Cited by 685Physical Activity and HealthHealth disparities and outcomesContext-Aware Activity Recognition Systems

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

Open access
Rezende, Leandro Fornias Machado de, Rey-López, Juan Pablo, Matsudo, Victor Keihan Rodrigues, Luiz, Olinda do Carmo·2014·BMC Public Health

Abstract

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.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1186/1471-2458-14-333

Cites

15 of 15 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 43

  1. Scully T Demography: to the limit Nature 2013 492 S2 S3 doi:10.1038/492S2a 23222671 · DOI
  2. WHO Global Age-friendly Cities: A Guide 2007 Geneva: WHO press
  3. WHO Good Health Adds Life to Years: Global Brief for World Health Day 2012 2012 Geneva: WHO press
  4. WHO Global Recommendations on Physical Activity for Health 2010 Geneva: WHO press 26180873
  5. Katzmarzyk PT Physical activity, sedentary behavior, and health: paradigm paralysis or paradigm shift? Diabetes 2010 59 2717 2725 10.2337/db10-0822 20980470 PMC2963526 · DOI · Paper page
  6. Owen N Healy GN Matthews CE Dustan DW Too much sitting: the population health science of sedentary behavior Exerc Sport Sci Rev 2010 38 105 113 10.1097/JES.0b013e3181e373a2 20577058 PMC3404815 · DOI · Paper page
  7. Pate RR O’Neill JR Lobelo F The evolving definition of “sedentary” Exerc Sport Sci Rev 2008 36 173 178 10.1097/JES.0b013e3181877d1a 18815485 · DOI · Paper page
  8. Rhodes RE Mark RS Temmel CP Adult sedentary behavior a systematic review Am J Prev Med 2012 42 E3 E28 10.1016/j.amepre.2011.10.020 22341176 · DOI
  9. LeBlanc AG Spence JC Carson V Connor Gorber S Dillman C Janssen I Kho ME Stearns JA Timmons BW Tremblay MS Systematic review of sedentary behaviour and health indicators in the early years (aged 0–4 years) Appl Physiol Nutr Metab 2012 37 753 772 10.1139/h2012-063 22765839 · DOI
  10. Marshall SJ1 Biddle SJ Gorely T Cameron N Murdey I Relationships between media use, body fatness and physical activity in children and youth: A meta-analysis Int J Obesity 2004 28 1238 1246 10.1038/sj.ijo.0802706 15314635 · DOI
  11. Lynch BM Sedentary behavior and cancer: a systematic review of the literature and proposed biological mechanisms Cancer Epidemiol Biomarkers Prev 2010 19 2691 2709 10.1158/1055-9965.EPI-10-0815 20833969 · DOI
  12. Nybo H Petersen HC Gaist D Jeune B Andersen K McGue M Vaupel JW Christensen K Predictors of mortality in2,249 nonagenarians – the Danish 1905-Cohort Survey J Am Geriatr Soc 2003 51 1365 1373 10.1046/j.1532-5415.2003.51453.x 14511155 · DOI
  13. Davis MG Fox KR Hillsdon M Sharp DJ Coulson JC Thompson JL Objectively measured physical activity in a diverse sample of older urban UK adults Med Sci Sports Exerc 2001 43 647 654 20689449
  14. Gardiner PA Healy GN Eakin EG Clark BK Dunstan DW Shaw JE Zimmet PZ Owen N Associations between television viewing time and overall sitting time with the metabolic syndrome in older men and women: the Australian Diabetes, Obesity and Lifestyle study J Am Geriatr Soc 2011 59 788 796 10.1111/j.1532-5415.2011.03390.x 21568949 · DOI
  15. Lynch BM Dunstan DW Winkler E Healy GN Eakin E Owen N Objectively assessed physical activity, sedentary time and waist circumference among prostate cancer survivors: findings from the National Health and Nutrition Examination Survey (2003–2006) Eur J Cancer Care 2011 20 514 519 10.1111/j.1365-2354.2010.01205.x 20597954 · DOI
  16. Frank L Keer J Rosenberg D King A Healthy aging and where you live: community design relationships with physical activity and body weight in older Americans J Phys Act Health 2010 7 Suppl 1 S82 S90 20440017
  17. Gomez-Cabello A Vicente-Rodriguez G Pindado M Vila S Casajús JA Pradas Dela Fuente F Ara I Increased risk of Obesity and central obesity in sedentary postmenopausal Women Nutr Hosp 2012 27 865 870 23114948
  18. Gomez-Cabello A Pedreto-Chamizo R Olivares PR Hernández_Perera R Rodríguez-Marroyo JA Mata E Aznar S Villa JG Espino-Torón L Gusi N González G Casajús JA Ara I Vicente-Rodríguez G Sitting time increases the overweight and obesity risk independently of walking time in elderly people from Spain Maturitas 2012 73 337 343 10.1016/j.maturitas.2012.09.001 23021800 · DOI
  19. Buman MP Hekler EB Haskell WL Pruitt L Conway TL Cain KL Sallis JF Saelens BE Frank LD King AC Objective light-intensity physical activity associations with rated health in older adults Am J Epidemiol 2010 172 1155 1165 10.1093/aje/kwq249 20843864 PMC3004766 · DOI · Paper page
  20. Hamer M Venuraju SM Urbanova L Lahiri A Steptoe A Physical activity, sedentary time, and pericardial fat in healthy older adults Obesity 2012 20 2113 2117 10.1038/oby.2012.61 22402739 · DOI
