Breaking sedentary time predicts future frailty in inactive older adults : A cross-lagged panel model

Journal article

Mañas, Asier, del Pozo-Cruz, Borja, Rodríguez-Gómez, Irene, Losa-Reyna, José, Júdice, Pedro B., Sardinha, Luís B., Rodríguez-Mañas, Leocadio, García-García, Francisco J. and Ara, Ignacio. (2021). Breaking sedentary time predicts future frailty in inactive older adults : A cross-lagged panel model. The Journals of Gerontology: Series A. 76(5), pp. 893-900. https://doi.org/10.1093/gerona/glaa159
AuthorsMañas, Asier, del Pozo-Cruz, Borja, Rodríguez-Gómez, Irene, Losa-Reyna, José, Júdice, Pedro B., Sardinha, Luís B., Rodríguez-Mañas, Leocadio, García-García, Francisco J. and Ara, Ignacio
Abstract

Background
Cross-sectional evidence exists on the beneficial effects of breaks in sedentary time (BST) on frailty in older adults. Nonetheless, the longitudinal nature of these associations is unknown. This study aimed to investigate the direction and temporal order of the association between accelerometer-derived BST and frailty over time in older adults.

Methods
This longitudinal study analyzed a total of 186 older adults aged 67–90 (76.7 ± 3.9 years; 52.7% females) from the Toledo Study for Healthy Aging over a 4-year period. Number of daily BST was measured by accelerometry. Frailty was assessed with the Frailty Trait Scale. Multiple cross-lagged panel models were used to test the temporal and reciprocal relationship between BST and frailty.

Results
For those physically inactive (n = 126), our analyses revealed a reciprocal inverse relationship between BST and frailty, such as higher initial BST predicted lower levels of later frailty (standardized regression coefficient [β] = −0.150, 95% confidence interval [CI] = −0.281, −0.018; p < .05); as well as initial lower frailty levels predicted higher future BST (β = −0.161, 95% CI = −0.310, −0.011; p < .05). Conversely, no significant pathway was found in the active participants (n = 60).

Conclusions
In physically inactive older adults, the relationship between BST and frailty is bidirectional, while in active individuals no associations were found. This investigation provides preliminary longitudinal evidence that breaking-up sedentary time more often reduces frailty in those older adults who do not meet physical activity recommendations. Targeting frequent BST may bring a feasible approach to decrease the burden of frailty among more at-risk inactive older adults.

Keywordsaging; functioning and disability; longitudinal; sedentary time; structural equation modeling
Year2021
JournalThe Journals of Gerontology: Series A
Journal citation76 (5), pp. 893-900
PublisherOxford University Press
ISSN1758-535X
Digital Object Identifier (DOI)https://doi.org/10.1093/gerona/glaa159
Scopus EID2-s2.0-85106069278
Research or scholarlyResearch
Page range893-900
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online27 Jun 2020
Publication process dates
Deposited09 Nov 2021
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Lucy MacFarlane, Glynn Owens and Borja del Pozo Cruz. (2016). Identifying the features of an exercise addiction: A Delphi study. Journal of Behavioral Addictions. 5(3), pp. 474-484. https://doi.org/10.1556/2006.5.2016.060
Assessing the 'active couch potato' phenomenon in cardiac rehabilitation: Rationale and study protocol
Freene, Nicole, del Pozo Cruz, Borja and Davey, Rachel. (2016). Assessing the 'active couch potato' phenomenon in cardiac rehabilitation: Rationale and study protocol. BMC Health Services Research. 16(1), pp. 1 - 6. https://doi.org/10.1186/s12913-016-1313-x
Factors associated with the risk of falls of nursing home residents aged 80 or older
