Clustering of Domain-Specific Sedentary Behaviors and Their Association With Physical Function Among Community-Dwelling Older Adults

in Journal of Physical Activity and Health
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Background: The present study examined the cluster of domain-specific sedentary behaviors (SBs) and their associations with physical function among community-dwelling older adults to identify the target groups that require intervention for SBs. Methods: A total of 314 older adults who participated in a population-based cross-sectional survey and an on-site functional assessment in Matsudo City in Chiba participated in this study. Participants were asked to report the daily average of 6 domain-specific SBs. To identify the cluster of domain-specific SBs, hierarchical cluster analysis was performed using the Ward method. Analysis of covariance adjusted for sociodemographic factors, exercise habit, chronic disease, and total SB time was performed to examine the associations between each cluster and physical functional status. Results: The average age of the participants was 74.5 (5.2) years. The 4 clusters identified were leisure cluster, low cluster, work and personal computer use cluster, and television viewing cluster. The analysis of covariance adjusted for covariates showed that grip strength (P = .01), maximum walking speed (P = .03), and 1-leg standing time (P = .03) were significantly poorer in the television viewing cluster than other clusters. Conclusions: It has been concluded that the television viewing group identified as a high-risk group of physical functional decline; therefore, interventions targeting this group are needed to prevent physical functional decline.

Mitsutake is with the Human Care Research Team, Tokyo Metropolitan Institute of Gerontology, Itabashi-ku, Tokyo, Japan; and the Waseda Institute for Sport Sciences, Waseda University, Mikajima, Tokorozawa, Saitama, Japan. Shibata is with the Faculty of Health and Sport Sciences, University of Tsukuba, Tennodai Tsukuba, Ibaraki, Japan. Ishii and Oka are with the Faculty of Sport Sciences, Waseda University, Mikajima, Tokorozawa, Saitama, Japan. Amagasa, Kikuchi, Fukushima, and Inoue are with the Department of Preventive Medicine and Public Health, Tokyo Medical University, Shinjuku, Shinjuku-ku, Tokyo, Japan.

Mitsutake (mitsu@tmig.or.jp) is corresponding author.
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