The Association of Objectively Measured Physical Activity and Sedentary Behavior with (Instrumental) Activities of Daily Living in Community-Dwelling Older Adults: A Systematic Review

Elvira S Amaral Gomes,1 Keenan A Ramsey,1 Anna GM Rojer,1 Esmee M Reijnierse,2 Andrea B Maier1– 3 1Department of Human Movement Sciences, @AgeAmsterdam, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, the Netherlands; 2Department of...

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Autores principales:	Amaral Gomes ES, Ramsey KA, Rojer AGM, Reijnierse EM, Maier AB
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	accelerometry independent living aged Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/e9c00530a2bc41a4a71b22d1a85df5f6
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spelling	oai:doaj.org-article:e9c00530a2bc41a4a71b22d1a85df5f62021-12-02T17:51:37ZThe Association of Objectively Measured Physical Activity and Sedentary Behavior with (Instrumental) Activities of Daily Living in Community-Dwelling Older Adults: A Systematic Review1178-1998https://doaj.org/article/e9c00530a2bc41a4a71b22d1a85df5f62021-10-01T00:00:00Zhttps://www.dovepress.com/the-association-of-objectively-measured-physical-activity-and-sedentar-peer-reviewed-fulltext-article-CIAhttps://doaj.org/toc/1178-1998Elvira S Amaral Gomes,1 Keenan A Ramsey,1 Anna GM Rojer,1 Esmee M Reijnierse,2 Andrea B Maier1– 3 1Department of Human Movement Sciences, @AgeAmsterdam, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, the Netherlands; 2Department of Medicine and Aged Care, @AgeMelbourne, The Royal Melbourne Hospital, The University of Melbourne, Melbourne, Victoria, 3050, Australia; 3Healthy Longevity Translational Research Program, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Centre for Healthy Longevity, @AgeSingapore, National University Health System, SingaporeCorrespondence: Andrea B MaierDepartment of Human Movement Sciences, @AgeAmsterdam, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Van der Boechorststraat 7, Amsterdam, 1081 BT, the NetherlandsTel +31 20 5982000Email a.b.maier@vu.nlAbstract: Up to 60% of older adults have a lifestyle characterized by low physical activity (PA) and high sedentary behavior (SB). This can amplify age-related declines in physical and cognitive functions and may therefore affect the ability to complete basic and instrumental activities of daily living (ADL and IADL, respectively), which are essential for independence. This systematic review aims to describe the association of objectively measured PA and SB with ADL and IADL in community-dwelling older adults. Six databases (PubMed, Embase, the Cochrane library, CINAHL, PsychINFO, SPORTDiscuss) were searched from inception to 21/06/2020 for articles meeting our eligibility criteria: 1) observational or experimental study, 2) participants’ mean/median age ≥ 60 years, 3) community-dwelling older adults, 4) PA and SB were measured with a(n) accelerometer/pedometer, 5) PA and SB were studied in relation to ADL and/or IADL. Risk of bias was assessed in duplicate using modified versions of the Newcastle–Ottawa scale. Effect direction heat maps provided an overview of associations and standardized regression coefficients (βs) were depicted in albatross plots. Thirty articles (6 longitudinal; 24 cross-sectional) were included representing 24,959 (range: 23 to 2749) community-dwelling older adults with mean/median age ranging from 60.0 to 92.3 years (54.6% female). Higher PA and lower SB were associated with better ability to complete ADL and IADL in all longitudinal studies and overall results of cross-sectional studies supported these associations, which underscores the importance of an active lifestyle. The median [interquartile range] of βs for associations of PA/SB with ADL and IADL were, respectively, 0.145 [0.072, 0.280] and 0.135 [0.093, 0.211]. Our strategy to address confounding may have suppressed the true relationship of PA and SB with ADL or IADL because of over-adjustment in some included studies. Future research should aim for standardization in PA and SB assessment to unravel dose–response relationships and inform guidelines.Keywords: accelerometry, independent living, agedAmaral Gomes ESRamsey KARojer AGMReijnierse EMMaier ABDove Medical Pressarticleaccelerometryindependent livingagedGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 16, Pp 1877-1915 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	accelerometry independent living aged Geriatrics RC952-954.6
spellingShingle	accelerometry independent living aged Geriatrics RC952-954.6 Amaral Gomes ES Ramsey KA Rojer AGM Reijnierse EM Maier AB The Association of Objectively Measured Physical Activity and Sedentary Behavior with (Instrumental) Activities of Daily Living in Community-Dwelling Older Adults: A Systematic Review
