J Nutr Health.  2019 Feb;52(1):36-46. 10.4163/jnh.2019.52.1.36.

Amounts of physical activity and sedentary behavior patterns in older adults: using an accelerometer and a physical activity diary

Affiliations
  • 1Department of Food and Nutrition, Gangneung-Wonju National University, Gangneung 25457, Korea. ekkim@gwnu.ac.kr

Abstract

PURPOSE
This study evaluated amounts of physical activity and sedentary behavior patterns in older adults using an accelerometer and physical activity diary.
METHODS
Forty-nine older adults (male 26, female 23) participated in this study. They wore a triaxial accelerometer (ActiGraph wGT3X-BT) for one week and wrote a physical activity diary concurrently for three days. Amounts of physical activity, sedentary behavior patterns, and percentage of meeting the World health organization (WHO) physical activity guidelines were analyzed using an accelerometer. In addition, the contents recorded in the physical activity diary were reclassified to 18 levels and the average daily times spent on each level and physical activity level (PAL) were calculated.
RESULTS
The subjects were sitting more than half of the day except for bedtime and shower time (59.2%). The numbers of prolonged ≥30, 40 minutes sedentary bouts were significantly higher in males (3.10 ±1.34, 1.78 ±1.09, respectively) than in females (2.34 ±1.22, 1.32 ±1.07, respectively) and the number of breaks per sedentary hour was significantly less in males (5.74 ±0.89) than in females (6.44 ±0.71). Among the activities corresponding to sedentary behavior surveyed by the physical activity diary, only the amount of time spent "˜resting, speaking and watching TV' showed a significant correlation with the sedentary behavior pattern measured by the accelerometer. The persistence of sedentary behavior was interrupted primarily when low intensity activity was performed. Only 22.4% of the subjects met WHO physical activity guidelines.
CONCLUSION
Based on these results, the physical activity guidelines for older adults should be developed that reflects the appropriate strength, including low activity level and maintenance time of moderate to vigorous physical activity.

