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      Daily lifestyle behaviors and risks of sarcopenia among older adults

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          Abstract

          Background

          Lifestyle behaviors are modifiable factors that can provide information for designing intervention strategies for sarcopenia. The present study aimed to identify the relationships between a range of daily lifestyle behaviors and sarcopenia risks among older adults.

          Methods

          A nationwide telephone-based survey targeting older adults (≥65 years) was performed in Taiwan. Data based on self-reported daily lifestyle behaviors (food selection, physical activity, sitting time, and sleep duration), the presence or absence of sarcopenia (measured by SARC-F), and personal characteristics were obtained. Binary logistic regression models were applied.

          Results

          A total of 1068 older adults participated in this survey. In the adjusted model, older adults who selected unbalanced foods (odds ratio [OR] = 1.93, 95% confidence interval [CI] = 1.12–3.34), engaged in insufficient physical activity (OR = 5.14, 95% CI = 3.04–8.70), and sat for longer periods of time (OR = 1.98, 95% CI = 1.09–3.59) were more likely to have higher risks of sarcopenia. No significant association was observed for sleep duration.

          Conclusions

          The results of this study highlight that, among health behaviors, an unbalanced food selection (six nutrients), not meeting physical activity recommendations (150 min/week), and a higher sitting time (≥7 h/day) were risk factors for sarcopenia among older adults. Intervention programs for sarcopenia prevention in older adults should focus on promoting balanced food selection, sufficient physical activity, and reduced sitting time.

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          Most cited references42

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          The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research

          Despite the prevalence of sleep complaints among psychiatric patients, few questionnaires have been specifically designed to measure sleep quality in clinical populations. The Pittsburgh Sleep Quality Index (PSQI) is a self-rated questionnaire which assesses sleep quality and disturbances over a 1-month time interval. Nineteen individual items generate seven "component" scores: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication, and daytime dysfunction. The sum of scores for these seven components yields one global score. Clinical and clinimetric properties of the PSQI were assessed over an 18-month period with "good" sleepers (healthy subjects, n = 52) and "poor" sleepers (depressed patients, n = 54; sleep-disorder patients, n = 62). Acceptable measures of internal homogeneity, consistency (test-retest reliability), and validity were obtained. A global PSQI score greater than 5 yielded a diagnostic sensitivity of 89.6% and specificity of 86.5% (kappa = 0.75, p less than 0.001) in distinguishing good and poor sleepers. The clinimetric and clinical properties of the PSQI suggest its utility both in psychiatric clinical practice and research activities.
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            Sarcopenia

            Sarcopenia is a progressive and generalised skeletal muscle disorder involving the accelerated loss of muscle mass and function that is associated with increased adverse outcomes including falls, functional decline, frailty, and mortality. It occurs commonly as an age-related process in older people, influenced not only by contemporaneous risk factors, but also by genetic and lifestyle factors operating across the life course. It can also occur in mid-life in association with a range of conditions. Sarcopenia has become the focus of intense research aiming to translate current knowledge about its pathophysiology into improved diagnosis and treatment, with particular interest in the development of biomarkers, nutritional interventions, and drugs to augment the beneficial effects of resistance exercise. Designing effective preventive strategies that people can apply during their lifetime is of primary concern. Diagnosis, treatment, and prevention of sarcopenia is likely to become part of routine clinical practice.
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              National Sleep Foundation’s sleep time duration recommendations: methodology and results summary

              The objective was to conduct a scientifically rigorous update to the National Sleep Foundation's sleep duration recommendations.
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                Author and article information

                Contributors
                chienyulin@akane.waseda.jp
                ted971345@gmail.com
                yolanda11741e@gmail.com
                parkj@pusan.ac.kr
                liaoyung@ntnu.edu.tw
                Journal
                Arch Public Health
                Arch Public Health
                Archives of Public Health
                BioMed Central (London )
                0778-7367
                2049-3258
                10 November 2020
                10 November 2020
                2020
                : 78
                : 113
                Affiliations
                [1 ]GRID grid.412090.e, ISNI 0000 0001 2158 7670, Department of Health Promotion and Health Education, , National Taiwan Normal University, ; Taipei, Taiwan
                [2 ]GRID grid.412094.a, ISNI 0000 0004 0572 7815, Department of Geriatrics and Gerontology, , National Taiwan University Hospital, ; Taipei, Taiwan
                [3 ]GRID grid.5290.e, ISNI 0000 0004 1936 9975, Graduate School of Sport Sciences, , Waseda University, ; Tokorozawa City, Japan
                [4 ]GRID grid.266100.3, ISNI 0000 0001 2107 4242, Department of Psychology, , University of California, ; San Diego, USA
                [5 ]GRID grid.419832.5, ISNI 0000 0001 2167 1370, Graduate Institute of Sport Pedagogy, , University of Taipei, ; Taipei, Taiwan
                [6 ]GRID grid.412094.a, ISNI 0000 0004 0572 7815, Department of Internal Medicine, , National Taiwan University Hospital, ; Taipei, Taiwan
                [7 ]GRID grid.412588.2, ISNI 0000 0000 8611 7824, Health Convergence Medicine Laboratory, Biomedical Research Institute, , Pusan National University Hospital, ; Busan, South Korea
                [8 ]GRID grid.5290.e, ISNI 0000 0004 1936 9975, Faculty of Sport Sciences, , Waseda University, ; Tokorozawa City, Japan
                Author information
                http://orcid.org/0000-0002-4401-8275
                Article
                498
                10.1186/s13690-020-00498-9
                7653864
                33292561
                19f8b2fd-e252-4d92-b337-ff56bd8e5763
                © The Author(s) 2020

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 18 June 2020
                : 30 October 2020
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100004663, Ministry of Science and Technology, Taiwan;
                Award ID: (MOST 107-2410-H-003-117-MY2 and MOST 108-2622-8-003-001-TM1
                Award Recipient :
                Categories
                Research
                Custom metadata
                © The Author(s) 2020

                Public health
                behavior change,lifestyle intervention,health promotion
                Public health
                behavior change, lifestyle intervention, health promotion

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