高齡者因生活型態的轉變，日常生活的靜態時間增加，導致身體功能的退化更加快速，而維持一定程度的身體功能是高齡者健康的重要決定因素，因此有其必要進一步釐清高齡者靜態行為與身體功能表現之間的關係。本研究擬定之研究目的為(1) 瞭解臺灣高齡者社會人口因素、靜態行為類型與身體功能表現之現況。(2) 瞭解臺灣高齡者之性別與靜態行為類型、身體功能表現之關聯性。(3) 瞭解臺灣高齡者靜態行為類型與身體功能表現在不同性別間之關聯性。
本研究於台北地區，以方便取樣方式，招募60歲以上高齡者進行研究，得有效樣本數為120位高齡者，資料以SPSS 23.0進行分析，統計方法包括描述性統計、卡方檢定、多元線性迴歸。
研究結果發現，(1) 性別與「持續≥30分鐘久坐」達統計顯著相關；男性每天持續30分鐘以上久坐次數多於女性。(2) 性別與身體功能表現(計時五次坐站、五公尺步行、起立行走坐下)之三個變項上皆未達統計上顯著相關。(3)臺灣高齡者靜態行為類型與身體功能表現在不同性別間皆未達統計上顯著相關。
本研究之結果可提供公部門規劃及改善高齡者靜態行為相關政策之參考，達到我國高齡者健康促進之目的。建議未來研究可進一步以縱貫性研究來深入了解不同靜態行為類型與身體功能表現之關係。

Due to the change of lifestyle, the elderly spend most of their time on sedentary behavior, which leads to the deterioration of physical function rapidly. Maintaining an optimal level of physical function is important to the elderly. It is of value to examine the associations between sedentary behavior and performance-based physical function in older adults. Therefore, the aims of this study are (1) to describe the prevalence of objectively-assessed sedentary behavior and performance-based physical function according to socio-demographic variables. (2) to compare the sex-differences of objectively-assessed sedentary behavior patterns and performance-based physical function. (3) to examine the relationship between patterns of objective-measured sedentary behavior with performance-based physical function by sex.

A cross-sectional survey targeting Taiwanese older adults was conducted in Taipei area. Data related to objectively-assessed sedentary behavior, performance-based physical function and socio-demographic variables were obtained from 120 older adults. Descriptive statistics, chi-square test, multiple regression were performed using SPSS 23.0

The results showed that (1) Men had more number of sedentary bouts (≥30 min) than women. (2) No sex differences of performance-based physical function were found. (3) No significant associations were observed between the patterns of objective-measured sedentary behavior and performance-based physical function.

The above-mentioned results are critical to inform policy-makers and behavior change experts for health promotion of the elderly. Future studies are warranted to further examine the associations between the pattern of sedentary behavior and performance-based physical function of the elderly in longitudinal research.

內政部統計處 (2018)。最新統計指標。取自
http://www.moi.gov.tw/stat/chart.aspx?ChartID=S0401
內政部統計處(2017)。內政性別統計分析專輯。取自https://www.moi.gov.tw/stat/node.aspx?cate_sn=&belong_sn=5137&sn=6868
內政部統計處(2018a)。內政統計查詢網。取自http://statis.moi.gov.tw/micst/stmain.jsp?sys=100
內政部統計處(2018b)。內政統計查詢網。取自http://statis.moi.gov.tw/micst/stmain.jsp?sys=100
內政部統計處(2018c)。中華民國統計資料網。取自http://statis.moi.gov.tw/micst/stmain.jsp?sys=220&ym=10700&ymt=10700&kind=21&type=1&funid=c0110403&cycle=4&outmode=0&compmode=0&outkind=1&fldspc=0,12,&codspc0=0,1,10,2,&cod10=1&rdm=goi5khek
古博文、孫文榮、陳俐蓉 (2016b)。老年人靜態行為問卷之發展。大專體育學刊，18(1)，41-55。
