Prevalence of sedentary behavior in older adults: a systematic review

Juliet A Harvey, Sebastien F M Chastin, Dawn A Skelton, Juliet A Harvey, Sebastien F M Chastin, Dawn A Skelton

Abstract

Sedentary behavior is a cluster of behaviors adopted in a sitting or lying posture where little energy is being expended. Sedentary behavior is a risk factor for health independent to inactivity. Currently, there are no published systematic reviews on the prevalence of sedentary behavior objectively measured in, or subjectively reported by, older adults. The aim of this systematic review was to collect and analyze published literature relating to reported prevalence of sedentary behavior, written in English, on human adults, where subjects aged 60 years and over were represented in the study. 23 reports covered data from 18 surveys sourced from seven countries. It was noted that sedentary behavior is defined in different ways by each survey. The majority of surveys included used self-report as a measurement of sedentary behavior. Objective measurements were also captured with the use of body worn accelerometers. Whether measurements are subjective or objective, the majority of older adults are sedentary. Almost 60% of older adult's reported sitting for more than 4 h per day, 65% sit in front of a screen for more than 3 h daily and over 55% report watching more than 2 h of TV. However, when measured objectively in a small survey, it was found that 67% of the older population were sedentary for more than 8.5 h daily.

Figures

Figure 1
Figure 1
Prisma diagram of the systematic process of identification of relevant literature.
Figure 2
Figure 2
Range of sedentary behavior measurements employed when reporting prevalence of sedentary behavior in older adults, along with generation of results. Note that some surveys report more than one domain of sedentary behavior.
Figure 3
Figure 3
Meta-Prevalence of sitting, N = 372,550 older adults, n = 7 from six countries, note time categories of <3 h (22%) and >3 h (78%) is equal to 100%.
Figure 4
Figure 4
Prevalence of sitting watching TV, N = 275,344 older adults, n = 9, note the sum of <2 h (44%) and >2 h (56%) is equal to l00%.
Figure 5
Figure 5
Prevalence of computer use over 1.6 h daily reported by 6,742 older adults.
Figure 6
Figure 6
Meta-prevalence of screen time older adults, N = 105,424, n = 3, note <2 (6%) and >2 (94%) = 100%.
Figure 7
Figure 7
Prevalence of sedentary behavior by accelerometry in 649 older adults.

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Source: PubMed

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