Associations between Hospitalization and Device-Assessed Physical Activity in a Representative Sample of Older Adults.
Associations between Hospitalization and Device-Assessed Physical Activity in a Representative Sample of Older Adults.
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老年人代表性样本中住院治疗与设备评估的身体活动之间的关联。
DOI：
10.1159/000527543
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发表时间：
2023
期刊：
影响因子：
3.5
通讯作者：
DelPozo-Cruz,Jesus
中科院分区：
文献类型：
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作者：
DelPozoCruz,Borja;Alfonso-Rosa,RosaM;López-Bueno,Rubén;Fairclough,StuartJ;Rowlands,Alex;DelPozo-Cruz,Jesus
BackgroundEvidence调查住院治疗和体力活动之间的关联是稀缺的，仅限于特定人群的老年人。目前的研究旨在描述过去的住院治疗对目前的体力活动水平的一个大的代表性样本的欧洲老年人加速度data.MethodsA的影响，856欧洲老年人年龄在50岁及以上的代表性样本被列入本研究。回顾性自我报告过去12个月的住院和利用情况（即累计住院次数和住院时间）。身体活动量（mg）和强度分布（强度梯度）进行了评估与大腿佩戴accelerometers.ResultsMultivariate线性回归表明，入院（15%的样本）与减少体力活动量（-4.29毫克; 95%置信区间（95%CI），-9.07至0.47）的参与者。每增加一次住院与较低的容量（− 2.29 mg; 95% CI，− 4.65至0.06）和较差的强度分布（− 0.07; 95% CI，− 0.11至− 0.04）相关。总住院时间与体力活动无关。ConclusionsThis研究表明，入院和入院的次数，但不累计住院时间，可能会抑制老年人的体力活动水平。促进成功老龄化的公共卫生战略应针对住院后的身体活动。
BackgroundEvidence investigating associations between hospitalization and physical activity is scarce and limited to specific populations of older adults.ObjectiveThe current study aimed to describe the impact of past hospitalization on current physical activity levels of a large representative sample of European older adults with accelerometry data.MethodsA representative sample of 856 European older adults aged 50 years and over was included in this study. Hospital admission and utilization (ie, accumulated times and length of stay in hospital) in the last 12 months were self-reported retrospectively. Physical activity volume (mg) and distribution of intensity (intensity gradient) were assessed with thigh-worn accelerometers.ResultsMultivariate linear regressions indicated that hospital admission (15% of the sample) was associated with reduced physical activity volume (− 4.29 mg; 95% confidence interval (95% CI),− 9.07 to 0.47) of participants. Each additional hospital admission was associated with lower volume (− 2.29 mg; 95% CI,− 4.65 to 0.06) and poorer distribution of intensity (− 0.07; 95% CI,− 0.11 to− 0.04). Total length of stay was not associated with physical activity.ConclusionsThis study suggests that hospital admission and the number of times admitted, but not accumulated length of stay, may curb physical activity levels of older adults. Public health strategies to promote successful aging should target post-hospitalization physical activity.