Physical Activity in Hospitalized Persons With Dementia: Feasibility and Validity of the MotionWatch 8

Author(s):  
Ashley Kuzmik ◽  
Barbara Resnick ◽  
Pamela Cacchione ◽  
Rachel Arendacs ◽  
Marie Boltz

Persons with dementia are at high risk for hospital-acquired disability, associated with low physical activity during hospitalizations. To determine the effectiveness of efforts to increase physical activity, a valid and reliable measurement approach is required. Data from an ongoing cluster randomized clinical trial examined the feasibility and validity of the MotionWatch 8 (MW8) triaxial actigraphy device. The sample included 321 participants of which 259 (81%) were willing to wear the MW8 for 24 hr. Regression analysis revealed that time in low activity, β = 0.17, t(255) = 2.9, p = .004, and time in moderate activity, β = 0.14, t(255) = 2.4, p = .017, measured by the MW8, were associated with participants’ physical function. Engagement in moderate physical activity was associated with return to baseline function at discharge (Wald χ2 = 4.10, df = 1, p = .043). The study provides preliminary support for the feasibility and validity of the MW8 in hospitalized persons with dementia.

2020 ◽  
Author(s):  
Baozhen Huang ◽  
Shixi Zhang ◽  
Jiuyu Gong ◽  
Yanlin Niu ◽  
Fengjuan Zhang ◽  
...  

Abstract Background There are very few studies focusing on the relationship between COVID-19 and pre-infection lifestyle. In the absence of effective vaccines and special-effect medicines, it is very meaningful to actively respond to the disease pandemic by improving lifestyle habits. Methods This is a multicenter, retrospective cohort study enrolled 431 adult people including 228 normal people and 203 confirmed infects in Wubei, Henan and Shandong Provinces. Questionnaires were used to collect information on physical activity and lifestyle by competent doctors. The univariate logistic regression models and multiple regression models were used in risk factor analysis. Kruskal-Wallis H test were used to test the correlation. Results Lifestyle habits including exercise, smoking, sleep and physical activity can significantly affect the probability of getting COVID-19(P < 0.05). The MET (Metabolic Equivalent) intensity classification and sleep status are found to be the potential influencing factors of prognosis in both all infects and symptomatic patients. In all infects, taking the high MET intensity level as a reference, inpatient days would increase by 1.812 times (95% CI: 0.887–3.701) with no significance when the level is moderate (P > 0.05) and significantly increase by 6.674 times (95% CI: 1.613–27.613) when the level is low (P < 0.05). Kruskal-Wallis H test results showed moderate activity MET*min promoted shorter hospital stay (P < 0.05) mainly. Conclusions Sleep status and physical activity influenced the susceptibility and prognosis of COVID-19. Lack of sleep and low MET intensity level may prolong the hospital stay, which means a relatively slow recovery. This encourages the public to have moderate physical activity and adequate sleep to respond to the COVID-19 pandemic actively.


2020 ◽  
Author(s):  
Baozhen Huang ◽  
Shixi Zhang ◽  
Jiuyu Gong ◽  
Yanlin Niu ◽  
Fengjuan Zhang ◽  
...  

Abstract Background There are very few studies focusing on the relationship between COVID-19 and pre-infection lifestyle. In the absence of effective vaccines and special-effect medicines, it is very meaningful to actively respond to the disease pandemic by improving lifestyle habits. Methods This is a multicenter, retrospective cohort study enrolled 431 adult people including 228 normal people and 203 confirmed infects in Wubei, Henan and Shandong Provinces. Questionnaires were used to collect information on physical activity and lifestyle by competent doctors. The univariate logistic regression models and multiple regression models were used in risk factor analysis. Kruskal-Wallis H test were used to test the correlation. Results Lifestyle habits including exercise, smoking, sedentary behavior and physical activity intensity can significantly affect the probability of getting COVID-19 (P < 0.05). The MET (Metabolic Equivalent) intensity classification and sleep status are found to be the potential influencing factors of prognosis in both all infects and symptomatic patients. In all infects, taking the high MET intensity level as a reference, inpatient days would increase by 1.812 times (95% CI: 0.887–3.701) with no significance when the level is moderate (P > 0.05) and significantly increase by 6.674 times (95% CI: 1.613–27.613) when the level is low (P < 0.05). Kruskal-Wallis H test results showed moderate activity MET*min promoted shorter hospital stay (P < 0.05) mainly. Conclusions Sleep status and physical activity influenced the susceptibility and prognosis of COVID-19. Lack of sleep and low MET intensity level may prolong the hospital stay, which means a relatively slow recovery. This encourages the public to have moderate physical activity and adequate sleep to respond to the COVID-19 pandemic actively.


