Abstract

This literature review focuses on aspects of sedentary behaviour (SB) in elderly. Since it has been identified as a distinct health risk, independent of physical activity, SB is a significant issue. This is particularly true for an ageing population as evidence shows that older adults (aged ≥65 years) are the most sedentary age group (on average 8.5–9.6 h daily sitting time). Accurate SB assessment is important for understanding this habitual behaviour and its impact. However, SB measurement is challenging, regardless of the method used. Although negative associations of SB in elderly have been reported for several health outcomes, evidence is inconclusive, apart from the evidence on the adverse SB effect on the all-cause mortality rate. Generally, strategies have been proposed to counteract SB, of which breaking prolonged sedentary bouts with at least light-intensity physical activity seems to be the most promising. Overall, further research in elderly is required to increase the evidence and to either support or refute the current findings. Moreover, further research will help to develop informed SB guidelines for an optimal strategy to counteract SB and its health effects in older adults.

Highlights

  • Contrary to general perceptions, sedentary behaviour (SB) does not necessarily reflect a lack of physical activity (PA) (Sedentary Behaviour Research Network 2012)

  • moderate-to-vigorous PA (MVPA) estimates vary among adults aged 60 or older, depending on the cut point chosen, and most of their time is spent in SBs

  • The results suggest that sufficient MVPA did not ameliorate the negative associations between SB and cardio metabolic risk factors or functional limitations in the current sample

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Summary

Introduction

Sedentary behaviour (SB) does not necessarily reflect a lack of physical activity (PA) (Sedentary Behaviour Research Network 2012). Similar to characterising PA and exercise by the FITT formula, describing the Frequency, Intensity, Time (duration) and Type of activity, SB is suggested to be characterised by the SITT formula, which describes Sedentary behaviour frequency, number of Interruptions, Time (duration) and Type (Tremblay et al 2010) These variables provide valuable information on SB and should be assessed in any study dealing with SB. Subjective methods are practical, easy to administer, inexpensive, useful in large-scale studies and do not alter behaviour (CelisMorales et al 2012; Chastin et al 2014a; AguilarFarıas et al 2015) They will provide SB outcomes in terms of total sitting time, total screen time or TV time.

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