古博文、陳俐蓉、許志宏 (2016a)。老年靜態行為與認知老化之文獻回顧。體育學報，49，1-16。
田玉笛、王秀華、錢桂玉 （2015）。以社區應用為導向之中老年人行動能力評估。中華體育季刊，29(1)：29-36。
行政院主計處 (2018)。國情統計通報。取自
https://www.dgbas.gov.tw/public/Data/8111516152198I9Y1K.pdf
行政院衛生福利部(2018)。中華民國107年老人狀況調查報告。臺北市：衛生福利部。
李亞芸、吳英、蔡亦為、李雪禎、王瑞瑤、楊雅如 (2006)。 運動訓練對預防老年女性跌倒之效益：統合分析。物理治療，31(5)，273-284。
李淑芳、劉淑燕 (2008)。老年人功能性體適能。台北：華都文化。
林宜泓、顏啟華、顧明祥、胡名霞、王靜怡（2012）。社區老人身體功能表現測試：區分身體失能與無失能者之切點。臺灣老年醫學暨老年學雜誌，7(3)：160-174。
林彥廷、麥財振 (2009)。籃球敏捷性之訓練方式。大專體育雙月刊，101，131-138。
林銀秋 (2003)。健康老年人的跌倒危機-骨骼肌肉系統及步態分析之討論。中華
體育，17 (3)，70-73。
洪偉欽、沈竑毅 (2007)。老化與平衡能力。嘉大體育健康休閒期刊，6(2)，119-129。
胡月娟 (1993)。社區民衆健康意識與健康行爲初探。護理研究，1(4)，309-315。
國家發展委員會 (2018）。中華民國人口推計 (107至154年)。取自
http://www.ndc.gov.tw/Content_List.aspx?n=84223C65B6F94D72
教育部體育署體適能網站 (2018)。體適能指導。取自
https://www.fitness.org.tw/direct01.php
鄭景峰、林惠美 (2004)。運動、營養與老人跌倒。北體學報，12，63-72。
鄭聖儒、薛名淳、黃品瑄、廖邕（2016）。久坐行為概念之演變與發展。休閒與社會研究，14，29–40。
薛名淳、廖邕、黃品瑄 (2017)。久坐行為流行病學之研究架構。大專體育，142，65-74。
英文部分：
Ainsworth, B.E., Haskell, W.L., Whitt, M.C., Irwin, M.L., Swartz, A.M., Strath, S.J., ...& Leon, A.S. (2000). Compendium of physical activities: an update of activity codes and MET intensities. Medicine and Science in Sports and Exercise, 32(9), 498-504.
Atkin, A. J., Gorely, T., Clemes, S. A., Yates, T., Edwardson, C., Brage, S., … Biddle, S. J. (2012). Methods of measurement in epidemiology：sedentary behaviour. International Journal of Epidemiology, 41, 1460-1471.
Bankoski, A., Harris, T. B., McClain, J. J., Brychta, R. J., Caserotti, P., Chen, K. Y., … Koster, A. (2011). Sedentary activity associated with metabolic syndrome independent of physical activity. Diabetes Care 34, 497–503.
Bauman, A., Ainsworth, B., Sallis, J., Hagströmer, M., Craig, C., & Bull, F. …IPS Group. (2011). The Descriptive Epidemiology of Sitting. American Journal of Preventive Medicine, 41(2), 228-235. doi:10.1016/j.amepre.2011.05.003
Bey L., & Hamilton, M. T. (2003). Suppression of skeletal muscle lipoprotein lipase activity during physical inactivity: A molecular reason to maintain daily low-intensity activity. The Journal of Physiology, 551(2), 673-682.
Bischoff, H.A., Stähelin, H.B., Monsch, A.U., Iversen, M.D., Weyh, A., von Dechend, M., Akos, R., Conzelmann, M., Dick, W., & Theiler, R. (2003). Identifying a cut-off point for normal mobility: a comparison of the timed 'up and go' test in community-dwelling and institutionalised elderly women. Age and Ageing, 32(3):315-20.
Bohannon, R.W. (2006). Reference values for the timed up and go test: a descriptive meta-analysis. Journal of Geriatric Physical Therapy, 29(2):64-8.
Buatois, S., Miljkovic, D., Manckoundia, P., Gueguen, R., Miget, P., Vançon, G., Perrin, P., & Benetos, A. (2008). Five times sit to stand test is a predictor of recurrent falls in healthy community-living subjects aged 65 and older. Journal of the American Geriatrics Society, 56(8), 1575-7. doi: 10.1111/j.1532-5415.2008.01777.x.
