Yokote, T.; Yatsugi, H.; Chu, T.; Liu, X.; Wang, L.; Kishimoto, H. Association of the Combination of Moderate-to-Vigorous Physical Activity and Sleep Quality with Physical Frailty. Geriatrics2024, 9, 31.
Yokote, T.; Yatsugi, H.; Chu, T.; Liu, X.; Wang, L.; Kishimoto, H. Association of the Combination of Moderate-to-Vigorous Physical Activity and Sleep Quality with Physical Frailty. Geriatrics 2024, 9, 31.
Yokote, T.; Yatsugi, H.; Chu, T.; Liu, X.; Wang, L.; Kishimoto, H. Association of the Combination of Moderate-to-Vigorous Physical Activity and Sleep Quality with Physical Frailty. Geriatrics2024, 9, 31.
Yokote, T.; Yatsugi, H.; Chu, T.; Liu, X.; Wang, L.; Kishimoto, H. Association of the Combination of Moderate-to-Vigorous Physical Activity and Sleep Quality with Physical Frailty. Geriatrics 2024, 9, 31.
Abstract
Background: The association between the individual and combined effects of moderate-to-vigorous physical activity (MVPA) and sleep quality with physical frailty in community-dwelling older adults is still unknown. Subjects and Methods: A cross-sectional study was conducted with a participants pool comprising older adults who had not been officially assessed as requiring nursing care or support services.. Physical frailty was assessed using Liu's definition based on Fried's concept. MVPA was measured by a triaxial accelerometer, and individuals who meet either MPA for ≥300 min/week, VPA for ≥150 min/week, or both of them were defined as "MVA+." "SLP+" was defined as a Pittsburgh Sleep Quality Index score <5.5 points. We performed an ordinal logistic regression analysis to calculate the odds ratios (ORs) and 95% confidence intervals (CI) regarding the relationship between MVPA and sleep quality with physical pre-frailty and frailty. Results: The final analysis included 811 participants. After multivariate adjustment, compared to the MVA+SLP+, the MVA−SLP+ (OR 2.56, 95%CI: 1.80–3.62) and the MVA−SLP− (OR 3.97, 95%CI: 2.33–6.74) participants showed significantly higher ORs for physical pre-frailty and frailty. Conclusion: Community-dwelling older adults who did not meet MVPA criteria, regardless of sleep quality, had a higher risk of physical pre-frailty and frailty.
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