Barbosa, Francisco Álvarez, del Pozo-Cruz, Borja, del Pozo-Cruz, Jesús, Alfonso-Rosa, Rosa M., Corrales, Borja Sañudo and Rogers, Michael E.. (2016). Factors associated with the risk of falls of nursing home residents aged 80 or older. Rehabilitation Nursing. 41(1), pp. 16 - 25. https://doi.org/10.1002/rnj.229
Validation of a video analysis software package for quantifying movement velocity in resistance exercises
Sañudo, Borja, Rueda, David, del Pozo-Cruz, Borja, De Hoyo, Moisés and Carrasco, Luis. (2016). Validation of a video analysis software package for quantifying movement velocity in resistance exercises. Journal of Strength and Conditioning Research. 30(10), pp. 2934 - 2941. https://doi.org/10.1519/JSC.0000000000000563
Cost-utility analysis of a 12-week whole-body vibration based treatment for people with type 2 diabetes: Reanalysis of a RCT in a primary care context
Alfonso-Rosa, Rosa M., del Pozo-Cruz, Jesús, del Pozo Cruz, Borja, Sañudo, Borja and Abellán-Perpiñán, Jose M.. (2015). Cost-utility analysis of a 12-week whole-body vibration based treatment for people with type 2 diabetes: Reanalysis of a RCT in a primary care context. Public Health. 129(7), pp. 993 - 995. https://doi.org/10.1016/j.puhe.2015.02.025
Long-term dynamics in physical activity behaviour across the transition to parenthood
Perales, Francisco, del Pozo-Cruz, Jesús and del Pozo-Cruz, Borja. (2015). Long-term dynamics in physical activity behaviour across the transition to parenthood. International Journal of Public Health. 60(3), pp. 301 - 308. https://doi.org/10.1007/s00038-015-0653-3
Effects of whole-body vibration therapy in patients with fibromyalgia: A systematic literature review
Collado-Mateo, Daniel, Adsuar, Jose C., Olivares, Pedro R., del Pozo-Cruz, Borja, Parraca, Jose A., del Pozo-Cruz, Jesús and Gusi, Narcis. (2015). Effects of whole-body vibration therapy in patients with fibromyalgia: A systematic literature review. Evidence-Based Complementary and Alternative Medicine. 2015, pp. 1 - 11. https://doi.org/10.1155/2015/719082
Reliability of spirometric tests during the different menstrual cycle phases in healthy women
Timon, Rafael, Ramirez-Balas, Almudena, Adsuar, Jose C., del Pozo-Cruz, Borja and Maynar, Marcos. (2014). Reliability of spirometric tests during the different menstrual cycle phases in healthy women. Iranian Journal of Public Health. 43(7), pp. 1009 - 1010.
Effects of a 12-wk whole-body vibration based intervention to improve type 2 diabetes
del Pozo-Cruz, Borja, Alfonso-Rosa, Rosa M., del Pozo-Cruz, Jesús, Sañudo, Borja and Rogers, Michael E.. (2014). Effects of a 12-wk whole-body vibration based intervention to improve type 2 diabetes. Maturitas. 77(1), pp. 52 - 58. https://doi.org/10.1016/j.maturitas.2013.09.005
Relationship between functional capacity and body mass index with plasma coenzyme Q10 and oxidative damage in community-dwelling elderly-people
del Pozo-Cruz, Jesús, Rodríguez-Bies, Elizabeth, Navas-Enamorado, Ignacio, del Pozo-Cruz, Borja, Navas, Plácido and López-Lluch, Guillermo. (2014). Relationship between functional capacity and body mass index with plasma coenzyme Q10 and oxidative damage in community-dwelling elderly-people. Experimental Gerontology. 52, pp. 46 - 54. https://doi.org/10.1016/j.exger.2014.01.026
Reliability of spirometric tests during the different menstrual cycle phases in healthy women
Timon, Rafael, Ramirez-Balas, Almudena, Adsuar, Jose C., del Pozo-Cruz, Borja and Maynar, Marcos. (2014). Reliability of spirometric tests during the different menstrual cycle phases in healthy women. Iranian Journal of Public Health. 43(7), pp. 1009 - 1010.
