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Objectively Measured Activity Patterns among Adults in Residential Aged Care

机译:居家养老服务中成年人的客观测量活动模式

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摘要

Objectives: To determine the feasibility of using the activPAL3TM 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 activPAL3TM 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.
机译:目的:确定使用activPAL3 TM 活动监测器的可行性,并描述住院老年护理居民的活动模式。设计:横截面。地点:在澳大利亚昆士兰州黄金海岸100公里内随机选择的老年护理机构。参加者:动态,年龄较大(≥60岁)的住院老年护理成人,无认知障碍。度量:通过同意率,睡眠/佩戴日记的完成情况以及与工作人员/参与者的访谈来评估可行性。通过连续佩戴7天的activPAL3 TM 监测器测量活动模式(坐着/躺着,站立和踩踏)。描述在每个活动中花费的时间,然后使用线性混合模型比较一周中的某天和一天中的几小时。结果:同意率为48%(n = 41)。描述了提供至少一天有效监控数据的31名参与者(平均年龄84.2岁)的活动模式。总共14(45%)完成了睡眠/穿用日记。参与者在受监控的时间中,其就坐/躺着的时间中位数(四分位数范围)为12.4(1.7)小时(其中73%的时间在≥30分钟的不间断搏动中累积),1.9(1.3)h站立,21.4(36.7)min踏步每天醒来的时间。一周中的每一天的活动没有显着变化(p≥0.05);步进显示出明显的每小时变化(p = 0.018)。结论:住院老年护理中的老年人一直久坐不动。针对该人群确定的客观活动监测的可行性考虑因素包括日记填写不佳和监测员丢失。

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