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Associations of Mutually Exclusive Categories of Physical Activity and Sedentary Behavior with Body Composition and Fall Risk in Older Women: A Cross-Sectional Study

Author

Listed:
  • Renoa Choudhury

    (Department of Mechanical Engineering, University of Central Florida, Orlando, FL 32816, USA)

  • Joon-Hyuk Park

    (Department of Mechanical Engineering, University of Central Florida, Orlando, FL 32816, USA
    Disability, Aging and Technology Cluster, University of Central Florida, Orlando, FL 32816, USA)

  • Chitra Banarjee

    (College of Medicine, University of Central Florida, Orlando, FL 32816, USA)

  • Ladda Thiamwong

    (Disability, Aging and Technology Cluster, University of Central Florida, Orlando, FL 32816, USA
    College of Nursing, University of Central Florida, Orlando, FL 32816, USA)

  • Rui Xie

    (Department of Statistics and Data Science, University of Central Florida, Orlando, FL 32816, USA)

  • Jeffrey R. Stout

    (Disability, Aging and Technology Cluster, University of Central Florida, Orlando, FL 32816, USA
    School of Kinesiology and Physical Therapy, College of Health Professions and Sciences, University of Central Florida, Orlando, FL 32816, USA)

Abstract

The individual effects of physical activity (PA) and sedentary behavior (SB) on health are well-recognized. However, little is known about the extent to which different combinations of these behaviors are associated with body composition and fall risk in older adults. This cross-sectional study examined the associations of mutually exclusive categories of PA and SB with body composition and fall risk in older women. Accelerometer-measured PA, body composition and fall risk (static and dynamic balance) parameters were assessed among 94 community-dwelling older women. The participants were categorized into four groups: active-low sedentary, active-high sedentary, inactive-low sedentary and inactive-high sedentary (active: ≥150 min/week moderate-to-vigorous PA (MVPA); low sedentary: lowest tertile of SB and light PA ratio). Compared to the inactive-high sedentary group, more favorable body composition and dynamic balance results were found in the active-low sedentary (body fat mass index (BFMI): β = −4.37, p = 0.002; skeletal muscle mass index (SMI): β = 1.23, p = 0.017; appendicular lean mass index (ALMI): β = 1.89, p = 0.003; appendicular fat mass index (AFMI): β = −2.19, p = 0.003; sit-to-stand: β = 4.52, p = 0.014) and inactive-low sedentary (BFMI: β = −3.14, p = 0.007; SMI: β = 1.05, p = 0.014; AFMI: β = −1.74, p = 0.005, sit-to-stand: β = 3.28, p = 0.034) groups. Our results suggest that PA programs focusing on concurrently achieving sufficient MVPA and reduced SB might promote a healthy body composition and reduced fall risk among older adults.

Suggested Citation

  • Renoa Choudhury & Joon-Hyuk Park & Chitra Banarjee & Ladda Thiamwong & Rui Xie & Jeffrey R. Stout, 2023. "Associations of Mutually Exclusive Categories of Physical Activity and Sedentary Behavior with Body Composition and Fall Risk in Older Women: A Cross-Sectional Study," IJERPH, MDPI, vol. 20(4), pages 1-16, February.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:4:p:3595-:d:1072217
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    Cited by:

    1. Tho Nguyen & Ladda Thiamwong & Qian Lou & Rui Xie, 2024. "Unveiling Fall Triggers in Older Adults: A Machine Learning Graphical Model Analysis," Mathematics, MDPI, vol. 12(9), pages 1-18, April.

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