The Association Between Sedentary Behavior and Sarcopenia Among Adults Aged >= 65 Years in Low- and Middle-Income Countries

Smith L., Tully M., Jacob L., Blackburn N., Adlakha D., Caserotti P., ...More

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, vol.17, no.5, 2020 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 17 Issue: 5
  • Publication Date: 2020
  • Doi Number: 10.3390/ijerph17051708
  • Keywords: sarcopenia, sedentary behavior, older adults, low- and middle-income countries, WORLD-HEALTH-ORGANIZATION, SKELETAL-MUSCLE MASS, PHYSICAL-ACTIVITY, OLDER-ADULTS, OBESITY, PREVALENCE, TIME, FAT


The present study aimed to assess the association between sedentary behavior and sarcopenia among adults aged >= 65 years. Cross-sectional data from the Study on Global Ageing and Adult Health were analyzed. Sarcopenia was defined as having low skeletal muscle mass and either a slow gait speed or a weak handgrip strength. Self-reported sedentary behavior was assessed as a continuous variable (hours per day) and also as a categorical variable (0-<4, 4-<8, 8-<11, >= 11 hours/day). Multivariable logistic regression was conducted to assess the association between sedentary behavior and sarcopenia. Analyses using the overall sample and country-wise samples were conducted. A total of 14,585 participants aged >= 65 years were included in the analysis. Their mean age was 72.6 (standard deviation, 11.5) years and 55% were females. Compared to sedentary behavior of 0-<4 hours/day, >= 11 hours/day was significantly associated with 2.14 (95% CI = 1.06-4.33) times higher odds for sarcopenia. The country-wise analysis showed that overall, a one-hour increase in sedentary behavior per day was associated with 1.06 (95% CI = 1.04-1.10) times higher odds for sarcopenia, while the level of between-country heterogeneity was low (I-2 = 12.9%). Public health and healthcare practitioners may wish to target reductions in sedentary behavior to aid in the prevention of sarcopenia in older adults.