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Physical activity among hospitalised older people: insights from upper and lower limb accelerometry
BACKGROUND: Few studies have explored the activity levels of hospitalised older people and the intra-daily activity patterns in this group have not been described. AIMS: To describe the quantity and daily pattern of physical activity among hospitalised older people using two accelerometers: the ankl...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208771/ https://www.ncbi.nlm.nih.gov/pubmed/29542070 http://dx.doi.org/10.1007/s40520-018-0930-0 |
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author | Lim, S. E. R. Dodds, R. Bacon, D. Sayer, A. A. Roberts, H. C. |
author_facet | Lim, S. E. R. Dodds, R. Bacon, D. Sayer, A. A. Roberts, H. C. |
author_sort | Lim, S. E. R. |
collection | PubMed |
description | BACKGROUND: Few studies have explored the activity levels of hospitalised older people and the intra-daily activity patterns in this group have not been described. AIMS: To describe the quantity and daily pattern of physical activity among hospitalised older people using two accelerometers: the ankle-worn StepWatch Activity Monitor (SAM), and the wrist-worn GENEActiv. METHODS: This cross-sectional observational study was conducted on the acute medical wards for older people in one UK hospital. Inclusion criteria: participants aged ≥ 70 years, and able to mobilise prior to admission. Participants wore both devices for up to seven consecutive days, or until hospital discharge, whichever was sooner. Intra-daily activity levels were analysed hourly over each 24 h period. RESULTS: 38 participants (mean age 87.8 years, SD 4.8) had their activity levels measured using both devices. The SAM median daily step count was 600 (IQR 240–1427). Intra-daily activity analysis showed two peak periods of ambulatory activity between 9 am–11 am and 6 pm–7 pm. With physical activity defined as ≥ 12 milli-g (GENEActiv), the median time spent above this cut-off point was 4.2 h. 62% of this activity time was only sustained for 1–5 min. Acceptability of both devices was high overall, but the wrist-worn device (96%) was more acceptable to patients than the ankle-worn device (83%). CONCLUSION: Activity levels of these hospitalised older people were very low. Most physical activity was sustained over short periods. The intra-daily pattern of activity is an interesting finding which can help clinicians implement time-specific interventions to address the important issue of sedentary behaviour. |
format | Online Article Text |
id | pubmed-6208771 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-62087712018-11-09 Physical activity among hospitalised older people: insights from upper and lower limb accelerometry Lim, S. E. R. Dodds, R. Bacon, D. Sayer, A. A. Roberts, H. C. Aging Clin Exp Res Original Article BACKGROUND: Few studies have explored the activity levels of hospitalised older people and the intra-daily activity patterns in this group have not been described. AIMS: To describe the quantity and daily pattern of physical activity among hospitalised older people using two accelerometers: the ankle-worn StepWatch Activity Monitor (SAM), and the wrist-worn GENEActiv. METHODS: This cross-sectional observational study was conducted on the acute medical wards for older people in one UK hospital. Inclusion criteria: participants aged ≥ 70 years, and able to mobilise prior to admission. Participants wore both devices for up to seven consecutive days, or until hospital discharge, whichever was sooner. Intra-daily activity levels were analysed hourly over each 24 h period. RESULTS: 38 participants (mean age 87.8 years, SD 4.8) had their activity levels measured using both devices. The SAM median daily step count was 600 (IQR 240–1427). Intra-daily activity analysis showed two peak periods of ambulatory activity between 9 am–11 am and 6 pm–7 pm. With physical activity defined as ≥ 12 milli-g (GENEActiv), the median time spent above this cut-off point was 4.2 h. 62% of this activity time was only sustained for 1–5 min. Acceptability of both devices was high overall, but the wrist-worn device (96%) was more acceptable to patients than the ankle-worn device (83%). CONCLUSION: Activity levels of these hospitalised older people were very low. Most physical activity was sustained over short periods. The intra-daily pattern of activity is an interesting finding which can help clinicians implement time-specific interventions to address the important issue of sedentary behaviour. Springer International Publishing 2018-03-14 2018 /pmc/articles/PMC6208771/ /pubmed/29542070 http://dx.doi.org/10.1007/s40520-018-0930-0 Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Original Article Lim, S. E. R. Dodds, R. Bacon, D. Sayer, A. A. Roberts, H. C. Physical activity among hospitalised older people: insights from upper and lower limb accelerometry |
title | Physical activity among hospitalised older people: insights from upper and lower limb accelerometry |
title_full | Physical activity among hospitalised older people: insights from upper and lower limb accelerometry |
title_fullStr | Physical activity among hospitalised older people: insights from upper and lower limb accelerometry |
title_full_unstemmed | Physical activity among hospitalised older people: insights from upper and lower limb accelerometry |
title_short | Physical activity among hospitalised older people: insights from upper and lower limb accelerometry |
title_sort | physical activity among hospitalised older people: insights from upper and lower limb accelerometry |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208771/ https://www.ncbi.nlm.nih.gov/pubmed/29542070 http://dx.doi.org/10.1007/s40520-018-0930-0 |
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