Sedentary Behavior and Physical Activity Patterns in Older Adults After Hip Fracture: A Call to Action
in Journal of Aging and Physical ActivityClick name to view affiliation
Objectives:
To characterize patterns of sedentary behavior and physical activity in older adults recovering from hip fracture and to determine characteristics associated with activity.
Methods:
Community-dwelling, Canadian adults (65 years+) who sustained hip fracture wore an accelerometer at the waist for seven days and provided information on quality of life, falls self-efficacy, cognitive functioning, and mobility.
Results:
There were 53 older adults (mean age [SD] 79.5 [7.8] years) enrolled in the study; 49 had valid data and demonstrated high levels of sedentary time (median [p10, p90] 591.3 [482.2, 707.2] minutes/day), low levels of light activity (186.6 [72.6, 293.7]), and MVPA (2 [0.1, 27.6]), as well as few daily steps (2467.7 [617.1, 6820.4]). Regression analyses showed that age, gender, gait speed, and time since fracture were associated with outcomes.
Conclusions:
Older adults have long periods of sedentary time with minimal activity. Results are a call to action to encourage people to sit less and move more.
Fleig, McAllister, Khan, McKay, and Ashe are with the Centre for Hip Health and Mobility, Vancouver, Canada; and the Department of Family Practice, The University of British Columbia, Vancouver, Canada. Fleig is also with Health Psychology, Freie Universität Berlin, Germany. Brasher is with the Centre for Clinical Epidemiology and Evaluation, Vancouver Coastal Health Research Institute, Vancouver, Canada. Cook is with the Division of Geriatric Medicine, Department of Medicine, The University of British Columbia, Vancouver, Canada; and Providence Healthcare, Canada. Guy and McKay are with the Department of Orthopaedics, The University of British Columbia, Vancouver, Canada. Puyat is with the Centre for Health Evaluation & Outcome Sciences, Providence Health Care Research Institute, Canada; and the School of Population and Public Health, The University of British Columbia, Vancouver, Canada. Khan is also with Aspetar Orthopaedic and Sports Medicine Hospital, Qatar.
© 2023 Human Kinetics