The association between sedentary behavior and sarcopenia among adults aged ≥65 years in low-and middle-income countries

Lee Smith; Mark Tully; Louis Jacob; Nicole Blackburn; Deepti Adlakha; Paolo Caserotti; Pinar Soysal; Nicola Veronese; Guillermo F.López Sánchez; Davy Vancampfort; Ai Koyanagi

doi:10.3390/ijerph17051708

The association between sedentary behavior and sarcopenia among adults aged ≥65 years in low-and middle-income countries

Lee Smith, Mark Tully, Louis Jacob, Nicole Blackburn, Deepti Adlakha, Paolo Caserotti, Pinar Soysal, Nicola Veronese, Guillermo F.López Sánchez, Davy Vancampfort, Ai Koyanagi

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Abstract

The present study aimed to assess the association between sedentary behavior and sarcopenia among adults aged ≥65 years. Cross-sectional data from the Study on Global Ageing and Adult Health were analyzed. Sarcopenia was defined as having low skeletal muscle mass and either a slow gait speed or a weak handgrip strength. Self-reported sedentary behavior was assessed as a continuous variable (hours per day) and also as a categorical variable (0–<4, 4–<8, 8–<11, ≥11 hours/day). Multivariable logistic regression was conducted to assess the association between sedentary behavior and sarcopenia. Analyses using the overall sample and country-wise samples were conducted. A total of 14,585 participants aged ≥65 years were included in the analysis. Their mean age was 72.6 (standard deviation, 11.5) years and 55% were females. Compared to sedentary behavior of 0–<4 hours/day, ≥11hours/day was significantly associated with 2.14 (95% CI = 1.06– 4.33) times higher odds for sarcopenia. The country-wise analysis showed that overall, a one-hour increase in sedentary behavior per day was associated with 1.06 (95% CI = 1.04–1.10) times higher odds for sarcopenia, while the level of between-country heterogeneity was low (I² = 12.9%). Public health and healthcare practitioners may wish to target reductions in sedentary behavior to aid in the prevention of sarcopenia in older adults.

Original language	English
Article number	1708
Journal	International Journal of Environmental Research and Public Health
Volume	17
Issue number	5
DOIs	https://doi.org/10.3390/ijerph17051708
Publication status	Published (in print/issue) - 5 Mar 2020

Bibliographical note

Funding Information: Funding: This paper uses data from WHO’s Study on Global Ageing and Adult Health (SAGE). SAGE is supported by the U.S. National Institute on Aging through Interagency Agreements OGHA 04034785, YA1323– 08‐CN‐0020, Y1‐AG‐1005–01 and through research grants R01‐AG034479 and R21‐AG034263. Publisher Copyright: © 2020 by the authors. Licensee MDPI, Basel, Switzerland. Copyright: Copyright 2020 Elsevier B.V., All rights reserved.

Keywords

Low- and middle-income countries
Older adults
Sarcopenia
Sedentary behavior

UN SDGs

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

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10.3390/ijerph17051708Licence: CC BY

ijerph-17-01708Final published version, 1.11 MBLicence: CC BY

Cite this

Smith, L., Tully, M., Jacob, L., Blackburn, N., Adlakha, D., Caserotti, P., Soysal, P., Veronese, N., Sánchez, G. F. L., Vancampfort, D., & Koyanagi, A. (2020). The association between sedentary behavior and sarcopenia among adults aged ≥65 years in low-and middle-income countries. International Journal of Environmental Research and Public Health, 17(5), Article 1708. https://doi.org/10.3390/ijerph17051708

