Accelerometry Assessed Physical Activity of Elderly Adults Hospitalized with Acute Medical Illness - an Observational Study

Abstract Background: In a hospital setting and among older patients, inactivity and bedrest are associated with a wide range of negative outcomes such as functional decline, increased risk of falls, longer hospitalization and institutionalization. Our aim was to assess the distribution, determinants and predictors of physical activity (PA) levels using wrist-worn accelerometers in older patients hospitalized with acute medical illness.Methods: Observational study conducted from February to November 2018 at an acute internal medicine unit in the University hospital of Lausanne, Switzerland. We enrolled 177 patients aged ≥65 years, able to walk prior to admission. PA during acute hospital stay was continuously recorded via a 3D wrist accelerometer. Clinical data was collected from medical records or by interview. Autonomy level prior to inclusion was assessed using Barthel Index score. PA levels were defined as <30 mg for inactivity, 30-99 mg for light and ≥100 for moderate PA. Physically active patients were defined as 1) being in the highest quartile of time spent in light and moderate PA or 2) spending ≥20 minutes/day in moderate PA.Results: Median [interquartile range - IQR] age was 83 [74-87] years and 60% of participants were male. The median [IQR] time spent inactive and in light PA was 613 [518-663] and 63 [30-97] minutes/day, respectively. PA peaked between 8 and 10 am, at 12 am and at 6 pm. Less than 10% of patients were considered physically active according to definition 2. For both definitions, active patients had a lower prevalence of walking aids and a lower dependency level according to Barthel Index score. For definition 1, use of medical equipment was associated with a 70% reduction in the likelihood of being active: odds ratio (OR) 0.30 [0.10-0.92] p=0.034; for definition 2, use of walking aids was associated with a 75% reduction in the likelihood of being active: OR=0.24 [0.06-0.89], p=0.032.Conclusion: Older hospitalized patients are physically active only 10% of daily time and concentrate their PA around eating periods. Whether a Barthel Index below 95 prior to admission may be used to identify patients at risk of inactivity during hospital stay remains to be proven.

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Accelerometry assessed physical activity of older adults hospitalized with acute medical illness - an observational study

BMC Geriatrics ◽

10.1186/s12877-020-01763-w ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Plamena Tasheva ◽

Vanessa Kraege ◽

Peter Vollenweider ◽

Guillaume Roulet ◽

Marie Méan ◽

...

Keyword(s):

Physical Activity ◽

Observational Study ◽

Hospital Stay ◽

Barthel Index ◽

Older Patients ◽

Medical Illness ◽

Barthel Index Score ◽

Physically Active ◽

Walking Aids ◽

Active Patients

Abstract Background In a hospital setting and among older patients, inactivity and bedrest are associated with a wide range of negative outcomes such as functional decline, increased risk of falls, longer hospitalization and institutionalization. Our aim was to assess the distribution, determinants and predictors of physical activity (PA) levels using wrist-worn accelerometers in older patients hospitalized with acute medical illness. Methods Observational study conducted from February to November 2018 at an acute internal medicine unit in the University hospital of Lausanne, Switzerland. We enrolled 177 patients aged ≥65 years, able to walk prior to admission. PA during acute hospital stay was continuously recorded via a 3D wrist accelerometer. Clinical data was collected from medical records or by interview. Autonomy level prior to inclusion was assessed using Barthel Index score. PA levels were defined as < 30 mg for inactivity, 30–99 mg for light and ≥ 100 for moderate PA. Physically active patients were defined as 1) being in the highest quartile of time spent in light and moderate PA or 2) spending ≥20 min/day in moderate PA. Results Median [interquartile range - IQR] age was 83 [74–87] years and 60% of participants were male. The median [IQR] time spent inactive and in light PA was 613 [518–663] and 63 [30–97] minutes/day, respectively. PA peaked between 8 and 10 am, at 12 am and at 6 pm. Less than 10% of patients were considered physically active according to definition 2. For both definitions, active patients had a lower prevalence of walking aids and a lower dependency level according to Barthel Index score. For definition 1, use of medical equipment was associated with a 70% reduction in the likelihood of being active: odds ratio (OR) 0.30 [0.10–0.92] p = 0.034; for definition 2, use of walking aids was associated with a 75% reduction in the likelihood of being active: OR = 0.24 [0.06–0.89], p = 0.032. Conclusion Older hospitalized patients are physically active only 10% of daily time and concentrate their PA around eating periods. Whether a Barthel Index below 95 prior to admission may be used to identify patients at risk of inactivity during hospital stay remains to be proven.

