Accelerometer-measured physical activity and posture among older adults in assisted-living residences

Objective: Few studies have detailed the physical activity and postural patterns (e.g. lying or sitting) in older adults with declining activities of daily living (ADL). Therefore, we aimed to address this issue by quantifying physical activity using an accelerometer and measuring time spent in vari...

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Main Authors: Tsunetaka Kijima, Kenju Akai, Shiho Amagasa, Shigeru Inoue, Shingo Yamagata, Yutaka Ishibashi, Hironori Tsukihashi, Tetsuya Makiishi
Format: Article
Language:English
Published: SAGE Publishing 2024-01-01
Series:SAGE Open Medicine
Online Access:https://doi.org/10.1177/20503121231220798
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author Tsunetaka Kijima
Kenju Akai
Shiho Amagasa
Shigeru Inoue
Shingo Yamagata
Yutaka Ishibashi
Hironori Tsukihashi
Tetsuya Makiishi
author_facet Tsunetaka Kijima
Kenju Akai
Shiho Amagasa
Shigeru Inoue
Shingo Yamagata
Yutaka Ishibashi
Hironori Tsukihashi
Tetsuya Makiishi
author_sort Tsunetaka Kijima
collection DOAJ
description Objective: Few studies have detailed the physical activity and postural patterns (e.g. lying or sitting) in older adults with declining activities of daily living (ADL). Therefore, we aimed to address this issue by quantifying physical activity using an accelerometer and measuring time spent in various postures among older adults in assisted-living residences. Methods: We quantified physical activity using an accelerometer (ActivPAL) and measured time spent in various postures in 35 older adults (mean age: 89.1 years) with chronic conditions residing in two assisted-living residences in Japan. ActivPAL was attached to the thigh and trunk of patients to distinguish between sitting and lying postures. Results: Participants had a mean count of 6.2 comorbidities, and they were divided into three groups (fully independent, requiring minimal assistance and requiring care) based on their activities of daily living capacity using the Barthel Index. Residents aged ⩾90 years walked a mean of 1109.1 steps and spent 167.3 min upright per day. Fully independent participants walked a mean of 3587.6 steps daily; those requiring minimal assistance walked 1681.0 steps daily; and those requiring care walked 428.9 steps daily. Conclusions: Our findings indicated that step count, number of sit-to-stand transitions, stepping time, and upright time decreased significantly as activities of daily living capacity decreased. Comorbidity type and number of comorbidities were not related to their lying time except for depression status. Lying time was associated with depression status.
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spelling doaj.art-8e17a7e440ad4da7a6b84645224043602024-01-05T16:03:59ZengSAGE PublishingSAGE Open Medicine2050-31212024-01-011210.1177/20503121231220798Accelerometer-measured physical activity and posture among older adults in assisted-living residencesTsunetaka Kijima0Kenju Akai1Shiho Amagasa2Shigeru Inoue3Shingo Yamagata4Yutaka Ishibashi5Hironori Tsukihashi6Tetsuya Makiishi7Faculty of Medicine, Oda Municipal Hospital, Oda Training Centre of General Practice, Shimane University, Oda-cho, Oda-shi, Shimane, JapanCentre for Community-Based Healthcare Research and Education, Shimane University, Izumo-shi, Shimane, JapanDepartment of Preventive Medicine and Public Health, Tokyo Medical University, Shinjuku-ku, Tokyo, JapanDepartment of Preventive Medicine and Public Health, Tokyo Medical University, Shinjuku-ku, Tokyo, JapanFaculty of Medicine, Oda Municipal Hospital, Oda Training Centre of General Practice, Shimane University, Oda-cho, Oda-shi, Shimane, JapanJinjukai Education and Training Centre for Healthcare Professionals, Nagahisa-cho, Oda-shi, Shimane, JapanKohoku Tsukihashi Clinic, Matsue-shi, Shimane, JapanFaculty of Medicine, Department of General Medicine, Enya-cho, Izumo-shi, Shimane, JapanObjective: Few studies have detailed the physical activity and postural patterns (e.g. lying or sitting) in older adults with declining activities of daily living (ADL). Therefore, we aimed to address this issue by quantifying physical activity using an accelerometer and measuring time spent in various postures among older adults in assisted-living residences. Methods: We quantified physical activity using an accelerometer (ActivPAL) and measured time spent in various postures in 35 older adults (mean age: 89.1 years) with chronic conditions residing in two assisted-living residences in Japan. ActivPAL was attached to the thigh and trunk of patients to distinguish between sitting and lying postures. Results: Participants had a mean count of 6.2 comorbidities, and they were divided into three groups (fully independent, requiring minimal assistance and requiring care) based on their activities of daily living capacity using the Barthel Index. Residents aged ⩾90 years walked a mean of 1109.1 steps and spent 167.3 min upright per day. Fully independent participants walked a mean of 3587.6 steps daily; those requiring minimal assistance walked 1681.0 steps daily; and those requiring care walked 428.9 steps daily. Conclusions: Our findings indicated that step count, number of sit-to-stand transitions, stepping time, and upright time decreased significantly as activities of daily living capacity decreased. Comorbidity type and number of comorbidities were not related to their lying time except for depression status. Lying time was associated with depression status.https://doi.org/10.1177/20503121231220798
spellingShingle Tsunetaka Kijima
Kenju Akai
Shiho Amagasa
Shigeru Inoue
Shingo Yamagata
Yutaka Ishibashi
Hironori Tsukihashi
Tetsuya Makiishi
Accelerometer-measured physical activity and posture among older adults in assisted-living residences
SAGE Open Medicine
title Accelerometer-measured physical activity and posture among older adults in assisted-living residences
title_full Accelerometer-measured physical activity and posture among older adults in assisted-living residences
title_fullStr Accelerometer-measured physical activity and posture among older adults in assisted-living residences
title_full_unstemmed Accelerometer-measured physical activity and posture among older adults in assisted-living residences
title_short Accelerometer-measured physical activity and posture among older adults in assisted-living residences
title_sort accelerometer measured physical activity and posture among older adults in assisted living residences
url https://doi.org/10.1177/20503121231220798
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