Objective Measures of Activity in the Elderly: Distribution and Associations With Demographic and Health Factors
- PMID: 28602617
- PMCID: PMC6276982
- DOI: 10.1016/j.jamda.2017.04.017
Objective Measures of Activity in the Elderly: Distribution and Associations With Demographic and Health Factors
Abstract
Background: Little is known about the distribution of activity over the full 24-hour spectrum in late old age and its association with demographic and health factors. Therefore, we aimed to evaluate the distribution of physical activity (PA), sedentary behavior, and sleep, and associated factors in the elderly population.
Methods: Our study included 1210 participants (51.9% women) aged 70-94 years [mean age 77.5 years, standard deviation (SD) 5.0] from the population-based Rotterdam Study. Participants wore a triaxial accelerometer (GENEActiv) around the wrist for 7 days between July 2014 and June 2016. We examined if PA, sedentary behavior, and sleep differed by age, sex, body mass index (BMI), smoking status, alcohol consumption, education, season, functional capacity, marital status, presence of chronic disease, and use of sleep medication.
Results: Mean total PA, expressed in milli-gravity (mg) units, was slightly higher for women (20.3, SD 5.6) than for men (19.3, SD 5.2, P < .01). Mean (SD) daily duration spent in sedentary behavior and light and moderate-to-vigorous PA was 13.3 (1.5) h/d, 147.5 (31.5) min/d, and 75.0 (25.5) min/d, respectively, among women; and 13.8 (1.6) h/d, 140.5 (31.1) min/d, and 71.5 (24.5) min/d, respectively, among men. Women spent on average 6.7 (SD 1.1) h/d sleeping and men 6.6 (1.4) h/d. Across increasing categories of age and BMI and in participants with chronic disease and disability, time spent in light and moderate-to-vigorous PA was decreased. Higher age and BMI were associated with more sedentary time. In addition, obese men spent slightly more time sleeping than their normal weight counterparts and women spent slightly less time sleeping in the summer than in spring.
Conclusions: PA and sedentary behavior in the elderly differed by sex, age, BMI, prevalence of chronic disease, and disability, whereas there were no clear patterns for sleep. On average, our participants spent up to 79.5% of their time awake being sedentary and 7%-8% in moderate-to-vigorous PA. Replacing sedentary behavior with light PA would be a good starting point for those with the lowest level of PA. Older adults, those with high BMI and worse health could benefit from targeted interventions to increase PA.
Keywords: Physical activity; Rotterdam Study; accelerometer; elderly.
Copyright © 2017 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.
Conflict of interest statement
There are no conflict of interests to declare.
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References
-
- Gulsvik AK, Thelle DS, Samuelsen SO, Myrstad M, Mowe M, Wyller TB. Ageing, physical activity and mortality--a 42-year follow-up study. Int J Epidemiol. 2012;41(2):521–30. - PubMed
-
- Chief Medical Officer. At least five a week: evidence on the impact of physical activity and its relationship to health. London: Department of Health; 2004.
-
- Keysor JJ. Does late-life physical activity or exercise prevent or minimize disablement? A critical review of the scientific evidence. Am J Prev Med. 2003;25(3 Suppl 2):129–36. - PubMed
-
- Ainsworth BE. How do I measure physical activity in my patients? Questionnaires and objective methods. Br J Sports Med. 2009;43(1):6–9. - PubMed
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