2019 ◽  
Author(s):  
João Paulo de Aguiar Greca ◽  
Thomas Korff ◽  
Jennifer Ryan

Abstract Background Children are advised to engage in physical activity to improve health. However, recent literature suggests an association between weight bearing activities, e.g. walking, and excessive joint loading in lower limbs of children. Excessive stress in joints of children may lead to pain or even cause injuries. The aim of this study was to investigate the relationship between pain, injury and physical activity in children.Methods This study had a cross-sectional design. 112 children aged 8-12 yr. (68 with normal weight, 38 with overweight or obesity) participated in the study. Moderate and vigorous physical activity were assessed using accelerometry over 7 days. Questionnaires were used to report pain (over 7 days) and injuries (over 12 months). Linear regression and negative binomial models were used to examine association between moderate activity, vigorous activity, and pain and injuries, respectively. Models were adjusted for potential confounders. Effect modification according to weight status was explored.Results There was no association between moderate physical activity and pain (β=0.0004, 95% CI -0.007 to 0.008; p=0.915) or between vigorous physical activity and pain (β=0.0069, 95% CI -0.08 to 0.22; p=0.354). Similarly, no association was found between moderate physical activity and injuries (Rate Ratio [RR]=1.00, 95% CI 0.99 to 1.01; p=0.995) or vigorous physical activity and injuries (RR=1.00, 95% CI 0.99 to 1.02; p=0.798). There was no evidence that associations between physical activity and pain or physical activity and injuries, respectively, differed according to weight status.Conclusions Although paediatric obesity is linked to a higher incidence of pain and injuries in children, this study did not find that moderate and vigorous physical activity are associated with pain or injuries in children, regardless of their weight status.


2007 ◽  
Vol 4 (3) ◽  
pp. 325-342 ◽  
Author(s):  
Richard Lowry ◽  
Sarah M. Lee ◽  
Deborah A. Galuska ◽  
Janet E. Fulton ◽  
Lisa C. Barrios ◽  
...  

Background:Few studies have focused on the relationship between physical activity-related (PA) injury and overweight among youth.Methods:We analyzed data from the 2001 and 2003 Youth Risk Behavior Surveys (n = 28,815). Logistic regression was used to examine the independent effects of BMI and frequency of participation in vigorous activity, moderate activity, strengthening exercises, physical education (PE) classes, and team sports on the likelihood of PA injury.Results:Approximately 14% of females and 19% of males reported seeing a doctor or nurse during the previous 30 d for an injury that happened while exercising or playing sports. PA injury was associated with participation in team sports, strengthening exercises, and (among females) vigorous physical activity. Controlling for type and frequency of physical activity, injury was not associated with being overweight (BMI ≥ 95th percentile).Conclusions:Moderate physical activity and school PE classes may provide relatively low-risk alternatives for overweight youth who need to increase their physical activity.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xinlin Chen ◽  
Dai Su ◽  
Xinlan Chen ◽  
Yingchun Chen

Abstract Background The strategy of successful ageing is an important means to deal with the challenges of the current ageing society. This paper aims to explore the effects of different intensities of physical activity on the successful ageing of the elderly. Methods Our data were from wave 4 of the China Health and Retirement Longitudinal Survey (CHARLS), involving 9026 residents aged 60 years and older. The intensity of physical activity was divided into three levels: vigorous, moderate and mild. The concept of successful ageing adopted a four-dimensional model of life satisfaction added to the theoretical model of Rowe and Kahn’s. Propensity score matching (PSM) with controlling nine confounding factors were used to analyse the effects of different intensities of physical activity. Results The percentage of successful ageing was 1.88% among all subjects. Among them, 30.26, 29.57 and 29.40% of the elderly often participated in vigorous, moderate and mild physical activity, respectively. The results of PSM showed that participation in moderate activity increased the probability of successful ageing of the elderly by 0.76–0.78% (P < 0.001), while participation in vigorous and mild physical activity had no significant effect on successful ageing (P > 0.05). Moderate physical activity had statistically significant effects on four components of successful aging, including major disease, physical function, life satisfaction, and social participation (P < 0.05). Conclusion Moderate-intensity physical activity was most beneficial to the successful ageing of the elderly and should be promoted in the elderly population.


Author(s):  
Arkaitz Castañeda-Babarro ◽  
Ane Arbillaga-Etxarri ◽  
Borja Gutiérrez-Santamaria ◽  
Aitor Coca

