Racial differences in physical activity in nursing home residents with cognitive impairment.
Racial differences in physical activity in nursing home residents with cognitive impairment.
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DOI：
10.1016/j.apnr.2021.151445
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发表时间：
2021-08
期刊：
影响因子：
--
通讯作者：
Resnick B
中科院分区：
文献类型：
--
作者：
Viviano NA;Galik E;Resnick B
有中到重度认知障碍的疗养院居民大多生活方式是久坐不动。以前的研究已经检查了居住在社区的老年人的体力活动(PA)水平的种族差异，但没有检查有认知障碍的NH居民的种族差异，目前的研究旨在检查这些差异。这是对以功能和行为为重点的护理干预(FBFC)研究的基线数据的二次数据分析。样本包括来自12个NHS的247名认知障碍居民，他们戴着活动仪测量PA。居民平均年龄为82.6岁(SD=10.1)，MMSE平均得分为7.8(SD=5.0)。样本(N=247)是41%的非裔美国人和59%的白人。非洲裔美国人和白人居民只接受了50.6分钟和46.2分钟的光线，以及1.5分钟和1.1分钟的中等水平的PA。基于多变量协方差分析，非裔美国人和白人居民在联合依赖PA指标上没有统计学上的显著差异[F(8,237)=1.067，p=.387，Wilks‘sΛ=.962]。有一种趋势是，直接护理提供者主观地报告说，白人居民比他们的非裔美国人居民参与了更多的PA[F(8237)=2.741，p=0.09]。这些发现与之前的研究不一致。然而，这些发现表明，无论种族，NH居民的PA水平都非常低。未来的研究应该优先考虑为所有NH居民提供住宿的PA干预措施，特别是考虑他们潜在的身体合并症和认知功能。
Nursing home (NH) residents with moderate-to-severe cognitive impairment experience mostly sedentary lifestyles. Previous research has examined racial differences in physical activity (PA) levels in community-dwelling older adults but not in NH residents with cognitive impairment, and the current study aimed to examine these differences. This was a secondary data analysis of baseline data from the Function and Behavior Focused Care Intervention (FBFC) study. The sample included 247 cognitively impaired residents from 12 NHs who wore an ActiGraph to measure PA. The residents’ mean age was 82.6 (SD= 10.1) and had an average MMSE score of 7.8 (SD= 5.0). The sample (N= 247) was 41% African American and 59% White. African American and White residents engaged in only 50.6 and 46.2 minutes of light- and 1.5 and 1.1 minutes of moderate-level PA, respectively. Based on a multivariate analysis of covariance (MANCOVA), there was not a statistically significant difference between African American and White residents on combined dependent PA measures [F(8, 237) = 1.067, p = .387, Wilks’ Λ = .962]. There was a trend that direct care providers subjectively reported that White residents engaged in more PA than their African American counterparts [F(8, 237) = 2.741, p = .09]. These findings are not consistent with prior research. However, these findings indicate severely low levels of PA in NH residents, regardless of racial group. Future research should prioritize PA interventions that make accommodations for all NH residents, and especially consider their underlying physical comorbidities and cognitive function.
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DOI：
10.1097/00005768-199805000-00021
发表时间：
1998-05-01
期刊：
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影响因子：
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作者：
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DOI：
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发表时间：
1997-01-01
影响因子：
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作者：
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