Interventional strategies in interrupting sedentary behavior to increase habitual levels of physical activity in the elderly population
Main Article Content
Abstract
There are several negative consequences that sedentary behavior brings to the health of the elderly. Reducing sedentary time could be an achievable goal in order to change the risk factors for chronic diseases and, therefore, designing, testing and implementing interventions aimed at this purpose in the elderly is very important. In this sense, a quick literature review was carried out to synthesize the scientific evidence, which aims to analyze intervention strategies based on the reduction of daily sedentary behavior in the elderly population and the increase in their levels of physical activity. Rapid reviews include methodological processes tha tallow for a synthesis o scientific evidence, where the components of the systematic review process are simplified in order to produce relevant information in a timely manner. A set of eligibility criteria were defined, in which 8 studies - interventional, randomized controlled and longitudinal - were systematically selected from the scientific databases PubMed and B-On. Subsequently, a content analysis of the data extracted from the same studies was carried out. The results show that an intervention in the elderly’s family settings that involve educational self-management strategies to reduce sedentary behavior can increase physical activity levels. On the other hand, individual pedagogical sessions by phone call or in person and the delivery of information leaflets on what can replace sedentary life style reveal to be a good strategy to create healthy habits and increase physical activity. This study found a set of support measures for this situation that are linked to interspersing periods of physical activity with more sedentary periods, betting on measures that encourage individuals to move more throughout the day, despite participating in activity programs physical activity, and make known the benefits of physical activity and the harm that sedentary behavior entails.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
NonCommercial — You may not use the material for commercial purposes.
NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License
References
Abu-Omar, K., Rütten, A., Burlacu, I., Messing, S., Pfeifer, K., & Ungerer-Röhrich, U. (2017). A systematic review of reviews of interventions for the promotion of physical activity: methodology and first results. Gesundheitswesen, 79 (1), 45 – 50. https://doi.org/10.1055/s-0042-123502.
Aunger, J. A., Doody, P., & Greig, C. A. (2018). Interventions targeting sedentary behavior in non-working older adults: a systematic review. School of Sport, Exercise, and Rehabilitation Sciences, 116, 89 – 99.
Chad, K. E., Reeder, B. A., Harrison, E. L., Ashworth, N. L., Sheppard, S. M., Schultz, S. L. … & Lawson, J. A. (2005). Profile of physical activity levels in community-dwelling older adults. Journal of the American College of Sports Medicine, 1774 – 1784. https://doi.org/10.1249/01.mss.0000181303.51937.9c.
Coll-Planas, L., Alias, S. B., Tully, M., Caserotti, P., Giné-Garriga, M., Blackburn, N. … & Figuls, I. (2019). Exercise referral schemes enhanced by self-management strategies to reduce sedentary behaviour and increase physical activity among communitydwelling older adults from four European countries: protocol for the process evaluation of the SITLESS randomised controlled trial. BMJ Open, 9, 1 - 9. https://doi.org/10.1136/ bmjopen-2018-027073.
Cox, K. L., Cyarto, E. V., Etherton-Beer, C., Ellis, K. A., Alfonso, H., Clare, L. … & Lautenschlager, N. T. (2017). A randomized controlled trial of physical activity with individual goal-setting and volunteer mentors to overcome sedentary lifestyle in older adults at risk of cognitive decline: the INDIGO trial protocol. BMC Geriatrics, 17 (215), 1 - 14. https://doi.org/10.1186/s12877-017-0617-y.
Cunningham, C., O’ Sullivan, R., Caserotti, P., & Tully, M. A. (2019). Consequences of physical inactivity in older adults: A systematic review of reviews and meta-analyses. Scand J Med Sci Sports, 0, 1 – 12. https://doi.org/10.1111/sms.13616.
Dall, P. M., Ellis, S. L. H., Ellis, B. M., Grant, P. M., Colyer, A., Gee, N. R., Granat, M. H., & Mills, D. M. (2017). The influence of dog ownership on objective measures of free-living physical activity and sedentary behaviour in community-dwelling older adults: a longitudinal case-controlled study. BMC Public Health, 17 (496), 1 - 9. https://doi.org/10.1186/s12889-017-4422-5.
Daskalopoulou, C., Stubbs, B., Kralj, C., Koukounari, A., Prince, M., & Prina, A. M. (2017). Physical activity and healthy ageing: A systematic review and meta-analysis of longitudinal cohort studies. Ageing Research Reviews, 38, 6 – 17. https://doi.org/10.1016/j.arr.2017.06.003.
Espeland, M. A., Lipska, K., Miller, M. E., Rushing, J., Cohen, R. A., Verghese, J. … & Kritchevsky, S. B. (2017). Effects of physical activity intervention on physical and cognitive function in sedentary adults with and without diabetes. J Gerontol A Biol Sci Med Sci, 72 (6), 861 - 866. https://doi.org/10.1093/gerona/glw179.
Fielding, R. A., Rejeski, W.J., Blair, S., Church, T., Espeland, M. A., Gill, T. M. … & Pahor, M. (2011). Thelifestyle interventions and independence for elders study: design and methods. J Gerontol A Biol Sci Med Sci., 66 (11), 1226 - 1237. https://doi.org/10.1093/gerona/glr123.
