Cargando…

The association between sedentary behavior and falls in older adults: A systematic review and meta-analysis

BACKGROUND: It is generally believed that sedentary behavior (SB) increases the risk of falls among older adults, but the evidence for it remains inconsistent and scarce. PURPOSE: Our study aims to provide a systematic review and meta-analysis of available evidence regarding the association of SB wi...

Descripción completa

Detalles Bibliográficos
Autores principales: Jiang, YueShuai, Wang, Mei, Liu, Shuang, Ya, Xiao, Duan, GuanTing, Wang, ZiPu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9691853/
https://www.ncbi.nlm.nih.gov/pubmed/36438277
http://dx.doi.org/10.3389/fpubh.2022.1019551
_version_ 1784837121447559168
author Jiang, YueShuai
Wang, Mei
Liu, Shuang
Ya, Xiao
Duan, GuanTing
Wang, ZiPu
author_facet Jiang, YueShuai
Wang, Mei
Liu, Shuang
Ya, Xiao
Duan, GuanTing
Wang, ZiPu
author_sort Jiang, YueShuai
collection PubMed
description BACKGROUND: It is generally believed that sedentary behavior (SB) increases the risk of falls among older adults, but the evidence for it remains inconsistent and scarce. PURPOSE: Our study aims to provide a systematic review and meta-analysis of available evidence regarding the association of SB with falls in older adults. METHOD: A comprehensive search strategy was conducted using several online databases from 1906 to March 2022. Cohort studies both concerning the association between SB and falls and involving participants over 60 years old were regarded as eligible for inclusion. Evidence was pooled by a random-effects meta-analysis. Quality assessment for individual studies was performed with the Newcastle–Ottawa Scale (NOS). RESULTS: Altogether seven publications were identified, and the age of the 24,750 individuals involved ranging from 60 to 99 years old. Overall quality of the included studies was rated as moderate-to-high quality. We found that SB was significantly associated with increased risk of falls compared with non-SB among older adults [Odds ratio (OR) = 1.17, 95% confidence interval (CI): 1.07–1.28; I(2) = 46.90%, P(heterogeneity) = 0.07, random model]. Subgroup analyses that stratified the studies according to NOS score showed significant differences between groups. Subgroup analysis stratified by SB measurement, sample size, region, publication year, and follow-up duration showed no significant differences between groups. CONCLUSION: The findings provide reliable support for the hypothesis that sedentary lifestyles are strong predictors of falls among older adults, offering critical indications to develop strategies for fall prevention.
format Online
Article
Text
id pubmed-9691853
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-96918532022-11-26 The association between sedentary behavior and falls in older adults: A systematic review and meta-analysis Jiang, YueShuai Wang, Mei Liu, Shuang Ya, Xiao Duan, GuanTing Wang, ZiPu Front Public Health Public Health BACKGROUND: It is generally believed that sedentary behavior (SB) increases the risk of falls among older adults, but the evidence for it remains inconsistent and scarce. PURPOSE: Our study aims to provide a systematic review and meta-analysis of available evidence regarding the association of SB with falls in older adults. METHOD: A comprehensive search strategy was conducted using several online databases from 1906 to March 2022. Cohort studies both concerning the association between SB and falls and involving participants over 60 years old were regarded as eligible for inclusion. Evidence was pooled by a random-effects meta-analysis. Quality assessment for individual studies was performed with the Newcastle–Ottawa Scale (NOS). RESULTS: Altogether seven publications were identified, and the age of the 24,750 individuals involved ranging from 60 to 99 years old. Overall quality of the included studies was rated as moderate-to-high quality. We found that SB was significantly associated with increased risk of falls compared with non-SB among older adults [Odds ratio (OR) = 1.17, 95% confidence interval (CI): 1.07–1.28; I(2) = 46.90%, P(heterogeneity) = 0.07, random model]. Subgroup analyses that stratified the studies according to NOS score showed significant differences between groups. Subgroup analysis stratified by SB measurement, sample size, region, publication year, and follow-up duration showed no significant differences between groups. CONCLUSION: The findings provide reliable support for the hypothesis that sedentary lifestyles are strong predictors of falls among older adults, offering critical indications to develop strategies for fall prevention. Frontiers Media S.A. 2022-11-11 /pmc/articles/PMC9691853/ /pubmed/36438277 http://dx.doi.org/10.3389/fpubh.2022.1019551 Text en Copyright © 2022 Jiang, Wang, Liu, Ya, Duan and Wang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Jiang, YueShuai
Wang, Mei
Liu, Shuang
Ya, Xiao
Duan, GuanTing
Wang, ZiPu
The association between sedentary behavior and falls in older adults: A systematic review and meta-analysis
title The association between sedentary behavior and falls in older adults: A systematic review and meta-analysis
title_full The association between sedentary behavior and falls in older adults: A systematic review and meta-analysis
title_fullStr The association between sedentary behavior and falls in older adults: A systematic review and meta-analysis
title_full_unstemmed The association between sedentary behavior and falls in older adults: A systematic review and meta-analysis
title_short The association between sedentary behavior and falls in older adults: A systematic review and meta-analysis
title_sort association between sedentary behavior and falls in older adults: a systematic review and meta-analysis
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9691853/
https://www.ncbi.nlm.nih.gov/pubmed/36438277
http://dx.doi.org/10.3389/fpubh.2022.1019551
work_keys_str_mv AT jiangyueshuai theassociationbetweensedentarybehaviorandfallsinolderadultsasystematicreviewandmetaanalysis
AT wangmei theassociationbetweensedentarybehaviorandfallsinolderadultsasystematicreviewandmetaanalysis
AT liushuang theassociationbetweensedentarybehaviorandfallsinolderadultsasystematicreviewandmetaanalysis
AT yaxiao theassociationbetweensedentarybehaviorandfallsinolderadultsasystematicreviewandmetaanalysis
AT duanguanting theassociationbetweensedentarybehaviorandfallsinolderadultsasystematicreviewandmetaanalysis
AT wangzipu theassociationbetweensedentarybehaviorandfallsinolderadultsasystematicreviewandmetaanalysis
AT jiangyueshuai associationbetweensedentarybehaviorandfallsinolderadultsasystematicreviewandmetaanalysis
AT wangmei associationbetweensedentarybehaviorandfallsinolderadultsasystematicreviewandmetaanalysis
AT liushuang associationbetweensedentarybehaviorandfallsinolderadultsasystematicreviewandmetaanalysis
AT yaxiao associationbetweensedentarybehaviorandfallsinolderadultsasystematicreviewandmetaanalysis
AT duanguanting associationbetweensedentarybehaviorandfallsinolderadultsasystematicreviewandmetaanalysis
AT wangzipu associationbetweensedentarybehaviorandfallsinolderadultsasystematicreviewandmetaanalysis