Chen, L.K., Liu, L.K., Woo, J., Assantachai, P., Auyeung, T.W., & Bahyah, K.S. (2014). Sarcopenia in Asia: consensus report of the Asian working group for sarcopenia. Journal of the American Medical Directors Association, 15, 95-101.
Cooper, A. J., Simmons, R. K., Kuh, D., Brage, S., Cooper, R., & López Lluch, G. (2015). Physical activity, sedentary time and physical capability in early old age: British birth cohort study. PLoS One, 10(5), e0126465. doi:10.1371/journal.pone. 0126465
de Rezende, L.F., Rey-López, J.P., Matsudo, V.K., & do Carmo Luiz, O. (2014). Sedentary behavior and health outcomes among older adults: a systematic review. BMC public health, 14, 333. doi: 10.1186/1471-2458-14-333.
Fleig, L., McAllister, M. M., Brasher, P., Cook, W. L., Guy, P., Puyat, J. H., … Ashe, M. C. (2016). Sedentary behavior and physical activity patterns in older adults after Hip fracture: A call to action. Journal of Aging and Physical Activity, 24(1), 79–84. doi: 10.1123/japa.2015-0013
Gardiner, P.A., Healy, G.N., Eakin, E.G., Clark, B.K., Dunstan, D.W., Shaw, J.E., & Owen, N. (2011a). Associations between television viewing time and overall sitting time with the metabolic syndrome in older men and women: the Australian Diabetes, Obesity and Lifestyle study. Journal of the American Geriatrics Society, 59(5), 788-796.
Gardiner, P. A., Clark, B. K., Healy, G. N., Eakin, E. G., Winkler, E. A., & Owen, N. (2011b) Measuring older adults' sedentary time: reliability, validity, and responsiveness. Medicine and Science in Sports and Exercise, 43(11), 2127–2133.
Gehlsen, G. M., & Whaley, M. H. (1990). Falls in the elderly: Part II, balance, strength, and the flexibility. Archives of Physical Medicine and Rehabilityation, 71, 735¬741.
Gennuso, K. P., Thraen-Borowski, K. M., Gangnon, R. E., & Colbert, L. H. (2016). Patterns of sedentary behavior and physical function in older adults. Aging Clinical and Experimental Research, 28(5), 943–950. doi:10.1007/s40520-015-0386-4
Grimm, E.K., Swartz, A.M., Hart, T., Miller, N.E., & Strath, S.J. (2012). Comparison of the IPAQ-Short Form and accelerometry predictions of physical activity in older adults. Journal of Aging and Physical Activity, 20, 64–79.
Hamilton, M. T., Hamilton, D. G., & Zderic, T. W. (2004). Exercise physiology versus inactivity physiology: an essential concept for understanding lipoprotein lipase regulation. Exercise and Sport Sciences Reviews, 32(4), 161-166.
Hamilton, M. T., Hamilton, D. G, & Zderic, T. W. (2007). Role of low energy expenditure and sitting in obesity, metabolic syndrome, type 2 diabetes, and cardiovascular disease. Diabetes, 56(11), 2655-2667.
Hart, T. L., Swartz, A. M., Cashin, S. E., & Strath, S. J. (2011). How many days of monitoring predict physical activity and sedentary behaviour in older adults? International Journal of Behavioral Nutrition and Physical Activity, 16(8), 62.
Harvey, J. A., Chastin, S. F., & Skelton, D. A. (2013). Prevalence of sedentary behavior in older adults: a systematic review. International journal of environmental research and public health, 10(12), 6645-6661.
Healy, G., Dunstan, D., Salmon, J., Shaw, J., Zimmet, P., & Owen, N. (2008). Television Time and Continuous Metabolic Risk in Physically Active Adults. Medicine & Science In Sports & Exercise, 40(4), 639-645. doi:10.1249/mss.0b013e3181607421
Healy, G. N., Clark, B. K., Winkler, E. A., Gardiner, P. A., Brown, W. J., & Matthews, C. E. (2011). Measurement of adults' sedentary time in population-based studies. American Journal of Preventive Medicine, 41(2), 216-227.
HM Government (2010). Healthy lives, healthy people: Our strategy for public health in England. Norwich, UK: HM Government.
Jones, C. J.,＆Rikli, R. E. (2002). Measuring functional. The Journal on Active Aging, 1, 24-30.
