Sedentary behavior and perceived stress among adults aged >=50 years in six low- and middle-income countries

Background:Sedentary behavior and perceived stress are both negatively associated with physical and mentalhealth. Little is known about the association between sedentary behavior and perceived stress, and there is aparticular 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 [meanage 62.4 (SD = 16.0) years, 52% females] from six LMICs. Perceived stress was assessed using the PerceivedStress Scale and time spent sedentary per day was self-reported. Multivariable linear regression analyses wereconducted, 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 54.2for>=11 h/day). In the fully adjusted model, 4-8, 8-11, and>=11 h/day of sedentary behavior (SB) were as-sociated 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) timeshigher mean perceived stress scores, compared with 0-< 4 h/day. Greater time spent sedentary was associatedwith higher perceived stress scores in all six countries, although the association in Mexico fell short of statisticalsignificance.Conclusion:This is thefirst multinational analysis to show that a greater amount of sedentary behavior is as-sociated with higher levels of perceived stress among older adults in LMICs. Future research may examine thetypes and contexts of sedentary behavior, and explore the underlying mechanisms of the relationship