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Quantifying physical activity in aged residential care facilities: A structured review
Affiliation:1. Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, UK;2. Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Norway;3. Department of Geriatric Medicine, Oslo University Hospital, Norway;4. Department of Interdisciplinary Health Sciences, Institute of Health and Society, Faculty of Medicine, University of Oslo, Norway;5. School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand;6. School of Population Health, Faculty of Medical and Health Sciences, the University of Auckland, Auckland, New Zealand;7. The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, NE7 7DN, UK;1. Department of Environmental Health Sciences, Morrill I, N344, University of Massachusetts, Amherst, MA, 01003, USA;2. Department of Biomedical and Biotechnological Sciences, School of Medicine University of Catania, Via Santa Sofia 78, Catania, 95123, Italy;3. Departments of Neurology and Biochemistry, Georgetown University Medical Center, Washington, DC, 20057, USA;1. Department of Life Sciences, University of Coimbra, Calçada Martim de Freitas, 3000-456, Coimbra, Portugal;2. CNC - Center for Neuroscience and Cell Biology, CIBB, 3004-504, Coimbra, Portugal;1. Freemasons'' Department of Geriatric Medicine, University of Auckland, Takapuna, Auckland, New Zealand;2. Waitemata District Health Board, Auckland, New Zealand;3. Department of Nursing, University of Auckland, Auckland, New Zealand;4. School of Population Health, University of Auckland, Auckland, New Zealand;5. Department of Statistics, University of Auckland, Auckland, New Zealand;6. Bethesda Care, Manukau City, New Zealand;1. Department of Medicine III & Center for Healthy Aging, Technische Universität Dresden, Dresden, Germany;2. Department of Medicine (Rheumatology, Allergy & Immunology), Yale University School of Medicine, New Haven, CT, USA;3. Department of Immunobiology, Yale University School of Medicine, New Haven, CT, USA;1. Department II of Internal Medicine and Center for Molecular Medicine Cologne, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany;2. Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), University of Cologne, Cologne, Germany;3. Institute of Biochemistry and Molecular Biology I, Faculty of Medicine, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany;4. Leibniz Research Institute for Environmental Medicine, Düsseldorf, Germany;5. National Institute on Aging, Baltimore, MD, USA
Abstract:
BackgroundEngaging aged residential care (ARC) residents with physical activity (PA) may be a useful strategy to decelerate dependence and disability. It is unclear what volume, intensity and patterns of PA ARC residents participate in. This review aims to synthesize the literature to quantify the volume, intensity and pattern of PA that ARC residents participate in across differing care levels (e.g. low, intermediate, high, mixed), and make recommendations for future research.Methods30 studies of 48,760 yielded were reviewed using systematic review strategies.ResultsQuestionnaires and technological tools were used to assess PA, with accelerometers employed in 70% of studies. Overall, studies reported low volumes and intensities of PA across all care levels, and suggested limited variation in patterns of PA (e.g. little day-to-day variation in total PA). There was limited inclusion of people with cognitive impairment, potentially causing representativeness bias. Findings were limited by lack of consistency in methodological approaches and PA outcomes.DiscussionBased on findings and limitations of current research, we recommend that total volume or low-light intensity PA are more useful interventional outcomes than higher-intensity PA. Researchers also need to consider which methodology and PA outcomes are most useful to quantify PA in ARC residents.
Keywords:Long term care  Physical activity  Cognitive impairment  Aged  Accelerometery
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