Early walking time is associated with recovery of activities of daily living during hospitalization in older patients with community-acquired pneumonia: a single-center prospective study

• Material Type: 博士論文
• Title: Early walking time is associated with recovery of activities of daily living during hospitalization in older patients with community-acquired pneumonia: a single-center prospective study
• Author/Editor: 禹, 炫在
• Author Heading: 禹, 炫在
• Publication, Distribution, etc.: 日本老年医学会
• Publication Date: 2021-12-01
• Publication Date (W3CDTF): 2021-12-01
• Alternative Title: 早期歩行時間は高齢市中肺炎患者における入院中日常生活活動の回復に関連する：単施設前方視研究
• Periodical title: Geriatrics ＆ Gerontology International
• No. or year of volume/issue: 21 12
• Volume: 21
• Issue: 12
• Pages: 1099-1104
• ISSN (Periodical Title): ISSN : 1444-1586
• Degree grantor/type: Nagasaki University (長崎大学)
• Date Granted: 2021-12-01
• Dissertation Number: 甲医歯薬第1383号
• Degree Type: 博士(医学)
• Text Language Code: eng
• Subject Heading: activities daily of living; community-acquired pneumonia; physical activity 5 time; hospitalization; rehabilitation
• Target Audience: 一般
• Note (General): Aim: Pneumonia is a common disease with a high mortality rate among older adults that is associated with a decline in activities of daily living (ADL) during hospitalization. The aims of this study were to investigate the following: (i) early physical activity time among older patients hospitalized with community-acquired pneumonia; and (ii) the association of physical activity time with the recovery of ADL.Methods: A prospective observational study was carried out in patients aged ≥65 years hospitalized with community acquired pneumonia. We measured the time spent standing and walking as physical activity time using the activPAL accelerometer from the third to the ninth day of admission. Patients underwent rehabilitation during their hospitalization, and rehabilitation effectiveness was calculated using the motor Functional Independence Measure on admission and at day 10. We used stepwise multiple regression to examine the relationship between physical activity time and rehabilitation effectiveness.Results: A total of 87 patients were included in the analysis. Median (interquartile range) physical activity time was 69 min/day (43–103 min/day). In the multiple regression model, a greater daily walking time, higher cognitive and physical function, and ADL at admission were independently associated with rehabilitation effectiveness (adjusted R2 = 0.32, P < 0.0001). For every increase of 10 min/day of walking time, ADL improved by 7.8% (B = 7.8, 95% CI 1.3–14.2, P = 0.02).Conclusions: Older patients hospitalized with community-acquired pneumonia have low levels of physical activity, and increasing early walking time might be an effective strategy to accelerate the recovery of ADL. Geriatr Gerontol Int 2021; 21: 1099–1104.; 長崎大学学位論文 学位記番号:博(医歯薬)甲第1383号 学位授与年月日:令和3年12月1日; Author: Hyunjae Woo, Hideki Aoki, Hideki Kataoka, Junichiro Yamashita, Takatoshi Yoshitake, Tatsuya Morishita, Takako Tanaka, Yuji Ishimatsu, Ryo Kozu; Citation: Geriatrics ＆ Gerontology International, 21(12), pp. 1099–1104; 2021; identifier:Nagasaki University (長崎大学), 博士(医学) (2021-12-01)
• Source: https://nagasaki-u.repo.nii.ac.jp/?action=repository_action_common_download&item_id=27108&item_no=1&attribute_id=70&file_no=1 （fulltext）; https://nagasaki-u.repo.nii.ac.jp/?action=repository_action_common_download&item_id=27108&item_no=1&attribute_id=70&file_no=1
• Access Restrictions: インターネット公開
• Rights (production): © 2021 Japan Geriatrics Society. This is the peer reviewed version of the following article: Geriatrics ＆ Gerontology International, 21(12), pp. 1099–1104; 2021, which has been published in final form at https://doi.org/10.1111/ggi.14300. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
• Related Material: http://hdl.handle.net/10069/00041144
• Related Material (DOI): 10.1111/ggi.14300
• Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• Original Data Provider (Database): 長崎大学 : 長崎大学学術研究成果リポジトリ