Association between daily sitting time and sarcopenia in the US population: a cross-sectional study

Abstract Background Sarcopenia is an age-related syndrome marked by a gradual decline in skeletal muscle mass and function. While various factors influencing sarcopenia have been studied, the link between daily sedentary time and sarcopenia remains underexplored. Method This study analyzed the assoc...

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Main Authors: Alei Zhang, Yanlei Li, Jinlei Zhou, Yuan Zhang, Shanggao Xie, Haiyu Shao, Tingxiao Zhao, Tao Tang
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Archives of Public Health
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Online Access:https://doi.org/10.1186/s13690-025-01501-x
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author Alei Zhang
Yanlei Li
Jinlei Zhou
Yuan Zhang
Shanggao Xie
Haiyu Shao
Tingxiao Zhao
Tao Tang
author_facet Alei Zhang
Yanlei Li
Jinlei Zhou
Yuan Zhang
Shanggao Xie
Haiyu Shao
Tingxiao Zhao
Tao Tang
author_sort Alei Zhang
collection DOAJ
description Abstract Background Sarcopenia is an age-related syndrome marked by a gradual decline in skeletal muscle mass and function. While various factors influencing sarcopenia have been studied, the link between daily sedentary time and sarcopenia remains underexplored. Method This study analyzed the association between daily sitting time and sarcopenia using data from the National Health and Nutrition Examination Survey (NHANES 2011–2018). Daily sitting time was assessed through questionnaires, while sarcopenia was measured using body mass index (BMI) adjusted appendicular skeletal muscle mass (ASM). The relationship was analyzed using weighted logistic regression models and smoothing curves. Stratified analyses and interaction testing were employed to investigate population-specific characteristics of this association. Furthermore, chi-square test and grouped logistic regression were used to further analyze the impact of vigorous activity on the relationship between the two variables. Result This study included 9998 participants with complete information. The fully adjusted model showed a significant positive correlation between daily sitting time and the prevalence of sarcopenia (OR = 1.07, 95% CI: 1.03–1.10, P = 0.0026). The group with daily sitting time ≥ 9 h had a 90% higher risk of sarcopenia compared to the < 4 h group (OR = 1.90, 95% CI: 1.22–2.84, P = 0.0040). Smooth curve fitting analysis showed a linear correlation between this relationship. Stratified analysis shows that non-Hispanic white men with a lower BMI (BMI < 25) have a higher risk of sarcopenia. Compared to those who actively participate in vigorous activities, individuals who lack recreational activities have a higher prevalence and risk of sarcopenia. Conclusion Our research has found that increased sedentary time significantly increases the risk of sarcopenia, especially among non-Hispanic white men with lower BMI. Additionally, individuals who lack vigorous physical activity also have a higher prevalence and risk of sarcopenia. Therefore, reducing sedentary behavior and increasing moderate exercise may be effective prevention strategies.
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issn 2049-3258
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spelling doaj-art-18ddcd021a2b4b339321d5b1fea3d53f2025-01-12T12:09:05ZengBMCArchives of Public Health2049-32582025-01-0183111110.1186/s13690-025-01501-xAssociation between daily sitting time and sarcopenia in the US population: a cross-sectional studyAlei Zhang0Yanlei Li1Jinlei Zhou2Yuan Zhang3Shanggao Xie4Haiyu Shao5Tingxiao Zhao6Tao Tang7Department of Second Orthopedics, First People’s Hospital of Jiashan CountyEmergency and Critical Care Center, Department of Emergency, Zhejiang Provincial People’s Hospital (Affiliated People’s Hospital, Hangzhou Medical College)Center for Plastic & Reconstructive Surgery, Department of Orthopedics, Zhejiang Provincial People’s Hospital (Affiliated People’s Hospital, Hangzhou Medical College)Department of Rheumatology, The Second Affiliated Hospital of Zhejiang Chinese Medical UniversityCenter for Plastic & Reconstructive Surgery, Department of Orthopedics, Zhejiang Provincial People’s Hospital (Affiliated People’s Hospital, Hangzhou Medical College)Center for Plastic & Reconstructive Surgery, Department of Orthopedics, Zhejiang Provincial People’s Hospital (Affiliated People’s Hospital, Hangzhou Medical College)Center for Plastic & Reconstructive Surgery, Department of Orthopedics, Zhejiang Provincial People’s Hospital (Affiliated People’s Hospital, Hangzhou Medical College)Department of Second Orthopedics, First People’s Hospital of Jiashan CountyAbstract Background Sarcopenia is an age-related syndrome marked by a gradual decline in skeletal muscle mass and function. While various factors influencing sarcopenia have been studied, the link between daily sedentary time and sarcopenia remains underexplored. Method This study analyzed the association between daily sitting time and sarcopenia using data from the National Health and Nutrition Examination Survey (NHANES 2011–2018). Daily sitting time was assessed through questionnaires, while sarcopenia was measured using body mass index (BMI) adjusted appendicular skeletal muscle mass (ASM). The relationship was analyzed using weighted logistic regression models and smoothing curves. Stratified analyses and interaction testing were employed to investigate population-specific characteristics of this association. Furthermore, chi-square test and grouped logistic regression were used to further analyze the impact of vigorous activity on the relationship between the two variables. Result This study included 9998 participants with complete information. The fully adjusted model showed a significant positive correlation between daily sitting time and the prevalence of sarcopenia (OR = 1.07, 95% CI: 1.03–1.10, P = 0.0026). The group with daily sitting time ≥ 9 h had a 90% higher risk of sarcopenia compared to the < 4 h group (OR = 1.90, 95% CI: 1.22–2.84, P = 0.0040). Smooth curve fitting analysis showed a linear correlation between this relationship. Stratified analysis shows that non-Hispanic white men with a lower BMI (BMI < 25) have a higher risk of sarcopenia. Compared to those who actively participate in vigorous activities, individuals who lack recreational activities have a higher prevalence and risk of sarcopenia. Conclusion Our research has found that increased sedentary time significantly increases the risk of sarcopenia, especially among non-Hispanic white men with lower BMI. Additionally, individuals who lack vigorous physical activity also have a higher prevalence and risk of sarcopenia. Therefore, reducing sedentary behavior and increasing moderate exercise may be effective prevention strategies.https://doi.org/10.1186/s13690-025-01501-xDaily sitting timeSarcopeniaNHANESPositive associationRecreational activities
spellingShingle Alei Zhang
Yanlei Li
Jinlei Zhou
Yuan Zhang
Shanggao Xie
Haiyu Shao
Tingxiao Zhao
Tao Tang
Association between daily sitting time and sarcopenia in the US population: a cross-sectional study
Archives of Public Health
Daily sitting time
Sarcopenia
NHANES
Positive association
Recreational activities
title Association between daily sitting time and sarcopenia in the US population: a cross-sectional study
title_full Association between daily sitting time and sarcopenia in the US population: a cross-sectional study
title_fullStr Association between daily sitting time and sarcopenia in the US population: a cross-sectional study
title_full_unstemmed Association between daily sitting time and sarcopenia in the US population: a cross-sectional study
title_short Association between daily sitting time and sarcopenia in the US population: a cross-sectional study
title_sort association between daily sitting time and sarcopenia in the us population a cross sectional study
topic Daily sitting time
Sarcopenia
NHANES
Positive association
Recreational activities
url https://doi.org/10.1186/s13690-025-01501-x
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