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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.\nMethods: 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.\nResults: 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 \u003c 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).\nConclusions: 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. 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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
http://hdl.handle.net/10069/00041270
http://hdl.handle.net/10069/00041270e46d4395-4072-49f6-a832-a4360623e204
名前 / ファイル | ライセンス | アクション |
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ISYK1383_Woo.pdf (346.7 kB)
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Item type | 学位論文 / Thesis or Dissertation(1) | |||||
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公開日 | 2022-02-15 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | 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 | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | activities daily of living | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | community-acquired pneumonia | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | physical activity 5 time | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | hospitalization | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | rehabilitation | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||
資源タイプ | doctoral thesis | |||||
アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
著者 |
禹, 炫在
× 禹, 炫在 |
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著者別名 | ||||||
姓名 | Woo, Hyunjae | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 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. |
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内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 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 | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Author: Hyunjae Woo, Hideki Aoki, Hideki Kataoka, Junichiro Yamashita, Takatoshi Yoshitake, Tatsuya Morishita, Takako Tanaka, Yuji Ishimatsu, Ryo Kozu | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Citation: Geriatrics & Gerontology International, 21(12), pp. 1099–1104; 2021 | |||||
書誌情報 |
Geriatrics & Gerontology International 巻 21, 号 12, p. 1099-1104, 発行日 2021-12-01 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1444-1586 | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1111/ggi.14300 | |||||
権利 | ||||||
権利情報 | © 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. | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
その他のタイトル | ||||||
その他のタイトル | 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 | |||||
出版者 | ||||||
出版者 | 日本老年医学会 | |||||
出版者別言語 | ||||||
Japan Geriatrics Society | ||||||
関係URI | ||||||
識別子タイプ | HDL | |||||
関連識別子 | http://hdl.handle.net/10069/00041144 | |||||
学位名 | ||||||
学位名 | 博士(医学) | |||||
学位授与機関 | ||||||
学位授与機関識別子Scheme | kakenhi | |||||
学位授与機関識別子 | 17301 | |||||
学位授与機関名 | Nagasaki University (長崎大学) | |||||
学位授与年月日 | ||||||
学位授与年月日 | 2021-12-01 | |||||
学位授与番号 | ||||||
学位授与番号 | 甲医歯薬第1383号 | |||||
学位の種類 | ||||||
課程博士 | ||||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Nagasaki University (長崎大学), 博士(医学) (2021-12-01) |