Sedentary behavior and health outcomes in older adults: A systematic review

IF 0.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL
W. Taylor, K. Rix, A. Gibson, R. Paxton
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引用次数: 12

Abstract

Introduction: Older adults (≥ 60 years old) report prolonged periods of sedentary behavior. Sedentary behavior is a potential health hazard for this priority population. Therefore, we systematically reviewed the published literature to document the relationships among sedentary behaviors and twelve health outcomes ranging from mental health to mortality. Methods: Major databases were searched from 2013 to 2019; 27 relevant articles were found and evaluated. In addition, we compared our findings to a previously published review. Results: Higher levels of sedentary behavior were related to an increased risk of all-cause mortality and adversely associated with metabolic syndrome, triglycerides/high density lipoprotein cholesterol/blood glucose, HBA1C/glucose intolerance, waist circumference, and obesity/overweight when compared to those with lower levels of sedentary behavior. Findings for blood pressure, cancer, and mental health (e.g., dementia, mild cognitive impairment, psychological well-being) were insufficient to draw conclusions or had inconsistent results. Because some sedentary behaviors were protective for mental health, we recommend a taxonomy of sedentary behaviors for older adults to provide insights into these seemingly discrepant findings. Some of our findings were similar to a prior review while other findings were different. Conclusion: This systematic review identified the health outcomes that were sufficiently, insufficiently, or not affected by sedentary behavior. To advance the field, we recommend better methodological quality. To improve the overall health and wellbeing of older adults, future studies should evaluate interventions to decrease health-compromising and increase health-promoting sedentary behaviors among older adults.
老年人久坐行为与健康结果:一项系统综述
老年人(≥60岁)报告长时间的久坐行为。久坐行为对这一优先人群来说是一种潜在的健康危害。因此,我们系统地回顾了已发表的文献,以记录久坐行为与从心理健康到死亡率等12种健康结果之间的关系。方法:检索2013 - 2019年各大数据库;发现并评价了27篇相关文章。此外,我们将我们的发现与先前发表的综述进行了比较。结果:与久坐行为水平较低的人相比,久坐行为水平较高的人与全因死亡率风险增加有关,与代谢综合征、甘油三酯/高密度脂蛋白胆固醇/血糖、糖化血红蛋白/葡萄糖耐受性、腰围、肥胖/超重负相关。关于血压、癌症和精神健康(如痴呆、轻度认知障碍、心理健康)的调查结果不足以得出结论,或者结果不一致。由于一些久坐行为对心理健康有保护作用,我们建议对老年人的久坐行为进行分类,以深入了解这些看似不一致的发现。我们的一些发现与之前的回顾相似,而另一些发现则不同。结论:该系统综述确定了久坐行为对健康结果的影响有充分、不充分或没有影响。为了推进这一领域,我们建议提高方法论的质量。为了改善老年人的整体健康和福祉,未来的研究应该评估干预措施,以减少老年人的健康危害和增加促进健康的久坐行为。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
AIMS Medical Science
AIMS Medical Science MEDICINE, RESEARCH & EXPERIMENTAL-
自引率
14.30%
发文量
20
审稿时长
12 weeks
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