On the associations between physical activity and quality of life: Findings from an Australian nationally representative panel survey
Perales, Francisco, del Pozo-Cruz, Jose, del Pozo-Cruz, Jesus and del Pozo Cruz, Borja. (2014). On the associations between physical activity and quality of life: Findings from an Australian nationally representative panel survey. Quality of Life Research. 23(7), pp. 1921 - 1933. https://doi.org/10.1007/s11136-014-0645-4
Fiabilidad de un test isométrico de rodilla en mujeres con fibromialgia mediante test-retest de 12 semanas (Reliability of an isometric knee test in women with fibromialgia using 12-week test-revisit)
Olivares, Pedro R., Perez-Sousa, Miguel A., del Pozo Cruz, Borja, Delgado-Gil, Serafin, Domínguez-Muñoz, Francisco Javier and Parraca, Jose A.. (2014). Fiabilidad de un test isométrico de rodilla en mujeres con fibromialgia mediante test-retest de 12 semanas (Reliability of an isometric knee test in women with fibromialgia using 12-week test-revisit). Revista Colombiana de Reumatologia. 21(2), pp. 70 - 75. https://doi.org/10.1016/S0121-8123(14)70151-3
Test-retest reliability and minimal detectable change scores for fitness assessment in older adults with type 2 diabetes
Alfonso-Rosa, Rosa M., del Pozo Cruz, Borja, Del Pozo-Cruz, Jesús, Corrales, Borja Sañudo and Rogers, Michael E.. (2014). Test-retest reliability and minimal detectable change scores for fitness assessment in older adults with type 2 diabetes. Rehabilitation Nursing. 39(5), pp. 260 - 268. https://doi.org/10.1002/rnj.111
Effects of supervised whole body vibration exercise on fall risk factors, functional dependence and health-related quality of life in nursing home residents aged 80+
Álvarez-Barbosa, Francisco, del Pozo-Cruz, Jesús, del Pozo-Cruz, Borja, Alfonso-Rosa, Rosa M., Rogers, Michael E. and Zhang, Yanxin. (2014). Effects of supervised whole body vibration exercise on fall risk factors, functional dependence and health-related quality of life in nursing home residents aged 80+. Maturitas. 79(4), pp. 456 - 463. https://doi.org/10.1016/j.maturitas.2014.09.010
Impact of physical activity on psychological distress: A prospective analysis of an Australian national sample
Perales, Francisco, del Pozo-Cruz, Jesús and del Pozo-Cruz, Borja. (2014). Impact of physical activity on psychological distress: A prospective analysis of an Australian national sample. American Journal of Public Health. 104(12), pp. e91 - e97. https://doi.org/10.2105/AJPH.2014.302169
Reliability and validity of lumbar and abdominal trunk muscle endurance tests in office workers with nonspecific subacute low back pain
del Pozo-Cruz, Borja, Hernandez-Mocholi, Miguel H., del Pozo-Cruz, Jesús, Parraca, Jose A., Adsuar, Jose C. and Gusi, Narcis. (2014). Reliability and validity of lumbar and abdominal trunk muscle endurance tests in office workers with nonspecific subacute low back pain. Journal of Back and Musculoskeletal Rehabilitation. 27(4), pp. 399 - 408. https://doi.org/10.3233/BMR-140460
Validation and comparison of 15-D and EQ-5D-5L instruments in a Spanish Parkinson's disease population sample
García-Gordillo, Miguel Ángel, del Pozo-Cruz, Borja, Adsuar, José Carmelo, Sánchez-Martínez, Fernando Ignacio and Abellán-Perpiñán, Jose María. (2014). Validation and comparison of 15-D and EQ-5D-5L instruments in a Spanish Parkinson's disease population sample. Quality of Life Research. 23(4), pp. 1315 - 1326. https://doi.org/10.1007/s11136-013-0569-4
The relationship between nutritional status, functional capacity, and health-related quality of life in older adults with type 2 diabetes: A pilot explanatory study
