Associations between hospitalization and device-assessed physical activity in a representative sample of older adults

Del Pozo Cruz, B. ; Alfonso-Rosa, R. M. ; López-Bueno, R. ; Fairclough, S. J. ; Rowlands, A. ; Del Pozo-Cruz, J.

Resumen: Background: Evidence investigating associations between hospitalization and physical activity is scarce and limited to specific populations of older adults. Objective: The current study aimed to describe the impact of past hospitalization on current physical activity levels of a large representative sample of European older adults with accelerometry data. Methods: A representative sample of 856 European older adults aged 50 years and over was included in this study. Hospital admission and utilization (i.e., accumulated times and length of stay in hospital) in the last 12 months were self-reported retrospectively. Physical activity volume (mg) and distribution of intensity (intensity gradient) were assessed with thigh-worn accelerometers. Results: Multivariate linear regressions indicated that hospital admission (15% of the sample) was associated with reduced physical activity volume (−4.29 mg; 95% confidence interval (95% CI), −9.07 to 0.47) of participants. Each additional hospital admission was associated with lower volume (−2.29 mg; 95% CI, −4.65 to 0.06) and poorer distribution of intensity (−0.07; 95% CI, −0.11 to −0.04). Total length of stay was not associated with physical activity. Conclusions: This study suggests that hospital admission and the number of times admitted, but not accumulated length of stay, may curb physical activity levels of older adults. Public health strategies to promote successful aging should target post-hospitalization physical activity.

Idioma: Inglés

DOI: 10.1159/000527543

Año: 2023

Publicado en: GERONTOLOGY 69, 4 (2023), 506-512
ISSN: 0304-324X

Factor impacto JCR: 3.1 (2023)

Categ. JCR: GERIATRICS & GERONTOLOGY rank: 38 / 74 = 0.514 (2023) - Q3 - T2

Factor impacto CITESCORE: 6.0 - Geriatrics and Gerontology (Q2) - Aging (Q3)

Factor impacto SCIMAGO: 0.985 - Geriatrics and Gerontology (Q2) - Aging (Q3)

Financiación: info:eu-repo/grantAgreement/EC/FP6/28812/EU/Employment and health at 50+: a life history approach to european welfare state interventions/SHARELIFE
Financiación: info:eu-repo/grantAgreement/EC/FP6/28857/EU/Toolbox for Improving the Comparability of Cross-National Survey Data with Applications to SHARE/COMPARE
Financiación: info:eu-repo/grantAgreement/EC/FP6/62193/EU/Survey of Health, Ageing and Retirement in Europe: Integrating Activities to Access the Time Dimension and to Enlarge the Cross-national Dimension/SHARE-I3
Financiación: info:eu-repo/grantAgreement/EC/FP7/211909/EU/Upgrading the Survey of Health, Ageing and Retirement in Europe – preparatory phase/SHARE-PREP
Financiación: info:eu-repo/grantAgreement/EC/FP7/227822/EU/Longitudinal Enhancement and Access imProvement of the SHARE infrastructure/SHARE_LEAP
Financiación: info:eu-repo/grantAgreement/EC/FP7/261982/EU/Multinational Advancement of Research Infrastructures on Ageing/SHARE_M4
Financiación: info:eu-repo/grantAgreement/EC/FP7/283646/EU/Data Service Infrastructure for the Social Sciences and Humanities/DASISH
Financiación: info:eu-repo/grantAgreement/EC/HS/QLK6-CT-2001-00360/EU/Survey on health, ageing and retirement in europe (SHARE)/SHARE
Financiación: info:eu-repo/grantAgreement/EC/H2020/654221/EU/Synergies for Europe's Research Infrastructures in the Social Sciences/SERISS
Financiación: info:eu-repo/grantAgreement/EC/H2020/676536/EU/Achieving world-class standards in all SHARE countries/SHARE-DEV3
Financiación: info:eu-repo/grantAgreement/EC/H2020/823782/EU/Social Sciences & Humanities Open Cloud/SSHOC
Financiación: info:eu-repo/grantAgreement/EC/H2020/870628/EU/Cohesion in further developing and innovating SHARE across all 28 member countries/SHARE-COHESION

Tipo y forma: Article (PostPrint)