Abstract Background The lockdown and social distancing caused by COVID-19 may influence common healthy behaviour. Due to the unprecedent worldwide confinement in which Spain has been one of the most affected with severe rules governing confinement, physical activity and sedentarism may change due to prolonged stays at home. The aim of this study is to evaluate how physical activity and sedentary time have changed during confinement in the Spanish population. Methods 3800 healthy adults (age ≥ 18 - ≤64 years) residing in Spain were asked during confinement. Sociodemographic data and self-reported physical activity data were collected twice by an International Physical Activity Questionnaire-Short (IPAQ-S) between 23rd March and 1st April, and the analysis was carried out considering the achievement of general physical activity recommendations, different age ranges and baseline physical activity levels. Results Physical activity decreased significantly during confinement in all population. Vigorous activities and walking time decreased by 16.8% (p-value > 0.001) and 58.2% (p-value > 0.001) respectively, whereas sedentary time increased by 23.8% (p-value > 0.001). The fulfilment of 75 min/week of vigorous activity recommendation decreased by 10.7% (p-value < 0.001) while the amount of people who reached to 150 min/week of moderate activity barely changed (1.4%, (p-value 0.117)). The group that performed more vigorous physical activities before confinement showed the greatest decrease (30.5%, p-value > 0.001). Men reduced more the time in vigorous activity than women (21% vs 9%, respectively) who even increased time in moderate physical activity by 11% (p-value < 0.05) and showed less increase in sitting time than men (35% vs 25.3%, respectively). Young people and students showed the highest decrease in all physical activities. Conclusions The Spanish adult population, especially young people, students and very active men, decreased daily physical activity and increased sedentary time during COVID-19 confinement.


2022 ◽  
Vol 12 ◽  
Author(s):  
Maria Gacek ◽  
Grażyna Kosiba ◽  
Agnieszka Wojtowicz ◽  
Guillermo F. López Sánchez ◽  
Jacek Szalewski

We aimed to analyze personality-related determinants of physical activity among Polish and Spanish physical education (PE) students. The study was conducted among 219 Polish and 280 Spanish PE students, using the International Physical Activity Questionnaire (IPAQ) and the NEO-FFI Personality Inventory. Compared with Spanish PE students, their Polish counterparts are characterized by a higher level of extraversion and conscientiousness and a lower level of neuroticism. The level of total physical activity for all students was 8,697.21 METs, and this value was higher among Polish students. Among Polish and Spanish PE students, the level of total, vigorous, and moderate physical activity increased along with the increase in extraversion, while a decrease occurred along with the increase in neuroticism. The level of each domain of physical activity also increased in line with the intensification of student conscientiousness. In moderation analyses, it was shown that the home country of students may be considered a moderator of the relationship between conscientiousness and total exercise in such a way that the physical activity increased along with the increase in conscientiousness only among the Polish students. In addition, the country is a moderator of the correlation between moderate physical activity and neuroticism (p = 0.031), openness (p = 0.049), and conscientiousness (p = 0.019), with moderate activity only decreasing among Polish students and increasing along with the increase in openness and conscientiousness. Positive correlations among physical activity, extraversion, and conscientiousness, as well as negative ones with neuroticism, were demonstrated among Polish and Spanish students, and also the moderating impact of the country on the correlation between personality-related dimensions and physical activity.


2011 ◽  
Vol 8 (8) ◽  
pp. 1092-1097 ◽  
Author(s):  
Stephanie T. West ◽  
Kindal A. Shores

Background:A significant association has been identified between physical activity and proximity to greenways. However, residents more likely to be active may have selected to live near existing greenways. The purpose of this study was to determine whether development of a new greenway has the potential to increase activity levels of existing, proximate residents.Methods:In 2008, survey data were collected before and after 5 miles of greenway were added to an existing greenway.Results:When comparing residents living nearest (≤ .50 miles) the new greenway section with those living further (.51−1.0 miles), days spent walking and participating in moderate physical activity increased. Despite mean increases, no significant interactions were detected.Conclusions:Although evidence is inconclusive, apparent increases in walking and moderate activity suggest development of a greenway proximate to residents’ homes is likely to have a positive effect on participation levels. Additional research is needed to address article limitations.


2011 ◽  
Vol 8 (2) ◽  
pp. 272-278 ◽  
Author(s):  
Susan Vincent Graser ◽  
Alan Groves ◽  
Keven A. Prusak ◽  
Todd R. Pennington

Background:Researchers have noted both the utility and limitations of using pedometers to measure physical activity (PA). While these unobtrusive devices are widely accepted for their ability to measure accumulated PA, they have been criticized for their inability to measure exercise intensity. However, recent steps-per-minute (SPM) research provides reasonably accurate measures of intensity allowing users to assess time spent at recommended PA levels. Therefore, the purpose of this study was to determine the SPM taken that are associated with moderate physical activity in 12- to 14-year-old youth.Methods:Ninety-three participants (49 boys and 44 girls; ages 12 to 14) walked on a treadmill for 3 minutes at each of 4 different speeds while wearing a pedometer and a heart rate monitor.Results:On average boys and girls reached their moderate activity intensity threshold at 122 SPM and 102 SPM, respectively. However, individual differences must be taken into account when determining appropriate SPM intensities for youth.Conclusions:The impact of individual differences underscores the need to address SPM for moderate intensity individually rather than with a single guideline for everyone at this age.


2019 ◽  
Vol 68 (2) ◽  
pp. 261-265 ◽  
Author(s):  
Juliessa M. Pavon ◽  
Richard J. Sloane ◽  
Carl F. Pieper ◽  
Cathleen S. Colón‐Emeric ◽  
Harvey J. Cohen ◽  
...  

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