Patterns of physical activity among nursing home residents before and during the Covid 19 pandemic—a systematic observation
Abstract Background The Covid-19 outbreak in spring of 2020 posed an array of challenges for nursing homes, including promoting resident physical activity (PA). Given the diversity of factors affecting resident PA, we explored how activity patterns outside weekly-scheduled structured activities chan...
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| Format: | Article |
| Language: | English |
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BMC
2023-12-01
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| Series: | European Review of Aging and Physical Activity |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s11556-023-00332-5 |
| _version_ | 1797398155893932032 |
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| author | Lea-Sofie Hahn Ansgar Thiel Dorothée Trüb Gerhard W. Eschweiler Andreas M. Nieß Gorden Sudeck Annika Frahsa |
| author_facet | Lea-Sofie Hahn Ansgar Thiel Dorothée Trüb Gerhard W. Eschweiler Andreas M. Nieß Gorden Sudeck Annika Frahsa |
| author_sort | Lea-Sofie Hahn |
| collection | DOAJ |
| description | Abstract Background The Covid-19 outbreak in spring of 2020 posed an array of challenges for nursing homes, including promoting resident physical activity (PA). Given the diversity of factors affecting resident PA, we explored how activity patterns outside weekly-scheduled structured activities changed during the pandemic and what factors promoted or inhibited PA during the pandemic. Methods We conducted systematic direct observations over 823.5 h in eight nursing homes in Southern Germany in 2020 and 2021. Results: In 2020, 84.7% of person observation units were classified as sedentary (average activity level: 1.14 MET). In 2021, the percentage increased to 91.6% of observed person units (average activity level: 1.08 MET) (t = 6.947; p = .000). According to tree classification, influencing factors of PA included mealtime and daytime in 2020 and 2021, as well as presence of men residents only in 2020 and guided low threshold activities in 2021. Conclusions Nursing homes constitute highly sedentary places—an issue exacerbated by access restrictions for external activity experts and significant others as well as behavioural restrictions for residents during the Covid-19 pandemic. Staff could not compensate due to existing time restraints and lack of training in PA promotion. Based on our findings, we recommend future studies to develop feasible and resource-low activities to be integrated into the daily routines of nursing homes. |
| first_indexed | 2024-03-09T01:20:40Z |
| format | Article |
| id | doaj.art-a209af67ad74433dbed14f3c8009d3bf |
| institution | Directory Open Access Journal |
| issn | 1861-6909 |
| language | English |
| last_indexed | 2024-03-09T01:20:40Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | European Review of Aging and Physical Activity |
| spelling | doaj.art-a209af67ad74433dbed14f3c8009d3bf2023-12-10T12:10:42ZengBMCEuropean Review of Aging and Physical Activity1861-69092023-12-0120111210.1186/s11556-023-00332-5Patterns of physical activity among nursing home residents before and during the Covid 19 pandemic—a systematic observationLea-Sofie Hahn0Ansgar Thiel1Dorothée Trüb2Gerhard W. Eschweiler3Andreas M. Nieß4Gorden Sudeck5Annika Frahsa6Institute of Sports Science, University of TübingenInstitute of Sports Science, University of TübingenInterfaculty Research Institute for Sport and Physical Activity, University of TübingenGeriatric Centre, University Hospital of TübingenInterfaculty Research Institute for Sport and Physical Activity, University of TübingenInstitute of Sports Science, University of TübingenInstitute of Social and Preventive Medicine, University of BernAbstract Background The Covid-19 outbreak in spring of 2020 posed an array of challenges for nursing homes, including promoting resident physical activity (PA). Given the diversity of factors affecting resident PA, we explored how activity patterns outside weekly-scheduled structured activities changed during the pandemic and what factors promoted or inhibited PA during the pandemic. Methods We conducted systematic direct observations over 823.5 h in eight nursing homes in Southern Germany in 2020 and 2021. Results: In 2020, 84.7% of person observation units were classified as sedentary (average activity level: 1.14 MET). In 2021, the percentage increased to 91.6% of observed person units (average activity level: 1.08 MET) (t = 6.947; p = .000). According to tree classification, influencing factors of PA included mealtime and daytime in 2020 and 2021, as well as presence of men residents only in 2020 and guided low threshold activities in 2021. Conclusions Nursing homes constitute highly sedentary places—an issue exacerbated by access restrictions for external activity experts and significant others as well as behavioural restrictions for residents during the Covid-19 pandemic. Staff could not compensate due to existing time restraints and lack of training in PA promotion. Based on our findings, we recommend future studies to develop feasible and resource-low activities to be integrated into the daily routines of nursing homes.https://doi.org/10.1186/s11556-023-00332-5Covid-19 pandemicNursing homePhysical activity patternsLong-term care facilitiesOlder adults |
| spellingShingle | Lea-Sofie Hahn Ansgar Thiel Dorothée Trüb Gerhard W. Eschweiler Andreas M. Nieß Gorden Sudeck Annika Frahsa Patterns of physical activity among nursing home residents before and during the Covid 19 pandemic—a systematic observation European Review of Aging and Physical Activity Covid-19 pandemic Nursing home Physical activity patterns Long-term care facilities Older adults |
| title | Patterns of physical activity among nursing home residents before and during the Covid 19 pandemic—a systematic observation |
| title_full | Patterns of physical activity among nursing home residents before and during the Covid 19 pandemic—a systematic observation |
| title_fullStr | Patterns of physical activity among nursing home residents before and during the Covid 19 pandemic—a systematic observation |
| title_full_unstemmed | Patterns of physical activity among nursing home residents before and during the Covid 19 pandemic—a systematic observation |
| title_short | Patterns of physical activity among nursing home residents before and during the Covid 19 pandemic—a systematic observation |
| title_sort | patterns of physical activity among nursing home residents before and during the covid 19 pandemic a systematic observation |
| topic | Covid-19 pandemic Nursing home Physical activity patterns Long-term care facilities Older adults |
| url | https://doi.org/10.1186/s11556-023-00332-5 |
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