A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä

24-hour movement behaviors and changes in quality of life over time among community-dwelling older adults: a compositional data analysis




TekijätPalmberg, Lotta; Suorsa, Kristin; Löppönen, Antti; Karavirta, Laura; Rantanen, Taina; Rantalainen, Timo

KustantajaSpringer Science and Business Media LLC

KustannuspaikkaLONDON

Julkaisuvuosi2024

JournalInternational Journal of Behavioral Nutrition and Physical Activity

Tietokannassa oleva lehden nimiInternational Journal of Behavioral Nutrition and Physical Activity

Lehden akronyymiINT J BEHAV NUTR PHY

Artikkelin numero130

Vuosikerta21

Numero1

Sivujen määrä9

eISSN1479-5868

DOIhttps://doi.org/10.1186/s12966-024-01681-9

Verkko-osoitehttps://doi.org/10.1186/s12966-024-01681-9

Rinnakkaistallenteen osoitehttps://research.utu.fi/converis/portal/detail/Publication/470996904


Tiivistelmä

Background Favorable movement behavior patterns, comprising more physical activity, less sedentary behavior, and sufficient sleep, may promote the maintenance of good quality of life (QoL) with advancing age. The aim of the present study was to investigate whether movement behaviors predict future changes in QoL among community-dwelling older adults over a four-year follow-up.

Methods Participants were 75-, 80- and 85-year-old community-dwelling older adults (n = 203) followed up for 4 years. Participants wore thigh- and trunk-mounted accelerometers for 3-7 days at baseline. Proportion of time-use in physical activity, standing and sedentary behavior were assessed based on body posture and movement intensity. Time in bed was determined using an automated algorithm. QoL was assessed during a home interview using the short Older People's Quality of Life Questionnaire at baseline and follow-up (range 13-65, higher scores indicate higher QoL). Compositional linear regression analysis was used to study whether baseline time-use composition predicts changes in QoL.

Results Over the 4-year follow-up, QoL scores decreased by 5% on average. Higher physical activity in relation to the other movement behaviors was associated with increase in QoL over time (beta ilr 0.94, p = 0.013), but this association attenuated after adding baseline physical function into the model. Sedentary behavior, standing, and time in bed were not associated with changes in QoL. Theoretical reallocation of 30 min of physical activity into sedentary behavior, standing or time in bed was estimated to decrease QoL by 0.5 (CI 95% -0.6 to -0.4), 0.6 (-0.7 to -0.5) and 0.4 (-0.5 to -0.3) points, respectively.

Conclusions Theoretical reallocation of physical activity into sedentary behavior, standing, and time in bed was found to be associated with prospective decline in QoL among older adults. Engaging more in physical activity and less in more passive activities may promote better QoL with advancing age.


Ladattava julkaisu

This is an electronic reprint of the original article.
This reprint may differ from the original in pagination and typographic detail. Please cite the original version.




Julkaisussa olevat rahoitustiedot
This work has been supported by the European Research Council (693045 to Ta.R.); the Academy of Finland (339391 and 346462 to L.K., 321336, 328818, and 352653 to Ti.R. and 310526 to Ta.R.). This study was also supported by funding from the Juho Vainio Foundation in Finland (Grant to A.L.).


Last updated on 2025-27-01 at 19:22