6533b86cfe1ef96bd12c8b70
RESEARCH PRODUCT
Sedentary behavior and perceived stress among adults aged ≥50 years in six low- and middle-income countries.
Brendon StubbsNicola VeroneseLee SmithDavy VancampfortFelipe Barreto SchuchJoseph FirthGarcia Ashdown-franksGarcia Ashdown-franksAi Koyanagisubject
MaleInternationalityPerceived Stress ScaleGeneral Biochemistry Genetics and Molecular Biology03 medical and health sciences0302 clinical medicineNegatively associatedStress (linguistics)Sedentary behavior perceived stress health mental health low- and middleincome countries physical activityMedicineHumans030212 general & internal medicineDeveloping CountriesAgedLow- and middle-income countriesMultivariable linear regressionbusiness.industryPhysical activityConfoundingObstetrics and GynecologyPerceived stressSedentary behaviorMiddle AgedMental healthSedentary behaviorSocioeconomic FactorsLow and middle income countriesHealthRegression AnalysisMental healthFemalePerceptionSelf ReportSedentary Behaviorbusiness030217 neurology & neurosurgeryStress PsychologicalDemographydescription
Background:\ud Sedentary behavior and perceived stress are both negatively associated with physical and mental health. Little is known about the association between sedentary behavior and \ud perceived stress, and there is a particular paucity of data on people aged ≥50 years from low- and middle-income countries (LMICs). \ud Methods:\ud We analyzed cross-sectional, community-based data from 34,129 individuals aged ≥50 years [mean age 62.4 (SD=16.0) years, 52% females] from six LMICs. Perceived stress was assessed using the Perceived Stress Scale and time spent sedentary per day was self-reported. Multivariable linear regression analyses were conducted, adjusting for important socio economic and physical and mental health-related confounders. \ud Results:\ud The mean perceived stress score increased with greater sedentary time (38.4 for 0-<4 h/day to 54.2 for ≥11 h/day). In the fully adjusted model, 4-8, 8-11, and ≥11 h/day of sedentary behavior (SB) were associated with 1.97 (95%CI=0.57-3.36), 7.11 (95%CI=4.96-9.27), and 9.02 (95%CI=5.45-12.59) times higher mean perceived stress scores, compared with 0-<4 h/day. Greater time spent sedentary was associated with higher perceived stress scores in all six countries, although the association in Mexico fell short of statistical significance. \ud Conclusion:\ud This is the first multinational analysis to show that a greater amount of sedentary behavior is associated with higher levels of perceived stress among older adults in LMICs. Future research may examine the types and contexts of sedentary behavior, and explore the underlying mechanisms of the relationship.
year | journal | country | edition | language |
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2018-10-01 | Maturitas |