Accelerometer assessment of physical activity and its association with physical function in older adults residing at assisted care facilities
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To describe levels of physical activity among older adults residing at assisted care facilities and their association with physical function.
Assisted care facilities within the greater Boston, MA area.
Older adults aged 65 years and older (N = 65).
Physical Activity Level (PAL) as defined by quartiles from accelerometry (counts and steps), Short Physical Performance Battery (SPPB) Score, gait speed, and handgrip strength.
Participants in the most active accelerometry quartile engaged in 25 minutes/week of moderate to vigorous physical activity (MVPA) and walked 2,150 steps/day. These individuals had an SPPB score, 400 meter walk speed, and handgrip strength that was 3.7–3.9 points, 0.3–0.4 meters/second, and 4.5–5.1 kg greater respectively, than individuals in the lowest activity quartile, who engaged in less than 5 min/wk of MVPA or took fewer than 460 steps/day.
Despite engaging in physical activity levels far below current recommendations (150 min/week of MVPA or > 7000 steps/day), the most active older adults in this study exhibited clinically significant differences in physical function relative to their less active peers. While the direction of causality cannot be determined from this cross-sectional study, these findings suggest a strong association between PAL and physical function among older adults residing in an assisted care facility.
KeywordsPhysical activity physical function older adults assisted care facilities
- 3.Pahor M, Guralnik JM, Ambrosius WT, Blair S, Bonds DE, Church TS, Espeland MA, et al. Effect of Structured Physical Activity on Prevention of Major Mobility Disability in Older Adults: The LIFE Study Randomized Clinical Trial. JAMA. 2014.Google Scholar
- 5.US Department of Health and Human Services. Physical Activity Guidelines Advisory Committee final report. 2008; http://www.health.gov/PAGuidelines/Report/Default.aspx. Accessed December, 2014.Google Scholar
- 12.Caffrey CSM, Park-Lee E., Moss A., Rosenoff E., Harris-Kojetin L. Residents living in residential care facilities: United States, 2010. NCHS data brief, no 91. Hyattsville, MD: National Center for Health Statistics. 2012.Google Scholar
- 13.Vincent GK, Velkoff, V.A. THE NEXT FOUR DECADES: The Older Population in the United States: 2010 to 2050. In: U.S. Department of Commerce Economics and Statistics Administration, ed. Accessed at: http://www.census.gov/prod/2010pubs/p25-1138.pdf: U.S. Census Bureau; 2010.Google Scholar
- 14.Byala G, Grimes R, Bersani M, Kyllo D, Maag S, Bernstecker R, Schless D, et al. 2009 Overview of Assisted Living. Vol June. http://www.alfa.org/: Assisted Living Federation of America; 2009:1–68.Google Scholar
- 15.Corcoran MP, Nelson ME, Sacheck JM, Reid KF, Kirn D, Fielding R, Folta SC. Recruitment of Mobility Limited Older Adults Into a Facility-Led Exercise-Nutrition Study: The Effect of Social Involvement. Gerontologist. 2015.Google Scholar
- 19.Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, Scherr PA, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994;49(2):M85–94.CrossRefPubMedGoogle Scholar
- 25.Tudor-Locke C, Johnson WD, Katzmarzyk PT. Relationship between accelerometerdetermined steps/day and other accelerometer outputs in US adults. Journal of physical activity & health. 2011;8(3):410–419.Google Scholar
- 29.Trayers T, Lawlor DA, Fox KR, Coulson J, Davis M, Stathi A, Peters T. Associations of objectively measured physical activity with lower limb function in older men and women: findings from the Older People and Active Living (OPAL) study. Journal of aging and physical activity., 2009;22(1):34–43.CrossRefGoogle Scholar