  21. Hamer M Venuraju SM Lahiri A Rossi A Steptoe A Objectively assessed physical activity, sedentary time, and coronary artery calcification in healthy older adults Artriolscler Thromb Vasc Biol 2012 32 500 505 10.1161/ATVBAHA.111.236877 22075247 · DOI · Paper page
  22. Bankoski A Harris TB McClain JJ Brychta RJ Caserotti P Chen KY Berrigan D Troiano RP Koster A Sedentary activity associated with metabolic syndrome independent of physical activity Diabetes Care 2011 34 497 503 10.2337/dc10-0987 21270206 PMC3024375 · DOI · Paper page
  23. Gao X Nelson ME Tucker KL Television viewing is associated with prevalence of metabolic syndrome in hispanic elders Diabetes Care 2007 30 694 700 10.2337/dc06-1835 17327343 · DOI
  24. Inoue S Sugiyama T Takamiya T Oka K Owen N Shimomitsu T Television viewing time is associated with overweight/obesity among older adults, independent of meeting physical activity and health guidelines J Epidemiol 2012 22 50 56 10.2188/jea.JE20110054 22156288 PMC3798580 · DOI · Paper page
  25. Geda YE Topazian HM Roberts LA Roberts RO Knopman DS Pankratz VS Christianson TJ Boeve BF Tangalos EG Ivnik RJ Petersen RC Engaging in cognitive activities, aging, and mild cognitive impairment: a population based study J Neuropsychiatry Clin Neurosci 2011 23 149 154 10.1176/appi.neuropsych.23.2.149 21677242 PMC3204924 · DOI
  26. Geda F Silber TC Roberts RO Knopman DS Christianson TJ Pankratz VS Boeve BF Tangalos EG Petersen RC Computer activities, physical exercise, aging, and mild cognitive impairment: a population-based study Mayo Clin Proc 2012 87 437 442 10.1016/j.mayocp.2011.12.020 22560523 PMC3538471 · DOI
  27. Balboa-Castillo T León-Munoz LM Graciani A Rodríguez-Artalejo F Guallar-Castillón P Longitudinal association of physical activity and sedentary behavior during leisure time with health-related quality of life in community-dwelling older adults Health Qual Life Outcomes 2011 27 9 47 PMC3142200 21708011
  28. Campbell PT Patel AV Newton CC Jacobs EJ Gapstur SM Associations of recreational physical activity and leisure time spent sitting with colorectal cancer survival J Clin Oncol 2013 31 876 885 10.1200/JCO.2012.45.9735 23341510 · DOI
  29. Martinez-Gomez D Guallar-Castillón P León-Munoz LM López-Garcia E Rodríguez-Artalejo F Combined impact of traditional and non-traditional health behaviors on mortality: a national prospective cohort study in Spanish older adults BMC Med 2013 22 47 23433432 PMC3621845
  30. Pavey TG Peeters GG Brown WJ Sitting-time and 9-year all-cause mortality in older women Br J Sports Med 2012 0 1 5 23243009
  31. Verghese J Lipton RB Katz MJ Hall CB Derby CA Kuslansky G Mabrose AF Sliwinski M Buschke H Leisure Activities and the Risk of Dementia in the Elderly N Engl J Med 2003 348 2508 2516 10.1056/NEJMoa022252 12815136 · DOI · Paper page
  32. Proper KI Singh AS Van Mechelen W Chinapaw MJ Sedentary behaviors and health outcomes among adults: a systematic review of prospective studies Am J Prev Med 2011 40 174 182 10.1016/j.amepre.2010.10.015 21238866 · DOI · Paper page
  33. Gabriel KKP Morrow JR Woolsey AL Framework for physical activity as a complex and multidimensional behavior J Phys Act Health 2012 9 Suppl 1 S11 S18 22287443
  34. Kueider AM Parisi JM Gross AL Rebok GW Computerized cognitive training with older adults a systematic review PLoS One 2012 7 e40588 10.1371/journal.pone.0040588 22792378 PMC3394709 · DOI
  35. Primack BA Carroll MV McNamara M Klem ML King B Rich M Chan CW Nayak S Role of video games in improving health-related outcomes: a systematic review Am J Prev Med 2012 42 630 638 10.1016/j.amepre.2012.02.023 22608382 PMC3391574 · DOI
  36. Wong SL Colley R Connor Gorber S Tremblay M Actical accelerometer sedentary activity thresholds for adults J Phys Act Health 2011 8 587 591 21597132
  37. Hart TL Swartz AM Cashin SE Strath SJ How many days of monitoring predict physical activity and sedentary behaviour in older adults? Int J Behav Nutr Phys Act 2011 8 62 10.1186/1479-5868-8-62 21679426 PMC3130631 · DOI
  38. Mâsse LC Fuemmeler BF Anderson CB Matthews CE Trost SG Catellier DJ Treuth M Accelerometer data reduction: a comparison of four reduction algorithms on select outcome variables Med Sci Sports Exerc 2005 37 S544 S554 16294117
  39. Kozey-Keadle S Libertine A Lyden K Staudenmayer J Freedson PS Validation of wearable monitors for assessing sedentary behavior Med Sci Sports Exerc 2011 43 1561 1567 21233777
  40. Yudkin J Lipska K Montori V The idolatry of the surrogate BMJ 2011 343 d7995 10.1136/bmj.d7995 22205706 · DOI
  41. Andrade C Fernandes P Is sitting harmful to health? It is too early to say Arch Int Med 2012 172 1272 22965396
  42. Dinero TE Seven reasons why you should not categorize continous data J Health Soc Policy 1996 8 63 72 10.1300/J045v08n01_06 10162905 · DOI
  43. Altman D Royston P The cost of dichotomisng continous variables BMJ 2006 332 1080 16675816 PMC1458573

