scholarly journals Quantifying Physical Activity Levels of Survivors of Intensive Care: A Prospective Observational Study

2012 ◽  
Vol 92 (12) ◽  
pp. 1507-1517 ◽  
Author(s):  
Linda Denehy ◽  
Sue Berney ◽  
Laura Whitburn ◽  
Lara Edbrooke
Keyword(s):  
Physical Activity ◽  
Intensive Care ◽  
Interquartile Range ◽  
Apache Ii Score ◽  
Activity Levels ◽  
Free Living ◽  
Factors Associated ◽  
Icu Admission ◽  
Icu Discharge ◽  
Physical Activity Levels

Background Promotion of increased physical activity is advocated for survivors of an intensive care unit (ICU) admission to improve physical function and health-related quality of life. Objective The primary aims of this study were: (1) to measure free-living physical activity levels and (2) to correlate the measurements with scores on a self-reported activity questionnaire. A secondary aim was to explore factors associated with physical activity levels. Design This was a prospective cohort study. Methods Nested within a larger randomized controlled trial, participants were block randomized to measure free-living physical activity levels. Included participants wore an accelerometer for 7 days during waking hours at 2 months after ICU discharge. At completion of the 7 days of monitoring, participants were interviewed using the Physical Activity Scale for the Elderly (PASE) questionnaire. Factors associated with physical activity were explored using regression analysis. Results The ICU survivors (median age=59 years, interquartile range=49–66; mean Acute Physiologic Chronic Health Evaluation [APACHE II] score=18, interquartile range=16–21) were inactive when quantitatively measured at 2 months after hospital discharge. Participants spent an average of 90% of the time inactive and only 3% of the time walking. Only 37% of the sample spent 30 minutes or more per day in the locomotion category (more than 20 steps in a row). Activity reported using the PASE questionnaire was lower than that reported in adults who were healthy. The PASE scores correlated only fairly with activity measured by steps per day. The presence of comorbidities explained one third of the variance in physical activity levels. Limitations Accelerometer overreading, patient heterogeneity, selection bias, and sample size not reached were limitations of the study. Conclusions Survivors of an ICU admission greater than 5 days demonstrated high levels of inactivity for prolonged periods at 2 months after ICU discharge, and the majority did not meet international recommendations regarding physical activity. Comorbidity appears to be a promising factor associated with activity levels.

scholarly journals Social, Environmental and Psychological Factors Associated with Objective Physical Activity Levels in the Over 65s

PLoS ONE ◽  
2012 ◽  
Vol 7 (2) ◽  
pp. e31878 ◽  
Author(s):  
Marion E. T. McMurdo ◽  
Ishbel Argo ◽  
Iain K. Crombie ◽  
Zhiqiang Feng ◽  
Falko F. Sniehotta ◽  
...  
Keyword(s):  
Physical Activity ◽  
Psychological Factors ◽  
Activity Levels ◽  
Factors Associated ◽  
Physical Activity Levels ◽  
Social Environmental

scholarly journals Physical activity levels and factors associated with the sedentary lifestyle of users of a basic health unit in Belo Horizonte, Minas Gerais

2014 ◽  
Vol 18 (2) ◽  
Author(s):  
Juciany Rodrigues de Oliveira Ramalho ◽  
Aline Cristine Souza Lopes ◽  
Mariana Tâmara Teixeira de Toledo ◽  
Sérgio Viana Peixoto
Keyword(s):  
Physical Activity ◽  
Sedentary Lifestyle ◽  
Minas Gerais ◽  
Activity Levels ◽  
Health Unit ◽  
Basic Health ◽  
Factors Associated ◽  
Physical Activity Levels ◽  
Belo Horizonte

scholarly journals Factors Associated With Behavioral and Psychological Symptoms of Dementia: Prospective Observational Study Using Actigraphy (Preprint)

2021 ◽  
Author(s):  
Eunhee Cho ◽  
Sujin Kim ◽  
Sinwoo Hwang ◽  
Eunji Kwon ◽  
Seok-Jae Heo ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Prospective Observational Study ◽  
Psychological Symptoms ◽  
Information Criterion ◽  
Activity Levels ◽  
Contributing Factors ◽  
Factors Associated ◽  
Physical Activity Levels ◽  
Behavioral And Psychological Symptoms

