Frontiers in Medicine (May 2024)

Sedentary behavior patterns and bone health among overweight/obesity older women: a cross-sectional study

  • Yixian He,
  • Litao Du,
  • Qingqian Li,
  • Xiaoyu Ren,
  • Si Chen,
  • Yang Pan

DOI
https://doi.org/10.3389/fmed.2024.1395790
Journal volume & issue
Vol. 11

Abstract

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BackgroundRecent studies have indicated an association between sedentary behavior (SB), particularly patterns of SB, and bone health. However, it remains uncertain how different patterns of SB in overweight/obesity older women impact their bone health. This study aimed to investigate the association between objectively measured SB patterns and bone health in Chinese community-dwelling overweight/obesity older women.MethodsCross-sectional data were obtained from a baseline survey of Physical Activity and Health in Older Women Study. Quantitative ultrasound was used to measure speed of sound (SOS), broadband ultrasound attenuation (BUA), bone quality index (BQI) and T value to evaluate bone health. SB patterns were measured using triaxial accelerometers, including sedentary time in SB bouts of ≥ 10, 30, and 60 min, number of SB bouts ≥ 10, 30, and 60 min. Multiple linear regression was used to examine the associations of different SB patterns with bone health.ResultsAfter adjusting for confounders, sedentary time in SB bouts ≥ 60 min, number of SB bouts ≥ 60 min were significantly associated with bone health, with a lower SOS [β = −2.75, 95% confidence interval (CI): −4.96 to −0.53, P = 0.015], BUA (β = −1.20, 95% CI: −2.14 to −0.26, P = 0.013), BQI (β = −1.56, 95% CI: −2.63 to −0.49, P = 0.004), T value (β = −0.08, 95% CI: −0.14 to −0.03, P = 0.004) per 60 min increase of sedentary time in SB bouts ≥ 60 min, and a lower SOS (β = −3.97, 95% CI: −7.54 to −0.40, P = 0.029), BUA (β = −1.80, 95% CI: −3.44 to −0.16, P = 0.031), BQI (β = −2.28, 95% CI: −4.08 to −0.47, P = 0.014) and T value (β = −0.12, 95% CI: −0.22 to −0.03, P = 0.013) per bout increase of SB bouts ≥ 60 min, respectively.ConclusionLimiting the duration of prolonged sedentary bouts and minimizing the occurrence of number of SB bouts ≥ 60 min could be essential in bone health management, especially for those older people who are overweight/obesity.

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