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Open AccessArticle

Objectively Measured Activity Patterns among Adults in Residential Aged Care

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Cancer Prevention Research Centre, School of Population Health, The University of Queensland, Brisbane, QLD 4072, Australia
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University of Queensland/Blue Care Research & Practice Development Centre, School of Nursing and Midwifery, University of Queensland, Brisbane, QLD 4072, Australia
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Faculty of Health Sciences and Medicine, Bond University, Robina, QLD 4226, Australia
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Human Potential Centre, Auckland University of Technology, Auckland 1010, New Zealand
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Cluster for Health Improvement, Faculty of Science, Health, Education and Engineering, University of the Sunshine Coast, Sippy Downs, QLD 4556, Australia
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Discipline of General Practice, School of Medicine, University of Queensland, Brisbane, QLD 4072, Australia
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Centre for Longitudinal and Life Course Research, School of Population Health, The University of Queensland, Brisbane, QLD 4072, Australia
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Translating Research into Practice (TRIP) Centre, Mater Research, South Brisbane, QLD 4101, Australia
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Baker IDI Heart & Diabetes Institute, Melbourne, VIC 3004, Australia
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School of Physiotherapy, Curtin University, Bentley, WA 6102, Australia
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Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2013, 10(12), 6783-6798; https://doi.org/10.3390/ijerph10126783
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)
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. View Full-Text
Keywords: older adults; physical activity; sedentary time; sitting-objective measurement; activPAL older adults; physical activity; sedentary time; sitting-objective measurement; activPAL
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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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