Association between frailty syndrome and sedentary behavior among community-dwelling older adults in the Amazon region: a cross-sectional study

Säo Paulo med. j; 139 (3), 2021
Publication year: 2021

ABSTRACT BACKGROUND:

Existence of an association between sedentary behavior and frailty among older adults has been suggested. However, there is a lack of studies conducted in Brazil, especially in areas of the Amazon region.

OBJECTIVE:

To analyze the association between frailty syndrome and sedentary behavior among community-dwelling older adults.

DESIGN AND SETTING:

Cross-sectional study carried out in Macapá, state of Amapá, Brazil.

METHODS:

Frailty status was assessed using Fried's frailty phenotype, and sedentary behavior was evaluated using two questions concerning time spent in a seated position, from the International Physical Activity Questionnaire (IPAQ). A multinomial logistic regression model was used to verify the association between frailty syndrome and sedentary behavior.

RESULTS:

The final study sample was made up of 411 older adults with a mean age of 70.14 ± 7.25 years and an average daily duration of sedentary behavior of 2.86 ± 2.53 hours. The prevalence of non-frailty was 28.7%, prevalence of pre-frailty was 58.4% and prevalence of frailty was 12.9%. The adjusted analysis showed that there were independent associations between sedentary behavior and pre-frailty (odds ratio, OR = 1.18; 95% confidence interval, CI: 1.03-1.34) and between sedentary behavior and frailty (OR = 1.20; 95% CI: 1.02-1.40).

CONCLUSION:

Frailty and pre-frailty status were associated with sedentary behavior among community-dwelling older adults.

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