用身体活动代替久坐时间：对老年日本成年人健康相关生活质量的影响。
Replacing sedentary time with physical activity: effects on health-related quality of life in older Japanese adults.
机构信息
Faculty of Liberal Arts and Sciences, Bunka Gakuen University, 3-22-1 Yoyogi, Shibuya-ku, Tokyo, Japan.
Faculty Health and Sport Sciences, University of Tsukuba, Tsukuba, Ibaraki, Japan.
出版信息
Health Qual Life Outcomes. 2018 Dec 27;16(1):240. doi: 10.1186/s12955-018-1067-8.
Abstract
BACKGROUND
The isotemporal substitution (IS) approach can be used to assess the effect of replacing one activity with the equal duration of another activity on relevant outcomes. This study examined the associations of objectively assessed sedentary behavior (SB) and physical activity (PA) with health-related quality of life (HRQOL) in older Japanese adults, using the IS approach.
METHODS
Participants were 287 older Japanese adults (aged 65-84 years) who wore accelerometers for at least 7 days. We calculated the average daily time spent in SB (≤1.5 METs); light-intensity PA (LPA: > 1.5 to < 3.0 METs); and moderate- to vigorous-intensity PA (MVPA: ≥3.0 METs) per day. HRQOL was assessed using the Medical Outcomes Survey Short Form-8 questionnaire.
RESULTS
The IS models showed replacing SB or LPA with MVPA to be significantly associated with better physical component summary scores. Replacing SB with MVPA was marginally associated with better mental component summary scores.
CONCLUSION
These findings indicate that replacing SB with the same amount of MVPA may contribute to better physical HRQOL in older adults.
摘要
背景
等时替代（IS）方法可用于评估用同等时长的另一活动替代某一活动对相关结局的影响。本研究采用 IS 方法，探讨了客观评估的久坐行为（SB）和体力活动（PA）与老年日本成年人健康相关生活质量（HRQOL）之间的关联。
方法
参与者为 287 名年龄在 65-84 岁的老年日本成年人，他们佩戴加速度计至少 7 天。我们计算了每天平均久坐时间（≤1.5 METs）；低强度体力活动（LPA：>1.5 至 <3.0 METs）；以及中等到剧烈强度体力活动（MVPA：≥3.0 METs）。使用医疗结局调查短式 8 项问卷评估 HRQOL。
结果
IS 模型显示，用 MVPA 替代 SB 或 LPA 与更好的生理成分综合评分显著相关。用 MVPA 替代 SB 与更好的心理成分综合评分呈边缘相关。
结论
这些发现表明，用等量的 MVPA 替代 SB 可能有助于改善老年人的身体 HRQOL。
相似文献
1
Replacing sedentary time with physical activity: effects on health-related quality of life in older Japanese adults.用身体活动代替久坐时间：对老年日本成年人健康相关生活质量的影响。
Health Qual Life Outcomes. 2018 Dec 27;16(1):240. doi: 10.1186/s12955-018-1067-8.
2
Cross-sectional associations of sedentary behaviour and physical activity on depression in Japanese older adults: an isotemporal substitution approach.日本老年人久坐行为和身体活动与抑郁的横断面关联：一种等时替代方法
BMJ Open. 2018 Sep 25;8(9):e022282. doi: 10.1136/bmjopen-2018-022282.
3
Sedentary behaviour, physical activity, and sarcopenia among older adults in the TSHA: isotemporal substitution model.久坐行为、身体活动与 TSHA 中老年人肌少症的关系：等时替代模型。
J Cachexia Sarcopenia Muscle. 2019 Feb;10(1):188-198. doi: 10.1002/jcsm.12369.
4
Associations of sedentary behavior and physical activity with older adults' physical function: an isotemporal substitution approach.久坐行为和身体活动与老年人身体功能的关系：等时替代方法。
BMC Geriatr. 2017 Dec 6;17(1):280. doi: 10.1186/s12877-017-0675-1.
5
Reallocating Accelerometer-Assessed Sedentary Time to Light or Moderate- to Vigorous-Intensity Physical Activity Reduces Frailty Levels in Older Adults: An Isotemporal Substitution Approach in the TSHA Study.重新分配加速度计评估的久坐时间为轻度或中等到剧烈强度的身体活动可降低老年人的虚弱程度：TSHA 研究中的等时替代方法。
J Am Med Dir Assoc. 2018 Feb;19(2):185.e1-185.e6. doi: 10.1016/j.jamda.2017.11.003. Epub 2017 Dec 18.
