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Table 1 Characteristics of the included studies

From: The association between sedentary behaviour and sarcopenia in older adults: a systematic review and meta-analysis

Study

Study design

Participant’s description

Setting

Prevalence of sarcopenia

Diagnostic criteria of sarcopenia

Measures of sarcopenia

Prevalence of sedentary behaviour or sedentary time

Measures of sedentary behaviour

Confounders

Aggio DA, 2016, Britain (21)

Cross-sectional study

Sample size: 1286

Age, mean (SD): 70–92 years old

Male, n (%): 1286 (100%) Ethnicity: 100% white Medical conditions: not stated

Community (from primary care practice)

Sarcopenia: 14.2% Severe sarcopenia: 5.4%

EWGSOP

LMM (Equation) + LMS (HGS) or LPP (3 m-GS)

Mean (min/day): Non-sarcopenia: 610.9 Sarcopenia: 614.1

Actigraph, GT3X accelerometer over the hip for 7 days

Age, wear time, season, region, social class, number of chronic conditions, smoking, alcohol, height, waist circumference

Batista PP, 2023, Brazil (50)

Cross-sectional study

Sample size: 1482

Age: 68.17 ± 11.17

Male, n (%): 385 (26%) Ethnicity: not stated

Medical condition: 56.3% with ≥ 2 Comorbidities

Community (at home)

17.1%

SARC-F questionnaire

None

Sitting time, %

< 4 h: 28.8

5–7 h: 31.1

8-10 our: 16.9

> 10 h: 23.2

One question about the duration of sitting activities in the prior week

Age, sex, marital status, education, income, occupation

Da Silva JRD, 2018, Brazil (45)

Cross-sectional study

Sample size: 101

Age: ≥60 years old

Male, n (%): 38 (41.8%) Ethnicity: not stated

Medical conditions: not stated

Community (at home)

23.1%

EWGSOP

LMM (Equation) + LMS (HGS) or LPP (TUG)

Sitting time ≥ 7 h/day: 73.6%

Questions from IPAQ

Diabetes mellitus, smoking, physical activity, daily caloric intake, daily protein intake, serum vitamin D concentration, and ACE I/D gene polymorphism

Escriba-Salvans A 2022, Spain (49)

Cross-sectional study

Sample size: 104

Age: 84.6 ± 7.8;

Male, n (%): 19(18.3%)

Ethnicity: not stated Medical conditions: 32.5% with hypertension, 32.5% with dementia, 22.5% with cardiac pathology, 16.8% with depression, 16.8% with diabetes, etc.

Long-term care facility

18.3%

EWGSOP2

SARC-F + LMS (HGS) + LMM (BIA)

Sedentary behaviour time > 85% in total time: 31.6%

activPAL3TM activity monitor (PAL Technologies Ltd., Glasgow, UK) at mid-thigh

Age, sex, nursing home type

Gianoudis J, 2015, Australia (32)

Cross-sectional study

Sample size: 162

Age: 67.5 ± 6.0

Male, n (%): 43 (26%) Ethnicity: not stated

Medical conditions: 70% with at least one kind chronic disease, at risk for falls and fracture

Community (at home)

16%

EWGSOP

LMM (DXA) + LMS (Leg muscle strength) or LPP (TUG)

TV viewing time, h/day: 2.7 ± 1.6 Total sitting time, h/day: 6.1 ± 2.1

7-day recall questionnaire

Age, sex, physical activity, chronic disease, medications, smoking, sedentary job, total BFM

Meier NF, 2020, United States (43)

Cross-sectional study

Sample size: 304

Age: 72.2 ± 5.8

Male, n (%): 182 (40%)

Ethnicity: 100% Caucasian

Medical conditions: not stated

Community (at home)

10.9%

EWGSOP

LMM (DXA) + LMS (HGS) or LPP (GS)

Mean (SD) (h/day): Not sarcopenic: 10.6 (4.0) Sarcopeniac: 12.0 (5.1)

