Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain.
Institute of Mental Health Sciences, School of Health Sciences, Ulster University, Newtownabbey, United Kingdom.
Front Public Health. 2023 Dec 19;11:1296821. doi: 10.3389/fpubh.2023.1296821. eCollection 2023.
Sedentary behavior (SB) is a determinant of health in older adult people. Educational level is a primary driver of health disparities and is demonstrated to be a reliable measure of socioeconomic position. We aimed to examine the associations between educational level and self-reported along with device-measured SB in older adults living in Europe and the association of mentally active and passive SB domains with the educational level and gender in these associations.
The design is cross-sectional. One thousand three hundred and sixty participants aged 65 and over (75.3±6.3 years old, 61.8% women) participated. Inclusion criteria were scored with the Short Physical Performance Battery. Variables that describe the sample were assessed with an interview, and device-measured SB was assessed with an accelerometer. SB was assessed with the Sedentary Behavior Questionnaire and an accelerometer. Multiple linear regression models were used to study the association between the level of education and SB.
Participants self-reported an average of 7.82 (SD: 3.02) daily waking hours of SB during weekend days, and the average of device-measured SB was 11.39 (1.23) h. Total mentally active SB (weekdays and weekends) was associated with the education level ( < 0.000). Participants were more sedentary during the week than during weekends, regardless of level of education ( < 0.000). Education level was significantly associated with self-reported mean hours per day in 46SB ( = 0.000; =0.026; 95%CI).
Low education level in older adults is associated with self-reported SB but not with objective SB measures.
久坐行为（SB）是老年人健康的决定因素。受教育程度是健康差异的主要驱动因素，并且被证明是社会经济地位的可靠衡量标准。我们旨在研究生活在欧洲的老年人的受教育程度与自我报告和设备测量的 SB 之间的关系，以及这些关系中精神活跃和被动 SB 领域与受教育程度和性别的关系。
本研究设计为横断面研究。共有 1360 名年龄在 65 岁及以上的参与者（平均年龄 75.3±6.3 岁，61.8%为女性）参与了这项研究。纳入标准是短体适能测试评分。使用访谈评估描述样本的变量，使用加速度计评估设备测量的 SB。使用久坐行为问卷和加速度计评估 SB。使用多元线性回归模型研究教育水平与 SB 之间的关系。
参与者在周末报告平均每天有 7.82 小时（SD：3.02）的 SB，设备测量的 SB 平均为 11.39 小时（1.23）。总的精神活跃 SB（工作日和周末）与教育水平相关（<0.000）。无论教育程度如何，参与者在一周内比周末更久坐（<0.000）。教育水平与自我报告的 46SB 中每天的平均小时数显著相关（=0.000；=0.026；95%CI）。
在老年人中，低教育水平与自我报告的 SB 相关，但与客观的 SB 测量无关。
