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Int. J. Environ. Res. Public Health 2013, 10(12), 6783-6798; doi:10.3390/ijerph10126783
Article

Objectively Measured Activity Patterns among Adults in Residential Aged Care

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Received: 15 October 2013 / Revised: 26 November 2013 / Accepted: 27 November 2013 / Published: 4 December 2013
(This article belongs to the Special Issue Health Care for Old People)
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Abstract

Objectives: To determine the feasibility of using the activPAL3TM activity monitor, and, to describe the activity patterns of residential aged care residents. Design: Cross-sectional. Setting: Randomly selected aged care facilities within 100 km of the Gold Coast, Queensland, Australia. Participants: Ambulatory, older (≥60 years) residential aged care adults without cognitive impairment. Measurements: Feasibility was assessed by consent rate, sleep/wear diary completion, and through interviews with staff/participants. Activity patterns (sitting/lying, standing, and stepping) were measured via activPAL3TM monitors worn continuously for seven days. Times spent in each activity were described and then compared across days of the week and hours of the day using linear mixed models. Results: Consent rate was 48% (n = 41). Activity patterns are described for the 31 participants (mean age 84.2 years) who provided at least one day of valid monitor data. In total, 14 (45%) completed the sleep/wear diary. Participants spent a median (interquartile range) of 12.4 (1.7) h sitting/lying (with 73% of this accumulated in unbroken bouts of ≥30 min), 1.9 (1.3) h standing, and 21.4 (36.7) min stepping during their monitored waking hours per day. Activity did not vary significantly by day of the week (p ≥ 0.05); stepping showed significant hourly variation (p = 0.018). Conclusions: Older adults in residential aged care were consistently highly sedentary. Feasibility considerations for objective activity monitoring identified for this population include poor diary completion and lost monitors.
Keywords: older adults; physical activity; sedentary time; sitting-objective measurement; activPAL older adults; physical activity; sedentary time; sitting-objective measurement; activPAL
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Reid, N.; Eakin, E.; Henwood, T.; Keogh, J.W.L.; Senior, H.E.; Gardiner, P.A.; Winkler, E.; Healy, G.N. Objectively Measured Activity Patterns among Adults in Residential Aged Care. Int. J. Environ. Res. Public Health 2013, 10, 6783-6798.

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