Questions from IPAQ

Age, sex, BMI, education, income, smoking, drinking, chronic conditions, depressive symptoms

Mo YH, 2022, China (46)

Cross-sectional study

Sample size: 1050

Age: 70.3 ± 7.5

Male, n (%): 347 (33.0%) Ethnicity: Yellow (100%)

Medical conditions: 15.3% with diabetes, 43.4% with hypertension

Community (from Community Elderly Activity Centre)

25.0%

AWGS

LMM (BIA) + LMS (HGS) or LPP (GS)

Sitting time without breaks classification < 2 h: 23.1%

2–4 h: 27.7%

> 4 h: 49.2%

Questions from PASE

Age, BMI, marital status, dietary diversity, physical activity

Reid N, 2018, Australia (31)

Cross-sectional study

Sample size: 102

Age: 84.5 ± 8.2

Male, n (%): 31 (30.4%) Ethnicity: not stated

Medical conditions: Low care, high care, or people with dementia residing in a secure dementia unit

Long-term care facility

40.2%

EWGSOP

LMM (BIA) + LMS (HGS) or LPP (SPPB)

Total sitting time(h/day) Mean (SD): 12.9 (3.0)

Question from IPAQ

Age and sex, physical activity, nutritional status and BMI

Ribeiro SV, 2020, Brazil (42)

Cohort study

Sample size: 395

Age: ≥60

Male, n (%): 59 (28.0%) Ethnicity: White: 64.0%, Brown/black: 24.2%, Asian: 11.8% Medical conditions: not stated

Community (at home)

8.5%

EWGSOP

LMM (Equation) + LMS (HGS) + LPP (GS)

Not stated

Self-report questionnaire

Age and sex

Sánchez JL, 2019, Spain (8)

Cross-sectional study

Sample size: 497

Age: 78.08 ± 5.71

Male, n (%): 219 (45.7%) Ethnicity: not stated

Medical conditions: 65.4% with hypertention, 22.9% with Type 2 diabetes mellitus, 54.3% with dependency for IADL (Lawton index)

Community (further detail not stated)

23.3%

FNIH

LMM (DXA) + LMS (HGS) + LPP (GS)

Total sitting time (h/day) Mean (SD):

Non sarcopenia 6.82 (1.57);

Sarcopenia 7.53 (1.63)

Actigraph, GT3X accelerometer for 7 days

LPA and MVPA

Scott D, 2021, Swedish (22)

Cross-sectional study

Sample size: 3334

Age: 70.1 ± 0.1

Male, n (%): 1647 (49.4%) Ethnicity: not stated Medical conditions: some participants with stroke

Community (at home)

1.8%

EWGSOP 2 -probable and confirmed sarcopenia

Probable: LMS (HGS) Confirmed: LMM (DXA) + LMS (HGS) + LPP (TUG)

Total sitting time (h/7 days) Mean (SD):

Non sarcopenia 58.7 (12.8);

Sarcopenia 59.5 (15.3)

Actigraph, GT3X accelerometer for 7 days

Gender, BMI, smoking status, time spent on LPA and MVPA

Senior HE, 2015, Australia (30)

Cross-sectional study

Sample size: 102

Age: 84.5 ± 8.2

Male, n (%): 31 (30.7%) Ethnicity: not stated

Medical conditions: Low care, high care, or people with dementia residing in a secure dementia unit

Long-term care facility

40.2%

EWGSOP

LMM (BIA) + LMS (HGS) or LPP (SPPB)

Total sitting time (h/day) Mean (SD): 12.9 (3.0)

Questions from IPAQ

BMI, SPPB, nutritional status

Sinesio Silva Neto L, 2016, Brazil (48)

Cross-sectional study

Sample size: 70

Age: 65.58 ± 6.67

Male, n (%): 31(44.3%) Ethnicity: 100% quilombola Medical conditions: not stated

Community (at home)