6
Isotemporal Substitution of Sedentary Behavior and Physical Activity on Function.久坐行为与身体活动的等时替代对功能的影响。
Med Sci Sports Exerc. 2018 Apr;50(4):792-800. doi: 10.1249/MSS.0000000000001491.
7
Sedentary behavior, physical activity, and mental health in older adults: An isotemporal substitution model.老年人的久坐行为、身体活动与心理健康：等时替代模型
Scand J Med Sci Sports. 2020 Oct;30(10):1957-1965. doi: 10.1111/sms.13762. Epub 2020 Jul 28.
8
Isotemporal substitution of sedentary time with physical activity and its associations with frailty status.用身体活动替代久坐时间及其与虚弱状态的关联。
Clin Interv Aging. 2018 Sep 25;13:1831-1836. doi: 10.2147/CIA.S175666. eCollection 2018.
9
Associations between objectively-measured sedentary behaviour and physical activity with bone mineral density in adults and older adults, the NHANES study.美国国家健康与营养检查调查（NHANES）研究：成年人及老年人中客观测量的久坐行为和身体活动与骨密度之间的关联
Bone. 2014 Jul;64:254-62. doi: 10.1016/j.bone.2014.04.009. Epub 2014 Apr 13.
10
Seasonal changes in objectively measured sedentary behavior and physical activity in Japanese primary school children.日本小学生客观测量的久坐行为和身体活动的季节性变化。
BMC Public Health. 2016 Sep 13;16(1):969. doi: 10.1186/s12889-016-3633-5.
引用本文的文献
1
Effects of replacing sedentary time with alterations in physical activity or sleep on mood states in Chinese young adults during the pandemic.在疫情期间，用改变身体活动或睡眠来代替久坐时间对中国年轻成年人情绪状态的影响。
BMC Public Health. 2024 Aug 12;24(1):2184. doi: 10.1186/s12889-024-19714-0.
2
Effects of semi-immersive virtual reality exercise on the quality of life of community-dwelling older adults: Three-month follow-up of a randomized controlled trial.半沉浸式虚拟现实运动对社区老年人生活质量的影响：一项随机对照试验的三个月随访
Digit Health. 2024 Mar 5;10:20552076241237391. doi: 10.1177/20552076241237391. eCollection 2024 Jan-Dec.
3
Is education level, as a proxy for socio-economic position, related to device-measured and self-reported sedentary behavior in European older adults? A cross-sectional study from the SITLESS project.教育水平（作为社会经济地位的替代指标）是否与欧洲老年人的设备测量和自我报告的久坐行为有关？来自 SITLESS 项目的一项横断面研究。
Front Public Health. 2023 Dec 19;11:1296821. doi: 10.3389/fpubh.2023.1296821. eCollection 2023.
4
Effects of lactotripeptide ingestion and physical activity intervention on the fatigue status of middle-aged and older adults: a randomized controlled trial.乳三肽摄入和身体活动干预对中老年人群疲劳状态的影响：一项随机对照试验。
Sci Rep. 2023 Sep 21;13(1):15736. doi: 10.1038/s41598-023-41669-2.
5
Establishing Exercise Programs in Rural Settings Through Collaboration With Family Physicians.通过与家庭医生合作在农村地区建立锻炼计划。
Cureus. 2023 May 10;15(5):e38814. doi: 10.7759/cureus.38814. eCollection 2023 May.
6
Sedentary behaviour and sleep quality.久坐行为与睡眠质量。
Sci Rep. 2023 Jan 20;13(1):1180. doi: 10.1038/s41598-023-27882-z.
7
Nonlinear Effects of the Built Environment on Light Physical Activity among Older Adults: The Case of Lanzhou, China.《中国兰州老年人光体力活动与建成环境的非线性关系研究》
Int J Environ Res Public Health. 2022 Jul 21;19(14):8848. doi: 10.3390/ijerph19148848.