BACKGROUND Although disclosing the predictors of different behavioral and psychological symptoms of dementia (BPSD) is the first step in developing person-centered interventions, current understanding is limited, as it considers BPSD as a homogenous construct. This fails to account for their heterogeneity and hinders development of interventions that address the underlying causes of the target BPSD subsyndromes. Moreover, understanding the influence of proximal factors—circadian rhythm–related factors (ie, sleep and activity levels) and physical and psychosocial unmet needs states—on BPSD subsyndromes is limited, due to the challenges of obtaining objective and/or continuous time-varying measures. OBJECTIVE The aim of this study was to explore factors associated with BPSD subsyndromes among community-dwelling older adults with dementia, considering sets of background and proximal factors (ie, actigraphy-measured sleep and physical activity levels and diary-based caregiver-perceived symptom triggers), guided by the need-driven dementia-compromised behavior model. METHODS A prospective observational study design was employed. Study participants included 145 older adults with dementia living at home. The mean age at baseline was 81.2 (SD 6.01) years and the sample consisted of 86 (59.3%) women. BPSD were measured with a BPSD diary kept by caregivers and were categorized into seven subsyndromes. Independent variables consisted of background characteristics and proximal factors (ie, sleep and physical activity levels measured using actigraphy and caregiver-reported contributing factors assessed using a BPSD diary). Generalized linear mixed models (GLMMs) were used to examine the factors that predicted the occurrence of BPSD subsyndromes. We compared the models based on the Akaike information criterion, the Bayesian information criterion, and likelihood ratio testing. RESULTS Compared to the GLMMs with only background factors, the addition of actigraphy and diary-based data improved model fit for every BPSD subsyndrome. The number of hours of nighttime sleep was a predictor of the next day’s sleep and nighttime behaviors (odds ratio [OR] 0.9, 95% CI 0.8-1.0; <i>P</i>=.005), and the amount of energy expenditure was a predictor for euphoria or elation (OR 0.02, 95% CI 0.0-0.5; <i>P</i>=.02). All subsyndromes, except for euphoria or elation, were significantly associated with hunger or thirst and urination or bowel movements, and all BPSD subsyndromes showed an association with environmental change. Age, marital status, premorbid personality, and taking sedatives were predictors of specific BPSD subsyndromes. CONCLUSIONS BPSD are clinically heterogeneous, and their occurrence can be predicted by different contributing factors. Our results for various BPSD suggest a critical window for timely intervention and care planning. Findings from this study will help devise symptom-targeted and individualized interventions to prevent and manage BPSD and facilitate personalized dementia care.

Physical Activity Levels Are Low in Free-Living Adults with Chronic Paraplegia

2003 ◽  
Vol 11 (4) ◽  
pp. 563-570 ◽  
Author(s):  
Andrea C. Buchholz ◽  
Colleen F. McGillivray ◽  
Paul B. Pencharz
Keyword(s):  
Physical Activity ◽  
Activity Levels ◽  
Free Living ◽  
Physical Activity Levels

scholarly journals Physical Therapy on the Wards After Early Physical Activity and Mobility in the Intensive Care Unit

2012 ◽  
Vol 92 (12) ◽  
pp. 1518-1523 ◽  
Author(s):  
Ramona O. Hopkins ◽  
Russell R. Miller ◽  
Larissa Rodriguez ◽  
Vicki Spuhler ◽  
George E. Thomsen
Keyword(s):  
Physical Activity ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Physical Therapy ◽  
Activity Level ◽  
Activity Levels ◽  
Care Providers ◽  
Mobility Data ◽  
Icu Discharge ◽  
Icu Treatment

Background Weakness and debilitation are common following critical illness. Studies that assess whether early physical activity initiated in the intensive care unit (ICU) continues after a patient is transferred to a ward are lacking. Objective The purpose of this study was to assess whether physical activity and mobility initiated during ICU treatment were maintained after patients were discharged from a single ICU to a ward. Design This was a cohort study. Methods Consecutive patients who were diagnosed with respiratory failure and admitted to the respiratory ICU (RICU) at LDS Hospital underwent early physical activity and mobility as part of usual care. Medical data, the number of requests for a physical therapy consultation or nursing assistance with ambulation at ICU discharge, and mobility data were collected during the first 2 full days on the ward. Results Of the 72 patients who participated in the study, 65 had either a physical therapy consultation or a request for nursing assistance with ambulation at ward transfer. Activity level decreased in 40 participants (55%) on the first full ward day. Of the 61 participants who ambulated 100 ft (30.48 m) or more on the last full RICU day, 14 did not ambulate, 22 ambulated less than 100 ft, and 25 ambulated 100 ft or more on the first ward day. Limitations Limitations include lack of data regarding why activity was not performed on the ward, lack of longitudinal follow-up to assess effects of activity, and lack of generalizability to patients not transferred to a ward or not treated in an ICU with an early mobility program. Conclusions Despite the majority of participants having a physical therapy consultation or a request for nursing assistance with ambulation at the time of transfer to the medical ward, physical activity levels decreased in over half of participants on the first full ward day. The data suggest a need for education of ward staff regarding ICU debilitation, enhanced communication among care providers, and focus on the importance of patient-centered outcomes during and following ICU treatment.

Sign in / Sign up

Export Citation Format

Share Document