Skip to main content

Advertisement

SpringerLink
Log in

Does fitness attenuate the relationship between changes in sitting time and health-related quality of life over time in community-dwelling older adults? Evidence from the EXERNET multicenter longitudinal study

  • Published:
Quality of Life Research Aims and scope Submit manuscript

Abstract

Objective

To assess the relationship between fitness levels and components, sitting time and health-related quality of life (HRQoL), over time among community-dwelling older adults.

Methods

Three different sitting trajectories were calculated: (i) no change; (ii) decrease; and (iii) increase in ST, between baseline and follow-up. Fitness was assessed using the aerobic capacity, upper and lower limb strength, and total fitness. Participants were classified into higher (75th percentile or above) or lower (below 75th percentile) fitness levels, using the fitness tests. HRQoL scores at follow-up were compared to the three different sitting time trajectories within and across both the higher and the lower fitness groups for each of the three fitness indexes.

Results

Greater HRQoL scores were observed in those participants that decreased their ST as compared with those increasing their sitting time over time for participants classified in the lower end of their aerobic capacity or total fitness index. No differences were detected in HRQoL scores in people classified in the higher fitness level group for any of the fitness indexes. Participants that increased or did not change their sitting time and who were classified in the higher fitness end of aerobic capacity and total fitness index self-reported higher HRQoL scores when compared with those in the lower fitness end.

Conclusion

Increased sitting time over time is associated with poorer HRQoL in older adults. Higher fitness levels could help attenuate the negative impact of sitting over time.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Huber, M., Knottnerus, J. A., Green, L., van der Horst, H., Jadad, A. R., Kromhout, D., et al. (2011). How should we define health? BMJ: British Medical Journal,343, d4163.

    Article  Google Scholar 

  2. Tisminetzky, M., Bayliss, E. A., Magaziner, J. S., Allore, H. G., Anzuoni, K., Boyd, C. M., et al. (2017). Research priorities to advance the health and health care of older adults with multiple chronic conditions,65(7), 1549–1553.

    Google Scholar 

  3. Riviere, D. (2016). Promoting exercise and sports activities among the elderly. Soins Gerontologie,21(120), 12–14.

    Article  Google Scholar 

  4. Carver, L. F., & Buchanan, D. (2016). Successful aging: Considering non-biomedical constructs. Clinical Interventions in Aging,11, 1623–1630.

    Article  Google Scholar 

  5. Santos, D. A., Silva, A. M., Baptista, F., Santos, R., Vale, S., Mota, J., et al. (2012). Sedentary behavior and physical activity are independently related to functional fitness in older adults. Experimental Gerontology,47(12), 908–912.

    Article  Google Scholar 

  6. Munoz-Arribas, A., Vila-Maldonado, S., Pedrero-Chamizo, R., Espino, L., Gusi, N., Villa, G., et al. (2014). Physical fitness evolution in octogenarian population and its relationship with a sedentary lifestyle. Nutricion Hospitalaria,29(4), 894–900.

    PubMed  Google Scholar 

  7. Beauchamp, M. K., Lee, A., Ward, R. F., Harrison, S. M., Bain, P. A., Goldstein, R. S., et al. (2017). Do exercise interventions improve participation in life roles in older adults? A systematic review and meta-analysis. Physical Therapy,97(10), 964–974.

    Article  Google Scholar 

  8. Choi, M., Prieto-Merino, D., Dale, C., Nuesch, E., Amuzu, A., Bowling, A., et al. (2013). Effect of changes in moderate or vigorous physical activity on changes in health-related quality of life of elderly British women over seven years. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation,22(8), 2011–2020.

    Article  Google Scholar 

  9. Taguchi, N., Higaki, Y., Inoue, S., Kimura, H., & Tanaka, K. (2010). Effects of a 12-month multicomponent exercise program on physical performance, daily physical activity, and quality of life in very elderly people with minor disabilities: An intervention study. Journal of Epidemiology,20(1), 21–29.

    Article  Google Scholar 

  10. Gusi, N., Hernandez-Mocholi, M. A., & Olivares, P. R. (2015). Changes in HRQoL after 12 months of exercise linked to primary care are associated with fitness effects in older adults. European Journal of Public Health,25(5), 873–879.

    Article  Google Scholar 

  11. Moratalla-Cecilia, N., Soriano-Maldonado, A., Ruiz-Cabello, P., Fernandez, M. M., Gregorio-Arenas, E., Aranda, P., et al. (2016). Association of physical fitness with health-related quality of life in early postmenopause. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation,25(10), 2675–2681.