8
Moderate-to-vigorous Physical Activity and Sedentary Behavior Are Independently Associated With Renal Function: A Cross-sectional Study.中高强度体力活动和久坐行为与肾功能独立相关：一项横断面研究。
J Epidemiol. 2023 Jun 5;33(6):285-293. doi: 10.2188/jea.JE20210155. Epub 2022 Feb 22.
9
The association between physical activity, sedentary time and health-related quality of life in cancer survivors.癌症幸存者身体活动、久坐时间与健康相关生活质量的关系。
Health Qual Life Outcomes. 2021 Sep 6;19(1):213. doi: 10.1186/s12955-020-01575-x.
10
Correlates of change in accelerometer-assessed total sedentary time and prolonged sedentary bouts among older English adults: results from five-year follow-up in the EPIC-Norfolk cohort.在英国老年人中，使用加速度计评估的总久坐时间和长时间久坐时间变化的相关性：EPIC-Norfolk 队列五年随访研究结果。
Aging (Albany NY). 2021 Jan 11;13(1):134-149. doi: 10.18632/aging.202497.
本文引用的文献
1
Associations of sedentary behavior and physical activity with older adults' physical function: an isotemporal substitution approach.久坐行为和身体活动与老年人身体功能的关系：等时替代方法。
BMC Geriatr. 2017 Dec 6;17(1):280. doi: 10.1186/s12877-017-0675-1.
2
Changing housework, changing health? A longitudinal analysis of how changes in housework are associated with functional somatic symptoms.家务变化与健康变化？家务变化与功能性躯体症状关联的纵向分析
Int J Circumpolar Health. 2016 Jun 30;75:31781. doi: 10.3402/ijch.v75.31781. eCollection 2016.
3
Accuracy of Estimating Step Counts and Intensity Using Accelerometers in Older People With or Without Assistive Devices.使用加速度计估计有或无辅助设备的老年人的步数和活动强度的准确性。
J Aging Phys Act. 2017 Jan;25(1):41-50. doi: 10.1123/japa.2015-0201. Epub 2016 Aug 24.
4
Depression and frailty in later life: a systematic review.晚年的抑郁症与衰弱：一项系统综述
Clin Interv Aging. 2015 Dec 15;10:1947-58. doi: 10.2147/CIA.S69632. eCollection 2015.
5
Effect of Low-intensity Exercise on Physical and Cognitive Health in Older Adults: a Systematic Review.低强度运动对老年人身体和认知健康的影响：一项系统综述
Sports Med Open. 2015;1(1):37. doi: 10.1186/s40798-015-0034-8. Epub 2015 Oct 20.
6
Physical Activity, Television Viewing Time, and 12-Year Changes in Waist Circumference.身体活动、看电视时间与腰围的12年变化
Med Sci Sports Exerc. 2016 Apr;48(4):633-40. doi: 10.1249/MSS.0000000000000803.
7
Determinants of health-related quality of life in older primary care patients: results of the longitudinal observational AgeCoDe Study.老年初级保健患者健康相关生活质量的决定因素：纵向观察性AgeCoDe研究的结果
Br J Gen Pract. 2015 Nov;65(640):e716-23. doi: 10.3399/bjgp15X687337.
8
Associations of Daily Pedometer Steps and Self-Reported Physical Activity With Health-Related Quality of Life: Results From the Alberta Older Adult Health Survey.每日计步器步数及自我报告的身体活动与健康相关生活质量的关联：阿尔伯塔省老年人健康调查结果
J Aging Health. 2016 Jun;28(4):661-74. doi: 10.1177/0898264315609905. Epub 2015 Oct 20.
9
Systematic literature review of determinants of sedentary behaviour in older adults: a DEDIPAC study.老年人久坐行为决定因素的系统文献综述：一项DEDIPAC研究。
Int J Behav Nutr Phys Act. 2015 Oct 6;12:127. doi: 10.1186/s12966-015-0292-3.
10
Evidence to support including lifestyle light-intensity recommendations in physical activity guidelines for older adults.支持将生活方式中的低强度光照建议纳入老年人身体活动指南的证据。
Am J Health Promot. 2015 May-Jun;29(5):277-84. doi: 10.4278/ajhp.130709-QUAN-354. Epub 2014 Feb 27.
Zotero 插件