Alfonso-Rosa, Rosa M., del Pozo Cruz, Borja, del Pozo-Cruz, Jesús, del Pozo-Cruz, Jose and Sañudo, Borja. (2013). The relationship between nutritional status, functional capacity, and health-related quality of life in older adults with type 2 diabetes: A pilot explanatory study. Journal of Nutrition, Health and Aging. 17(4), pp. 315 - 321. https://doi.org/10.1007/s12603-013-0028-5
Clinical effects of a nine-month web-based intervention in subacute non-specific low back pain patients: A randomized controlled trial
del Pozo-Cruz, Borja, Gusi, Narcis, del Pozo-Cruz, Jesús, Adsuar, Jose C., Hernandez-Mocholí, Miguel and Parraca, Jose A.. (2013). Clinical effects of a nine-month web-based intervention in subacute non-specific low back pain patients: A randomized controlled trial. Clinical Rehabilitation. 27(1), pp. 28 - 39. https://doi.org/10.1177/0269215512444632
Reanalysis of a tailored web-based exercise programme for office workers with sub-acute low back pain: Assessing the stage of change in behaviour
del Pozo Cruz, Borja, del Pozo-Cruz, Jesús, Adsuar, Jose C., Parraca, Jose A. and Gusi, Narcis. (2013). Reanalysis of a tailored web-based exercise programme for office workers with sub-acute low back pain: Assessing the stage of change in behaviour. Psychology, Health & Medicine. 18(6), pp. 687 - 697. https://doi.org/10.1080/13548506.2013.765019
A primary care–based randomized controlled trial of 12-week whole-body vibration for balance improvement in type 2 diabetes mellitus
del Pozo-Cruz, Jesús, Alfonso-Rosa, Rosa M., Ugia, José L., McVeigh, Joseph G., del Pozo-Cruz, Borja and Sañudo, Borja. (2013). A primary care–based randomized controlled trial of 12-week whole-body vibration for balance improvement in type 2 diabetes mellitus. Archives of Physical Medicine and Rehabilitation. 94(11), pp. 2112 - 2118. https://doi.org/10.1016/j.apmr.2013.05.030
Whole body vibration training improves leg blood flow and adiposity in patients with type 2 diabetes mellitus
Sañudo, Borja, Alfonso-Rosa, Rosa M., del Pozo-Cruz, Borja, del Pozo-Cruz, Jesús, Galiano, Delfín and Figueroa, Arturo. (2013). Whole body vibration training improves leg blood flow and adiposity in patients with type 2 diabetes mellitus. European Journal of Applied Physiology. 113(9), pp. 2245 - 2252. https://doi.org/10.1007/s00421-013-2654-3
Musculoskeletal fitness and health-related quality of life characteristics among sedentary office workers affected by sub-acute, non-specific low back pain: A cross-sectional study
del Pozo Cruz, Borja, Gusi, Narcis, Adsuar, Jose C., del Pozo-Cruz, Jesús, Parraca, Jose A. and Hernandez-Mocholí, M.. (2013). Musculoskeletal fitness and health-related quality of life characteristics among sedentary office workers affected by sub-acute, non-specific low back pain: A cross-sectional study. Physiotherapy. 99(3), pp. 194 - 200. https://doi.org/10.1016/j.physio.2012.06.006
Using whole-body vibration training in patients affected with common neurological diseases: A systematic literature review
del Pozo-Cruz, Borja, Adsuar, Jose C., Parraca, Jose A., del Pozo-Cruz, Jesús, Olivares, Pedro R. and Gusi, Narcis. (2012). Using whole-body vibration training in patients affected with common neurological diseases: A systematic literature review. Journal of Alternative & Complementary Medicine. 18(1), pp. 29 - 41. https://doi.org/10.1089/acm.2010.0691
An occupational, internet-based intervention to prevent chronicity in subacute lower back pain: A randomized controlled trial
