Continued sedentariness, change in sitting time, and mortality in older adults
Abstract
PURPOSE: Prolonged sitting time (ST) is associated with higher mortality. However, previous studies used only a single measure of ST at baseline, so they could not directly assess the effect of continued exposure to high ST, or of changes in ST, on mortality. We prospectively assessed the association of continued sedentariness and of changes in ST for 2 yr with subsequent long-term all-cause mortality. METHODS: This study was based on a prospective cohort of 2635 persons representative of the Spanish population 60 yr and older. ST was self-reported in 2001 and 2003. The median of ST was used as the cutoff to define excessive ST. Individuals were classified as consistently sedentary (> median in 2001 and 2003), newly sedentary (≤ median in 2001 and > median in 2003), formerly sedentary (> median in 2001 and ≤ median in 2003), and consistently nonsedentary (≤ median in 2001 and 2003). The association of ST in the period 2001-2003 with all-cause mortality from 2003 through 2011 was assessed with Cox regression and adjusted for the main confounders, including physical activity. RESULTS: Among the study participants, 846 died between 2003 and 2011. Compared with persons who were consistently sedentary, the hazard ratios (95% confidence interval) for mortality were 0.91 (0.76-1.10) in those who were newly sedentary, 0.86 (0.70-1.05) in formerly sedentary individuals, and 0.75 (0.62-0.90) in those who remained consistently nonsedentary. The results were similar across strata defined according to obesity, morbidity, functional limitations, or meeting recommendations for physical activity. CONCLUSION: Compared with older adults who were consistently sedentary during 2 yr, consistently nonsedentary individuals showed reduced all-cause mortality. Individuals who changed ST experienced an intermediate reduction in mortality.
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León-Muńoz et al. found that over 2 years, 20.2% of those over 60 years of age reduced their sedentary time.
“León-Muńoz et al. [26] tracked changes in sedentary time over 2 years in those over 60 years of age and found that over this period 22.9% remained sedentary, 21.5% became more sedentary and 20.2% reduced their sedentary time.”
From Prevalence of Sedentary Behavior in Older Adults: A Systematic Review (2013) · cites this paper as [26]
León-Muńoz et al. found that over 2 years, 21.5% of those over 60 years of age became more sedentary.
“León-Muńoz et al. [26] tracked changes in sedentary time over 2 years in those over 60 years of age and found that over this period 22.9% remained sedentary, 21.5% became more sedentary and 20.2% reduced their sedentary time.”
From Prevalence of Sedentary Behavior in Older Adults: A Systematic Review (2013) · cites this paper as [26]
León-Muńoz et al. found that over 2 years, 22.9% of those over 60 years of age remained sedentary.
“León-Muńoz et al. [26] tracked changes in sedentary time over 2 years in those over 60 years of age and found that over this period 22.9% remained sedentary, 21.5% became more sedentary and 20.2% reduced their sedentary time.”
From Prevalence of Sedentary Behavior in Older Adults: A Systematic Review (2013) · cites this paper as [26]
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- Authors
- LEÓN-MUÑOZ, L. M., MARTÍNEZ-GÓMEZ, D., BALBOA-CASTILLO, T., LÓPEZ-GARCÍA, E., GUALLAR-CASTILLÓN, P., & RODRÍGUEZ-ARTALEJO, F.
- Affiliations
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (ES)
- ORCID
- LEÓN-MUÑOZ, LUZ M.
- Venue
- Medicine & Science in Sports & Exercise
- Published
- 2013-08
- Volume
- 45
- Issue
- 8
- Pages
- 1501-1507
- ISSN
- 0195-9131 (ISSN-L)
- OpenAlex
- W2324571085
- Cited by
- 110
- References
- 26
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 6 · 2023: 4 · 2022: 2 · 2021: 6 · 2020: 4 · 2019: 9 · 2018: 17 · 2017: 17 · 2016: 10 · 2015: 14 · 2014: 13 · 2013: 5
- FWCI
- 9.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Medicine & Science in Sports & Exercise (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Psychology › Social Psychology › Ergonomics and Musculoskeletal Disorders
- Keywords
- prolonged sitting, sedentary behavior, all-cause mortality, older adults, physical activity, obesity, functional limitations, Spanish older adults
- MeSH terms
- Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Mortality, Prospective Studies, Quality of Life, Surveys and Questionnaires, Risk Factors, Time Factors, Cohort Studies, Survival Rate, Risk Assessment, Sedentary Behavior
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