Sedentary behaviour, physical activity and mental health in older adults: an isotemporal substitution model

Tully, Mark A. and McMullan, Ilona and Blackburn, Nicole and Wilson, Jason and Bunting, Brendan P. and Smith, Lee and Kee, Frank and Deidda, Manuela and Giné-Garriga, Maria and Coll-Planas, Laura and Dallmeier, Dhayana and Denkinger, Michael and Rothenbacher, Dietrich and Caserotti, Paolo (2020) Sedentary behaviour, physical activity and mental health in older adults: an isotemporal substitution model. Scandinavian Journal of Medicine and Science in Sports, 30 (10). pp. 1957-1965. ISSN 1600-0838

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Introduction: Regular moderate‐to‐vigorous physical activity (MVPA) is associated with improved mental health, but the evidence for the effect of reducing sedentary behaviour (SB) or increasing light PA (LPA) in older adults, is lacking. Using isotemporal substitution (IS) models, the aim of this paper is to investigate the effect of substituting SB with LPA or MVPA on associations with mental health in older adults. Methods: Data from 1,360 older adults (mean age 75.18 years) in four countries were utilised. PA and SB was measured using ActiGraph wGT3X‐BT+ accelerometers worn for 7 days. Self‐rated mental health was measured using the Hospital and Anxiety Depression Scale (HADS). IS models estimated cross‐sectional associations when 30 minutes of one behaviour was substituted with another. Models were adjusted for age, sex, marital status, educational attainment. Results: Substituting 30 minutes of SB with LPA (β ‐0.37; 95%CI ‐0.42, ‐0.32) or MVPA (β ‐0.14; 95%CI ‐0.21, ‐0.07) and substituting LPA with MVPA (β ‐0.11; 95%CI ‐0.18, ‐0.04) was associated with improvements in anxiety. However, substituting 30 minutes of SB with LPA (β 0.55; 95%CI 0.49, 0.62) was associated with increased depression. Conclusion: Replacing 30 minutes of SB with LPA or MVPA was associated with improved anxiety symptoms in older adults. Greater benefits were observed when shifting SB and LPA to MVPA.

Item Type: Journal Article
Keywords: Light physical activity, Moderate-vigorous physical activity, Isotemporal, Older adults, Mental health
Faculty: Faculty of Science & Engineering
SWORD Depositor: Symplectic User
Depositing User: Symplectic User
Date Deposited: 30 Jun 2020 08:43
Last Modified: 09 Sep 2021 18:52

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