TY - JOUR PY - 2015// TI - Accelerometer-monitored sedentary behavior and observed physical function loss JO - American journal of public health A1 - Semanik, Pamela A. A1 - Lee, Jungwha A1 - Song, Jing A1 - Chang, Rowland W. A1 - Sohn, Min-Woong A1 - Ehrlich-Jones, Linda S. A1 - Ainsworth, Barbara E. A1 - Nevitt, Michael M. A1 - Kwoh, C. Kent A1 - Dunlop, Dorothy D. SP - 560 EP - 566 VL - 105 IS - 3 N2 - OBJECTIVEs. We examined whether objectively measured sedentary behavior is related to subsequent functional loss among community-dwelling adults with or at high risk for knee osteoarthritis.

METHODS. We analyzed longitudinal data (2008-2012) from 1659 Osteoarthritis Initiative participants aged 49 to 83 years in 4 cities. Baseline sedentary time was assessed by accelerometer monitoring. Functional loss (gait speed and chair stand testing) was regressed on baseline sedentary time and covariates (baseline function; socioeconomics [age, gender, race/ethnicity, income, education], health factors [obesity, depression, comorbidities, knee symptoms, knee osteoarthritis severity, prior knee injury, other lower extremity pain, smoking], and moderate-to-vigorous activity).

RESULTS. This cohort spent almost two thirds of their waking hours (average = 9.8 h) in sedentary behaviors. Sedentary time was significantly positively associated with subsequent functional loss in both gait speed (-1.66 ft/min decrease per 10% increment sedentary percentage waking hours) and chair stand rate (-0.75 repetitions/min decrease), controlling for covariates.

CONCLUSIONS. Being less sedentary was related to less future decline in function, independent of time spent in moderate-to-vigorous activity. Both limiting sedentary activities and promoting physical activity in adults with knee osteoarthritis may be important in maintaining function. (Am J Public Health. Published online ahead of print January 20, 2015: e1-e7. doi:10.2105/AJPH.2014.302270).

Language: en

LA - en SN - 0090-0036 UR - http://dx.doi.org/10.2105/AJPH.2014.302270 ID - ref1 ER -