Keyword

older adults; sedentary behavior; physical activity; guideline

MeSH Terms

Adult*
Female
Humans
Male
Motor Activity*
World Health Organization

Reference

1. Statistics Korea. Life tables for Korea [Internet]. Daejeon: Statistics Korea;2017. cited 2018 Nov 20. Available from: http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=2758.
2. Oh YM. Life expectancy of 90.8 years: political implications and responses [Internet]. Seoul: Korea Health Promotion Institute;2017. cited 2019 Jan 4. Available from: https://www. khealth.or.kr/search?menuId=MENU00953.
3. World Health Organization. Non-communicable diseases country profiles 2018. Geneva: World Health Organization;2018.
4. Kim YJ. Health promotion statistics year book. Seoul: Korea Health Promotion Institute;2017.
5. Brill PA. Functional fitness for older adults. Champaign (IL): Human Kinetics;2004.
6. van der Ploeg HP, Hillsdon M. Is sedentary behaviour just physical inactivity by another name? Int J Behav Nutr Phys Act. 2017; 14(1):142.
Article
7. González K, Fuentes J, Márquez JL. Physical inactivity, sedentary behavior and chronic diseases. Korean J Fam Med. 2017; 38(3):111–115.
Article
8. World Health Organization. Global recommendations on physical activity for health. Geneva: World Health Organization;2010.
9. Biswas A, Oh PI, Faulkner GE, Bajaj RR, Silver MA, Mitchell MS, et al. Sedentary time and its association with risk for disease incidence, mortality, and hospitalization in adults: a systematic review and meta-analysis. Ann Intern Med. 2015; 162(2):123–132.
10. Ndahimana D, Kim EK. Measurement methods for physical activity and energy expenditure: a review. Clin Nutr Res. 2017; 6(2):68–80.
Article
11. Bonomi AG, Goris AH, Yin B, Westerterp KR. Detection of type, duration, and intensity of physical activity using an accelerometer. Med Sci Sports Exerc. 2009; 41(9):1770–1777.
Article
12. Amagasa S, Fukushima N, Kikuchi H, Takamiya T, Oka K, Inoue S. Light and sporadic physical activity overlooked by current guidelines makes older women more active than older men. Int J Behav Nutr Phys Act. 2017; 14(1):59.
Article
13. Chen T, Kishimoto H, Honda T, Hata J, Yoshida D, Mukai N, et al. Patterns and levels of sedentary behavior and physical activity in a general Japanese population: the Hisayama study. J Epidemiol. 2018; 28(5):260–265.
Article
14. Davis MG, Fox KR, Hillsdon M, Sharp DJ, Coulson JC, Thompson JL. Objectively measured physical activity in a diverse sample of older urban UK adults. Med Sci Sports Exerc. 2011; 43(4):647–654.
Article
15. Tucker JM, Welk GJ, Beyler NK. Physical activity in U.S.: adults compliance with the physical activity guidelines for Americans. Am J Prev Med. 2011; 40(4):454–461.
16. Bellettiere J, Carlson JA, Rosenberg D, Singhania A, Natarajan L, Berardi V, et al. Gender and age differences in hourly and daily patterns of sedentary time in older adults living in retirement communities. PLoS One. 2015; 10(8):e0136161.
Article
17. Luzak A, Heier M, Thorand B, Laxy M, Nowak D, Peters A, et al. Physical activity levels, duration pattern and adherence to WHO recommendations in German adults. PLoS One. 2017; 12(2):e0172503.
Article
18. Davis MG, Fox KR. Physical activity patterns assessed by accelerometry in older people. Eur J Appl Physiol. 2007; 100(5):581–589.
Article
19. Kim KE, Park WB, Oh MK, Kang EK, Lim JY, Yang EJ, et al. The effect of physical performance and physical activity on quality of life in old people: the Korean longitudinal study on health and aging. J Korean Geriatr Soc. 2010; 14(4):212–220.
Article
20. Seo JS, Koh SH, Lee YH, Back JH, Noh JS, Kim CH, et al. Relationship between physical activity and cognitive function in the elderly. J Korean Geriatr Soc. 2011; 15(2):90–98.
Article
21. Yim MJ. The study of daily physical activity in old women using pedometer with accelerometer. J Korean Soc Study Obes. 2004; 13(3):195–203.
22. Troiano RP, Berrigan D, Dodd KW, Mâsse LC, Tilert T, McDowell M. Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc. 2008; 40(1):181–188.
Article
23. Trost SG, McIver KL, Pate RR. Conducting accelerometer-based activity assessments in field-based research. Med Sci Sports Exerc. 2005; 37:11 Suppl. S531–S543.
Article
24. Freedson PS, Melanson E, Sirard J. Calibration of the computer science and applications, Inc. accelerometer. Med Sci Sports Exerc. 1998; 30(5):777–781.
Article
25. Williams R. Kcal estimates from activity counts using the potential energy method [Internet]. Pensacola (FL): CSA, Inc.;1998. cited 2019 Jan 24. Available from: https://actigraphcorp.com/research-database/kcal-estimates-from-activity-counts-using-the-potential-energy-method.
26. Peddie MC, Bone JL, Rehrer NJ, Skeaff CM, Gray AR, Perry TL. Breaking prolonged sitting reduces postprandial glycemia in healthy, normal-weight adults: a randomized crossover trial. Am J Clin Nutr. 2013; 98(2):358–366.
Article
27. Ministry of Health, Labour and Welfare. Japanese dietary allowance. 5th revision. Tokyo: Ministry of Health, Labour and Welfare;1985.
28. Yoon JS, Kim GJ, Kim JH, Park YS, Gu JO. A study to determine the recommended dietary allowance of energy and to develop practical dietary education program for Korean adults. Sejong: Ministry of Health and Welfare;2002.
29. Ministry of Health and Welfare. The Korean Nutrition Society. Dietary reference intakes for Koreans 2015. Seoul: The Korean Nutrition Society;2016.
30. Korea Centers for Disease Control and Prevention. Korea health statistics 2016: Korea National Health and Nutrition Examination Survey (KNHANES VII-1) [Internet]. Cheongju: Korea Centers for Disease Control and Prevention;2017. cited 2019 Jan 10. Available from: https://knhanes.cdc.go.kr/knhanes/sub04/sub04_03.do?classType=7.
31. Ainsworth BE, Haskell WL, Leon AS, Jacobs DR Jr, Montoye HJ, Sallis JF, et al. Compendium of physical activities: classification of energy costs of human physical activities. Med Sci Sports Exerc. 1993; 25(1):71–80.
Article
32. Hills AP, Mokhtar N, Byrne NM. Assessment of physical activity and energy expenditure: an overview of objective measures. Front Nutr. 2014; 1:5.
Article
33. Diaz KM, Howard VJ, Hutto B, Colabianchi N, Vena JE, Blair SN, et al. Patterns of sedentary behavior in US middle-age and older adults: the REGARDS study. Med Sci Sports Exerc. 2016; 48(3):430–438.
34. Kikuchi H, Inoue S, Sugiyama T, Owen N, Oka K, Nakaya T, et al. Distinct associations of different sedentary behaviors with health-related attributes among older adults. Prev Med. 2014; 67:335–339.
Article
35. Gianoudis J, Bailey CA, Daly RM. Associations between sedentary behaviour and body composition, muscle function and sarcopenia in community-dwelling older adults. Osteoporos Int. 2015; 26(2):571–579.
Article
36. Hamer M, Smith L, Stamatakis E. Prospective association of TV viewing with acute phase reactants and coagulation markers: English longitudinal study of ageing. Atherosclerosis. 2015; 239(2):322–327.
Article
37. Statistics Korea. Life time survey academic research service final report: analysis of time allocation change between leisure, society, and human capital using life time survey [Internet]. Seoul: Statistics Korea;2016. cited 2018 Nov 23. Available from: http://www.prism.go.kr/homepage/origin/retrieveOriginDetail.do;jsessionid=A97C37695DA1E7F0A4AF33529708DD66.node02?cond_research_name=&cond_research_start_date=&cond_research_end_date=&cond_organ_id=1240000&research_id=1240000-201600027&pageIndex=1&leftMenuLevel=120.
38. Kim EK, Lee SH, Ko SY, Yeon SE, Choe JS. Assessment of physical activity level of Korean farmers to establish estimated energy requirements during busy farming season. Korean J Community Nutr. 2011; 16(6):751–761.
Article
39. Lee SH, Yeon SE, Son HR, Choi JS, Kim EK. Assessment of energy intake and physical activity level for Korean farmers to establish estimated energy requirements during the off-season for farmers. Korean J Community Nutr. 2012; 17(5):652–663.
Article
40. Park JA, Kim KJ, Yoon JS. A comparison of energy intake and energy expenditure in normal-weight and over-weight Korean adults. Korean J Community Nutr. 2004; 9(3):285–291.
41. Chastin SF, Egerton T, Leask C, Stamatakis E. Meta-analysis of the relationship between breaks in sedentary behavior and cardiometabolic health. Obesity (Silver Spring). 2015; 23(9):1800–1810.
Article
42. Glazer NL, Lyass A, Esliger DW, Blease SJ, Freedson PS, Massaro JM, et al. Sustained and shorter bouts of physical activity are related to cardiovascular health. Med Sci Sports Exerc. 2013; 45(1):109–115.
Article
Full Text Links
  • JNH
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr