geriatric disorders low physical activity: low mobility
Conditions
Interventions
None listed
Sponsors
Medisch Universitair Ziekenhuis Maastricht
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Patients aged *70 years that are acutely hospitalized in MUMC+ in the department of Internal and Geriatric Medicine. Inclusion criteria: -70 years or older -Acutely hospitalized in Maastricht University Medical Centre (MUMC+) in the department of internal and geriatric medicine -Sufficient understanding of the Dutch language -Living at home before hospitalization -Able to walk independently 2 weeks before admission, as scored on the Functional Ambulation Categories (FAC >3)
Exclusion criteria
Exclusion criteria: -A life expectancy of less than three months as assessed by the attending physician -Incapacitated subjects -The inability to follow instructions due to cognitive problems or severe agitation -A contraindication to wearing an accelerometer, fixated by a hypoallergenic plaster, on the upper leg (such as active bilateral upper leg infection, severe edema or bilateral transfemoral amputation) -(Re)admittance to the intensive care unit -Presence of contraindications to walking as assessed by the attending physician -Previous participation to this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| In order to create reference values regarding the amount of time patients are standing and walking per day): mean number of minutes spent physically active (standing and walking) per day (defined as the total number of minutes standing and walking divided by the total number of valid measurement days in the period between inclusion and (intended) discharge). In order to create a prediction model, this will be dichotomized into a low and high amount of time spent physically active per day during hospitalization. As the estimated event rate of a high amount of time spent physically active per day during hospitalization is 50%, the cut-off value between a low and high amount of time spent physically active will be defined by dividing the cohort at the median. In order to create reference values regarding the number of breaks in sedentary time per day: mean number of breaks in sedentary time (BST) per day (defined as the total number of BST divided by the total number of valid measurement days in the period between inclusion and (intended) discharge). A BST is defined as any transition from being sedentary (lying or sitting) to being physically active (standing or walking). In order to create a prediction model, this will be dichotomized into a low and high number of breaks in sedentary time per day during hospitalization. As the estimated event rate of a high number of breaks in sedentary time per day during hospitalization is 50%, the cut-off value between a low and high number of breaks in sedentary time will be defined by dividing the cohort at the median. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary study parameters are: -SPPB score (summary and component scores) -AM-PAC Inpatient Basic Mobility short form score -Age (Categories 70-79, 80-89, *90 years) -Sex (Male / Female) -Disability in activities of daily living (ADLs) two weeks prior to admission (Number of disabilities on the Katz Index of Independence in Activities of Daily Living (Katz ADL) -The use of ambulation assistive devices prior to admission (Yes/No. If yes, specify type of walking aid) -Clinical diagnosis -Physiotherapy consulted during hospitalization (Yes/No) | — |
Countries
Netherlands
Outcome results
None listed