Moderate-to-vigorous physical activity modifies the relationship between sedentary time and sarcopenia: the Tromsø Study 2015–2016
Background Sarcopenia is an age-related muscle disease primarily characterized by reductions in muscle strength that increases the risk of falls, fractures, cognitive impairment, and mortality. Exercise is currently preferred in prevention and treatment, but it is unknown how different habitual phys...
Published in: | Journal of Cachexia, Sarcopenia and Muscle |
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Main Authors: | , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
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2021
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Online Access: | http://hdl.handle.net/10852/86326 http://urn.nb.no/URN:NBN:no-88974 https://doi.org/10.1002/jcsm.12718 |
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Open Polar |
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Universitet i Oslo: Digitale utgivelser ved UiO (DUO) |
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ftoslouniv |
language |
English |
description |
Background Sarcopenia is an age-related muscle disease primarily characterized by reductions in muscle strength that increases the risk of falls, fractures, cognitive impairment, and mortality. Exercise is currently preferred in prevention and treatment, but it is unknown how different habitual physical activity and sedentary behaviour patterns associate with sarcopenia status. The purpose of the present study was to compare associations of these patterns with probable sarcopenia in older adults. Methods In 3653 community-dwelling participants (51% women) aged 60–84 years from the seventh survey of the Tromsø Study, we assessed objective physical activity and sedentary behaviour collected over 8 days (ActiGraph wGT3X-BT Accelerometer), grip strength (Jamar+ Digital Dynamometer), five-repetition chair stands, and self-reported disease. We combined tertiles of sedentary (SED) time and moderate-to-vigorous physical activity (MVPA) to create nine different activity profiles (SEDHIGH, SEDMOD, and SEDLOW combined with MVPAHIGH, MVPAMOD, or MVPALOW). Multiple logistic regression models were used to examine how these profiles associated with probable sarcopenia, defined by low handgrip strength and/or slow chair stands time according to the revised European Working Group on Sarcopenia in Older People criteria. Results Probable sarcopenia was present in 227 (6.2%) participants. Men with probable sarcopenia had on average 35.3 min more SED time and 20 min less MVPA compared with participants without sarcopenia (P < 0.01 for all), while women with probable sarcopenia only had 18 min less MVPA (P < 0.001). Compared with the SEDHIGH–MVPALOW reference activity profile (714.2 min SED/day and 10.4 min MVPA/day), the SEDHIGH–MVPAMOD profile (697.1 min SED/day and 31.5 min MVPA/day) had significantly lower odds ratio (OR) for probable sarcopenia (OR 0.17, 95% confidence interval [CI] 0.08–0.35), while the SEDLOW–MVPALOW profile (482.9 min SED/day and 11.0 min MVPA/day) did not (OR 0.72, 95% CI 0.47–1.11). These findings were not influenced by age, sex, smoking, or self-reported diseases, and higher levels of MVPA did not further decrease ORs for probable sarcopenia. Conclusions Older adults who achieve moderate amounts of MVPA have reduced odds for probable sarcopenia, even when they have high sedentary time. Those with low sedentary time did not have reduced odds for probable sarcopenia when they also had low amounts of MVPA. These findings need confirmation in longitudinal studies but suggest that interventions for preventing sarcopenia should prioritize increasing MVPA over reducing sedentary behaviour. |
format |
Article in Journal/Newspaper |
author |
Johansson, Jonas Morseth, Bente Scott, David Strand, Bjørn Heine Hopstock, Laila Arnesdatter Grimsgaard, Sameline |
spellingShingle |
Johansson, Jonas Morseth, Bente Scott, David Strand, Bjørn Heine Hopstock, Laila Arnesdatter Grimsgaard, Sameline Moderate-to-vigorous physical activity modifies the relationship between sedentary time and sarcopenia: the Tromsø Study 2015–2016 |
author_facet |
Johansson, Jonas Morseth, Bente Scott, David Strand, Bjørn Heine Hopstock, Laila Arnesdatter Grimsgaard, Sameline |
author_sort |
Johansson, Jonas |
title |
Moderate-to-vigorous physical activity modifies the relationship between sedentary time and sarcopenia: the Tromsø Study 2015–2016 |
title_short |
Moderate-to-vigorous physical activity modifies the relationship between sedentary time and sarcopenia: the Tromsø Study 2015–2016 |
title_full |
Moderate-to-vigorous physical activity modifies the relationship between sedentary time and sarcopenia: the Tromsø Study 2015–2016 |
title_fullStr |
Moderate-to-vigorous physical activity modifies the relationship between sedentary time and sarcopenia: the Tromsø Study 2015–2016 |
title_full_unstemmed |
Moderate-to-vigorous physical activity modifies the relationship between sedentary time and sarcopenia: the Tromsø Study 2015–2016 |
title_sort |
moderate-to-vigorous physical activity modifies the relationship between sedentary time and sarcopenia: the tromsø study 2015–2016 |
publishDate |
2021 |
url |
http://hdl.handle.net/10852/86326 http://urn.nb.no/URN:NBN:no-88974 https://doi.org/10.1002/jcsm.12718 |
geographic |
Tromsø |
geographic_facet |
Tromsø |
genre |
Tromsø |