del Pozo Cruz, Borja, Parraca, Jose A., del Pozo-Cruz, Jesús, Adsuar, Jose C., Hill, Jonathan C. and Gusi, Narcis. (2012). An occupational, internet-based intervention to prevent chronicity in subacute lower back pain: A randomized controlled trial. Journal of Rehabilitation Medicine. 44(7), pp. 581 - 587. https://doi.org/10.2340/16501977-0988
A Web-Based Intervention to Improve and Prevent low back pain among office workers: A randomized controlled trial
del Pozo Cruz, Borja, Adsuar, Jose C., Parraca, Jose A., del Pozo-Cruz, Jesus, Moreno, Antonio and Gusi, Narcis. (2012). A Web-Based Intervention to Improve and Prevent low back pain among office workers: A randomized controlled trial. Journal of Orthopaedic and Sports Physical Therapy. 42(10), pp. 831 - 841. https://doi.org/10.2519/jospt.2012.3980
Balance training reduces fear of falling and improves dynamic balance and isometric strength in institutionalised older people: A randomised trial
Gusi, Narcis, Adsuar, Jose Carmelo, Corzo, Héctor, del Pozo Cruz, Borja, Olivares, Pedro R. and Parraca, Jose A.. (2012). Balance training reduces fear of falling and improves dynamic balance and isometric strength in institutionalised older people: A randomised trial. Journal of Physiotherapy. 58(2), pp. 97 - 104. https://doi.org/10.1016/S1836-9553(12)70089-9
Whole body vibration improves the single-leg stance static balance in women with fibromyalgia: a randomized controlled trial
Adsuar, Jose C., del Pozo Cruz, Borja, Parraca, Jose A., Olivares, Pedro R. and Gusi, Narcis. (2012). Whole body vibration improves the single-leg stance static balance in women with fibromyalgia: a randomized controlled trial. The Journal of Sports Medicine and Physical Fitness. 52(1), pp. 85 - 91.
Test-retest reliability of isometric and isokinetic knee extension and flexion in patients with fibromyalgia: Evaluation of the smallest real difference
Adsuar, Jose C., Olivares, Pedro R., del Pozo-Cruz, Borja, Parraca, Jose A. and Gusi, Narcis. (2011). Test-retest reliability of isometric and isokinetic knee extension and flexion in patients with fibromyalgia: Evaluation of the smallest real difference. Archives of Physical Medicine and Rehabilitation. 92(10), pp. 1646 - 1651. https://doi.org/10.1016/j.apmr.2011.04.017
Tilting whole body vibration improves quality of life in women with fibromyalgia: A randomized controlled trial
Olivares, Pedro R., Gusi, Narcis, Parraca, Jose A., Adsuar, Jose C. and del Pozo-Cruz, Borja. (2011). Tilting whole body vibration improves quality of life in women with fibromyalgia: A randomized controlled trial. Journal of Alternative & Complementary Medicine. 17(8), pp. 723 - 728. https://doi.org/10.1089/acm.2010.0296
The Spanish version of the "STarT Back Screening Tool" (SBST) in different subgroups
Gusi, Narcís, del Pozo-Cruz, Borja, Olivares, Pedro R., Hernández-Mocholi, Miguel and Hill, Jonathan C.. (2011). The Spanish version of the "STarT Back Screening Tool" (SBST) in different subgroups. Atención Primaria. 43(7), pp. 356 - 361. https://doi.org/10.1016/j.aprim.2010.05.019
Effects of whole body vibration therapy on main outcome measures for chronic non-specific low back pain: A single-blind randomized controlled trial
del Pozo-Cruz, Borja, Hernández Mocholí, Miguel A., Adsuar, Jose C., Parraca, Jose A., Muro, Inmaculada and Gusi, Narcis. (2011). Effects of whole body vibration therapy on main outcome measures for chronic non-specific low back pain: A single-blind randomized controlled trial. Journal of Rehabilitation Medicine. 43(8), pp. 689 - 694. https://doi.org/10.2340/16501977-0830