Sedentary behavior and health outcomes among older adults: a systematic review

Autor(es)

Machado de Rezende, Leandro Fornias ^{[1, 2]} ; Rey-Lopez, Juan Pablo ^[1] ; Rodrigues Matsudo, Victor Keihan ^[2] ; Luiz, Olinda do Carmo ^[1]

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Sch Med, Dept Prevent Med, Sao Paulo - Brazil

^[2] Ctr Studies & Phys Fitness Lab Sao Caetano do Sul, Sao Caetano do Sul, SP - Brazil

• Tipo de documento: Artigo de Revisão
• Fonte: BMC PUBLIC HEALTH; v. 14, APR 9 2014.
• Citações Web of Science: 162

Resumo

Background: In the last decade, sedentary behavior has emerged as a new risk factor for health. The elderly spend most of their awake time in sedentary activities. Despite this high exposure, the impact of this sedentary behavior on the health of this population has not yet been reviewed. We systematically reviewed evidence for associations between sedentary behavior and multiple health outcomes in adults over 60 years of age. Methods: We searched the Medline, Embase, Web of Science, SPORTDiscus, PsycINFO, CINAHL, LILLACS, and Sedentary Research Database for observational studies published up to May 2013. Additionally, we contacted members of the Sedentary Behaviour Research Network to identify articles that were potentially eligible. After inclusion, the methodological quality of the evidence was assessed in each study. Results: We included 24 eligible articles in our systematic review, of which only 2 (8%) provided high-quality evidence. Greater sedentary time was related to an increased risk of all-cause mortality in the older adults. Some studies with a moderate quality of evidence indicated a relationship between sedentary behavior and metabolic syndrome, waist circumference, and overweightness/obesity. The findings for other outcomes such as mental health, renal cancer cells, and falls remain insufficient to draw conclusions. Conclusion: This systematic review supports the relationship between sedentary behavior and mortality in older adults. Additional studies with high methodological quality are still needed to develop informed guidelines for addressing sedentary behavior in older adults. (AU)

• Processo FAPESP: 12/07314-8 - Fatores de risco para doenças crônicas não transmissíveis: comportamento sedentário e implicações na saúde de adultos de meia idade e idosos
• Beneficiário: Olinda Do Carmo Luiz
• Modalidade de apoio: Auxílio à Pesquisa - Regular