Daytime Physical Activity and Sleep in Hospitalized Older Adults: Association with Demographic Characteristics and Disease Severity
Objectives To assess objectively measured daytime physical activity and sleep duration and efficiency in hospitalized older adults and explore associations with demographic characteristics and disease severity. Design Prospective cohort study. Setting University of Chicago Medical Center general med...
Gespeichert in:
| Veröffentlicht in: | Journal of the American Geriatrics Society (JAGS) 2015-07, Vol.63 (7), p.1391-1400 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1400 |
|---|---|
| container_issue | 7 |
| container_start_page | 1391 |
| container_title | Journal of the American Geriatrics Society (JAGS) |
| container_volume | 63 |
| creator | Beveridge, Claire Knutson, Kristen Spampinato, Lisa Flores, Andrea Meltzer, David O. Van Cauter, Eve Arora, Vineet M. |
| description | Objectives
To assess objectively measured daytime physical activity and sleep duration and efficiency in hospitalized older adults and explore associations with demographic characteristics and disease severity.
Design
Prospective cohort study.
Setting
University of Chicago Medical Center general medicine wards.
Participants
Community‐dwelling inpatients aged 50 and older (N = 120)
Measurements
Physical activity and sleep were measured using wrist accelerometers. Information on Charlson Comorbidity Index and length of stay was collected from charts. Random‐effects linear regression analysis was used to examine the association between in‐hospital sleep and physical activity.
Results
From March 2010 to May 2013, 120 participants wore wrist actigraphy monitors for at least 2 nights and 1 intervening day. Median activity level over the waking period was 77 counts/min (interquartile range 51–121 counts/min), an activity level that approximately corresponds to sitting while watching television (65 counts/min). Mean sleep duration the night before the activity interval was 289 ± 157 minutes, and mean sleep efficiency the night before the activity interval was 65.2 ± 26.9%. Mean activity counts/min were lowest for the oldest participants (oldest quartile 62, 95% confidence interval (CI) = 50–75; youngest quartile 121, 95% CI = 98–145, trend test P |
| doi_str_mv | 10.1111/jgs.13520 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4752005</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1801531512</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5840-a9dfc0fa64ce03660d02be2ed5ad5aa2c945e026c2234bf2bf4def6954db3c793</originalsourceid><addsrcrecordid>eNqFkl9v0zAUxSMEYmXwwBdAlniBh2z-Gyc8IFUtdKCJVXSIR8txbhqXNCm22xFe-eKYdqsACWFZsmT_7tH1uSdJnhJ8RuI6Xy39GWGC4nvJiAhGU8GJuJ-MMMY0zTPCT5JH3q8wJhTn-cPkhGaEkSKno-THVA_BrgHNm8Fbo1s0NsHubBiQ7iq0aAE2yHboovcbG3Rrv0OFrtoKHBpX2zb4V2jsfW-sDrbv0I0NDZrCul86vWmsQZNGO20COOuDNX4vOrUetAe0gF28D8Pj5EGtWw9Pbs_T5NPbN9eTi_TyavZuMr5Mjcg5TnVR1QbXOuMGMMsyXGFaAoVK6Lg1NQUXgGlmKGW8rGlZ8wrqrBC8KpmRBTtNXh90N9tyDZWBLjjdqo2za-0G1Wur_nzpbKOW_U5xGb3FIgq8uBVw_dct-KDW1htoW91Bv_WK5DjaTwSh_0ezQkohMykj-vwvdNVvXRed2FNE5oTxSL08UMb13juoj30TrH6lQMUUqH0KIvvs948eybuxR-D8ANzYFoZ_K6n3s8WdZHqoiHOEb8cK7b6oTDIp1OcPM_VxTgt5PeeKsZ80l82C</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1697178134</pqid></control><display><type>article</type><title>Daytime Physical Activity and Sleep in Hospitalized Older Adults: Association with Demographic Characteristics and Disease Severity</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Beveridge, Claire ; Knutson, Kristen ; Spampinato, Lisa ; Flores, Andrea ; Meltzer, David O. ; Van Cauter, Eve ; Arora, Vineet M.</creator><creatorcontrib>Beveridge, Claire ; Knutson, Kristen ; Spampinato, Lisa ; Flores, Andrea ; Meltzer, David O. ; Van Cauter, Eve ; Arora, Vineet M.</creatorcontrib><description>Objectives
To assess objectively measured daytime physical activity and sleep duration and efficiency in hospitalized older adults and explore associations with demographic characteristics and disease severity.
