Purpose: This study aims to analize the association between sedentary behaviour (SB) and urinary incontinence (UI) in nursing home residents (NH).

Methods: A cross-sectional observational study (Clinical Trials NCT04297904) in 5 NH was conducted in the Osona county (Barcelona, Spain). Dependent variable was UI (by Minimum Data Set 3.0 version), and independent variables were absolute time spent sitting in hours (ATS), % of waking time spent sitting (%WTS), absolute time spent upright in hours (ATU), % of waking time spent upright (%WTU) and average duration of SB bouts in minutes (SBB) measured by ActivPAL3 device (AP) during 7 consecutive days. Exclusion criteria were <65 years, living in the NH <6 months, refuse to participate, hospitalization, palliative care and wearing the AP device <7 days. Data were analysed with a confidence level of 95% through the Kruskal-Wallis, the one way ANOVA test and pairwise comparisons with the mean ±(SD) standard deviation.

Results: The final sample consisted of 88 subjects, 69 (78.4%) women, mean age 85.9SD7.3. In the continent group (CG, n=28,31.8%), mean ATS was 8.75SD1.97, mean %WTS 72.04SD15.24%, mean ATU 3.32SD1.87, mean %WTU 27.95SD15.24% and mean SBB 20.03SD10.95. In the occasionally incontinent group (OIG, n=29,32.9%), mean ATS was 8.99SD1.82, mean %WTS 83.38SD16.45%, mean ATU 1.89SD1.90, mean %WTU 16.62SD16.45% and mean SBB 61.54SD75.59. In the incontinent group (IG, n=31, 35.2%), mean ATS was 9.55SD1.66, mean %WTS 93.46SD12.46%, mean ATU 0.63SD1.19, mean %WTU 6.54±12.46% and mean SBB 105.52SD49.28. The IG presented a significantly higher mean ATU (p<0.001) and %WTU (p<0.001) than the OIG and  IG. The IG had significantly higher %WTS (p<0.001) and SBB (p<0.001) than the OIG and CG. There were no significant differences in ATS between groups (p=0.226). 

Conclusions: NH residents with total or occasional UI spent significantly more time sitting and had larger SB bouts than time spent upright compared to continent residents. ATS was higher in the IG versus the OIG and much more than CG, but differences were not statistically significant. Longitudinal studies with a larger sample are guaranteed to confirm whether SB represents a risk factor for UI in the NH population. 

Purpose: This study aims to observe possible associations between sedentary behavior (SB) and some psychological conditions such as depressive and anxious symptoms, perceived loneliness, risk of social isolation and perception of quality of life of the nursing homes (NH) population.

Methods: A cross-sectional study (Clinical Trials registration number NCT04297904) was conducted in 5 NH in the Osona region (Barcelona, Spain). The main variables were absolute time spent sitting in hours (ATS) and time spent upright in hours (ATU), % of waking time spent sitting (%WTS) and time spent upright (%WTU), average duration of SB bouts in minutes (SBB) and were recorded during 7 consecutive days using ActivPAL3^TM device. Depressive symptoms were assessed with the 15-item Geriatric Depression Scale, anxious symptoms with Hospital Anxiety and Depression Scale, perceived loneliness with 6-item De Jong Gierveld Loneliness Scale, social network with Lubben Social Network Social Scale, and EuroQoL-5 dimension was used for the measurement of quality of life (QoL). All the variables were analyzed using the Mann Whitney U test, except the variable "absolute time spent sitting (hours)" which was analyzed using the Student's t-test for independent samples.

Results: Of the 65 individuals who initially were able to answer questionnaires, 16 (24.6%) were excluded due to their refusal to wear the ActivPAL3^TM device. Among the 49 included participants, mean age was 84.3 (±7.71) and 37 (75.5%) were women. Although no statistically significant associations were found, there was a tendency for residents with emotional loneliness to spend more time in SB (p=0.072) compared to those without distress: 9.2 (interquartile range (IQR): 8.2-10.4) and 8.5 (IQR: 7.1-10), respectively; people who perceived their QoL as worse (p=0.072) spent longer periods in SB: 34.5 min (IQR: 15.6-79.4) and 16.6 (IQR: 12.3-31.17), respectively.

Conclusions:  Residents with higher levels of loneliness have longer periods of SB and the ones with worse perception of QoL presented with larger SB bouts. The differences were not statistically significant, although for the variables QoL and loneliness, values were close to significance. It would be convenient to increase the sample to further explore the association between SB and psychosocial factors among NH residents.

Purpose: This study aims to analyse the association of falls and sedentary behaviour (SB) in older people who live in nursing homes (NH).

Methods: A cross-sectional observational and longitudinal study (Clinical Trials NCT04297904) in 5 NH was conducted in the Osona county (Barcelona, Spain). The main variables were absolute time spent sitting in hours (ATS), % of waking time spent sitting (%WTS), absolute time spent upright in hours (ATU), % of waking time spent upright (%WTU) and average duration of SB bouts in minutes (SBB) measured by ActivPAL3 device (AP) during 7 consecutive days. A retrospective register of falls from the year prior to the baseline (2019-2020) was carried out. Exclusion criteria were <65 years, live in the NH <6 months, refusal to participate, hospitalization, palliative care and wearing the AP device <7 days. We used the Mann Whitney U test, except the variable "absolute time spent sitting (hours)" which was analyzed using the Student's t-test for independent samples.

Results: The final sample consisted of 93 subjects, 74 (79.6%) women, mean age 85.75SD7.4. The falling residents group (n=39,41.9%), mean ATS was 8.82SD1.6, mean %WTS 80.52SD0.18%, mean ATU 2.23SD2.12, mean %WTU 19.47SD0.18% and mean SBB 55.25SD57.71. In the no falling residents group (n=54, 58.1%), mean ATS was 9.1SD1.94, mean %WTS 83.79±0.17%, mean ATU 1.88SD2.1, mean %WTU 16.21SD0.17% and mean SBB 65.80SD65.23. No statistically significant associations were found between falls and SB variables: ATS (p=0.353), %WTS (p=0.559), ATU (p=0.538), %WTU (p=0.559) and SBB (p=0.503). At six months, the residents' falls were recorded: 31 (33.3%) individuals fell of which 23 (74.2%) were women. The results also showed no statistically significant association between falls and the CS variables: %WTS (p=0.566), ATU (p=0.813), %WTU (p=0.566) and SBB (p=0.788). The ATS variable (p=0.018) and the falls variable showed a higher significance at six months.

Conclusions: Residents with prolonged periods of SB, fall more than those residents who spend less time in SB. There are differences between the two groups but no statistically significant differences between the two variables. More longitudinal studies with larger samples should be conducted to find more significant data including falls prevention.