System based approach to inequality in determinants of sedentary behaviour in older adults
ISPAH ePoster Library. Chastin S. Oct 15, 2018; 225186; 309
Sebastian Chastin
Sebastian Chastin
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Abstract Background Older adults are the most sedentary segment of society. We investigate what determines inequalities in sedentary behaviour for older adults based on DEDIPAC’s Systems of Sedentary behaviours framework and results from analysis of harmonised data in Europe and in Scotland. Methods:<\b>
The System of Sedentary behaviours framework was developed by DEDIPAC through an international consensus. Data from European cohorts, the Eurobarometer and three Scottish cohorts (Study Senior USP) where analysed using this framework to determine sources of inequalities in sedentary time. Results The build and natural environment appear as the most important system that determines sedentary behaviour. Older adults in urban area spend more time in sedentary behaviour but longitudinally densification is associated with lower sedentary time. Perceived access to facilities or perceived absences of services, fear of crime are important factors in this system. Lower social economic status if associated with higher sedentary time but economic growth is not associated longitudinally with decrease in sedentary time in older adults. There are difference in determinant between men and women with the economic system being the second most influential system for men while for women it is health care and wellbeing including mobility issues. Conclusion There are complex inequalities in sedentary time among older adults. Some interventions might inadvertently widen these inequalities. More focus should be placed in providing access to safe and stimulating environment for older adults to be active.
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