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Patterns of Sedentary Behavior among Older Adults in Care Facilities: A Scoping Review

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  • Kin-Chung Wilson Leung

    (Department of Sports Science and Physical Education, The Chinese University of Hong Kong (CUHK), Hong Kong, China)

  • Kim-Wai Raymond Sum

    (Department of Sports Science and Physical Education, The Chinese University of Hong Kong (CUHK), Hong Kong, China)

  • Yi-Jian Yang

    (Department of Sports Science and Physical Education, The Chinese University of Hong Kong (CUHK), Hong Kong, China
    CUHK Jockey Club Institute of Ageing, The Chinese University of Hong Kong, Hong Kong, China)

Abstract

Understanding the sedentary patterns can guide the design of strategies to engage older adults in physical activity. This scoping review aimed to synthesize available evidence on sedentary behaviors in care facilities. We searched PubMed/MEDLINE and Web of Science for studies published from inception through October 2020. Eighteen studies were included and reviewed according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. Data obtained were analyzed based on levels of care provided. Overall, daily sedentary time was higher among residents in high level care facilities (e.g., nursing homes) (11.6 h/day) than intermediate/mixed level care facilities (e.g., assisted living) (9.5 h/day). In intermediate/mixed level care facilities, television (TV) viewing was the most common sedentary activity (2.5–2.9 h/day; 26% of daily sedentary time), while napping was the most favorite sedentary activity (4.7 h/day; 36% of waking hours) in high level care facilities. Sex differences in daily patterns of sedentary behavior (sedentary time, uninterrupted bouts, and bout durations) were commonly observed in intermediate/mixed level care facilities, as exemplified by men being more sedentary by 0.7–1.1 h/day. In summary, this study highlights distinctive sedentary patterns among older adults residing in different levels of care facilities, addressing a pressing need for customized interventions to engage care facility residents in physical activity.

Suggested Citation

  • Kin-Chung Wilson Leung & Kim-Wai Raymond Sum & Yi-Jian Yang, 2021. "Patterns of Sedentary Behavior among Older Adults in Care Facilities: A Scoping Review," IJERPH, MDPI, vol. 18(5), pages 1-17, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:5:p:2710-:d:512599
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    References listed on IDEAS

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    1. Maria Giné-Garriga & Marlene Sandlund & Philippa M. Dall & Sebastien F. M. Chastin & Susana Pérez & Dawn A. Skelton, 2019. "A Novel Approach to Reduce Sedentary Behaviour in Care Home Residents: The GET READY Study Utilising Service-Learning and Co-Creation," IJERPH, MDPI, vol. 16(3), pages 1-14, February.
    2. Maria Giné-Garriga & Philippa M. Dall & Marlene Sandlund & Javier Jerez-Roig & Sebastien F. M. Chastin & Dawn A. Skelton, 2020. "A Pilot Randomised Clinical Trial of a Novel Approach to Reduce Sedentary Behaviour in Care Home Residents: Feasibility and Preliminary Effects of the GET READY Study," IJERPH, MDPI, vol. 17(8), pages 1-18, April.
    3. Natasha Reid & Elizabeth Eakin & Timothy Henwood & Justin W. L. Keogh & Hugh E. Senior & Paul A. Gardiner & Elisabeth Winkler & Genevieve N. Healy, 2013. "Objectively Measured Activity Patterns among Adults in Residential Aged Care," IJERPH, MDPI, vol. 10(12), pages 1-16, December.
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    1. Ivana Crnković & Karmen Lončarek & Danica Železnik & Sanja Ledinski Fičko & Tomislav Vlahović & Robert Režan & Goran Knežević, 2023. "Relationships between Physical Activity and Selected Chronic Diseases among Functionally Independent Long-Term Care Residents during the Post-Lockdown Period in Croatia," IJERPH, MDPI, vol. 20(13), pages 1-13, July.

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