Sleep Should Be Focused on When Analyzing Physical Activity in Hospitalized Older Adults after Trunk and Lower Extremity Fractures—A Pilot Study

Kaizu, Yoichi; Kasuga, Takeaki; Takahashi, Yasuhiro; Otani, Tomohiro; Miyata, Kazuhiro

doi:10.3390/healthcare10081429

Cited by 2 publications

(1 citation statement)

References 32 publications

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“…The participants engaged in sedentary behavior (SB) for approximately 22 h per day, with about 13 h of SB during the daytime. Light-intensity physical activity (LIPA) accounted for approximately 2 h, while moderate-to-vigorous physical activity (MVPA) was around 0.5 h. A previous study conducted in Japan reported SB time of 9 h, LIPA of 2.5 h, and MVPA of 0 h [ 37 ]. In comparison, the participants in our study (with FIM motor item scores of 68) exhibited lower levels of independence in ADL compared to those in the previous study (with FIM motor item scores of 82).…”

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confidence: 99%

The circadian activity rhythms for elderly inpatients with stroke or motor diseases in a rehabilitation facility and its relationship to physical activity level

Nakagawa,

Noda,

Inoue

2023

Sleep Biol. Rhythms

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Disturbances in the circadian activity rhythms (CARs) of inpatients in rehabilitation facilities delay the recovery of physical and mental functions. The purpose of this study is to elucidate the circadian activity rhythms of hospitalized patients in a rehabilitation facilitie using the synthetic periodic regression analysis, and investigate the relationship between their physical activity levels and CARs.An observational study was conducted. A group of thirty-four inpatients participated in the study by wearing wrist-type activity monitors to measure metabolic equivalents (METs). Using synthetic periodic regression analysis, the CARs were analyzed based on the amount of physical activity throughout the day, and the exercise intensity classification of their physical activity was assessed. In the CARs of the inpatients, the mean physical activity level was 1.23 ± 0.09 METs. The maximum amount was 1.36 ± 0.15 METs. The range was 0.30 ± 0.15 METs. The maximum phase time was 11:48 ± 2:31 h. The longer the duration of physical activity over 1.6 METs, the higher the mean, maximum and range of the CARs. Physical activities with a METs level of 1.6 or higher might have an impact on the mean, maximum, and range of circadian activity rhythms in hospitalized patients.

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Section: Discussionmentioning

confidence: 99%

The circadian activity rhythms for elderly inpatients with stroke or motor diseases in a rehabilitation facility and its relationship to physical activity level

Nakagawa,

Noda,

Inoue

2023

Sleep Biol. Rhythms

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Development and validation of a clinical prediction rule for walking independence in hospitalized older adults with a vertebral compression fracture

Kaizu,

Tamura,

Iwamura

et al. 2024

Physiotherapy Res Intl

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ObjectiveNo reports on factors or Clinical prediction rules (CPRs) associated with walking independence among patients with vertebral compression fractures (VCFs) are available. Evidence regarding epidemiological walking independence rates is also sparse. Here, we sought to (i) obtain epidemiological data on the probability of inpatients with VCFs achieving walking independence, and (ii) develop and validate a CPR to determine walking independence in hospitalized patients with VCFs.Patients and MethodsWe conducted a retrospective cross‐sectional observational study of patients aged ≥60 years who were hospitalized for VCF at four hospitals in Japan in 2019–2022. The outcome was walking independence at discharge. We performed a binomial logistic regression analysis to assess predictors of walking independence. Five independent variables were entered: age, American Society of Anesthesiologists physical status, cognitive function, Berg Balance Scale (BBS), and 10‐m walking test. Among the independent variables that were significant, we converted the continuous variables to binary data by calculating cut‐off values and then created the CPR. The area under the curve (AUC) was calculated as the measure of the CPR's diagnostic accuracy, and internal validation was conducted by bootstrapping.ResultsOf the 240 patients, 188 (78.3%) achieved walking independence. Cognitive function and the BBS score (with a cut‐off of 45 points) were identified as significant predictors. We created a CPR using these two items (0–2 points). The CPR's AUC was 0.92 (0.874–0.967), and internal validation by bootstrapping yielded a mean AUC of 0.919 with a slope of 0.965.ConclusionThe walking independence rate of patients with a VCF during hospitalization was 78.3%, with cognitive function and BBS being predictors. The developed CPR performed well enough to retrospectively predict walking independence in VCF patients. The BBS cut‐off value and the CPR may serve as useful indicators for clinicians to predict VCF patients' walking independence.

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Sleep Should Be Focused on When Analyzing Physical Activity in Hospitalized Older Adults after Trunk and Lower Extremity Fractures—A Pilot Study

Cited by 2 publications

References 32 publications

The circadian activity rhythms for elderly inpatients with stroke or motor diseases in a rehabilitation facility and its relationship to physical activity level

The circadian activity rhythms for elderly inpatients with stroke or motor diseases in a rehabilitation facility and its relationship to physical activity level

Development and validation of a clinical prediction rule for walking independence in hospitalized older adults with a vertebral compression fracture

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