    Article  CAS  Google Scholar 

  12. Bray, N. W., Smart, R. R., Jakobi, J. M., & Jones, G. R. (2016). Exercise prescription to reverse frailty. Applied Physiology, Nutrition and Metabolism,41(10), 1112–1116.

    Article  Google Scholar 

  13. Pedrero-Chamizo, R., Gomez-Cabello, A., Delgado, S., Rodriguez-Llarena, S., Rodriguez-Marroyo, J. A., Cabanillas, E., et al. (2012). Physical fitness levels among independent non-institutionalized Spanish elderly: The elderly EXERNET multi-center study. Archives of Gerontology and Geriatrics,55(2), 406–416.

    Article  CAS  Google Scholar 

  14. Joseph, J. J., Echouffo-Tcheugui, J. B., Golden, S. H., Chen, H., Jenny, N. S., Carnethon, M. R., et al. (2016). Physical activity, sedentary behaviors and the incidence of type 2 diabetes mellitus: The Multi-Ethnic Study of Atherosclerosis (MESA). BMJ Open Diabetes Research & Care,4(1), e000185.

    Article  Google Scholar 

  15. Despres, J. P. (2016). Physical activity, sedentary behaviours, and cardiovascular health: When will cardiorespiratory fitness become a vital sign? The Canadian Journal of Cardiology,32(4), 505–513.

    Article  Google Scholar 

  16. van Roekel, E. H., Winkler, E. A., Bours, M. J., Lynch, B. M., Willems, P. J., Meijer, K., et al. (2016). Associations of sedentary time and patterns of sedentary time accumulation with health-related quality of life in colorectal cancer survivors. Preventive Medicine Reports,4, 262–269.

    Article  Google Scholar 

  17. Sardinha, L. B., Magalhaes, J. P., Santos, D. A., & Judice, P. B. (2017). Sedentary patterns, physical activity, and cardiorespiratory fitness in association to glycemic control in type 2 diabetes patients. Frontiers in Physiology,8, 262.

    Article  Google Scholar 

  18. Ekblom-Bak, E., Ekblom, O., Bolam, K. A., Ekblom, B., Bergstrom, G., & Borjesson, M. (2016). SCAPIS pilot study: Sitness, fitness and fatness—Is sedentary time substitution by physical activity equally important for everyone’s markers of glucose regulation? Journal of Physical Activity and Health,13(7), 697–703.

    Article  Google Scholar 

  19. Gomez-Cabello, A., Pedrero-Chamizo, R., Olivares, P. R., Luzardo, L., Juez-Bengoechea, A., Mata, E., et al. (2011). Prevalence of overweight and obesity in non-institutionalized people aged 65 or over from Spain: The elderly EXERNET multi-centre study. Obesity Reviews: An Official Journal of the International Association for the Study of Obesity,12(8), 583–592.

    Article  CAS  Google Scholar 

  20. EuroQol. (1990). A new facility for the measurement of health-related quality of life. Health Policy (Amsterdam, Netherlands),16(3), 199–208.

    Article  Google Scholar 

  21. Lopez-Rodriguez, C., Laguna, M., Gomez-Cabello, A., Gusi, N., Espino, L., Villa, G., et al. (2017). Validation of the self-report EXERNET questionnaire for measuring physical activity and sedentary behavior in elderly. Archives of Gerontology and Geriatrics,69, 156–161.

    Article  Google Scholar 

  22. van der Ploeg, H. P., Chey, T., Korda, R. J., Banks, E., & Bauman, A. (2012). Sitting time and all-cause mortality risk in 222 497 Australian adults. Archives of Internal Medicine,172(6), 494–500.

    Article  Google Scholar 

  23. Rikli, R. E. (2000). Reliability, validity, and methodological issues in assessing physical activity in older adults. Research Quarterly for Exercise and Sport,71(2 Suppl), S89–S96.

    Article  CAS  Google Scholar 

  24. Rebar, A. L., Duncan, M. J., Short, C., & Vandelanotte, C. (2014). Differences in health-related quality of life between three clusters of physical activity, sitting time, depression, anxiety, and stress. BMC Public Health,14, 1088.

    Article  Google Scholar 

  25. Balboa-Castillo, T., Leon-Munoz, L. M., Graciani, A., Rodriguez-Artalejo, F., & Guallar-Castillon, P. (2011). Longitudinal association of physical activity and sedentary behavior during leisure time with health-related quality of life in community-dwelling older adults. Health and Quality of Life Outcomes,9, 47.

