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Association of Sitting Time With All-Cause and Cardiovascular Mortality: How Does Frailty Modify This Association?

Authors
  • Diaz-Toro, Felipe1, 2
  • Nazzal Nazal, Carolina3
  • Nazar, Gabriela4
  • Diaz-Martinez, Ximena5
  • Concha-Cisternas, Yeny6, 7
  • Celis-Morales, Carlos8
  • Petermann-Rocha, Fanny8, 9
  • 1 Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
  • 2 Facultad de Enfermería, Universidad Andres Bello, Santiago, Chile. , (Chile)
  • 3 Escuela de Salud Pública, Facultad de Medicina Universidad de Chile, Santiago, Chile. , (Chile)
  • 4 Departamento de Psicología y Centro de Vida Saludable, Universidad de Concepción, Concepción, Chile. , (Chile)
  • 5 Grupo de Investigación Calidad de Vida, Universidad del Biobío, Chillán, Chile. , (Chile)
  • 6 Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Talca, Chile. , (Chile)
  • 7 Pedagogía en Educación Física, Facultad de Educación, Universidad Autónoma de Chile, Talca, Chile. , (Chile)
  • 8 Human Performance Lab, Education, Physical Activity and Health Research Unit, University Católica del Maule, Talca, Chile. , (Chile)
  • 9 Centro de Investigación Biomédica, Facultad de Medicina, Universidad Diego Portales, Santiago, Chile. , (Chile)
Type
Published Article
Journal
Journal of aging and physical activity
Publication Date
Dec 21, 2023
Volume
32
Issue
2
Pages
236–243
Identifiers
DOI: 10.1123/japa.2023-0105
PMID: 38134903
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

To investigate how frailty modifies the association of sitting time with all-cause and cardiovascular mortality in Chilean adults. This prospective study included 2,604 participants aged ≥35 from the Chilean National Health Survey 2009-2010. Sitting time was self-reported, while frailty was assessed using a 36-item Frailty Index. Sitting time was categorized as low, medium, and high. Cox proportional hazard models were used to estimate the risk of mortality stratified for the sitting time categories. Over a median follow-up of 8.9 years, 311 participants died, 28% of them due to cardiovascular events. Frail people with prolonged sitting time were at higher risk of all-cause and cardiovascular mortality (hazard ratio 3.13; 95% confidence interval [2.06, 4.71] and hazard ratio 2.41; 95% confidence interval [1.50, 3.64], respectively). The observed risk was higher in women than men. Public health and individual strategies should be implemented to decrease sitting time across the population, with special attention on frail people.

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