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. 2021 Mar 12;139(3):226-233.
doi: 10.1590/1516-3180.2020.0546.R1.14122020. eCollection 2021.

Association between frailty syndrome and sedentary behavior among community-dwelling older adults in the Amazon region: a cross-sectional study

Izabelle Santos Dos Santos  1 , Caroline de Fátima Ribeiro Silva  2 , Daniela Gonçalves Ohara  3 , Areolino Pena Matos  3 , Ana Carolina Pereira Nunes Pinto  3 , Maycon Sousa Pegorari  3
Affiliations

Association between frailty syndrome and sedentary behavior among community-dwelling older adults in the Amazon region: a cross-sectional study

Izabelle Santos Dos Santos et al. Sao Paulo Med J. .

Abstract

Background: Existence of an association between sedentary behavior and frailty among older adults has been suggested. However, there is a lack of studies conducted in Brazil, especially in areas of the Amazon region.

Objective: To analyze the association between frailty syndrome and sedentary behavior among community-dwelling older adults.

Design and setting: Cross-sectional study carried out in Macapá, state of Amapá, Brazil.

Methods: Frailty status was assessed using Fried's frailty phenotype, and sedentary behavior was evaluated using two questions concerning time spent in a seated position, from the International Physical Activity Questionnaire (IPAQ). A multinomial logistic regression model was used to verify the association between frailty syndrome and sedentary behavior.

Results: The final study sample was made up of 411 older adults with a mean age of 70.14 ± 7.25 years and an average daily duration of sedentary behavior of 2.86 ± 2.53 hours. The prevalence of non-frailty was 28.7%, prevalence of pre-frailty was 58.4% and prevalence of frailty was 12.9%. The adjusted analysis showed that there were independent associations between sedentary behavior and pre-frailty (odds ratio, OR = 1.18; 95% confidence interval, CI: 1.03-1.34) and between sedentary behavior and frailty (OR = 1.20; 95% CI: 1.02-1.40).

Conclusion: Frailty and pre-frailty status were associated with sedentary behavior among community-dwelling older adults.

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Conflict of interest statement

Conflict of interest: None

Date of first submission: September 15, 2020

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