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Sedentary Behavior and Physical Activity Are Independent Predictors of Successful Aging in Middle-Aged and Older Adults
Open accessAbstract
Background . Sedentary behavior is emerging as an important risk factor for poor health. Physical activity has proven to be important in determining overall successful aging (SA) among older adults; however, no data exists on the influence of sedentary behavior on SA. The purpose of this analysis was to determine whether there is an association between sedentary behavior and successful aging, independent of physical activity levels. Methods . 9,478 older ( M = 4,245; F = 5,233) and 10,060 middle-aged ( M = 4.621; F = 5,439) adults from the Healthy Aging cycle of the Canadian Community Health Survey were analyzed. Multivariate logistic regressions were conducted with SA and its three components as outcomes while physical activity and sedentary behavior were entered as main exposures. Results . Among older adults, compared to those who were sedentary (4 hours or more/day), those who were moderately (2–4 hours/day) and least sedentary (<2 hours/day) were 38% (OR: 1.38; CI: 1.12–1.69) and 43% (OR: 1.43; CI: 1.23–1.67) more likely to age successfully, respectively. Among middle-aged adults, those who were least sedentary were 43% (OR: 1.43; CI: 1.25–1.63) more likely to age successfully. Conclusions . These novel findings suggest that sedentary activities are significantly associated with lower odds of SA among middle-aged and older adults, potentially in a dose-dependent manner.
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“Recently, an emergence of research in sedentary behavior (SB) has indicated that SB is an independent health risk factor, separate to lack of PA, associated with successful aging, morbidity and mortality [2,3,4].”
From Prevalence of Sedentary Behavior in Older Adults: A Systematic Review (2013) · cites this paper as [3]
In the citing paper
“These results were obtained for a total population of 372,550 compiled from seven surveys covering six countries (Australia, Canada, Norway, Spain, UK and USA) [3,17,18,24,25,27,33].”
From Prevalence of Sedentary Behavior in Older Adults: A Systematic Review (2013) · cites this paper as [3]
In the citing paper
“It would appear there is little difference in report by gender (1.6 ± 1.6%) [3,17,18].”
From Prevalence of Sedentary Behavior in Older Adults: A Systematic Review (2013) · cites this paper as [3]
In the citing paper
“On average 61.5% females reported more than 4 h of sitting compared to males at 63.5% [3,17,18].”
From Prevalence of Sedentary Behavior in Older Adults: A Systematic Review (2013) · cites this paper as [3]
In the citing paper
“Those individuals who are less sedentary tend to age more successfully and report better quality of life [3,25].”
From Prevalence of Sedentary Behavior in Older Adults: A Systematic Review (2013) · cites this paper as [3]
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Health Promotion Behavior, Self-efficacy, Marital Intimacy, and Successful Aging in Middle-aged
Cheon, K., & Shin, Y. H. (2020) · Journal of Korean Academy of Fundamentals of Nursing · doi:10.7739/jkafn.2020.27.3.259 · Cited by 4
Voinier, D., Neogi, T., Master, H., Thoma, L. M., Brunette, M., Jakiela, J. T., Stefanik, J. J., & White, D. K. (2023) · Musculoskeletal Care · doi:10.1002/msc.1786 · Cited by 3
Ramalho, A. L. G., Lima, S., Petrica, J., Serrano, J., Paulo, R. M., & Duarte‐Mendes, P. (2023) · Cuadernos de Psicología del Deporte · doi:10.6018/cpd.519621 · Cited by 4
Lee, S., Bohplian, S., & Bronas, U. G. (2022) · The Journal of Cardiovascular Nursing · doi:10.1097/jcn.0000000000000959 · Cited by 4
Motor and cognitive function according to level of physical activity in stroke patients
Kim, J. J., & Lee, J. W. (2023) · The Journal of Korean Academy of Physical Therapy Science · doi:10.26862/jkpts.2023.12.30.4.29 · Cited by 2
What if You Let Them Stand? A 2-Year Follow-up on Sit-Stand Desk
Silva, H., Teno, S. C., & Júdice, P. B. (2025) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0000000000003438 · Cited by 3
Tadrous, R., Förster, A., Farrin, A. J., Coventry, P. A., & Clegg, A. P. (2025) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-025-01835-3 · Cited by 2
Asiamah, N., Muhonja, F. H., Omisore, A. G., Opuni, F. F., Mensah, H. K., Danquah, E., Agyemang, S. M., Agyemang, I., Hatsu, S., Baffoe, R. S., et al. (2021) · Current Psychology · doi:10.1007/s12144-021-02037-3 · Cited by 2
Use of pedometers in the workplace as a strategy to increase physical activity
Harrison, J., O'Donoghue, A., & Hill, J. E. (2021) · British Journal of Cardiac Nursing · doi:10.12968/bjca.2021.0066 · Cited by 2
The Elderly and Leisure Activities: A Case Study
Marques, J. F., & Teixeira, M. (2022) · European Journal of Interdisciplinary Studies · doi:10.26417/224ccp82 · Cited by 2
“When distinguishing between the social responses, it is not possible to find significant differences, since the number of older people in HSS (3) and DCC (1) who engage in horticulture, as well as those who do not, is similar.”