Landi, F., Abbatecola, A.M., Provinciali, M., Corsonello, A., Bustacchini, S., Manigrasso, L., …Lattanzio, F.. (2010). Moving against frailty: does physical activity matter? Biogerontology, 11(5), 537-45. doi: 10.1007/s10522-010-9296-1.
Liao Y, Hsu H-H, Shibata A, Ishii K, Koohsari MJ, Oka K. Associations of total amount and patterns of objectively measured sedentary behavior with performance-based physical function. Prev Med Reports. 2018;12:128–34.
Lohne-Seiler, H., Hansen, B.H., Kolle, E., & Anderssen, S.A. (2014). Accelerometer-determined physical activity and self-reported health in a population of older adults (65-85 years): a cross-sectional study, BMC Public Health, 14, 284. doi: 10.1186/1471-2458-14-284.
Lusardi, M., Pellecchia, G., & Schulman, M. (2003). Functional performance in community living older adults. Journal of Geriatric Physical Therapy, 26, 14-22.
Martínez-Gómez D., Guallar-Castillon, P., Mota, J., Lopez-Garcia, E., & Rodriguez-Artalejo, F. (2015). Physical Activity, Sitting Time and Mortality in Older Adults with Diabetes. International Journal of Sports Medicine, 36(14), 1206-1211. doi: 10.1055/s-0035-1555860.
Owen, N., Healy, G.N., Matthews, C.E., Dustan, D.W. (2010). Too much sitting: the population health science of sedentary behavior. Exercise and Sport Sciences Reviews, 38,105–113.
Owen, N., Sugiyama, T., Eakin, E. E., Gardiner, P. A., Tremblay, M. S., & Sallis, J. F. (2011) Adults' sedentary behavior: Determinants and interventions. American Journal of Preventive Medicine, 41(2), 189-196.
Owen, N. (2012). Sedentary behavior: Understanding and influencing adults’ prolonged sitting time. Preventive Medicine, 55(6), 535-539.
Pate, R. R., Mitchell, J. A., Byun, W., & Dowda, M. (2011). Sedentary behaviour in youth. British Journal of Sports Medicine, 45(11), 906-913.
Pate, R.R., O’Neill, J.R., Lobelo, F. (2008). The evolving definition of “sedentary”. Exercise and Sport Sciences Reviews, 36, 173–178.
Pavey, T.G., Peeters, G.G., & Brown, W.J. (2015). Sitting-time and 9-year all-cause mortality in older women. British journal of sports medicine, 1-5.
Peddie, M. C., Bone, J. L., Rehrer, N. J., Skeaff, C. M., Gray, A. R., & Perry, T. L. (2013). Breaking prolonged sitting reduces postprandial glycemia in healthy, normal-weight adults: a randomized crossover trial. The American Journal of Clinical Nutrition, 98(2), 358-366. doi: 10.3945/ajcn.112.051763
Rantanen, T., Avlund, K., Suominen, H., Schroll, M., Frändin, K.,＆Pertti, E. (2002). Muscle strength as predictor of onset of ADL dependence in people aged 75 years. Aging Clinical and Experimental Research, 14(3 Suppl), 10-15.
Reid, K. F., & Fielding, R. A. (2012). Skeletal muscle power: A critical determinant of physical functioning in older adults. Exercise and Sport Sciences Reviews, 40(1), 4. doi: 10.1097/JES.0b013e31823b5f13
Rikli, R. E., & Jones, C. J.(1999). Functional fitness normative scores for community-residing older adults, ages 60-94. Journal of Aging and Physical Activity, 7, 162-181.
Rikli, R. E., & Jones, C. J.(2001). Senior fitness test manual. Champaign: Human Kinetics.
Rikli, R. E., & Jones, C. J.(2013).Senior fitness test manual. Champaign,IL: Human Kinetics Publishers.
