Types of social participation and patterns of objectively determined sedentary behavior and physical activity in community-dwelling older adults

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  • Amagasa Shiho
    Department of Preventive Medicine and Public Health, Tokyo Medical University
  • Kikuchi Hiroyuki
    Department of Preventive Medicine and Public Health, Tokyo Medical University
  • Fukushima Noritoshi
    Department of Preventive Medicine and Public Health, Tokyo Medical University
  • Odagiri Yuko
    Department of Preventive Medicine and Public Health, Tokyo Medical University
  • Takamiya Tomoko
    Department of Preventive Medicine and Public Health, Tokyo Medical University
  • Oka Koichiro
    Faculty of Sport Sciences, Waseda University
  • Inoue Shigeru
    Department of Preventive Medicine and Public Health, Tokyo Medical University

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Other Title
  • 地域在住高齢者における社会参加の類型と座位行動・身体活動パターンとの関連
  • チイキ ザイジュウ コウレイシャ ニ オケル シャカイ サンカ ノ ルイケイ ト ザイ コウドウ ・ シンタイ カツドウ パターン ト ノ カンレン

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<p>Objective: The aim of this study was to examine associations of types of social participation and objectively assessed sedentary behavior (SB) and physical activity (PA) patterns in community-dwelling older adults.</p><p>Methods: This cross-sectional study was conducted in 2015. The study sample was 1,314 Japanese older adults who were originally randomly selected from three cities (Bunkyo, Fuchu and Oyama) and took part in a community-based survey carried out in 2010. In 2015, participants who agreed to accelerometer survey were asked to wear the accelerometer (Active style Pro HJA-350IT) on their waist for seven consecutive days. SB, light-intensity PA (LPA), and moderate-to-vigorous PA (MVPA) were evaluated. Social participation was examined using question items from the National Health and Nutrition Survey in Japan and was classified into two types; community involvement and individual relationship. Sex-stratified multiple linear regression analysis was used to examine the associations between each type of social participation and patterns of SB and PA after adjustment for age, residential area, living arrangement, working status, driving status, body mass index, self-rated health, physical functioning, and accelerometer wear time.</p><p>Results: Data from 450 participants was analyzed. In multiple regression analysis, higher level of community involvement was associated with longer time spent in short-bout (<10 min) MVPA in older men (β=1.56, p=0.03) and women (β=2.91, p<0.01). In women, community involvement was also related to reduced total SB time (β= －11.43, p<0.01) and increased LPA time (β=8.13, p=0.03).</p><p>Conclusion: Promoting community involvement may increase short-bout MVPA and LPA time in older adults.</p>

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