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Accelerometry Assessed Physical Activity of Older Adults Hospitalized with Acute Medical Illness - an Observational Study

10.21203/rs.2.11702/v2 ◽

2020 ◽

Author(s):

Plamena Tasheva ◽

Vanessa Kraege ◽

Peter Vollenweider ◽

Guillaume Roulet ◽

Marie Méan ◽

...

Keyword(s):

Physical Activity ◽

Observational Study ◽

Hospital Stay ◽

Barthel Index ◽

Older Patients ◽

Medical Illness ◽

Barthel Index Score ◽

Physically Active ◽

Walking Aids ◽

Active Patients

Abstract Background: In a hospital setting and among older patients, inactivity and bedrest are associated with a wide range of negative outcomes such as functional decline, increased risk of falls, longer hospitalization and institutionalization. Our aim was to assess the distribution, determinants and predictors of physical activity (PA) levels using wrist-worn accelerometers in older patients hospitalized with acute medical illness.Methods: Observational study conducted from February to November 2018 at an acute internal medicine unit in the University hospital of Lausanne, Switzerland. We enrolled 177 patients aged ≥65 years, able to walk prior to admission. PA during acute hospital stay was continuously recorded via a 3D wrist accelerometer. Clinical data was collected from medical records or by interview. Autonomy level prior to inclusion was assessed using Barthel Index score. PA levels were defined as <30 mg for inactivity, 30-99 mg for light and ≥100 for moderate PA. Physically active patients were defined as 1) being in the highest quartile of time spent in light and moderate PA or 2) spending ≥20 minutes/day in moderate PA.Results: Median [interquartile range - IQR] age was 83 [74-87] years and 60% of participants were male. The median [IQR] time spent inactive and in light PA was 613 [518-663] and 63 [30-97] minutes/day, respectively. PA peaked between 8 and 10 am, at 12 am and at 6 pm. Less than 10% of patients were considered physically active according to definition 2. For both definitions, active patients had a lower prevalence of walking aids and a lower dependency level according to Barthel Index score. For definition 1, use of medical equipment was associated with a 70% reduction in the likelihood of being active: odds ratio (OR) 0.30 [0.10-0.92] p=0.034; for definition 2, use of walking aids was associated with a 75% reduction in the likelihood of being active: OR=0.24 [0.06-0.89], p=0.032.Conclusion: Older hospitalized patients are physically active only 10% of daily time and concentrate their PA around eating periods. Whether a Barthel Index below 95 prior to admission may be used to identify patients at risk of inactivity during hospital stay remains to be proven.

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Accelerometry Assessed Physical Activity of Older Adults Hospitalized with Acute Medical Illness - an Observational Study

10.21203/rs.2.11702/v3 ◽

2020 ◽

Author(s):

Plamena Tasheva ◽

Vanessa Kraege ◽

Peter Vollenweider ◽

Guillaume Roulet ◽

Marie Méan ◽

...

Keyword(s):

Physical Activity ◽

Observational Study ◽

Hospital Stay ◽

Barthel Index ◽

Older Patients ◽

Medical Illness ◽

Barthel Index Score ◽

Physically Active ◽

Walking Aids ◽

Active Patients

Abstract Background: In a hospital setting and among older patients, inactivity and bedrest are associated with a wide range of negative outcomes such as functional decline, increased risk of falls, longer hospitalization and institutionalization. Our aim was to assess the distribution, determinants and predictors of physical activity (PA) levels using wrist-worn accelerometers in older patients hospitalized with acute medical illness.Methods: Observational study conducted from February to November 2018 at an acute internal medicine unit in the University hospital of Lausanne, Switzerland. We enrolled 177 patients aged ≥65 years, able to walk prior to admission. PA during acute hospital stay was continuously recorded via a 3D wrist accelerometer. Clinical data was collected from medical records or by interview. Autonomy level prior to inclusion was assessed using Barthel Index score. PA levels were defined as <30 mg for inactivity, 30-99 mg for light and ≥100 for moderate PA. Physically active patients were defined as 1) being in the highest quartile of time spent in light and moderate PA or 2) spending ≥20 minutes/day in moderate PA.Results: Median [interquartile range - IQR] age was 83 [74-87] years and 60% of participants were male. The median [IQR] time spent inactive and in light PA was 613 [518-663] and 63 [30-97] minutes/day, respectively. PA peaked between 8 and 10 am, at 12 am and at 6 pm. Less than 10% of patients were considered physically active according to definition 2. For both definitions, active patients had a lower prevalence of walking aids and a lower dependency level according to Barthel Index score. For definition 1, use of medical equipment was associated with a 70% reduction in the likelihood of being active: odds ratio (OR) 0.30 [0.10-0.92] p=0.034; for definition 2, use of walking aids was associated with a 75% reduction in the likelihood of being active: OR=0.24 [0.06-0.89], p=0.032.Conclusion: Older hospitalized patients are physically active only 10% of daily time and concentrate their PA around eating periods. Whether a Barthel Index below 95 prior to admission may be used to identify patients at risk of inactivity during hospital stay remains to be proven.

