0.000). Participants were more sedentary during the week than during weekends, regardless of level of education (p < 0.000). Education level was significantly associated with self-reported mean hours per day in 46SB (p = 0.000; R=0.026; 95%CI).

Conclusion: Low education level in older adults is associated with self-reported SB but not with objective SB measures.
Original languageEnglish
Pages (from-to)1-9
Number of pages9
JournalFrontiers in public health
Volume11
Early online date19 Dec 2023
DOIs
Publication statusPublished online - 19 Dec 2023

Bibliographical note

Copyright © 2023 Rodriguez Roca, Tully, Sansano-Nadal, Caserotti, Coll-Planas, Roqué, Brønd, Blackburn, Wilson, Rothenbacher, McIntosh, Deidda, Andrade-Gómez and Giné-Garriga.

Keywords

  • older adults
  • mentally active sedentary behavior
  • mentally passive sedentary behavior
  • sedentary behavior
  • accelerometer
  • sedentary
  • mentally passive sedentary behavior older adult
  • education level

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