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ORIGINAL RESEARCH article

Front. Public Health
Sec. Aging and Public Health
Volume 12 - 2024 | doi: 10.3389/fpubh.2024.1484765
This article is part of the Research Topic Exploring the Interaction between Health-promoting and Health Risk Behaviors in Health, Volume II View all 17 articles

Association of physical activity, sedentary behavior and stroke in older adults

Provisionally accepted
Zongliang Wen Zongliang Wen 1*Long Bai Long Bai 1Xuebing Yan Xuebing Yan 2*Shenqin Wu Shenqin Wu 1*Jialin Chen Jialin Chen 1*
  • 1 Xuzhou Medical University, Xuzhou, China
  • 2 The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu Province, China

The final, formatted version of the article will be published soon.

    Objective: The aim of this study was to investigate the relationship between physical activity, sedentary behavior and stroke in people aged 60 years and older.Methods: The study included 3010 participants aged 60 and older from the National Health and Nutrition Examination Survey (NHANES). Data on sedentary behavior, physical activity and stroke were obtained through questionnaires. Statistical analyses were performed using a complex multistage sampling design and weighted multivariate logistic regression. Smoothed curve fitting and threshold effects analyses were used to explore non-linear relationships between physical activity, sedentary behavior and stroke.Results: There were 244 (7.53%) participants aged 60 years and older who had experienced a stroke. After adjusting for all covariates, physical activity, sedentary behavior and stroke were significantly associated [OR (95% CI) for physical activity: 0.622 (0.443,0.875), p=0.009; OR (95% CI) for sedentary behavior: 2.602 (1.557,4.348), p=0.003]. C-reactive protein mediated the association between sedentary behavior and stroke among older adults, with a mediation of 3.64%.In people aged 60 years and older, sedentary behavior was positively associated with stroke, whereas physical activity was negatively associated with stroke, and C-reactive protein mediated the relationship between sedentary behavior and stroke.

    Keywords: NHANES, sedentary behavior, physical activity, Stroke, Mediation analysis

    Received: 22 Aug 2024; Accepted: 29 Nov 2024.

    Copyright: © 2024 Wen, Bai, Yan, Wu and Chen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Zongliang Wen, Xuzhou Medical University, Xuzhou, China
    Xuebing Yan, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu Province, China
    Shenqin Wu, Xuzhou Medical University, Xuzhou, China
    Jialin Chen, Xuzhou Medical University, Xuzhou, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.