Center on Aging and Mobility, University Hospital Zurich, City Hospital Zurich - Waid, and University of Zurich, Zurich, Switzerland.
Department of Aging Medicine and Aging Research, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Front Public Health. 2022 Apr 14;10:810725. doi: 10.3389/fpubh.2022.810725. eCollection 2022.
Physical activity (PA) is important for healthy aging and disease prevention whereas sedentary behavior (SB) accelerates health deterioration.
To investigate activity profiles regarding PA and SB among generally healthy European older adults.
Meeting PA recommendations was defined as ≥150 min/week of moderate and/or ≥75 min/week of vigorous PA. A cut-off of ≥5.5 h/day was used to define time spent with SB. We present prevalence of PA and SB overall and by sex, age, BMI, and country. We examined correlates with multivariate logistic regression models.
Two thousand one hundred and fifty-five DO-HEALTH participants completed baseline information on activity profiles [mean age 74.9 years (SD 4.5), 61.8% women]. Overall, 62.2% met PA recommendations and overall, 37.1% spent ≥5.5 h/day with SB. Younger participants (70-74 years), men, and those with BMI <25 kg/m met PA recommendations more often. Per country, prevalence of meeting PA recommendations were: Austria 74.4%, France 51.0%, Germany 65.6%, Portugal 46.5%, and Switzerland 66.7%. Regarding SB, prevalence did not differ in all subgroups. In multivariate logistic regression analyses, being male, younger age, lower MoCA scores, and higher SPPB score were associated with greater odds, whereas higher BMI, more years of education, higher GDS score, and residing in Portugal were associated with lower odds of meeting PA recommendations. High BMI and higher MoCA scores were associated with greater odds of high SB.
Individualized public health efforts may be warranted even in active older adults, as profiles were less favorable in subgroups of older age, female sex and higher BMI.
身体活动（PA）对健康老龄化和疾病预防很重要，而久坐行为（SB）会加速健康恶化。
研究一般健康的欧洲老年人的 PA 和 SB 活动特征。
满足 PA 建议的标准被定义为每周进行≥150 分钟中等强度和/或≥75 分钟剧烈强度的 PA。每天≥5.5 小时的时间被用来定义 SB 时间。我们总体呈现 PA 和 SB 的流行率，并按性别、年龄、BMI 和国家进行呈现。我们用多变量逻辑回归模型来检验与 PA 和 SB 相关的因素。
2155 名 DO-HEALTH 参与者完成了活动特征的基线信息[平均年龄 74.9 岁（SD 4.5），61.8%为女性]。总体上，62.2%的人符合 PA 建议，总体上，37.1%的人每天花费≥5.5 小时进行 SB。年龄在 70-74 岁的参与者、男性和 BMI<25 kg/m2 的参与者更常符合 PA 建议。按国家划分，符合 PA 建议的流行率分别为：奥地利 74.4%、法国 51.0%、德国 65.6%、葡萄牙 46.5%和瑞士 66.7%。关于 SB，所有亚组之间的流行率没有差异。在多变量逻辑回归分析中，男性、年轻、较低的 MoCA 评分和较高的 SPPB 评分与更高的几率相关，而较高的 BMI、较高的教育年限、较高的 GDS 评分和居住在葡萄牙与符合 PA 建议的几率较低相关。高 BMI 和较高的 MoCA 评分与高 SB 的几率更高相关。
即使在活跃的老年人中，也可能需要个体化的公共卫生努力，因为在年龄较大、女性和 BMI 较高的亚组中，情况不太乐观。