    Article  Google Scholar 

  26. Rosenkranz, R. R., Duncan, M. J., Rosenkranz, S. K., & Kolt, G. S. (2013). Active lifestyles related to excellent self-rated health and quality of life: Cross sectional findings from 194,545 participants in The 45 and Up Study. BMC Public Health,13, 1071.

    Article  Google Scholar 

  27. Bampton, E. A., Johnson, S. T., & Vallance, J. K. (2015). Profiles of resistance training behavior and sedentary time among older adults: Associations with health-related quality of life and psychosocial health. Preventive Medicine Reports,2, 773–776.

    Article  Google Scholar 

  28. Omorou, A. Y., Vuillemin, A., Menai, M., Latarche, C., Kesse-Guyot, E., Galan, P., et al. (2016). 10-year cumulative and bidirectional associations of domain-specific physical activity and sedentary behaviour with health-related quality of life in French adults: Results from the SU.VI.MAX studies. Preventive Medicine,88, 66–72.

    Article  Google Scholar 

  29. Bellettiere, J., Winkler, E. A. H., Chastin, S. F. M., Kerr, J., Owen, N., Dunstan, D. W., et al. (2017). Associations of sitting accumulation patterns with cardio-metabolic risk biomarkers in Australian adults. PLoS ONE,12(6), e0180119.

    Article  Google Scholar 

  30. Ingle, L., Mellis, M., Brodie, D., & Sandercock, G. R. (2017). Associations between cardiorespiratory fitness and the metabolic syndrome in British men. Heart (British Cardiac Society),103(7), 524–528.

    Google Scholar 

  31. Loprinzi, P. D. (2015). Joint associations of objectively-measured sedentary behavior and physical activity with health-related quality of life. Preventive Medicine Reports,2, 959–961.

    Article  Google Scholar 

  32. Bouaziz, W., Vogel, T., Schmitt, E., Kaltenbach, G., Geny, B., & Lang, P. O. (2017). Health benefits of aerobic training programs in adults aged 70 or over: A systematic review. Presse Medicale (Paris, France: 1983),46(9), 794–807.

    Article  Google Scholar 

  33. De Mello, M. T., de Aquino Lemos, V., Antunes, H. K., Bittencourt, L., Santos-Silva, R., & Tufik, S. (2013). Relationship between physical activity and depression and anxiety symptoms: A population study. Journal of Affective Disorders,149(1–3), 241–246.

    Article  Google Scholar 

  34. Favejee, M. M., van den Berg, L. E., Kruijshaar, M. E., Wens, S. C., Praet, S. F., Pim Pijnappel, W. W., et al. (2015). Exercise training in adults with Pompe disease: The effects on pain, fatigue, and functioning. Archives of Physical Medicine and Rehabilitation,96(5), 817–822.

    Article  Google Scholar 

  35. Soer, R., Reneman, M. F., Speijer, B. L., Coppes, M. H., & Vroomen, P. C. (2012). Clinimetric properties of the EuroQol-5D in patients with chronic low back pain. The Spine Journal: Official Journal of the North American Spine Society,12(11), 1035–1039.

    Article  Google Scholar 

  36. Goldsmith, K. A., Dyer, M. T., Schofield, P. M., Buxton, M. J., & Sharples, L. D. (2009). Relationship between the EQ-5D index and measures of clinical outcomes in selected studies of cardiovascular interventions. Health and Quality of Life Outcomes,7, 96.

    Article  Google Scholar 

  37. Kim, J., Im, J. S., & Choi, Y. H. (2017). Objectively measured sedentary behavior and moderate-to-vigorous physical activity on the health-related quality of life in US adults: The National Health and Nutrition Examination Survey 2003-2006. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation,26(5), 1315–1326.

    Article  Google Scholar 

  38. Owen, N., Healy, G. N., Matthews, C. E., & Dunstan, D. W. (2010). Too much sitting: the population health science of sedentary behavior. Exercise and Sport Sciences Reviews,38(3), 105–113.

    Article  Google Scholar 

  39. Owen, N. (2012). Sedentary behavior: Understanding and influencing adults’ prolonged sitting time. Preventive Medicine,55(6), 535–539.

    Article  Google Scholar 

Download references

Funding

This study was supported by funds from the IMSERSO (Grant Nos. 104/07 and 147/11), by the Ministerio de Economía y Competitividad of the Government of Spain (Grant Number (DEP2016-78309-R) (MINECO/FEDER, EU), by the Biomedical Research Networking Center for Physiopathology of Obesity and Nutrition (CIBEROBN- CB12/03/30038), by the Biomedical Research Networking Center on Frailty and Healthy Aging (CIBERFES), by the Ministerio de Educación y Ciencia (Red EXERNET DEP2005-00046), and FEDER funds from the European Union (CB16/10/00477). In addition, MMG has received a PhD. grant from the Ministerio de Educación, Cultura y Deporte, Spain (AP2010-5476).