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Management activities in the field of wellness physical health activity of population in large cities of Europe: analysis of approaches

Public administration aspects ◽

10.15421/1520120 ◽

2020 ◽

Vol 8 (6) ◽

pp. 221-229

Author(s):

Yevgeniy Borodin ◽

Valerii Makashov

Keyword(s):

Physical Activity ◽

Local Governments ◽

Effective Interaction ◽

Public And Private ◽

Large Cities ◽

Increased Risk ◽

Wide Range ◽

Logical Method ◽

Risk Of Disease ◽

National Governments

Introduction. WHO has adopted a Strategy for Physical Activity and calls on national governments and local governments to update this area. The priority of this area is most obvious in large cities, whose population leads a predominantly sedentary lifestyle, resulting in an increased risk of disease and general deterioration in health both nationally and globally. The purpose of the study is to study the mechanisms of stimulating the population to develop physical activity, involvement in physical culture and mass sports in the activities of local authorities. Analysis of models of social interaction in order to form the commitment of the population to physical activity with the implementation of this value in all spheres of life. Material and methods - analysis of laws, comparative analysis, logical method. The results of the study - in some countries a network of healthy municipalities has been established and operates as part of the implementation of measures to support physical activity. In the EU, local governments have been paying close attention to this for several decades, accumulating a wide range of tools for effective interaction between government, the public and private sectors. Conclusion - this experience is extremely useful for Ukraine, namely in the study of the functions, forms and methods of physical activity management in large cities, especially in the context of the COVID19 pandemic.

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Habitual physical activity facilitates stress-induced HSP72 induction in brain, peripheral, and immune tissues

AJP Regulatory Integrative and Comparative Physiology ◽

10.1152/ajpregu.00513.2002 ◽

2003 ◽

Vol 284 (2) ◽

pp. R520-R530 ◽

Cited By ~ 50

Author(s):

Jay Campisi ◽

Ted H. Leem ◽

Ben N. Greenwood ◽

Michael K. Hansen ◽

Albert Moraska ◽

...

Keyword(s):

Physical Activity ◽

Treadmill Running ◽

Exercise Stress ◽

Physically Active ◽

Peripheral Tissues ◽

Serum Corticosterone ◽

Mesenteric Lymph ◽

Wide Range ◽

Immune Tissues ◽

Damaging Effects

The mechanism(s) for how physically active organisms are resistant to many damaging effects of acute stressor exposure is unknown. Cellular induction of heat-shock proteins (e.g., HSP72) is one successful strategy used by the cell to survive the damaging effects of stress. It is possible, therefore, that the stress-buffering effect of physical activity may be due to an improved HSP72 response to stress. Thus the purpose of the current study was to determine whether prior voluntary freewheel running facilitates the stress-induced induction of HSP72 in central (brain), peripheral, and immune tissues. Adult male Fischer 344 rats were housed with either a mobile running wheel (Active) or a locked, immobile wheel [sedentary (Sed)] for 8 wk before stressor exposure. Rats were exposed to either inescapable tail-shock stress (IS; 100 1.6-mA tail shocks, 5-s duration, 60-s intertrial interval), exhaustive exercise stress (EXS; treadmill running to exhaustion), or no stress (controls). Blood, brain, and peripheral tissues were collected 2 h after stressor termination. The kinetics of HSP72 induction after IS was determined in cultured mesenteric lymph node cells. Activation of the stress response was verified by measuring serum corticosterone (RIA). Tissue and cellular HSP72 content were measured using HSP72 ELISA in cell lysates. Both Active and Sed rats had elevated levels of serum corticosterone after stress. In contrast, Active but not Sed rats exposed to IS and/or EXS had elevated HSP72 in dorsal vagal complex, frontal cortex, hippocampus, pituitary, adrenal, liver, spleen, mesenteric lymph nodes, and heart. In addition, Active rats exposed to IS demonstrated a faster induction of lymphocyte HSP72 compared with Sed rats. Thus Active rats responded to stress with both greater and faster HSP72 responses compared with Sed rats. These results indicate that previous physical activity potentiates HSP72 expression after a wide range of stressors. Facilitated induction of HSP72 may contribute to the increased stress resistance previously reported in physically active organisms.

