医学
社会孤立
久坐行为
老年学
中国
久坐的生活习惯
逻辑回归
优势比
横断面研究
可能性
社会支持
体力活动
人口学
物理疗法
心理学
精神科
社会学
法学
心理治疗师
病理
内科学
政治学
作者
Yanxin Zhou,Yemin Yuan,Xiyuan Wang,Kaili Qi,Shimin Zhang,Yuxun Zhang,Jie Li,Chengchao Zhou
标识
DOI:10.1016/j.jamda.2023.08.020
摘要
Few studies have explored the mechanisms underlying the relationship between sedentary behavior and physical frailty. The aim of this study was to investigate the moderating effect of social isolation on the association between sedentary behavior and physical frailty among older adults in rural China.Cross-sectional study.Data were from 3238 individuals aged ≥60 years from rural areas in China.Binary logistic regression was used to explore the association between sedentary behavior and physical frailty and the moderating effect of social isolation.The prevalence of physical frailty was 18.7% among the older adults, and 17.0% of them were sedentary for ≥8 h/d. Compared with older adults with sedentary behavior for <4 h/d, participants with sedentary behavior for ≥8 h/d were more likely to suffer from physical frailty [odds ratio (OR), 2.26; 95% CI, 1.57-3.27]. We found that social isolation may aggravate this relationship (OR, 3.31; 95% CI, 2.06-5.32), especially for rural older adults who were sedentary for ≥8 h/day.More sedentary behavior was associated with higher risk of physical frailty, which was especially apparent among older adults with social isolation, suggesting that sedentary older people who experienced social isolation were more vulnerable to physical frailty. Decreasing sedentary behavior in older adults and encouraging them to participate in interactive social activities could help prevent physical frailty.
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