Ambulatory activity of older adults hospitalized with acute medical illness
Open accessAbstract
OBJECTIVES: To describe the amount and patterns of ambulatory activity in hospitalized older adults over consecutive hospital days. DESIGN: Observational cohort study. SETTING: University teaching hospital Acute Care for Elderly (ACE) unit. PARTICIPANTS: Adults aged 65 and older (N=239) who wore a step activity monitor during their hospital stay. MEASUREMENTS: Total number of steps per 24‐hour day. Mean daily steps were calculated based on number of days the step activity monitor was worn. RESULTS: Mean age was 76.6±7.6; 55.1% of participants were female. Patients took a mean number of 739.7 (interquartile range 89–1,014) steps per day during their hospital stay. Patients with shorter stays tended to ambulate more on the first complete day of hospitalization and had a markedly greater increase in mobility on the second day than patients with longer lengths of stay. There were no significant differences in mean daily steps according to illness severity or reason for admission. CONCLUSION: Objective information on patient mobility can be collected for hospitalized older persons. Findings may increase understanding of the level of ambulation required to maintain functional status and promote recovery from acute illness.
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The target of ≤750 steps per day resembles the step counts seen in hospitalized older patients.
“During the ER + SR phase, participants were instructed to reduce their daily step count to ≤750 steps/d, which is a daily step count similar to what is observed in older hospitalized patients (19).”
Data from 239 older adults (~77 years) admitted to hospital with an acute illness reported that mean daily step count was only 740.
“Alarmingly, data from 239 older adults (~77 years) admitted to hospital with an acute illness reported that mean daily step count was only 740,74”
From Reduced physical activity in young and older adults: Metabolic and musculoskeletal implications (2019) · cites this paper as [74]
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- Authors
- Fisher, S. R., Goodwin, J. S., Protas, E. J., Kuo, Y., Graham, J. E., Ottenbacher, K. J., & Ostir, G. V.
- Affiliations
- The University of Texas Medical Branch at Galveston (US)
- Venue
- Journal of the American Geriatrics Society
- Publisher
- Wiley
- Published
- 2010-12-16
- Volume
- 59
- Issue
- 1
- Pages
- 91-95
- ISSN
- 0002-8614 (ISSN-L)
- 1532-5415
- PMC
- PMC3133455
- OpenAlex
- W1781750677
- Cited by
- 192
- References
- 22
- Citations by year
- 2026: 4 · 2024: 10 · 2023: 13 · 2022: 34 · 2021: 20 · 2020: 15 · 2019: 22 · 2018: 14 · 2017: 11 · 2016: 17 · 2015: 9 · 2014: 4 · 2013: 11 · 2012: 5
- FWCI
- 4.11
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of the American Geriatrics Society (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute on Aging (P60AG017231, R01AG031178, P30AG024832)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (K12HD055929)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Intensive Care Unit Cognitive Disorders
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Keywords
- ambulatory activity, older adults, hospitalized older adults, step count, physical activity, mobility (physical function), length of hospital stay, acute conditions, functional status
- MeSH terms
- Activities of Daily Living, Acute Disease, Aged, Aged, 80 and over, Female, Geriatrics, Hospitalization, Humans, Male, United States, Walking, Ergometry, Monitoring, Ambulatory
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