Highlights
- •Little is known about the relationship between sedentary behavior and perceived stress.
- •Our data across 6 low- and middle-income countries suggest sedentary behavior is associated with increased perceived stress.
- •A one-hour increase in sedentary behavior per day was associated with a perceived stress score of 0.92 points higher.
- •Research is warranted to examine the types and contexts of sedentary behavior and mechanisms underpinning this relationship.
Abstract
Background
Sedentary behavior and perceived stress are both negatively associated with physical
and mental health. Little is known about the association between sedentary behavior
and perceived stress, and there is a particular paucity of data on people aged ≥50
years from low- and middle-income countries (LMICs).
Methods
We analyzed cross-sectional, community-based data from 34,129 individuals aged ≥50
years [mean age 62.4 (SD = 16.0) years, 52% females] from six LMICs. Perceived stress
was assessed using the Perceived Stress Scale and time spent sedentary per day was
self-reported. Multivariable linear regression analyses were conducted, adjusting
for important socio-economic and physical and mental health-related confounders.
Results
The mean perceived stress score increased with greater sedentary time (38.4 for 0–<4 h/day
to 54.2 for ≥11 h/day). In the fully adjusted model, 4–8, 8–11, and ≥11 h/day of sedentary
behavior (SB) were associated with 1.97 (95%CI = 0.57–3.36), 7.11 (95%CI = 4.96–9.27),
and 9.02 (95%CI = 5.45–12.59) times higher mean perceived stress scores, compared
with 0–<4 h/day. Greater time spent sedentary was associated with higher perceived
stress scores in all six countries, although the association in Mexico fell short
of statistical significance.
Conclusion
This is the first multinational analysis to show that a greater amount of sedentary
behavior is associated with higher levels of perceived stress among older adults in
LMICs. Future research may examine the types and contexts of sedentary behavior, and
explore the underlying mechanisms of the relationship.
Keywords
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Article info
Publication history
Published online: August 06, 2018
Accepted:
August 4,
2018
Received in revised form:
July 9,
2018
Received:
May 15,
2018
Identification
Copyright
© 2018 Elsevier B.V. All rights reserved.
