AUTHOR=He Yixian , Du Litao , Li Qingqian , Ren Xiaoyu , Chen Si , Pan Yang 

TITLE=Sedentary behavior patterns and bone health among overweight/obesity older women: a cross-sectional study

JOURNAL=Frontiers in Medicine

VOLUME=11

YEAR=2024

URL=https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2024.1395790

DOI=10.3389/fmed.2024.1395790

ISSN=2296-858X

ABSTRACT=<sec><title>Background</title><p>Recent studies have indicated an association between sedentary behavior (SB), particularly patterns of SB, and bone health. However, it remains uncertain how different patterns of SB in overweight/obesity older women impact their bone health. This study aimed to investigate the association between objectively measured SB patterns and bone health in Chinese community-dwelling overweight/obesity older women.</p></sec><sec><title>Methods</title><p>Cross-sectional data were obtained from a baseline survey of Physical Activity and Health in Older Women Study. Quantitative ultrasound was used to measure speed of sound (SOS), broadband ultrasound attenuation (BUA), bone quality index (BQI) and <italic>T</italic> value to evaluate bone health. SB patterns were measured using triaxial accelerometers, including sedentary time in SB bouts of ≥ 10, 30, and 60 min, number of SB bouts ≥ 10, 30, and 60 min. Multiple linear regression was used to examine the associations of different SB patterns with bone health.</p></sec><sec><title>Results</title><p>After adjusting for confounders, sedentary time in SB bouts ≥ 60 min, number of SB bouts ≥ 60 min were significantly associated with bone health, with a lower SOS [β = −2.75, 95% confidence interval (CI): −4.96 to −0.53, <italic>P</italic> = 0.015], BUA (β = −1.20, 95% CI: −2.14 to −0.26, <italic>P</italic> = 0.013), BQI (β = −1.56, 95% CI: −2.63 to −0.49, <italic>P</italic> = 0.004), <italic>T</italic> value (β = −0.08, 95% CI: −0.14 to −0.03, <italic>P</italic> = 0.004) per 60 min increase of sedentary time in SB bouts ≥ 60 min, and a lower SOS (β = −3.97, 95% CI: −7.54 to −0.40, <italic>P</italic> = 0.029), BUA (β = −1.80, 95% CI: −3.44 to −0.16, <italic>P</italic> = 0.031), BQI (β = −2.28, 95% CI: −4.08 to −0.47, <italic>P</italic> = 0.014) and <italic>T</italic> value (β = −0.12, 95% CI: −0.22 to −0.03, <italic>P</italic> = 0.013) per bout increase of SB bouts ≥ 60 min, respectively.</p></sec><sec><title>Conclusion</title><p>Limiting the duration of prolonged sedentary bouts and minimizing the occurrence of number of SB bouts ≥ 60 min could be essential in bone health management, especially for those older people who are overweight/obesity.</p></sec>