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Correlates of change in accelerometer-assessed total sedentary time and prolonged sedentary bouts among older English adults: results from five-year follow-up in the EPIC-Norfolk cohort.

Published version
Peer-reviewed

Type

Article

Change log

Authors

Yerrakalva, Dharani 
Hajna, Samantha 
Khaw, Kay-Tee 

Abstract

BACKGROUND: Development of effective strategies to reduce sedentary time among older adults necessitates understanding of its determinants but longitudinal studies of this utilising objective measures are scarce. METHODS: Among 1536 older adults (≥60 years) in the EPIC-Norfolk study, sedentary time was assessed for seven days at two time-points using accelerometers. We assessed associations of change in total and prolonged bouts of sedentary time (≥ 30 minutes) with change in demographic and behavioural factors using multi-level regression. RESULTS: Over follow-up (5.3±1.9 years), greater increases in total sedentary time were associated with older age, being male, higher rate of increase in BMI, lower rate of increase in gardening (0.5 min/day/yr greater sedentary time per hour/week/yr less gardening, 95% CI 0.1, 1.0), a lower rate of increase in walking (0.2 min/day/yr greater sedentary time per hour/week/yr less walking, 95% CI 0.1, 0.3) and a higher rate of increase in television viewing. Correlates of change in prolonged sedentary bouts were similar. CONCLUSION: Individuals in specific sub-groups (older, male, higher BMI) and who differentially participate in certain behaviours (less gardening, less walking and more television viewing) but not others increase their sedentary time at a higher rate than others; utilising this information could inform successful intervention content and targeting.

Description

Keywords

bouts, correlates, epidemiology, older adults, sedentary, Accelerometry, Aged, Aged, 80 and over, Cohort Studies, England, Exercise, Female, Follow-Up Studies, Humans, Longitudinal Studies, Male, Middle Aged, Risk Factors, Sedentary Behavior

Journal Title

Aging (Albany NY)

Conference Name

Journal ISSN

1945-4589
1945-4589

Volume Title

13

Publisher

Impact Journals, LLC
Sponsorship
Medical Research Council (MC_UU_12015/1)
Medical Research Council (MC_UU_12015/3)
Medical Research Council (MC_UU_12015/4)
Medical Research Council (MR/N003284/1)
Department of Health (via National Institute for Health Research (NIHR)) (DRF-2017-10-121)
MRC (MC_UU_00006/1)
Department of Health (via National Institute for Health Research (NIHR)) (NF-SI-0617-10149)
MRC (MC_UU_00006/6)
MRC (MC_UU_00006/4)
Medical Research Council (MR/K025147/1)
Medical Research Council (G1000143)
Medical Research Council (G0401527)
Medical Research Council (G0401527/1)
Cancer Research Uk (None)
The EPIC-Norfolk study (DOI 10.22025/2019.10. 105.00004) has received funding from the Medical Research Council (MR/N003284/1 and MC-UU_12015/ 1) and Cancer Research UK (C864/A14136). DY was www.aging-us.com 10 AGING funded by a National Institute for Health Research Doctoral Fellowship (DRF-2017-10-121). SH was supported by the Lifelong Health and Wellbeing CrossCouncil Programme, the Medical Research Council (MC_UU_12015/4), and Canadian Institutes of Health Research (FRN 146766). KWi and SB were supported by the Medical Research Council (MC_UU_12015/3) and NJW by MC_UU_12015/1). KWe was supported by the NIHR Cambridge Biomedical Research Centre (IS-BRC-1215–20014). SJG and NJW are NIHR Senior Investigators. The University of Cambridge has received salary support in respect of SJG from the NHS in the East