Association of frailty with activity levels and sedentary behaviours in patients with hepatitis B cirrhosis: A cross‐sectional study

Author:

Li Lili1ORCID,Fu Xia2,He Na3,Gan Weiqiang34,Zhao Yang1,Xie Ri‐hua15

Affiliation:

1. School of Nursing Southern Medical University Guangzhou Guangdong China

2. Department of Nursing The Eighth Affiliated Hospital of Sun Yat‐sen University Shenzhen Guangdong China

3. Department of Infectious Diseases The Third Affiliated Hospital of Sun Yat‐sen University Guangzhou Guangdong China

4. Guangdong Key Laboratory of Liver Disease Research The Third Affiliated Hospital of Sun Yat‐sen University Guangzhou Guangdong China

5. Women and Children Medical Research Center, Department of Nursing Foshan Women and Children Hospital Foshan Guangdong China

Abstract

AbstractBackground and AimsResearch on the association between activity levels and sedentary behaviour with frailty in patients affected by hepatitis B cirrhosis is sparse. This study aimed to explore the association of frailty with activity levels and sedentary behaviours in patients with hepatitis B cirrhosis.DesignThis cross‐sectional study followed the STROBE checklist.MethodsThis study was conducted in Guangzhou, China, between August 2021 and October 2022. The frailty condition of patients with hepatitis B cirrhosis was assessed using the liver frailty index (LFI). Their physical activity levels and sedentary time were assessed using the International Questionnaire of Physical Activity. Pearson correlation and binary logistic regression were used to analyse the data.ResultsAmong the 503 patients with hepatitis B cirrhosis in the final analysis, 107 (21.3%) were identified as frail. Frailty was negatively correlated with walking time (r = −0.174, p < 0.001), moderate‐intensity activity time (r = −0.185, p < 0.001), high‐intensity activity time (r = −0.243, p < 0.001) and total activity time (r = −0.256, p < 0.001). Patients with insufficient activity (<150 min/week) and sedentary behaviour (≥420 min/day) were found to have 2.829 times higher risk of frailty than those with sufficient activity (≥150 min/week) and no sedentary behaviour (<420 min/day) (95% CI: 1.380, 5.799).ConclusionPatients with hepatitis B cirrhosis who exhibited frailty demonstrated limited physical activity and engaged in sedentary behaviours.No patient or public contributionPatients with hepatitis B cirrhosis contributed their data to the study.

Publisher

Wiley

Subject

General Nursing

Reference20 articles.

1. Associations of objectively measured patterns of sedentary behavior and physical activity with frailty status screened by the frail scale in Japanese community‐dwelling older adults;Chen S.;Journal of Sports Science and Medicine,2020

2. Development of a novel frailty index to predict mortality in patients with end-stage liver disease

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