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 21 12

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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 12

Persistent ID (NDL): info:ndljp/pid/12154271

Material type: 博士論文

Author: 禹, 炫在

Publisher: 日本老年医学会

Publication date: 2021-12-01

Material Format: Digital

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Name of awarding university/degree: Nagasaki University (長崎大学),博士(医学)

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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)...

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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
Volume: 21 12
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
Degree grantor/type: Nagasaki University (長崎大学)
Date Granted: 2021-12-01
Date Granted (W3CDTF): 2021-12-01
Dissertation Number: 甲医歯薬第1383号
Degree Type: 博士(医学)
Conferring No. (Dissertation): 甲医歯薬第1383号
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)
http://hdl.handle.net/10069/00041144
DOI: info:doi/10.1111/ggi.14300
https://doi.org/info:doi/10.1111/ggi.14300
Persistent ID (NDL): info:ndljp/pid/12154271
https://dl.ndl.go.jp/pid/12154271
Collection: 障害者向け資料
Collection (Materials For Handicapped People:1): テキストデータ
Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文
https://dl.ndl.go.jp/collections/A00014
Acquisition Basis: 博士論文（自動収集）
Date Accepted (W3CDTF): 2022-03-06T04:54:00+09:00
Date Created (W3CDTF): 2022-02-15
Format (IMT): PDF
Access Restrictions: 国立国会図書館内限定公開
Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
Availability of remote photoduplication service: 可
Related Material (URI): http://hdl.handle.net/10069/00041144
Periodical Title (URI): http://hdl.handle.net/10069/00041270
Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション
https://dl.ndl.go.jp