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abstract = "The present study aimed to assess the association between sedentary behavior and sarcopenia among adults aged ≥65 years. Cross-sectional data from the Study on Global Ageing and Adult Health were analyzed. Sarcopenia was defined as having low skeletal muscle mass and either a slow gait speed or a weak handgrip strength. Self-reported sedentary behavior was assessed as a continuous variable (hours per day) and also as a categorical variable (0–<4, 4–<8, 8–<11, ≥11 hours/day). Multivariable logistic regression was conducted to assess the association between sedentary behavior and sarcopenia. Analyses using the overall sample and country-wise samples were conducted. A total of 14,585 participants aged ≥65 years were included in the analysis. Their mean age was 72.6 (standard deviation, 11.5) years and 55% were females. Compared to sedentary behavior of 0–<4 hours/day, ≥11hours/day was significantly associated with 2.14 (95% CI = 1.06– 4.33) times higher odds for sarcopenia. The country-wise analysis showed that overall, a one-hour increase in sedentary behavior per day was associated with 1.06 (95% CI = 1.04–1.10) times higher odds for sarcopenia, while the level of between-country heterogeneity was low (I2 = 12.9%). Public health and healthcare practitioners may wish to target reductions in sedentary behavior to aid in the prevention of sarcopenia in older adults.",

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note = " Funding Information: Funding: This paper uses data from WHO{\textquoteright}s Study on Global Ageing and Adult Health (SAGE). SAGE is supported by the U.S. National Institute on Aging through Interagency Agreements OGHA 04034785, YA1323– 08‐CN‐0020, Y1‐AG‐1005–01 and through research grants R01‐AG034479 and R21‐AG034263. Publisher Copyright: {\textcopyright} 2020 by the authors. Licensee MDPI, Basel, Switzerland. Copyright: Copyright 2020 Elsevier B.V., All rights reserved.",

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Smith, L, Tully, M, Jacob, L, Blackburn, N, Adlakha, D, Caserotti, P, Soysal, P, Veronese, N, Sánchez, GFL, Vancampfort, D & Koyanagi, A 2020, 'The association between sedentary behavior and sarcopenia among adults aged ≥65 years in low-and middle-income countries', International Journal of Environmental Research and Public Health, vol. 17, no. 5, 1708. https://doi.org/10.3390/ijerph17051708

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T1 - The association between sedentary behavior and sarcopenia among adults aged ≥65 years in low-and middle-income countries

AU - Smith, Lee

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AU - Caserotti, Paolo

AU - Soysal, Pinar

AU - Veronese, Nicola

AU - Sánchez, Guillermo F.López

AU - Vancampfort, Davy

AU - Koyanagi, Ai

N1 - Funding Information: Funding: This paper uses data from WHO’s Study on Global Ageing and Adult Health (SAGE). SAGE is supported by the U.S. National Institute on Aging through Interagency Agreements OGHA 04034785, YA1323– 08‐CN‐0020, Y1‐AG‐1005–01 and through research grants R01‐AG034479 and R21‐AG034263. Publisher Copyright: © 2020 by the authors. Licensee MDPI, Basel, Switzerland. Copyright: Copyright 2020 Elsevier B.V., All rights reserved.

PY - 2020/3/5

Y1 - 2020/3/5

N2 - The present study aimed to assess the association between sedentary behavior and sarcopenia among adults aged ≥65 years. Cross-sectional data from the Study on Global Ageing and Adult Health were analyzed. Sarcopenia was defined as having low skeletal muscle mass and either a slow gait speed or a weak handgrip strength. Self-reported sedentary behavior was assessed as a continuous variable (hours per day) and also as a categorical variable (0–<4, 4–<8, 8–<11, ≥11 hours/day). Multivariable logistic regression was conducted to assess the association between sedentary behavior and sarcopenia. Analyses using the overall sample and country-wise samples were conducted. A total of 14,585 participants aged ≥65 years were included in the analysis. Their mean age was 72.6 (standard deviation, 11.5) years and 55% were females. Compared to sedentary behavior of 0–<4 hours/day, ≥11hours/day was significantly associated with 2.14 (95% CI = 1.06– 4.33) times higher odds for sarcopenia. The country-wise analysis showed that overall, a one-hour increase in sedentary behavior per day was associated with 1.06 (95% CI = 1.04–1.10) times higher odds for sarcopenia, while the level of between-country heterogeneity was low (I2 = 12.9%). Public health and healthcare practitioners may wish to target reductions in sedentary behavior to aid in the prevention of sarcopenia in older adults.

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The association between sedentary behavior and sarcopenia among adults aged ≥65 years in low-and middle-income countries

Abstract

Bibliographical note

Keywords

UN SDGs

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