Groessl, E. J., Kaplan, R. M., Rejeski, W. J., Katula, J. A., Glynn, N. W., King, A. C. … & Pahor, M. (2019). Physical activity and performance impact long-term quality of life in older adults at risk for major mobility disability. Am J Prev Med., 56 (1), 141 - 146. https://doi.org/10.1016/j.amepre.2018.09.006.
Kim, Y., Lai, B., Mehta, T., Thirumalai, M., Padalabalanarayanan, S.,James H. Rimmer,J. H., & Motl, R. W. (2019). Exercise training guidelines for multiple sclerosis, stroke, and parkinson disease. American Journal of Physical Medicine & Rehabilitation, 98 (7), 613 – 621. https://doi.org/10.1097/PHM.0000000000001174.
Koltyn, K. F., Crombie, K. M., Brellenthin, A. G., Leitzelar, B., Ellingson, L. D., Renken,J., & Mahoney,J. E. (2019). Intervening to reduce sedentary behavior in older adults – pilot results. Health Promotion Perspectives, 9(1), 71-76. https://doi.org/10.15171/hpp.2019.09.
Leask, C. F., Sandlund, M., Skelton, D. A., Tulle, E., & Chastin, S. F. M. (2016). Modifying older adults’ daily sedentary behaviour using an asset-based solution: views from older adults. AIMS Public Health, 3 (3), 542- 554. https://doi.org/10.3934/publichealth.2016.3.542.
Matei, R., Thuné-Boyle, I., Hamer, M., Iliffe, S., Fox, K. R., Jefferis, B. J., & Gardner, B. (2015). Acceptability of a theory-based sedentary behaviour reduction intervention for older adults (‘On Your Feet to Earn Your Seat’). BMC Public Health, 15 (606), 1 - 16. https://doi.org/10.1186/s12889-015-1921-0.
Matson, T. E., Renz, A. D., Takemoto, M. L., McClure, J. B., & Rosenberg, D. E. (2018). Acceptability of a sitting reduction intervention for older adults with obesity. BMC Public Health, 8 (706), 1 - 12. https://doi.org/10.1186/s12889-018-5616-1.
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ, 339, 1 - 8. https://doi.org/10.1136/bmj.b2535.
Nguyen, P., Khanh-Dao Le, L., Nguyen, D., Gao, L., Dunstan, D. W., & Moodie, M. (2020). The effectiveness of sedentary behaviour interventions on sitting time and screen time in children and adults: an umbrela review of systematic reviews. International Journal of Behavioral Nutrition and Physical Activity, 17, 1 - 11. https://doi.org/10.1186/s12966-020-01009-3.
Owen, N., Sugiyama, T., Eakin, E. E., Gardiner, P. A., Tremblay, M. S., & Sallis, J. F. (2011). Adults’ Sedentary Behavior. American Journal of Preventive Medicine, 41 (2), 189 - 196. https://doi.org/10.1016/j.amepre.2011.05.013.
Ramalho, A., Petrica, J., & Rosado, A. (2018). Sedentary behaviours and psychological outcomes among older adults: a systematic review. Motricidade, 14 (1), 73 – 85. https://doi.org/10.6063/motricidade.12223.
Rosenberg, D. E., Gell, N. M., Jones, S. M. W., Renz, A., Kerr, J., Gardiner, P. A., & Arterburn, D. (2015). The feasibility of reducing sitting time in overweight and obese older adults. Health Education & Behavior, 1, 1 – 8. https://doi.org/10.1177/1090198115577378.
Stockwell, S., Schofielda, P., Fisherc, A., Firth, J., Jackson, S. E., Stubbs, B., & Smith, L. (2019). Digital behavior change interventions to promote physical activity and/or reduce sedentary behavior in older adults: a systematic review and meta analysis. Experimental Gerontology, 120, 68–87.
Tremblay, M. S., Aubert, S., Barnes, J. D., Saunders, T. J., Carson, V., Latimer-Cheung, A. E. … & Chinapaw, M. J. M. (2017). Sedentary behavior research network(SBRN) - terminologyconsensus project processand outcome. Int J Behav Nutr Phys Act, 14 (1), 1 – 17. https://doi.org/10.1186/s12966-017-0525-8.
Wei, J., Xieb, L., Songc, S., Wanga, T., & Lid, C. (2019). Isotemporal substitution modeling on sedentary behaviors and physical activity with depressive symptoms among older adults in the U.S.: The national health and nutrition examination survey, 2007–2016. Journal of Affective Disorders, 257, 257 – 262. https://doi.org/10.1016/j.jad.2019.07.036.
White, I., Smith, L., Aggio, D., Shankar, S., Begum, S., Matei, R. … & Gardner, B. (2017). On your feet to earn your seat: pilot RCT of a theory-based sedentary behaviour reduction intervention for older adults. Pilot and Feasibility Studies, 3 (23), 1 - 14. https://doi.org/10.1186/s40814-017-0139-6.