Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Sedentary Behavior, Physical Activity and Functionality of Older Care Home Residents

Version 1 : Received: 5 February 2024 / Approved: 6 February 2024 / Online: 6 February 2024 (04:13:54 CET)

How to cite: Scheidt, I.V.; Rodacki, A.L.F.; Nascimento, V.B.; Bento, P.C.B. Sedentary Behavior, Physical Activity and Functionality of Older Care Home Residents. Preprints 2024, 2024020321. https://doi.org/10.20944/preprints202402.0321.v1 Scheidt, I.V.; Rodacki, A.L.F.; Nascimento, V.B.; Bento, P.C.B. Sedentary Behavior, Physical Activity and Functionality of Older Care Home Residents. Preprints 2024, 2024020321. https://doi.org/10.20944/preprints202402.0321.v1

Abstract

Background: Nursing home residents (NHRs) have special needs and may experience reduced functionality, higher sedentary behavior time (SBT) and decreased physical activity (PA). This study aimed to characterize NHRs based on SBT, PA, and functional performance (FP), and to identify associations between these factors. Methods: Cross-sectional study with 65 NHRs aged ≥60, evaluated by accelerometer (SBT, PA) and the following tests: Timed Up and Go (TUG), Short Physical Performance Battery (SPPB), Barthel Index (BI), and Mini-Mental State Examina-tion (MMSE). Health-related variables and anthropometry were assessed. The FP (TUG, SPPB, BI), SBT, PA intensities were used for K-means clustering analysis. Results: The cluster analysis identified: C1 – better FP, shorter SBT, and longer time in PA intensities; C2 - lower FP, longer SBT, and shorter time in PA. In addition, C2 were older, with lower MMSE, lower body mass index, and walking aids use. The SBT showed a negative weak correlation with BI. The moderate PA (MPA) was moderately correlated with the SPPB and strongly correlated with the TUG and BI. Conclusions: MPA is strongly associated with better FP and independence. NHRs have dif-ferent physical and cognitive profiles, which indicates the need for personalized strategies to prevent disability and increase PA.

Keywords

Older adults; nursing homes; sedentary behavior; physical activity; functionality; disability

Subject

Public Health and Healthcare, Physical Therapy, Sports Therapy and Rehabilitation

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