description	Elvira S Amaral Gomes,1 Keenan A Ramsey,1 Anna GM Rojer,1 Esmee M Reijnierse,2 Andrea B Maier1– 3 1Department of Human Movement Sciences, @AgeAmsterdam, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, the Netherlands; 2Department of Medicine and Aged Care, @AgeMelbourne, The Royal Melbourne Hospital, The University of Melbourne, Melbourne, Victoria, 3050, Australia; 3Healthy Longevity Translational Research Program, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Centre for Healthy Longevity, @AgeSingapore, National University Health System, SingaporeCorrespondence: Andrea B MaierDepartment of Human Movement Sciences, @AgeAmsterdam, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Van der Boechorststraat 7, Amsterdam, 1081 BT, the NetherlandsTel +31 20 5982000Email a.b.maier@vu.nlAbstract: Up to 60% of older adults have a lifestyle characterized by low physical activity (PA) and high sedentary behavior (SB). This can amplify age-related declines in physical and cognitive functions and may therefore affect the ability to complete basic and instrumental activities of daily living (ADL and IADL, respectively), which are essential for independence. This systematic review aims to describe the association of objectively measured PA and SB with ADL and IADL in community-dwelling older adults. Six databases (PubMed, Embase, the Cochrane library, CINAHL, PsychINFO, SPORTDiscuss) were searched from inception to 21/06/2020 for articles meeting our eligibility criteria: 1) observational or experimental study, 2) participants’ mean/median age ≥ 60 years, 3) community-dwelling older adults, 4) PA and SB were measured with a(n) accelerometer/pedometer, 5) PA and SB were studied in relation to ADL and/or IADL. Risk of bias was assessed in duplicate using modified versions of the Newcastle–Ottawa scale. Effect direction heat maps provided an overview of associations and standardized regression coefficients (βs) were depicted in albatross plots. Thirty articles (6 longitudinal; 24 cross-sectional) were included representing 24,959 (range: 23 to 2749) community-dwelling older adults with mean/median age ranging from 60.0 to 92.3 years (54.6% female). Higher PA and lower SB were associated with better ability to complete ADL and IADL in all longitudinal studies and overall results of cross-sectional studies supported these associations, which underscores the importance of an active lifestyle. The median [interquartile range] of βs for associations of PA/SB with ADL and IADL were, respectively, 0.145 [0.072, 0.280] and 0.135 [0.093, 0.211]. Our strategy to address confounding may have suppressed the true relationship of PA and SB with ADL or IADL because of over-adjustment in some included studies. Future research should aim for standardization in PA and SB assessment to unravel dose–response relationships and inform guidelines.Keywords: accelerometry, independent living, aged
format	article
author	Amaral Gomes ES Ramsey KA Rojer AGM Reijnierse EM Maier AB
author_facet	Amaral Gomes ES Ramsey KA Rojer AGM Reijnierse EM Maier AB
author_sort	Amaral Gomes ES
title	The Association of Objectively Measured Physical Activity and Sedentary Behavior with (Instrumental) Activities of Daily Living in Community-Dwelling Older Adults: A Systematic Review
title_short	The Association of Objectively Measured Physical Activity and Sedentary Behavior with (Instrumental) Activities of Daily Living in Community-Dwelling Older Adults: A Systematic Review
title_full	The Association of Objectively Measured Physical Activity and Sedentary Behavior with (Instrumental) Activities of Daily Living in Community-Dwelling Older Adults: A Systematic Review
title_fullStr	The Association of Objectively Measured Physical Activity and Sedentary Behavior with (Instrumental) Activities of Daily Living in Community-Dwelling Older Adults: A Systematic Review
title_full_unstemmed	The Association of Objectively Measured Physical Activity and Sedentary Behavior with (Instrumental) Activities of Daily Living in Community-Dwelling Older Adults: A Systematic Review
title_sort	association of objectively measured physical activity and sedentary behavior with (instrumental) activities of daily living in community-dwelling older adults: a systematic review
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/e9c00530a2bc41a4a71b22d1a85df5f6
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The Association of Objectively Measured Physical Activity and Sedentary Behavior with (Instrumental) Activities of Daily Living in Community-Dwelling Older Adults: A Systematic Review

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