10.0%

EWGSOP

LMM (DXA) + LMS (HGS) or LPP (GS)

Infrequently active + sedentary: 12.9%

Score of IPAQ-SV

Sex, age, education, cognitive function, weight, hight, BMI, WC, WHR, FM%, ASMM, HGS, GS

Smith L, 2020, Low and Middle-Income Countries (10)

Cross-sectional study

Sample size: 14,585 Age:72.6 ± 11.5

Male, n (%): 6563(45%) Ethnicity: Yellow: 7801, White and Hispanic: 3325, Black: 3459

Medical conditions: not stated

Community (at home)

15.7%

EWGSOP

LMM (BIA) + LMS (HGS) or LPP (4 m-GS)

Sitting time classification (h):

0-<4: 43.3%

4-<8: 40.8%

8-<11: 11.8%

≥ 11: 4.1%

Single question from GPAQ

Age, sex, wealth, education, smoke, drink, chronic disease, BMI, physical activity

Taani MH, 2021, United States (44)

Cross-sectional study

Sample size: 96

Age: 82.5 ± 7.4

Male, n (%): 17 (17.7%) Ethnicity: 81.3% White or Caucasian, 16.7% Black or African American, 2.1% American Indian/Alaska Native Medical condition: not stated

Community (Continuing care retirement communities)

37.5%

EWGSOP2

LMM (BIA) + LMS (HGS) or LPP (GS)

Total sitting time for 7 days (h): 519.1 ± 77.8

Actigraph, GT3X accelerometer for 7 days

Protein, Caloric intake, LPA, MVPA, self-efficacy and expectations regarding aging

Tzeng PL, 2020, Taiwan (47)

Cross-sectional study

Sample size: 1068

Age: 65 to 92 years old Male, n (%): 505 (47.3%) Ethnicity: not stated

Medical conditions: not stated

Community (further detail not stated)

7.3%

SARC-F questionnaire

None

High (sitting ≥ 7 h/day): 167 (15.6%)

Low (< 7 h/day): 901 (84.4%)

Single question from IPAQ-SV

Sex, age, residential geographic areas, education, marital status, employment, living status, BMI

Yao XM, 2022, China (51)

Cross-sectional study

Sample size: 1050

Age: ≥ 60

Male, n (%): 347 (33%)

Ethnicity: not stated

Medical conditions: 43.4% with hypertension, 15.3% with diabetes, 14.6% with coronary heart disease

Community (from Community Elderly Activity Centre)

25.0%

AWGS

LMM (BIA) + LMS (HGS) or LPP (GS)

Sitting time without breaks classification < 2 h: 268

2–4 h: 300

> 4 h: 482

Questions from PASE

Age, Education, BMI, Calf circumference

  1. SD, standard deviation; IADL, Instrumental Activities of Daily Living; EWGSOP, European Working Group on Sarcopenia in Older People; SARC-F, Strength, Assistance in walking, Rise from a chair, Climb stairs, and Falls; AWGS, Asian Working Group for Sarcopenia; FNIH, The Foundation for the National Institutes of Health; LMM, low muscle mass; LMS, low muscle strength; HGS, hand grip strength; LPP, low physical performance; GS, gait speed; TUG, time up to go; BIA, bioelectrical impedance analysis; DXA, dual-energy X-ray absorptiometry; SPPB, short physical performance battery; IPAQ, international physical activity questionnaire; PASE, physical activity scale for the elderly; IPAQ-SV, international physical activity questionnaire-short version; GPAQ, global physical activity questionnaire; ACE I/D, Angiotensin-Converting enzyme Insertion/Deletion; BFM, body fat mass; BMI, body mass index; LPA, light physical activity; MVPA, moderate-to-vigorous physical activity; WC, waist circumference; WHR, waist-to-hip ratio; FM%, fat mass percentage; ASMM, appendicular skeletal muscle mass