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Factors of importance for reducing fatigue in persons with rheumatoid arthritis: a qualitative interview study

BMJ Open ◽

10.1136/bmjopen-2018-028719 ◽

2019 ◽

Vol 9 (5) ◽

pp. e028719 ◽

Cited By ~ 5

Author(s):

Caroline Feldthusen ◽

Kaisa Mannerkorpi

Keyword(s):

Rheumatoid Arthritis ◽

Physical Activity ◽

Qualitative Content Analysis ◽

Controlled Trial ◽

Hospital Setting ◽

Qualitative Interview ◽

Interview Study ◽

Pharmacological Intervention ◽

Physically Active ◽

Qualitative Interview Study

ObjectivePhysical activity plays an important role in the treatment of persons with rheumatoid arthritis (RA) and is the non-pharmacological intervention with the strongest evidence to reduce fatigue. However, physical activity can be challenging for persons who are fatigued. The aim of this study was to investigate factors of importance for reducing fatigue in persons with RA.DesignThis is a qualitative interview study based on semistructured, indepth individual interviews. Interviews were analysed using qualitative content analysis.ParticipantsParticipants were 12 people with RA recruited from a previous randomised controlled trial of a person-centred treatment model focusing on health-enhancing physical activity and daily balance to lessen fatigue in persons with RA.SettingInterviews were conducted in a hospital setting.ResultsThe analysis resulted in one theme:an intellectual and embodied understanding that sustainable physical activity is important to handle fatigue. This included five categories describing barriers and facilitating factors for sustainable physical activity:mentally overcoming the fatigue in order to be active,making exercise easy,reaching for balance,receiving support to be physically activeanddealing with RA disease to be physically active.ConclusionThe participants in this study expressed that physical activity was important in handling fatigue, but also that this insight could only come from personal experience. The use of a person-centred ethic in physiotherapy coaching for patients with fatigue appears to promote sustainable physical activity behaviours by facilitating patients’ resources to overcome barriers to physical activity.

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Students’ Emotional Experience in Physical Education—A Qualitative Study for New Theoretical Insights

Sports ◽

10.3390/sports7010010 ◽

2019 ◽

Vol 7 (1) ◽

pp. 10 ◽

Cited By ~ 9

Author(s):

Sascha Leisterer ◽

Darko Jekauc

Keyword(s):

Physical Activity ◽

Physical Education ◽

Emotional Experience ◽

Structured Interview ◽

Physically Active ◽

Grounded Theory Method ◽

Starting Point ◽

Wide Range ◽

Social Belonging

Physical education (PE) can be the starting point for many students to be physically active throughout their lives. Positive emotional experiences in PE are discussed as beneficial for long-term physical activity, however, triggers of students’ emotions are still unclear. The purpose of this study is to explore, from a student’s perspective, emotions and their triggers, which occur in PE classes. N = 12 students (male: six, female: six, ø-age: 15.6 ± 1.2 years) have been interviewed using a focused semi-structured interview to identify their emotions in PE and to explore the situations in which they occurred. An inductive approach with elements of the Grounded Theory Method was implemented to analyze the data. Students reported a wide range of positive and negative emotions. Furthermore, four crucial triggers were identified: (I) Attractiveness of the task, (II) social belonging, (III) competence and (IV) autonomy. Parallels to existing theories, especially the Self-Determination Theory (SDT), will be discussed. These results can be used to improve teachers’ knowledge about students’ emotions in PE in order to build a basis for lifelong physical activity.