Design
Prospective cohort study.
Setting
University of Chicago Medical Center general medicine wards.
Participants
Community‐dwelling inpatients aged 50 and older (N = 120)
Measurements
Physical activity and sleep were measured using wrist accelerometers. Information on Charlson Comorbidity Index and length of stay was collected from charts. Random‐effects linear regression analysis was used to examine the association between in‐hospital sleep and physical activity.
Results
From March 2010 to May 2013, 120 participants wore wrist actigraphy monitors for at least 2 nights and 1 intervening day. Median activity level over the waking period was 77 counts/min (interquartile range 51–121 counts/min), an activity level that approximately corresponds to sitting while watching television (65 counts/min). Mean sleep duration the night before the activity interval was 289 ± 157 minutes, and mean sleep efficiency the night before the activity interval was 65.2 ± 26.9%. Mean activity counts/min were lowest for the oldest participants (oldest quartile 62, 95% confidence interval (CI) = 50–75; youngest quartile 121, 95% CI = 98–145, trend test P < .001) and those with highest Charlson Comorbidity Index (highest tertile 71, 95% CI = 60–83; lowest tertile 125, 95% CI = 104–147, trend test P = .01). Controlling for severity of illness and demographic characteristics, activity declined by 3 counts/min (95% CI = −5.65 to −0.43, P = .02) for each additional hour of inpatient sleep.
Conclusion
Older, sicker adults are less physically active during hospitalization. In contrast to studies in the community, inpatients who slept more were not more active. This may highlight that need for sleep is greater in the hospital than in the community.</description><identifier>ISSN: 0002-8614</identifier><identifier>EISSN: 1532-5415</identifier><identifier>DOI: 10.1111/jgs.13520</identifier><identifier>PMID: 26131982</identifier><identifier>CODEN: JAGSAF</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Accelerometry ; Aged ; Chicago ; Comorbidity ; Demographics ; Demography ; Exercise ; Female ; Geriatric Assessment ; Geriatrics ; Hospitalization ; Humans ; Length of Stay - statistics & numerical data ; low mobility ; Male ; Middle Aged ; Motor Activity ; older hospitalized adults ; physical activity ; Physical Therapy Modalities ; Prospective Studies ; Severity of Illness Index ; Sleep ; Sleep Wake Disorders - diagnosis</subject><ispartof>Journal of the American Geriatrics Society (JAGS), 2015-07, Vol.63 (7), p.1391-1400</ispartof><rights>2015, Copyright the Authors Journal compilation © 2015, The American Geriatrics Society</rights><rights>2015, Copyright the Authors Journal compilation © 2015, The American Geriatrics Society.</rights><rights>2015 American Geriatrics Society and Wiley Periodicals, Inc</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5840-a9dfc0fa64ce03660d02be2ed5ad5aa2c945e026c2234bf2bf4def6954db3c793</citedby><cites>FETCH-LOGICAL-c5840-a9dfc0fa64ce03660d02be2ed5ad5aa2c945e026c2234bf2bf4def6954db3c793</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjgs.13520$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjgs.13520$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26131982$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Beveridge, Claire</creatorcontrib><creatorcontrib>Knutson, Kristen</creatorcontrib><creatorcontrib>Spampinato, Lisa</creatorcontrib><creatorcontrib>Flores, Andrea</creatorcontrib><creatorcontrib>Meltzer, David O.</creatorcontrib><creatorcontrib>Van Cauter, Eve</creatorcontrib><creatorcontrib>Arora, Vineet M.</creatorcontrib><title>Daytime Physical Activity and Sleep in Hospitalized Older Adults: Association with Demographic Characteristics and Disease Severity</title><title>Journal of the American Geriatrics Society (JAGS)</title><addtitle>J Am Geriatr Soc</addtitle><description>Objectives
To assess objectively measured daytime physical activity and sleep duration and efficiency in hospitalized older adults and explore associations with demographic characteristics and disease severity.
Design
Prospective cohort study.
Setting
University of Chicago Medical Center general medicine wards.
Participants
Community‐dwelling inpatients aged 50 and older (N = 120)
Measurements
Physical activity and sleep were measured using wrist accelerometers. Information on Charlson Comorbidity Index and length of stay was collected from charts. Random‐effects linear regression analysis was used to examine the association between in‐hospital sleep and physical activity.
