教員業績データベース |
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論文種別 | 原著 |
言語種別 | 英語 |
査読の有無 | 査読あり |
表題 | Isotemporal substitution of sedentary time with physical activity and its associations with frailty status. |
掲載誌名 | 正式名:Clinical interventions in aging 略 称:Clin Interv Aging ISSNコード:1178-1998(Electronic)1176-9092(Linking) |
掲載区分 | 国外 |
巻・号・頁 | 13,pp.1831-6 |
著者・共著者 | Nagai Koutatsu, Tamaki Kayoko, Kusunoki Hiroshi, Wada Yosuke, Tsuji Shotaro, Ito Masako, Sano Kyoko, Amano Manabu, Shimomura Soji, Shinmura Ken |
発行年月 | 2018/12 |
概要 | Objectives:Recently, isotemporal substitution has been developed to substitute activity time for an equivalent amount of another activity. This study employed this method to demonstrate the effects of replacing sedentary behavior (SB) time with an equivalent amount of light-intensity physical activity (LPA) and moderate-to-vigorous intensity physical activity (MVPA) on the risk for different severities of frailty.Methods:A total of 886 older adults (average age 73.6 years, female 70%) participated in this cross-sectional study. Frailty status was assessed according to the cardiovascular health study criteria.Main outcome measures:Wrist-worn accelerometers were used to measure SB, LPA, and MVPA. Isotemporal substitution models were applied to show the estimated effects of substituting 30 min of SB with an equal amount of time spent in LPA or MVPA on the risk for pre-frailty and frailty.Results:The physical activity level and SB were not associated with the incidence of pre-frailty. However, a 16% (OR: 0.84; 95% CI: 0.78-0.90) and 42% (OR: 0.58; 95% CI: 0.37-0.92) decrease in frailty risk was noted when SB was substituted with LPA and MVPA, respectively, in the crude model. In the adjusted model, the significant effect was sustained for LPA (OR: 0.86; 95% CI: 0.80-0.92) but not for MVPA (OR: 0.74; 95% CI: 0.47-1.17).Conclusions:This study indicates that replacing 30 min of SB with an equivalent amount of LPA decreases the risk for frailty in older adults. Moreover, increasing LPA seems more feasible than increasing MVPA in older adults, with substantial benefit. |
DOI | 10.2147/CIA.S175666 |
PMID | 30288035 |