Rose, D.J., Jones, C.J. and Lucchese, N. (2002) Predicting the Probability of Falls in Community-Residing Older Adults Using the 8-Foot Up-and-Go: A New Measure of Functional Mobility. JAPA, 10, 466-475. https://doi.org/10.1123/japa.10.4.466
Rosenberg, D. E., Bellettiere, J., Gardiner, P. A., Villarreal, V. N., Crist, K., & Kerr, J. (2016). Independent associations between sedentary behaviors and mental, cognitive, physical, and functional health among older adults in retirement communities. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 71(1), 78–83. doi:10.1093/gerona/glv103
Rosenberg, D.E., Norman, G.J., Wagner, N., Patrick, K., Calfas, K.J., & Sallis, J.F. (2010). Reliability and validity of the Sedentary Behavior Questionnaire (SBQ) for adults. Journal of Physical Activity and Health, 7(6), 697–705.
Salbach NM, Mayo NE, Higgins J, Ahmed S, Finch LE, Richards CL. (2001). Responsiveness and predictability of gait speed and other disability measures in acute stroke. Archives of Physical Medicine and Rehabilitation, 82, 1204-1212.
Santos, D. A., Silva, A. M., Baptista, F., Santos, R., Vale, S., Mota, J., & Sardinha, L. B. (2012). Sedentary behavior and physical activity are independently related to functional fitness in older adults. Experimental Gerontology, 47(12), 908–912. doi:10.1016/j.exger.2012.07.011
Sardinha, L. B., Santos, D. A., Silva, A. M., Baptista, F., & Owen, N. (2015). Breaking-up sedentary time is associated with physical function in older adults. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 70(1), 119–124. doi:10.1093/gerona/glu193
Sedentary Behaviour Research Network. (2012). Letter to the editor: standardized use of the terms "sedentary" and "sedentary behaviours". Applied Physiology, Nutrition, and Metabolism, 37(3), 540-542. doi: 10.1139/h2012-024
Sparling, P. B., Howard, B. J., Dunstan, D. W., & Owen, N. (2015). Recommendations for physical activity in older adults. BMJ, 350, h100.
Stamatakis, E., Davis, M., Stathi, A., Hamer, M. (2012). Associations between multiple indicators of objectively-measured and self-reported sedentary behaviour and cardiometabolic risk in older adults. Preventive Medicine, 54, 82-87.
Tiedemann, A., Shimada, H., Sherrington, C., Murray, S., & Lord, S. (2008). The comparative ability of eight functional mobility tests for predicting falls in community-dwelling older people. Age Ageing, 37(4):430-5. doi: 10.1093/ageing/afn100. Epub 2008 May 1
Thorp, A. A., Owen, N., Neuhaus, M., & Dunstan, D. W. (2011). Sedentary behaviors and subsequent health outcomes in adults: A systematic review of longitudinal studies, 1996-2011. American Journal of Preventive Medicine, 41(2), 207-215.
Tremblay, M.S., Aubert, S., Barnes, J.D., Saunders, T.J., Carson, V., Latimer-Cheung, A.E., …on behalf of SBRN Terminology (2017). Sedentary Behavior Research Network (SBRN) – Terminology Consensus Project process and outcome. International Journal of Behavioral Nutrition and Physical Activity, 14, 75. doi: 10.1186/s12966-017-0525-8 PMCID: PMC5466781
Van Cauwenberg, J., Van Holle, V., De Bourdeaudhuij, I., Owen, N, Deforche, B. (2014). Older adults’ reporting of specific sedentary behaviors: validity and reliability. BMC Public Health, 14, 734.
Visser, M., & Koster, A. (2013). Development of a questionnaire to assess sedentary time in older persons - A comparative study using accelerometry. BMC Geriatrics, 13(1), 80.
Wang, L., Larson, E.B., Bowen, J.D., & Van Belle, G. (2006). Performance-based physical function and future dementia in older people. Archives of Internal Medicine, 166, 1115–1120.
Ward, D. S., Evenson, K. R., Vaughn, A., Rodgers, A. B., & Troiano, R. P. (2005).Accelerometer use in physical activity: Best practices and research recommendations. Medicine and Science in Sports and Exercise, 37 (11), 582-8.
Wilson, C.M., Kostsuca, S.R., & Boura, J.A. (2013). Utilization of a 5-Meter Walk Test in Evaluating Self-selected Gait Speed during Preoperative Screening of Patients Scheduled for Cardiac Surgery. Cardiopulmonary Physical Therapy Journal, 24(3):36-43.
World Health Organization (2012). Good Health Adds Life to Years: Global Brief for World Health Day 2012. Geneva: WHO press.