Results
From March 2010 to May 2013, 120 participants wore wrist actigraphy monitors for at least 2 nights and 1 intervening day. Median activity level over the waking period was 77 counts/min (interquartile range 51–121 counts/min), an activity level that approximately corresponds to sitting while watching television (65 counts/min). Mean sleep duration the night before the activity interval was 289 ± 157 minutes, and mean sleep efficiency the night before the activity interval was 65.2 ± 26.9%. Mean activity counts/min were lowest for the oldest participants (oldest quartile 62, 95% confidence interval (CI) = 50–75; youngest quartile 121, 95% CI = 98–145, trend test P < .001) and those with highest Charlson Comorbidity Index (highest tertile 71, 95% CI = 60–83; lowest tertile 125, 95% CI = 104–147, trend test P = .01). Controlling for severity of illness and demographic characteristics, activity declined by 3 counts/min (95% CI = −5.65 to −0.43, P = .02) for each additional hour of inpatient sleep.
Conclusion
Older, sicker adults are less physically active during hospitalization. In contrast to studies in the community, inpatients who slept more were not more active. This may highlight that need for sleep is greater in the hospital than in the community.</description><subject>Accelerometry</subject><subject>Aged</subject><subject>Chicago</subject><subject>Comorbidity</subject><subject>Demographics</subject><subject>Demography</subject><subject>Exercise</subject><subject>Female</subject><subject>Geriatric Assessment</subject><subject>Geriatrics</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Length of Stay - statistics & numerical data</subject><subject>low mobility</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Motor Activity</subject><subject>older hospitalized adults</subject><subject>physical activity</subject><subject>Physical Therapy Modalities</subject><subject>Prospective Studies</subject><subject>Severity of Illness Index</subject><subject>Sleep</subject><subject>Sleep Wake Disorders - diagnosis</subject><issn>0002-8614</issn><issn>1532-5415</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkl9v0zAUxSMEYmXwwBdAlniBh2z-Gyc8IFUtdKCJVXSIR8txbhqXNCm22xFe-eKYdqsACWFZsmT_7tH1uSdJnhJ8RuI6Xy39GWGC4nvJiAhGU8GJuJ-MMMY0zTPCT5JH3q8wJhTn-cPkhGaEkSKno-THVA_BrgHNm8Fbo1s0NsHubBiQ7iq0aAE2yHboovcbG3Rrv0OFrtoKHBpX2zb4V2jsfW-sDrbv0I0NDZrCul86vWmsQZNGO20COOuDNX4vOrUetAe0gF28D8Pj5EGtWw9Pbs_T5NPbN9eTi_TyavZuMr5Mjcg5TnVR1QbXOuMGMMsyXGFaAoVK6Lg1NQUXgGlmKGW8rGlZ8wrqrBC8KpmRBTtNXh90N9tyDZWBLjjdqo2za-0G1Wur_nzpbKOW_U5xGb3FIgq8uBVw_dct-KDW1htoW91Bv_WK5DjaTwSh_0ezQkohMykj-vwvdNVvXRed2FNE5oTxSL08UMb13juoj30TrH6lQMUUqH0KIvvs948eybuxR-D8ANzYFoZ_K6n3s8WdZHqoiHOEb8cK7b6oTDIp1OcPM_VxTgt5PeeKsZ80l82C</recordid><startdate>201507</startdate><enddate>201507</enddate><creator>Beveridge, Claire</creator><creator>Knutson, Kristen</creator><creator>Spampinato, Lisa</creator><creator>Flores, Andrea</creator><creator>Meltzer, David O.</creator><creator>Van Cauter, Eve</creator><creator>Arora, Vineet M.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201507</creationdate><title>Daytime Physical Activity and Sleep in Hospitalized Older Adults: Association with Demographic Characteristics and Disease Severity</title><author>Beveridge, Claire ; Knutson, Kristen ; Spampinato, Lisa ; Flores, Andrea ; Meltzer, David O. ; Van Cauter, Eve ; Arora, Vineet M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5840-a9dfc0fa64ce03660d02be2ed5ad5aa2c945e026c2234bf2bf4def6954db3c793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Accelerometry</topic><topic>Aged</topic><topic>Chicago</topic><topic>Comorbidity</topic><topic>Demographics</topic><topic>Demography</topic><topic>Exercise</topic><topic>Female</topic><topic>Geriatric Assessment</topic><topic>Geriatrics</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Length of Stay - statistics & numerical data</topic><topic>low mobility</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Motor Activity</topic><topic>older hospitalized adults</topic><topic>physical activity</topic><topic>Physical Therapy Modalities</topic><topic>Prospective Studies</topic><topic>Severity of Illness Index</topic><topic>Sleep</topic><topic>Sleep Wake Disorders - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Beveridge, Claire</creatorcontrib><creatorcontrib>Knutson, Kristen</creatorcontrib><creatorcontrib>Spampinato, Lisa</creatorcontrib><creatorcontrib>Flores, Andrea</creatorcontrib><creatorcontrib>Meltzer, David O.