genre_facet |
Tromsø |
op_source |
2190-5991 |
op_relation |
UIT/2047661 http://urn.nb.no/URN:NBN:no-88974 Johansson, Jonas Morseth, Bente Scott, David Strand, Bjørn Heine Hopstock, Laila Arnesdatter Grimsgaard, Sameline . Moderate-to-vigorous physical activity modifies the relationship between sedentary time and sarcopenia: the Tromsø Study 2015–2016. Journal of Cachexia, Sarcopenia and Muscle. 2021 http://hdl.handle.net/10852/86326 1913121 info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Journal of Cachexia, Sarcopenia and Muscle&rft.volume=&rft.spage=&rft.date=2021 Journal of Cachexia, Sarcopenia and Muscle https://doi.org/10.1002/jcsm.12718 URN:NBN:no-88974 Fulltext https://www.duo.uio.no/bitstream/handle/10852/86326/1/Johansson_JCSM_published.pdf |
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Attribution-NonCommercial-NoDerivatives 4.0 International https://creativecommons.org/licenses/by-nc-nd/4.0/ |
op_rightsnorm |
CC-BY-NC-ND |
op_doi |
https://doi.org/10.1002/jcsm.12718 |
container_title |
Journal of Cachexia, Sarcopenia and Muscle |
container_volume |
12 |
container_issue |
4 |
container_start_page |
955 |
op_container_end_page |
963 |
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ftoslouniv:oai:www.duo.uio.no:10852/86326 2023-05-15T18:34:38+02:00 Moderate-to-vigorous physical activity modifies the relationship between sedentary time and sarcopenia: the Tromsø Study 2015–2016 Johansson, Jonas Morseth, Bente Scott, David Strand, Bjørn Heine Hopstock, Laila Arnesdatter Grimsgaard, Sameline 2021-06-01T15:25:27Z http://hdl.handle.net/10852/86326 http://urn.nb.no/URN:NBN:no-88974 https://doi.org/10.1002/jcsm.12718 EN eng UIT/2047661 http://urn.nb.no/URN:NBN:no-88974 Johansson, Jonas Morseth, Bente Scott, David Strand, Bjørn Heine Hopstock, Laila Arnesdatter Grimsgaard, Sameline . Moderate-to-vigorous physical activity modifies the relationship between sedentary time and sarcopenia: the Tromsø Study 2015–2016. Journal of Cachexia, Sarcopenia and Muscle. 2021 http://hdl.handle.net/10852/86326 1913121 info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Journal of Cachexia, Sarcopenia and Muscle&rft.volume=&rft.spage=&rft.date=2021 Journal of Cachexia, Sarcopenia and Muscle https://doi.org/10.1002/jcsm.12718 URN:NBN:no-88974 Fulltext https://www.duo.uio.no/bitstream/handle/10852/86326/1/Johansson_JCSM_published.pdf Attribution-NonCommercial-NoDerivatives 4.0 International https://creativecommons.org/licenses/by-nc-nd/4.0/ CC-BY-NC-ND 2190-5991 Journal article Tidsskriftartikkel Peer reviewed PublishedVersion 2021 ftoslouniv https://doi.org/10.1002/jcsm.12718 2021-06-09T22:30:58Z Background Sarcopenia is an age-related muscle disease primarily characterized by reductions in muscle strength that increases the risk of falls, fractures, cognitive impairment, and mortality. Exercise is currently preferred in prevention and treatment, but it is unknown how different habitual physical activity and sedentary behaviour patterns associate with sarcopenia status. The purpose of the present study was to compare associations of these patterns with probable sarcopenia in older adults. Methods In 3653 community-dwelling participants (51% women) aged 60–84 years from the seventh survey of the Tromsø Study, we assessed objective physical activity and sedentary behaviour collected over 8 days (ActiGraph wGT3X-BT Accelerometer), grip strength (Jamar+ Digital Dynamometer), five-repetition chair stands, and self-reported disease. We combined tertiles of sedentary (SED) time and moderate-to-vigorous physical activity (MVPA) to create nine different activity profiles (SEDHIGH, SEDMOD, and SEDLOW combined with MVPAHIGH, MVPAMOD, or MVPALOW). Multiple logistic regression models were used to examine how these profiles associated with probable sarcopenia, defined by low handgrip strength and/or slow chair stands time according to the revised European Working Group on Sarcopenia in Older People criteria. Results Probable sarcopenia was present in 227 (6.2%) participants. Men with probable sarcopenia had on average 35.3 min more SED time and 20 min less MVPA compared with participants without sarcopenia (P < 0.01 for all), while women with probable sarcopenia only had 18 min less MVPA (P < 0.001). Compared with the SEDHIGH–MVPALOW reference activity profile (714.2 min SED/day and 10.4 min MVPA/day), the SEDHIGH–MVPAMOD profile (697.1 min SED/day and 31.5 min MVPA/day) had significantly lower odds ratio (OR) for probable sarcopenia (OR 0.17, 95% confidence interval [CI] 0.08–0.35), while the SEDLOW–MVPALOW profile (482.9 min SED/day and 11.0 min MVPA/day) did not (OR 0.72, 95% CI 0.47–1.11). These findings were not influenced by age, sex, smoking, or self-reported diseases, and higher levels of MVPA did not further decrease ORs for probable sarcopenia. Conclusions Older adults who achieve moderate amounts of MVPA have reduced odds for probable sarcopenia, even when they have high sedentary time. Those with low sedentary time did not have reduced odds for probable sarcopenia when they also had low amounts of MVPA. These findings need confirmation in longitudinal studies but suggest that interventions for preventing sarcopenia should prioritize increasing MVPA over reducing sedentary behaviour. Article in Journal/Newspaper Tromsø Universitet i Oslo: Digitale utgivelser ved UiO (DUO) Tromsø Journal of Cachexia, Sarcopenia and Muscle 12 4 955 963 |