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Open AccessArticle

The Association Between Sedentary Behavior and Sarcopenia Among Adults Aged ≥65 Years in Low- and Middle-Income Countries

1
The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge CB1 1PT, UK
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Institute of Mental Health Sciences, School of Health Sciences, Ulster University, Newtownabbey BT37 0QB, UK
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Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, 78180 Montigny-le-Bretonneux, France
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Institute of Nursing and Health Research, School of Health Sciences, Ulster University, Newtownabbey BT37 0QB, UK
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School of Natural and Built Environment, Queen’s University Belfast, Belfast BT9 5AG, UK
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Center for Active and Healthy Ageing, Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, 5230 Odense, Denmark
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Department of Geriatric Medicine, Faculty of Medicine, Bezmialem Vakif University, 34093 Istanbul, Turkey
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Geriatric Unit, Deptartment of Internal Medicine and Geriatrics, University of Palermo, 90133 Palermo, Italy
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Faculty of Sport Sciences, University of Murcia, 30720 Murcia, Spain
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KU Leuven Department of Rehabilitation Sciences, 3000 Leuven, Belgium
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Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, 08830 Barcelona, Spain
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ICREA, Pg. Lluis Companys 23, 08010 Barcelona, Spain
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(5), 1708; https://doi.org/10.3390/ijerph17051708
Received: 7 February 2020 / Revised: 1 March 2020 / Accepted: 4 March 2020 / Published: 5 March 2020
(This article belongs to the Special Issue The Challenges and Opportunities for Promoting Active Healthy Ageing)
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, ≥11 hours/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. View Full-Text
Keywords: sarcopenia; sedentary behavior; older adults; low- and middle-income countries sarcopenia; sedentary behavior; older adults; low- and middle-income countries
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MDPI and ACS Style

Smith, L.; Tully, M.; Jacob, L.; Blackburn, N.; Adlakha, D.; Caserotti, P.; Soysal, P.; Veronese, N.; López Sánchez, G.F.; Vancampfort, D.; Koyanagi, A. The Association Between Sedentary Behavior and Sarcopenia Among Adults Aged ≥65 Years in Low- and Middle-Income Countries. Int. J. Environ. Res. Public Health 2020, 17, 1708. https://doi.org/10.3390/ijerph17051708

AMA Style

Smith L, Tully M, Jacob L, Blackburn N, Adlakha D, Caserotti P, Soysal P, Veronese N, López Sánchez GF, Vancampfort D, Koyanagi A. 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. 2020; 17(5):1708. https://doi.org/10.3390/ijerph17051708

Chicago/Turabian Style

Smith, Lee; Tully, Mark; Jacob, Louis; Blackburn, Nicole; Adlakha, Deepti; Caserotti, Paolo; Soysal, Pinar; Veronese, Nicola; López Sánchez, Guillermo F.; Vancampfort, Davy; Koyanagi, Ai. 2020. "The Association Between Sedentary Behavior and Sarcopenia Among Adults Aged ≥65 Years in Low- and Middle-Income Countries" Int. J. Environ. Res. Public Health 17, no. 5: 1708. https://doi.org/10.3390/ijerph17051708

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