</creatorcontrib><creatorcontrib>Van Cauter, Eve</creatorcontrib><creatorcontrib>Arora, Vineet M.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Beveridge, Claire</au><au>Knutson, Kristen</au><au>Spampinato, Lisa</au><au>Flores, Andrea</au><au>Meltzer, David O.</au><au>Van Cauter, Eve</au><au>Arora, Vineet M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Daytime Physical Activity and Sleep in Hospitalized Older Adults: Association with Demographic Characteristics and Disease Severity</atitle><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle><addtitle>J Am Geriatr Soc</addtitle><date>2015-07</date><risdate>2015</risdate><volume>63</volume><issue>7</issue><spage>1391</spage><epage>1400</epage><pages>1391-1400</pages><issn>0002-8614</issn><eissn>1532-5415</eissn><coden>JAGSAF</coden><abstract>Objectives
To assess objectively measured daytime physical activity and sleep duration and efficiency in hospitalized older adults and explore associations with demographic characteristics and disease severity.
Design
Prospective cohort study.
Setting
University of Chicago Medical Center general medicine wards.
Participants
Community‐dwelling inpatients aged 50 and older (N = 120)
Measurements
Physical activity and sleep were measured using wrist accelerometers. Information on Charlson Comorbidity Index and length of stay was collected from charts. Random‐effects linear regression analysis was used to examine the association between in‐hospital sleep and physical activity.
Results
From March 2010 to May 2013, 120 participants wore wrist actigraphy monitors for at least 2 nights and 1 intervening day. Median activity level over the waking period was 77 counts/min (interquartile range 51–121 counts/min), an activity level that approximately corresponds to sitting while watching television (65 counts/min). Mean sleep duration the night before the activity interval was 289 ± 157 minutes, and mean sleep efficiency the night before the activity interval was 65.2 ± 26.9%. Mean activity counts/min were lowest for the oldest participants (oldest quartile 62, 95% confidence interval (CI) = 50–75; youngest quartile 121, 95% CI = 98–145, trend test P < .001) and those with highest Charlson Comorbidity Index (highest tertile 71, 95% CI = 60–83; lowest tertile 125, 95% CI = 104–147, trend test P = .01). Controlling for severity of illness and demographic characteristics, activity declined by 3 counts/min (95% CI = −5.65 to −0.43, P = .02) for each additional hour of inpatient sleep.
Conclusion
Older, sicker adults are less physically active during hospitalization. In contrast to studies in the community, inpatients who slept more were not more active. This may highlight that need for sleep is greater in the hospital than in the community.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>26131982</pmid><doi>10.1111/jgs.13520</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-8614 |
| ispartof | Journal of the American Geriatrics Society (JAGS), 2015-07, Vol.63 (7), p.1391-1400 |
| issn | 0002-8614 1532-5415 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4752005 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Accelerometry Aged Chicago Comorbidity Demographics Demography Exercise Female Geriatric Assessment Geriatrics Hospitalization Humans Length of Stay - statistics & numerical data low mobility Male Middle Aged Motor Activity older hospitalized adults physical activity Physical Therapy Modalities Prospective Studies Severity of Illness Index Sleep Sleep Wake Disorders - diagnosis |
| title | Daytime Physical Activity and Sleep in Hospitalized Older Adults: Association with Demographic Characteristics and Disease Severity |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-13T17%3A35%3A11IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Daytime%20Physical%20Activity%20and%20Sleep%20in%20Hospitalized%20Older%20Adults:%20Association%20with%20Demographic%20Characteristics%20and%20Disease%20Severity&rft.jtitle=Journal%20of%20the%20American%20Geriatrics%20Society%20(JAGS)&rft.au=Beveridge,%20Claire&rft.date=2015-07&rft.volume=63&rft.issue=7&rft.spage=1391&rft.epage=1400&rft.pages=1391-1400&rft.issn=0002-8614&rft.eissn=1532-5415&rft.coden=JAGSAF&rft_id=info:doi/10.1111/jgs.13520&rft_dat=%3Cproquest_pubme%3E1801531512%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1697178134&rft_id=info:pmid/26131982&rfr_iscdi=true |