BackgroundVermote, M., Deliens, T., Deforche, B. I., & D’Hondt, E. (2023) · European Review of Aging and Physical Activity · doi:10.1186/s11556-023-00330-7 · Cited by 2
“Besides, reducing sedentary behavior (SB) has been identified as an independent predictor of successful and healthy aging in middle-aged and older adults [5].”
BackgroundPomiersky, R., Matting, L., Haigis, D., Eschweiler, G. W., Frahsa, A., Niess, A. M., Thiel, A., & Sudeck, G. (2024) · Journal of Aging and Physical Activity · doi:10.1123/japa.2023-0088 · Cited by 3
Hakun, J. G., Elbich, D., Alwerdt, J., Tate, A. M., Coyl, J. L., Kanski, B., & Qiu, T. (2025) · JMIR Research Protocols · doi:10.2196/66290 · Cited by 3
de Almeida, S. I. L., da Silva, M. G., & Marques, A. S. P. D. D. (2020) · International Journal of Therapy and Rehabilitation · doi:10.12968/ijtr.2019.0066 · Cited by 2
Contraste de un modelo de envejecimiento exitoso derivado del modelo de Roy
del Carmen, U. A., Marín, M. A. K., de la Rubia, J. M., León, U. A. D. N., Salazar-González, B. C., del Carmen, U. A., Rosas‐Carrasco, Ó., & de Geriatría, I. N. (2017) · CIENCIA ergo sum · doi:10.30878/ces.v24n2a4 · Cited by 2
Clocksin, B. D., Harrison, R. N., & Douglas, A. (2017) · PubMed Central · doi:10.70252/hckp9265 · Cited by 2
“Engaging in a physically active lifestyle can mitigate quality of life declines associated with aging (11, 20, 52).”
BackgroundLeung, K. M., & Wong, M. Y. C. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19105958 · Cited by 2
Comportamento sedentário e sua associação com incapacidade funcional em idosos
Lopes, E. C., Cândido, L. M., de Avelar, N. C. P., & Danielewicz, A. L. (2022) · Acta Fisiátrica · doi:10.11606/issn.2317-0190.v29i2a193151 · Cited by 2
Activity-Induced Pain as a Predictor of Sedentary Behavior Among Midlife Adults
LaRowe, L. R., & Williams, D. M. (2023) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.2023.2222783 · Cited by 2
“To improve health, quality of life, and function at older ages, it is essential to minimize sedentary behavior throughout the lifespan (Dogra & Stathokostas, 2012; Dugan et al., 2009).”
