Objectively measured activity patterns among adults in residential aged care

Reid, Natasha, Eakin, Elizabeth, Henwood, Timothy, Keogh, Justin W. L., Senior, Hugh E., Gardiner, Paul A., Winkler, Elisabeth and Healy, Genevieve N. (2013) Objectively measured activity patterns among adults in residential aged care. International Journal of Environmental Research and Public Health, 10 12: 6784-6798. doi:10.3390/ijerph10126783


Author Reid, Natasha
Eakin, Elizabeth
Henwood, Timothy
Keogh, Justin W. L.
Senior, Hugh E.
Gardiner, Paul A.
Winkler, Elisabeth
Healy, Genevieve N.
Title Objectively measured activity patterns among adults in residential aged care
Journal name International Journal of Environmental Research and Public Health   Check publisher's open access policy
ISSN 1661-7827
1660-4601
Publication date 2013-12
Year available 2013
Sub-type Article (original research)
DOI 10.3390/ijerph10126783
Open Access Status DOI
Volume 10
Issue 12
Start page 6784
End page 6798
Total pages 15
Place of publication Basel, Switzerland
Publisher M D P I
Collection year 2014
Language eng
Formatted abstract
Objectives: To determine the feasibility of using the activPAL3™ activity monitor, and, to describe the activity patterns of residential aged care residents.

Design: Cross-sectional. Setting: Randomly selected aged care facilities within 100 km of the Gold Coast, Queensland, Australia.

Participants: Ambulatory, older (≥60 years) residential aged care adults without cognitive impairment.

Measurements: Feasibility was assessed by consent rate, sleep/wear diary completion, and through interviews with staff/participants. Activity patterns (sitting/lying, standing, and stepping) were measured via activPAL3™ monitors worn continuously for seven days. Times spent in each activity were described and then compared across days of the week and hours of the day using linear mixed models.

Results: Consent rate was 48% (n = 41). Activity patterns are described for the 31 participants (mean age 84.2 years) who provided at least one day of valid monitor data. In total, 14 (45%) completed the sleep/wear diary. Participants spent a median (interquartile range) of 12.4 (1.7) h sitting/lying (with 73% of this accumulated in unbroken bouts of ≥30 min), 1.9 (1.3) h standing, and 21.4 (36.7) min stepping during their monitored waking hours per day. Activity did not vary significantly by day of the week (p ≥ 0.05); stepping showed significant hourly variation (p = 0.018).

Conclusions: Older adults in residential aged care were consistently highly sedentary. Feasibility considerations for objective activity monitoring identified for this population include poor diary completion and lost monitors.
Keyword Older adults
Physical activity
Sedentary time
Sitting-objective measurement
ActivPAL
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

 
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Created: Thu, 05 Dec 2013, 11:41:24 EST by Vicki Percival on behalf of School of Public Health