ArticleBMC public health2019
Association between frailty and the combination of physical activity level and sedentary behavior in older adults.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 4 of them syntheses that pooled it.
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Who cites it
85 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Impact of frailty on the outcomes of patients undergoing degenerative spine surgery: a systematic review and meta-analysis.BMC geriatrics · 2023Pooled it
- Systematic review of predictors of hospitalisation for non-specific low back pain with or without referred leg pain.PloS one · 2023Pooled it
- How wearable sensors have been utilised to evaluate frailty in older adults: a systematic review.Journal of neuroengineering and rehabilitation · 2021Pooled it
- Volunteer-led physical activity interventions to improve health outcomes for community-dwelling older people: a systematic review.Aging clinical and experimental research · 2021Pooled it
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- Associations of Cognitive Function and Physical Activity with Frailty: A Community-Based Study of Older Adults.Florence Nightingale journal of nursing · 2026Article
- Leisure screen time, cardiometabolic pathways, and frailty: A two-step Mendelian randomization analysis.Medicine · 2026Article
- The association between retirement and 24-hour movement behaviour composition in older adults.BMC public health · 2026Article
- Prevalence of frailty and its association with quality of life in Japanese patients with Behçet's disease.Clinical rheumatology · 2026Article
- Lifestyle and health behaviour changes of ageing Finnish women during early COVID-19 restrictions.Scandinavian journal of public health · 2026Article
- An Ethnographic Exploration of Social-Ecological Influences on Physical Activity in Care Homes for Older People.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Incidental Lifestyle Physical Activity and Its Relationships With Overall Frailty and Frailty Domains in Community-Dwelling Older Japanese.Geriatrics & gerontology international · 2026Article
- Frailty in Chinese older adults: the roles of sedentary behavior, relative sit-to-stand power, and their additive interaction.BMC geriatrics · 2026Article
- The Effects of Multi-Theory Model-Based Behavior Change Intervention with Staircase Approach on Sedentary Lifestyle Among Community-Dwelling Older Adults: Study Protocol for a Randomized Controlled Trial.JMIR research protocols · 2026Article
- Isotemporal substitution of sedentary time with physical activity for cardiovascular health in older adults: a systematic review.Frontiers in sports and active living · 2026Review
- Relationship between 24-h movement behaviors and frailty-a scoping review.Frontiers in public health · 2026Article
- Metabolic score for visceral fat as a superior predictor of frailty in overweight and obese adults: a cross-sectional NHANES analysis (2007-2020).Diabetology & metabolic syndrome · 2025Article
- Association Between the Serum Creatinine to Cystatin C Ratio, Physical Activity, and Frailty in Middle-Aged and Older Adults in China: A Nationwide Cohort Study.Life (Basel, Switzerland) · 2025Article
- Association between pain expansion, physical activity, strength, motor problems and frailty risk in middle-aged and older European people: A cross-sectional study.Aging clinical and experimental research · 2025Article
25 more citing papers are in PubMed but not listed here.
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Authors and funding
7 authors.
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Abstract
backgroundThe combined association of physical activity and sedentary behavior with adverse health factors is not yet clear in the literature. A combined analysis of physical activity level and sedentary behavior may provide evidence of the interrelation between these behavioral variables and the frailty syndrome. Thus, the aim of this study was to examine the relationship between physical activity level, sedentary behavior and frailty in older adults.
methodsIn this study, we evaluated 457 older adults (age range = 60 to 96 years old) from the Longitudinal Study of the Elderly Health of Alcobaça, Bahia. The frailty condition was defined by the presence of three or more of the following criteria: unintentional weight loss, slow walking speed measured over a 4.57 m test, a reduction of manual grip strength and exhaustion. Based upon these criteria, participants were classified as non-frail or frail. Physical activity level and time spent in sedentary behavior were assessed with the International Questionnaire of Physical Activity. Descriptive statistics were used to characterize the sample. To examine the combined association of physical activity and sedentary behavior with frailty, chi-square and Poisson regression tests were used. Statistical significance was defined as p ≤ 0.05.
resultsThe prevalence of frailty was 8.8% (n = 40), with higher prevalence observed with increasing age. Low physical activity level combined with excessive time spent in sedentary behavior (physical activity level < 150 min/wk. and sedentary behavior ≥540 min/day) was associated with frailty, resulting in a prevalence ratio of 2.83 (95% CI, 1.23 to 6.52).
conclusionFrailty is more prevalent among older adults who exhibit insufficient levels of physical activity combined with a great amount of time spent in sedentary behavior, even when adjusted for sociodemographic factors.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.