BackgroundInfluentialMcMullan, I., Bunting, B. P., Smith, L., Koyanagi, A., & Tully, M. A. (2020) · Journal of Aging and Physical Activity · doi:10.1123/japa.2019-0371 · Cited by 2
Lerma, N. L., Cho, C. C., Swartz, A. M., Maeda, H., Cho, Y. S., & Strath, S. J. (2020) · Journal of Aging and Physical Activity · doi:10.1123/japa.2019-0388 · Cited by 2
Cheikh, Y., & Sefiane, Z. (2019) · Gazzetta Medica Italiana Archivio per le Scienze Mediche · doi:10.23736/s0393-3660.18.03808-1 · Cited by 2
Engagement of seniors: 'How' and 'why' engagement profiles change over time
Carr, K. M. (2014) · Cited by 2
Alegría-Molina, A., Artigas-Arias, M., Bascour–Sandoval, C., Soto-Rodríguez, F. J., Muñoz-Poblete, C., & Marzuca-Nassr, G. N. (2022) · Revista médica de Chile · doi:10.4067/s0034-98872022001201625 · Cited by 1
Li, X., Zhu, H., Xu, P., & Guo, Z. (2025) · Scientific Reports · doi:10.1038/s41598-025-07262-5 · Cited by 1
Sewerbidges‐Williams, L. B., Santos, H. D., Oh, J., & Soliman, G. (2025) · Health Science Reports · doi:10.1002/hsr2.71284 · Cited by 1
“This differs from prior research among Canadian older adults, which suggested sedentary time may negatively affect well ‐ being regardless of physical activity [31, 36].”
Yan, R., Hu, Y., Yang, J., Chang, J., Wang, H., Wang, Y., & Song, G. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.120388 · Cited by 1
Metabolic profiling revealed alterations associated with sedentary work in bus drivers
Lin, D.-W., Weng, S., Wang, D. P., Li, P., Xiao, Z., Zhang, L., Gan, W., & Zhang, N. (2025) · Scientific Reports · doi:10.1038/s41598-025-28146-8 · Cited by 1
Maher, J. P., Behler, M. H., Castro-Buitrago, N., Hudgins, B. L., Murray, E. E., Seo, Y., & Rebar, A. L. (2026) · Psychology and Health · doi:10.1080/08870446.2025.2528925 · Cited by 1
“Importantly, PA and SB are considered independent health behaviours, each with distinct influences on health outcomes in midlife and older adults (e.g. Dogra & Stathokostas, 2012; Katzmarzyk, 2010).”
The association between sedentary behaviour, moderate-vigorous physical activity and frailty
Blodgett, J. M. (2014) · DalSpace (Dalhousie University) · Cited by 1
Mazon, T. C., Bohrer, K. I., Perez, F. M. P., Malysz, K. A., & de Castro, M. B. (2021) · Research Society and Development · doi:10.33448/rsd-v10i16.23412 · Cited by 1
Marıana, M., Handayani, D., Aziz, M., Fitri, A. D., Ilyasa, R., & Istighfarin, N. (2023) · Bioscientia Medicina Journal of Biomedicine and Translational Research · doi:10.37275/bsm.v7i4.806 · Cited by 1
Feasibility of the Depth Camera-based Physical Health Monitoring System for Elderly Living Alone
Jo, S. (2024) · Physical therapy rehabilitation science · doi:10.14474/ptrs.2024.13.1.106 · Cited by 1
Ukawa, S., Kato, Y., Lee, Y., Sugiyama, M., SAITO, H., OHARA, K., & Mori, K. (2024) · The Open Public Health Journal · doi:10.2174/0118749445355702241106032421 · Cited by 1
Metadata
- Authors
- Dogra, S., & Stathokostas, L.
- Affiliations
- Acadia University (CA)
- Western University (CA)
- Corresponding author
- Dogra, Shilpa
- Venue
- Journal of Aging Research
- Publisher
- Wiley
- Published
- 2012
- Volume
- 2012
- Pages
- 1-8
- ISSN
- 2090-2204 (ISSN-L)
- 2090-2212
- PMC
- PMC3446656
- OpenAlex
- W2020651243
- Cited by
- 252
- References
- 34
- Citations by year
- 2026: 8 · 2025: 12 · 2024: 10 · 2023: 22 · 2022: 27 · 2021: 20 · 2020: 26 · 2019: 15 · 2018: 17 · 2017: 31 · 2016: 17 · 2015: 19 · 2014: 22 · 2013: 6
- FWCI
- 10.08
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Journal of Aging Research (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Social Sciences › Psychology › Developmental and Educational Psychology › Aging and Gerontology Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Keywords
- sedentary behavior, physical activity, successful aging, middle-aged adults, older adults, dose-response relationship, aging
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