Cited by

Sorted by citations

Authors
Rezende, L. F. M. D., Rey-López, J. P., Matsudo, V. K. R., & Luiz, O. D. C.
Affiliations
  • Universidade de São Paulo (BR)
  • Centro de Estudos do Laboratório de Aptidão Física de São Caetano do Sul (BR)
Corresponding author
Rezende, Leandro Fornias Machado de
Venue
BMC Public Health
Published
2014-04-09
Volume
14
Issue
1
Pages
333-333
ISSN
1471-2458 (ISSN-L)
OpenAlex
W2062994914
Cited by
685
References
15
Citations by year
2026: 31 · 2025: 52 · 2024: 64 · 2023: 51 · 2022: 61 · 2021: 85 · 2020: 68 · 2019: 74 · 2018: 59 · 2017: 65 · 2016: 42 · 2015: 31 · 2014: 2
FWCI
5.46
Type
journal article
Language
en
Open access
Locations
  • BMC Public Health (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (publishedVersion)
Funders
Fundação de Amparo à Pesquisa do Estado de São Paulo
Topics
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Social Sciences › Health › Health disparities and outcomes
  • Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Context-Aware Activity Recognition Systems
Keywords
sedentary behavior, older adults, all-cause mortality, metabolic syndrome, obesity, waist circumference, mental health, falls, kidney cancer, health outcomes
MeSH terms
Aged, Aged, 80 and over, Female, Humans, Male, Mental Health, Mortality, Risk Factors, Biomarkers, Metabolic Syndrome, Overweight, Sedentary Behavior

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review