Exploring Differences in Older Adult Accelerometer-Measured Sedentary Behavior and Resting Blood Pressure Before and During the COVID-19 Pandemic.

Exploring Differences in Older Adult Accelerometer-Measured Sedentary Behavior and Resting Blood Pressure Before and During the COVID-19 Pandemic.
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DOI:
10.1177/23337214221096007
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发表时间:
2022-01
影响因子:
2.7
通讯作者:
Rosenberg, Dori E.
Rosenberg, Dori E.
中科院分区:
其他
文献类型:
--
作者:
Greenwood-Hickman, Mikael Anne;Zhou, Jing;Cook, Andrea;Mettert, Kayne D.;Green, Bev;McClure, Jennifer;Arterburn, David;Florez-Acevedo, Stefani;Rosenberg, Dori E.

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老年人久坐行为(SB)较高,体力活动较少,特别容易受到新冠肺炎大流行和相关公共卫生限制的负面影响。大流行对SB和健康的影响,特别是通过客观评估,在文献中没有很好的记录。在这里,我们描述了大流行前和大流行期间老年人SB、体力活动和血压(BP)的差异。将大流行前登记参加SB干预试验的95名参与者的基线大腿活动PAL加速计和血压测量结果与大流行后登记的60名参与者进行比较。我们使用调整了人口和健康因素的线性回归模型来估计SB测量和BP样本均值的差异。COVID后的样本年龄更大(67岁比70岁),女性更多(60%比72%),而且包括更多有色人种(21%比32%)。在完全调整的模型中,COVID后组的收缩压显著高于对照组(6.8,95%CI:[0.3,13.3])。调整后,活动PAL测量和自我报告的活动没有显著意义,但有增加总坐着时间(0.4h[−0.3,1.1]),减少每日步数(−270[−1078,538])和更多的自我报告的看电视时间(0.4h,[-0.3,1.1])的趋势。未来的分析是有必要的,以更好地量化这些影响并指导临床护理和未来的干预。
Older adults have higher sedentary behavior (SB), lower physical activity, and are particularly susceptible to negative impacts from the COVID-19 pandemic and associated public health restrictions. Pandemic impacts to SB and health, particularly via objective assessment, are not well documented in the literature. Here we described differences in SB, physical activity, and blood pressure (BP) for older adults before and during the pandemic. Baseline thigh-worn activPAL accelerometer and BP measurements from 95 participants enrolled in a SB intervention trial pre-pandemic were compared to 60 enrolled post-pandemic. We used linear regression models adjusted for demographic and health factors to estimate differences in sample means of SB measures and BP. The post-COVID sample was older (age 67 vs. 70), more female (60% vs. 72%), and included more individuals of color (21% vs. 32%). In fully adjusted models, systolic BP was statistically significantly higher in the post-COVID group (6.8, 95% CI: [0.3,13.3]). After adjustment, activPAL-measured and self-reported activity were non-significant but trended towards greater total sitting (0.4 hours [−0.3, 1.1]), fewer daily steps (−270 [−1078, 538]), and greater self-reported TV time (0.4 hours, [-0.3, 1.1]) post-COVID. Future analyses are warranted to better quantify these impacts and guide clinical care and future interventions.
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