Academic Journal
Is meeting 24-hour movement guidelines associated with a lower risk of frailty among adults?
| Title: | Is meeting 24-hour movement guidelines associated with a lower risk of frailty among adults? |
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| Authors: | Yuhang Liu, Siyao Gao, Zhigang Dou, Zhen Chen, Jialing Tang |
| Source: | International Journal of Behavioral Nutrition and Physical Activity, Vol 22, Iss 1, Pp 1-15 (2025) |
| Publisher Information: | BMC, 2025. |
| Publication Year: | 2025 |
| Collection: | LCC:Nutritional diseases. Deficiency diseases LCC:Public aspects of medicine |
| Subject Terms: | 24-hour movement guidelines, Frailty, Age disparities, Gender disparities, Racial disparities, Adults, Nutritional diseases. Deficiency diseases, RC620-627, Public aspects of medicine, RA1-1270 |
| More Details: | Abstract Background The relationship between 24-hour (24-h) movement guidelines and frailty remains unclear. We aimed to investigate the associations between meeting 24-h movement guidelines and frailty and to conduct secondary analyses by age, gender, and ethnicity. Methods In this study, we extracted data from the National Health and Nutrition Examination Survey (2007–2018) database. A total of 5,726 participants (50.25 ± 0.31 years) were included in this analysis, representing 38,240,356 noninstitutionalized U.S. individuals. Three 24-h movement behaviors, namely, physical activity, sedentary behavior (SB), and sleep, were self-reported using the standardized questionnaires. The 49-item frailty index was used to measure frailty. Multivariable logistic regression models and trend tests were used to examine the associations between meeting 24-h movement guidelines and frailty. Sensitivity analyses were also conducted to ensure the robustness of our results. Results The total age-adjusted prevalence of frailty was 30.5%. In the fully adjusted model, compared with not meeting any of the 24-h movement guidelines, the adjusted odds ratios (AORs) of frailty were 0.786 (95% CI: 0.545, 1.133), 1.161 (95% CI: 0.787, 1.711), and 0.915 (95% CI: 0.616, 1.358) for participants meeting only moderate to vigorous physical activity (MVPA), only SB, and only sleep guidelines, respectively, but no statistically significant differences were observed (all P values > 0.05). Participants who met the SB + sleep guidelines (AOR = 0.613, 95% CI: 0.423, 0.887), MVPA + sleep guidelines (AOR = 0.389, 95% CI: 0.255, 0.593), and MVPA + SB guidelines (AOR = 0.555, 95% CI: 0.383, 0.806) presented a significantly lower risk of frailty by 39%, 61%, and 45%, respectively. Meeting all 3 guidelines (AOR = 0.377, 95% CI: 0.264, 0.539) and meeting 2 guidelines (AOR = 0.527, 95% CI: 0.377, 0.736) were associated with a lower risk of frailty (P value |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 1479-5868 |
| Relation: | https://doaj.org/toc/1479-5868 |
| DOI: | 10.1186/s12966-025-01722-x |
| Access URL: | https://doaj.org/article/f080628e16334c439ca97ae8542dd3d3 |
| Accession Number: | edsdoj.f080628e16334c439ca97ae8542dd3d3 |
| Database: | Directory of Open Access Journals |
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| ISSN: | 14795868 |
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| DOI: | 10.1186/s12966-025-01722-x |
| Published in: | International Journal of Behavioral Nutrition and Physical Activity |
| Language: | English |