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The performance of the EMS triage (RETTS-p) and the agreement between the field assessment and final hospital diagnosis: a prospective observational study among children < 16 years

BMC Pediatrics ◽

10.1186/s12887-019-1857-0 ◽

2019 ◽

Vol 19 (1) ◽

Author(s):

Carl Magnusson ◽

Johan Herlitz ◽

Thomas Karlsson ◽

Maria Jiménez-Herrera ◽

Christer Axelsson

Keyword(s):

Observational Study ◽

Prospective Observational Study ◽

Hospital Setting ◽

Risk Of Death ◽

Computerised Decision Support System ◽

Field Assessment ◽

Hospitalised Patients ◽

Increased Risk ◽

Life Threatening ◽

Triage Level

Abstract Background The rapid triage and treatment system for paediatrics (RETTS-p) has been used by the emergency medical services (EMS) in the west of Sweden since 2014. The performance of the RETTS-p in the pre-hospital setting and the agreement between the EMS nurse’s field assessment and the hospital diagnosis is unknown. The aim of this study was to evaluate the performance of the RETTS-p in the EMS and the agreement between the EMS field assessment and the hospital diagnosis. Methods A prospective observational study was conducted among 454 patients < 16 years of age who were assessed and transported to the PED. Two instruments were used for comparison: 1) Classification of an emergent patient according to predefined criteria as compared to the RETTS-p and 2) Agreement between the EMS nurse’s field assessment and the hospital diagnosis. Results Among all children, 11% were identified as having vital signs associated with an increased risk of death and 7% were diagnosed in hospital with a potentially life-threatening condition. Of the children triaged with RETTS-p (85.9%), 149 of 390 children (38.2%) were triaged to RETTS-p red or orange (life-threatening, potentially life-threatening), of which 40 (26.8%) children were classified as emergent. The hospitalised children were triaged with the highest frequency to level yellow (can wait; 41.5%). In children with RETTS-p red or orange, the sensitivity for a defined emergent patient was 66.7%, with a corresponding specificity of 67.0%. The EMS field assessment was in agreement with the final hospital diagnosis in 80% of the cases. Conclusions The RETTS-p sensitivity in this study is considered moderate. Two thirds of the children triaged to life threatening or potentially life threatening were later identified as non-emergent. Of those, one in six was discharged from the PED without any intervention. Further, one third of the children were under triaged, the majority were found in the yellow triage level (can wait). The highest proportion of hospitalised patients was found in the yellow triage level. Our result is in agreement with previous studies using other triage instruments. A computerised decision support system might help the EMS triage to increase sensitivity and specificity.

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Diet, weight status, and physical activity in cancer prevention

The North African Journal of Food and Nutrition Research - July-December 2021 ◽

10.51745/najfnr.4.08.325-335 ◽

2020 ◽

Vol 4 (08) ◽

pp. 325-335

Author(s):

Slimane Mehdad ◽

Saida Mansour ◽

Hassan Aguenaou ◽

Khalid Taghzouti

Keyword(s):

Physical Activity ◽

Cancer Prevention ◽

Weight Status ◽

Tumor Development ◽

Healthy Weight ◽

Physically Active ◽

Processed Meats ◽

Balanced Diet ◽

Increased Risk ◽

Meta Analyses

Background: Cancer is a multifactorial disease involving individual, behavioral and environmental factors that can contribute to its onset. More than 40% of cancers are estimated to be attributable to avoidable risk factors, particularly diet, physical activity, weight status, and alcohol consumption. Aim: To provide insight into the role of weight status, diet, and physical activity in cancer causation and prevention, and to highlight evidence-based recommendations. Material and methods: A literature review of published studies, particularly recent systematic reviews, meta-analyses, and large prospective studies was conducted using PubMed/Medline, ScienceDirect, and Google Scholar databases. Results: There is evidence that diets high in red and processed meats, fat and refined carbohydrates, and low in plant foods such as vegetables, fruits, and whole grains, high consumption of alcohol, overweight/obesity, and physical inactivity are associated with increased risk of tumor development and progression. Therefore, the current recommendations for cancer prevention are based on: (1) eating at least five portions (400g) of vegetables (3 portions) and fruits (2 portions); (2) limiting the consumption of alcohol and unhealthy foods such as red and processed meats, energy-dense foods, and trans-fatty acids; (3) maintaining a healthy weight status; and (4) being at least moderately physically active. Conclusion: While a balanced diet, as defined by the recommendations, can help reduce the risk of certain cancers, no single food can prevent the development of this pathology. The term "anticancer" associated with diet is therefore misleading. Several nutritional factors are associated with an increase or a decrease in the risk of certain cancers. Adopting a healthy and plant-based diets, avoiding overweight/obesity, and being physically active are considered as cornerstones of preventive strategies against cancer. Further studies are needed to elucidate the associations between dietary and lifestyle patterns and cancer. Keywords: Cancer, Diet, Weight status, Overweight, Obesity, Physical activity.

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