College of Nursing, Kyungpook National University, 680 Gukchabosangro, Jung-gu, Daegu, 41944, Republic of Korea.
Department of Nursing, Hoseo University, 20, Hoseo-ro79beon-gil, Baebang-eup, Asan-si, Chungcheongnam-do, 31499, Republic of Korea.
Health Qual Life Outcomes. 2019 Jul 26;17(1):131. doi: 10.1186/s12955-019-1191-0.
Research on the effects of sedentary behavior on the health-related quality of life (HRQoL) of the elderly is limited. The present study aimed to determine the association between sedentary behavior and the HRQoL of the young-old (aged 65-74 years) people and old-old (aged ≥75 years) people.
This study used the raw data of the 7th Korea National Health and Nutrition Examination Survey for 2016. The study subjects were 1,415 people aged over 65 years. The association between HRQoL and average daily sitting time was analyzed using the point biserial correlation coefficient. The effect of sedentary behavior on HRQoL was analyzed by logistic regression analysis.
Overall, elderly people aged ≥65 years spent 7.9 h in sedentary pursuits: the young-old spent 7.7 h and the old-old spent 9.0 h. Longer sitting time was found to be associated with lower HROoL while shorter sitting time was associated with higher HROoL, with the relationship stronger among the old-old than among the young-old. This means that the effects of either having longer time sitting per day and low quality of life or shorter time sitting per day and high quality of life are more pronounced in the old-old in comparison to the young-old.
Sedentary behavior is significantly associated with people's HRQoL. Interventions towards improving the HRQoL by reducing sedentary behavior based on the respective characteristics of young-old and old-old people are needed.
关于久坐行为对老年人健康相关生活质量(HRQoL)影响的研究有限。本研究旨在确定久坐行为与年轻老年人(65-74 岁)和老老年人(≥75 岁)的 HRQoL 之间的关联。
本研究使用了 2016 年第七次韩国国家健康和营养检查调查的原始数据。研究对象为 1415 名 65 岁以上的老年人。使用点二项相关系数分析 HRQoL 与平均每日坐姿时间之间的关系。采用逻辑回归分析久坐行为对 HRQoL 的影响。
总体而言,≥65 岁的老年人每天有 7.9 小时处于久坐状态:年轻老年人每天坐 7.7 小时,老老年人每天坐 9.0 小时。久坐时间越长,HRQoL 越低;久坐时间越短,HRQoL 越高,老老年人的相关性强于年轻老年人。这意味着与年轻老年人相比,老老年人每天久坐时间更长、生活质量更低,或每天久坐时间更短、生活质量更高的影响更为明显。
久坐行为与人们的 HRQoL 显著相关。需要针对年轻老年人和老老年人的各自特点,通过减少久坐行为来改善 HRQoL。