Associations between sedentary behaviour and sarcopenia among patients aged 40 and older with chronic obstructive pulmonary disease: a cross-sectional study
Abstract Background Patients with chronic obstructive pulmonary disease (COPD) and sarcopenia experience poorer clinical prognosis. Although sedentary behaviour (SB) is common risk factor for COPD, its relationship with sarcopenia in this specific population remains unclear. Methods This is a cross-...
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2025-01-01
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| Online Access: | https://doi.org/10.1186/s12889-025-21450-y |
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| author | Dandan Wang Ming Zhang Jun Huang Haihong Zhang Si Chen Kefang Wang |
| author_facet | Dandan Wang Ming Zhang Jun Huang Haihong Zhang Si Chen Kefang Wang |
| author_sort | Dandan Wang |
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| description | Abstract Background Patients with chronic obstructive pulmonary disease (COPD) and sarcopenia experience poorer clinical prognosis. Although sedentary behaviour (SB) is common risk factor for COPD, its relationship with sarcopenia in this specific population remains unclear. Methods This is a cross-sectional survey of participants aged 40 and above with COPD, involving 27 communities and 2 hospitals’ outpatient departments. The definition of sarcopenia was in accordance with the Asian Expert Consensus Criteria for sarcopenia. SB and physical activity (PA) were evaluated using the short form of the international physical activity questionnaires (IPAQ-SF). SB was categorized into 4 categories: less than 4 h/day, 4 to 6 h/day, 6 to 8 h/day, and 8 h or more per day. PA was classified into light-intensity and moderate-to-vigorous intensity physical activity (LPA and MVPA). Multiple logistic regression and restricted cubic spline (RCS) were performed to investigate the rates of association between sarcopenia and SB. Subgroups was analysed by gender. Results A total of 414 COPD patients with complete information were included in this trial. The overall prevalence of sarcopenia was 22.9%. Participants with sarcopenia had longer of SB (P = 0.008) and less MVPA (P < 0.001) compared to those without sarcopenia. After adjustment for confounders, SB showed a significant association with sarcopenia (adjusted β = 1.47, 95% CI = 1.28–1.68). The participants who spent 6 or more hours on SB had a greater odds ratio for sarcopenia (= 6-8 h: adjusted OR = 2.97, 95% CI = 1.14–7.70; > 8 h: OR = 9.14, 95% CI = 3.59–23.22) than the participants who spent less than 4 h. The results of RCS indicated that when SB exceeded 5.7 h/day, a trend towards a significant increasing prevalence of sarcopenia was observed with increased SB. This trend was also observed across genders, differing only in the threshold values (male: SB = 5.7 h; female: SB = 8.0 h). Conclusion SB was an independent determinant of sarcopenia, independent of MVPA, and the prevalence of sarcopenia increases as SB increases within a certain range. This study advocated for the integration of SB in the self-management strategies for patients with COPD. Regardless of their engagement in MVPA, it was crucial to regulate SB. |
| format | Article |
| id | doaj-art-98c2b0bd56744b0085ab38e63381a476 |
| institution | Kabale University |
| issn | 1471-2458 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
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| series | BMC Public Health |
| spelling | doaj-art-98c2b0bd56744b0085ab38e63381a4762025-02-02T12:45:38ZengBMCBMC Public Health1471-24582025-01-0125111010.1186/s12889-025-21450-yAssociations between sedentary behaviour and sarcopenia among patients aged 40 and older with chronic obstructive pulmonary disease: a cross-sectional studyDandan Wang0Ming Zhang1Jun Huang2Haihong Zhang3Si Chen4Kefang Wang5School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong UniversitySchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong UniversityThe People’s Hospital Of Huaiyin JinanSchool of Nursing, Ningxia Medical UniversitySchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong UniversitySchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong UniversityAbstract Background Patients with chronic obstructive pulmonary disease (COPD) and sarcopenia experience poorer clinical prognosis. Although sedentary behaviour (SB) is common risk factor for COPD, its relationship with sarcopenia in this specific population remains unclear. Methods This is a cross-sectional survey of participants aged 40 and above with COPD, involving 27 communities and 2 hospitals’ outpatient departments. The definition of sarcopenia was in accordance with the Asian Expert Consensus Criteria for sarcopenia. SB and physical activity (PA) were evaluated using the short form of the international physical activity questionnaires (IPAQ-SF). SB was categorized into 4 categories: less than 4 h/day, 4 to 6 h/day, 6 to 8 h/day, and 8 h or more per day. PA was classified into light-intensity and moderate-to-vigorous intensity physical activity (LPA and MVPA). Multiple logistic regression and restricted cubic spline (RCS) were performed to investigate the rates of association between sarcopenia and SB. Subgroups was analysed by gender. Results A total of 414 COPD patients with complete information were included in this trial. The overall prevalence of sarcopenia was 22.9%. Participants with sarcopenia had longer of SB (P = 0.008) and less MVPA (P < 0.001) compared to those without sarcopenia. After adjustment for confounders, SB showed a significant association with sarcopenia (adjusted β = 1.47, 95% CI = 1.28–1.68). The participants who spent 6 or more hours on SB had a greater odds ratio for sarcopenia (= 6-8 h: adjusted OR = 2.97, 95% CI = 1.14–7.70; > 8 h: OR = 9.14, 95% CI = 3.59–23.22) than the participants who spent less than 4 h. The results of RCS indicated that when SB exceeded 5.7 h/day, a trend towards a significant increasing prevalence of sarcopenia was observed with increased SB. This trend was also observed across genders, differing only in the threshold values (male: SB = 5.7 h; female: SB = 8.0 h). Conclusion SB was an independent determinant of sarcopenia, independent of MVPA, and the prevalence of sarcopenia increases as SB increases within a certain range. This study advocated for the integration of SB in the self-management strategies for patients with COPD. Regardless of their engagement in MVPA, it was crucial to regulate SB.https://doi.org/10.1186/s12889-025-21450-yCOPDSarcopeniaSedentary behaviourPhysical activity |
| spellingShingle | Dandan Wang Ming Zhang Jun Huang Haihong Zhang Si Chen Kefang Wang Associations between sedentary behaviour and sarcopenia among patients aged 40 and older with chronic obstructive pulmonary disease: a cross-sectional study BMC Public Health COPD Sarcopenia Sedentary behaviour Physical activity |
| title | Associations between sedentary behaviour and sarcopenia among patients aged 40 and older with chronic obstructive pulmonary disease: a cross-sectional study |
| title_full | Associations between sedentary behaviour and sarcopenia among patients aged 40 and older with chronic obstructive pulmonary disease: a cross-sectional study |
| title_fullStr | Associations between sedentary behaviour and sarcopenia among patients aged 40 and older with chronic obstructive pulmonary disease: a cross-sectional study |
| title_full_unstemmed | Associations between sedentary behaviour and sarcopenia among patients aged 40 and older with chronic obstructive pulmonary disease: a cross-sectional study |
| title_short | Associations between sedentary behaviour and sarcopenia among patients aged 40 and older with chronic obstructive pulmonary disease: a cross-sectional study |
| title_sort | associations between sedentary behaviour and sarcopenia among patients aged 40 and older with chronic obstructive pulmonary disease a cross sectional study |
| topic | COPD Sarcopenia Sedentary behaviour Physical activity |
| url | https://doi.org/10.1186/s12889-025-21450-y |
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