Dogra Shilpa, Ashe Maureen C, Biddle Stuart J H, Brown Wendy J, Buman Matthew P, Chastin Sebastien, Gardiner Paul A, Inoue Shigeru, Jefferis Barbara J, Oka Koichiro, Owen Neville, Sardinha Luís B, Skelton Dawn A, Sugiyama Takemi, Copeland Jennifer L
University of Ontario Institute of Technology, Oshawa, Ontario, Canada.
University of British Columbia, Vancouver, British Columbia, Canada.
Br J Sports Med. 2017 Nov;51(21):1526-1532. doi: 10.1136/bjsports-2016-097209. Epub 2017 Jul 19.
Sedentary time is a modifiable determinant of poor health, and in older adults, reducing sedentary time may be an important first step in adopting and maintaining a more active lifestyle. The primary purpose of this consensus statement is to provide an integrated perspective on current knowledge and expert opinion pertaining to sedentary behaviour in older adults on the topics of measurement, associations with health outcomes, and interventions. A secondary yet equally important purpose is to suggest priorities for future research and knowledge translation based on gaps identified. A five-step Delphi consensus process was used. Experts in the area of sedentary behaviour and older adults (n=15) participated in three surveys, an in-person consensus meeting, and a validation process. The surveys specifically probed measurement, health outcomes, interventions, and research priorities. The meeting was informed by a literature review and conference symposium, and it was used to create statements on each of the areas addressed in this document. Knowledge users (n=3) also participated in the consensus meeting. Statements were then sent to the experts for validation. It was agreed that tools need to be developed for understanding the context in which sedentary time is accumulated. For , it was agreed that the focus of sedentary time research in older adults needs to include geriatric-relevant health outcomes, that there is insufficient evidence to quantify the dose-response relationship, that there is a lack of evidence on sedentary time from older adults in assisted facilities, and that evidence on the association between sedentary time and sleep is lacking. For research is needed to assess the impact that reducing sedentary time, or breaking up prolonged bouts of sedentary time has on geriatric-relevant health outcomes. Research priorities listed for each of these areas should be considered by researchers and funding agencies.This consensus statement has been endorsed by the following societies: Academy of Geriatric Physical Therapy, Exercise & Sports Science Australia, Canadian Centre for Activity and Aging, Society of Behavioral Medicine, and the National Centre for Sport and Exercise Medicine.
久坐时间是健康不佳的一个可改变的决定因素，对于老年人来说，减少久坐时间可能是采取并维持更积极生活方式的重要第一步。本共识声明的主要目的是就老年人久坐行为在测量、与健康结果的关联以及干预等主题上的现有知识和专家意见提供一个综合视角。第二个同样重要的目的是根据所发现的差距，提出未来研究和知识转化的优先事项。采用了五步德尔菲共识法。久坐行为和老年人领域的专家（n = 15）参与了三项调查、一次面对面的共识会议以及一个验证过程。这些调查专门探讨了测量、健康结果、干预措施以及研究优先事项。会议参考了文献综述和会议专题讨论会的内容，并用于就本文件所涉及的每个领域制定声明。知识使用者（n = 3）也参与了共识会议。然后将声明发送给专家进行验证。大家一致认为需要开发工具来理解久坐时间积累的背景。例如，大家一致认为老年人久坐时间研究的重点需要包括与老年医学相关的健康结果，目前没有足够的证据来量化剂量反应关系，缺乏来自辅助设施中老年人久坐时间的证据，并且缺乏久坐时间与睡眠之间关联的证据。例如，需要开展研究来评估减少久坐时间或打破长时间久坐对与老年医学相关的健康结果的影响。研究人员和资助机构应考虑这些领域列出的研究优先事项。本共识声明已得到以下学会的认可：老年物理治疗学会、澳大利亚运动与体育科学学会、加拿大活动与老龄化中心、行为医学学会以及国家运动与运动医学中心。
