Pattern of sedentary behaviors among older Adults in Chinese residential care homes: A latent profile analysis

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-05-01 DOI:10.1016/j.gerinurse.2025.04.034

Sihan Dong BSN , Junqiang Zhao PhD , Xiangning Hu Candidate for BSN , Zhaodong Chen Candidate for BSN , Peiyao Li Candidate for BSN , Bin Ji MS , Yunxia Jiang MSN , Min Wang PhD , Suhwan Kim PhD , Ting Liu PhD , Xueying Liu BSN , Mengjiao Xu BSN , Qi Li PhD , Yuting Song PhD

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Abstract

We aimed to identify patterns of sedentary behaviors among older adults in residential care homes in China and characterize older adults in each identified pattern. We used data from 283 older adults who lived in 11 care homes in northeastern China. Patterns of sedentary behaviors were identified using latent profile analysis. We further verified the clinical relevance of the identified patterns by associating them with depressive symptoms using a regression model. The LPA results showed that the four-profile model was the most appropriate based on the fitting metrics of AIC, BIC, ABIC, LMR, BLRT, and Entropy, which we named the sedentism group, the balanced group, the mentally-active group, and the mentally-passive group. Compared to residents in the mentally-active group, those in the sedentism group (coefficient = 3.98, 95% CI = 2.18 – 5.78, p < 0.001) and mentally-passive group (coefficient = 1.96, 95% CI = 0.13 – 3.78, p = 0.036) had higher levels of depressive symptoms, supporting the clinical relevance of the identified patterns. Our findings suggest targeted interventions for residents with different sedentary patterns.

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中国养老院老年人的久坐行为模式：潜在剖面分析

我们的目的是确定中国养老院老年人的久坐行为模式，并确定每种模式下老年人的特征。我们使用了来自中国东北11家养老院的283名老年人的数据。使用潜在剖面分析确定久坐行为模式。我们通过使用回归模型将已识别的模式与抑郁症状联系起来，进一步验证了它们的临床相关性。LPA结果表明，基于AIC、BIC、ABIC、LMR、BLRT和Entropy的拟合指标，四轮廓模型最为合适，我们将其命名为久坐主义组、平衡组、心理活跃组和心理被动组。与精神活跃组相比，久坐不动组的居民(系数= 3.98,95% CI = 2.18 - 5.78, p <；0.001)和心理被动组（系数= 1.96,95% CI = 0.13 - 3.78, p = 0.036）抑郁症状水平较高，支持所识别模式的临床相关性。我们的发现为不同久坐模式的居民提供了有针对性的干预措施。

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.