Author information

Author notes

    Authors and Affiliations

    1. ImFINE Research Group, Department of Health and Human Performance, Universidad Politécnica de Madrid, Madrid, Spain

      O. López-Torres, B. Maroto-Sánchez, M. González-Gross & R. Pedrero-Chamizo

    2. Motivation and Behaviour Program, Institute for Positive Psychology and Education, Australian Catholic University, Sydney, Australia

      B. del Pozo-Cruz

    3. GENUD Toledo Research Group, Universidad de Castilla-La Mancha, Toledo, Spain

      S. Vila-Maldonado, M. Martín-García & I. Ara

    4. CIBER of Frailty and Healthy Aging (CIBERFES), Madrid, Spain

      S. Vila-Maldonado, A. Gómez-Cabello, N. Gusi, L. Espino & I. Ara

    5. Centro Universitario de la Defensa, Zaragoza, Spain

      A. Gómez-Cabello

    6. GENUD (Growth, Exercise, Nutrition and Development) Research Group, Universidad de Zaragoza, Zaragoza, Spain

      A. Gómez-Cabello, A. González-Agüero & J. A. Casajús

    7. Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain

      A. Gómez-Cabello, A. González-Agüero & J. A. Casajús

    8. CIBEROBN, Biomedical Research Networking Center for Physiopathology of Obesity and Nutrition, Carlos III Health Institute, Madrid, Spain

      A. Gómez-Cabello, A. González-Agüero, J. A. Casajús & M. González-Gross

    9. Faculty of Health and Sport Science (FCSD), Department of Physiatry and Nursing, Universidad de Zaragoza, Huesca, Spain

      A. González-Agüero

    10. Universidad de Extremadura, Cáceres, Spain

      N. Gusi

    11. Unidad de Medicina del Deporte, Cabildo de Gran Canaria, Gran Canarias, Spain

      L. Espino

    12. Department of Health and Human Performance, Facultad de Ciencias de la Actividad Física y del Deporte-INEF, c/Martín Fierro 7, 28040, Madrid, Spain

      O. López-Torres

    Authors
    1. O. López-Torres
      View author publications

      You can also search for this author in PubMed Google Scholar

    2. B. del Pozo-Cruz
      View author publications

      You can also search for this author in PubMed Google Scholar

    3. B. Maroto-Sánchez
      View author publications

      You can also search for this author in PubMed Google Scholar

    4. S. Vila-Maldonado
      View author publications

      You can also search for this author in PubMed Google Scholar

    5. A. Gómez-Cabello
      View author publications

      You can also search for this author in PubMed Google Scholar

    6. M. Martín-García
      View author publications

      You can also search for this author in PubMed Google Scholar

    7. A. González-Agüero
      View author publications

      You can also search for this author in PubMed Google Scholar

    8. N. Gusi
      View author publications

      You can also search for this author in PubMed Google Scholar

    9. L. Espino
      View author publications

      You can also search for this author in PubMed Google Scholar

    10. J. A. Casajús
      View author publications

      You can also search for this author in PubMed Google Scholar

    11. M. González-Gross
      View author publications

      You can also search for this author in PubMed Google Scholar

    12. I. Ara
      View author publications

      You can also search for this author in PubMed Google Scholar

    13. R. Pedrero-Chamizo
      View author publications

      You can also search for this author in PubMed Google Scholar

    Corresponding author

    Correspondence to O. López-Torres.

    Additional information

    Publisher's Note

    Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

    O. López-Torres and B. del Pozo-Cruz contributed equally to this work.

    Rights and permissions

    Reprints and permissions

    About this article

    Check for updates. Verify currency and authenticity via CrossMark

    Cite this article

    López-Torres, O., del Pozo-Cruz, B., Maroto-Sánchez, B. et al. Does fitness attenuate the relationship between changes in sitting time and health-related quality of life over time in community-dwelling older adults? Evidence from the EXERNET multicenter longitudinal study. Qual Life Res 28, 3259–3266 (2019). https://doi.org/10.1007/s11136-019-02252-3

    Download citation

    • Accepted:

    • Published:

    • Issue Date:

    • DOI: https://doi.org/10.1007/s11136-019-02252-3

    Keywords

    Search

    Navigation