Abstract
Aim: To quantify the type and duration of physical activity performed by hospitalized adults. Background: Inactivity is pervasive among hospitalized patients and is associated with increased mortality, functional decline, and cognitive impairment. Objective measurement of activity is necessary to examine associations with clinical outcomes and quantify optimal inpatient mobility interventions. Methods: We used PRISMA guidelines to search three databases in December 2017 to retrieve original research evaluating activity type and duration among adult acute-care inpatients. We abstracted data on inpatient population, measurement method, monitoring time, activity duration, and study quality. Results: Thirty-eight articles were included in the review and 7 articles were included in the meta-analysis. Study populations included geriatric (n = 5), surgical (n = 5), medical (n = 12), post-stroke (n = 10), psychiatric (n = 2), and critical care inpatients (n = 4). To measure activity, 29% of studies used human observation and 71% used activity monitors. Among inpatient populations, 87–100% of time was spent sitting or lying in-bed. Among medical inpatients monitored over a continuous 24-hour period (n = 7), 70 min per day was spent standing/walking (95% CI 57–83 min). Conclusions: This review provides a baseline assessment and benchmark of inpatient activity, which can be used to compare inpatient mobility practices. While there is substantial heterogeneity in how researchers measure and define how much inpatients move, there is consistent evidence that patients are mostly inactive and in-bed during hospitalization. Future research is needed to establish standardized methods to accurately and consistently measure inpatient mobility over time.
| Original language | English (US) |
|---|---|
| Article number | 151189 |
| Journal | Applied Nursing Research |
| DOIs | |
| State | Accepted/In press - Jan 1 2019 |
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Keywords
- Early mobility
- Fitness tracker
- Hospitalization
- Physical activity
- Systematic review
ASJC Scopus subject areas
- Nursing(all)
Cite this
How much do hospitalized adults move? A systematic review and meta-analysis. / Fazio, Sarina; Stocking, Jacqueline; Kuhn, Brooks; Doroy, Amy; Blackmon, Emma; Young, Heather M.; Adams, Jason Y.
In: Applied Nursing Research, 01.01.2019.Research output: Contribution to journal › Article
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TY - JOUR
T1 - How much do hospitalized adults move? A systematic review and meta-analysis
AU - Fazio, Sarina
AU - Stocking, Jacqueline
AU - Kuhn, Brooks
AU - Doroy, Amy
AU - Blackmon, Emma
AU - Young, Heather M.
AU - Adams, Jason Y.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Aim: To quantify the type and duration of physical activity performed by hospitalized adults. Background: Inactivity is pervasive among hospitalized patients and is associated with increased mortality, functional decline, and cognitive impairment. Objective measurement of activity is necessary to examine associations with clinical outcomes and quantify optimal inpatient mobility interventions. Methods: We used PRISMA guidelines to search three databases in December 2017 to retrieve original research evaluating activity type and duration among adult acute-care inpatients. We abstracted data on inpatient population, measurement method, monitoring time, activity duration, and study quality. Results: Thirty-eight articles were included in the review and 7 articles were included in the meta-analysis. Study populations included geriatric (n = 5), surgical (n = 5), medical (n = 12), post-stroke (n = 10), psychiatric (n = 2), and critical care inpatients (n = 4). To measure activity, 29% of studies used human observation and 71% used activity monitors. Among inpatient populations, 87–100% of time was spent sitting or lying in-bed. Among medical inpatients monitored over a continuous 24-hour period (n = 7), 70 min per day was spent standing/walking (95% CI 57–83 min). Conclusions: This review provides a baseline assessment and benchmark of inpatient activity, which can be used to compare inpatient mobility practices. While there is substantial heterogeneity in how researchers measure and define how much inpatients move, there is consistent evidence that patients are mostly inactive and in-bed during hospitalization. Future research is needed to establish standardized methods to accurately and consistently measure inpatient mobility over time.
AB - Aim: To quantify the type and duration of physical activity performed by hospitalized adults. Background: Inactivity is pervasive among hospitalized patients and is associated with increased mortality, functional decline, and cognitive impairment. Objective measurement of activity is necessary to examine associations with clinical outcomes and quantify optimal inpatient mobility interventions. Methods: We used PRISMA guidelines to search three databases in December 2017 to retrieve original research evaluating activity type and duration among adult acute-care inpatients. We abstracted data on inpatient population, measurement method, monitoring time, activity duration, and study quality. Results: Thirty-eight articles were included in the review and 7 articles were included in the meta-analysis. Study populations included geriatric (n = 5), surgical (n = 5), medical (n = 12), post-stroke (n = 10), psychiatric (n = 2), and critical care inpatients (n = 4). To measure activity, 29% of studies used human observation and 71% used activity monitors. Among inpatient populations, 87–100% of time was spent sitting or lying in-bed. Among medical inpatients monitored over a continuous 24-hour period (n = 7), 70 min per day was spent standing/walking (95% CI 57–83 min). Conclusions: This review provides a baseline assessment and benchmark of inpatient activity, which can be used to compare inpatient mobility practices. While there is substantial heterogeneity in how researchers measure and define how much inpatients move, there is consistent evidence that patients are mostly inactive and in-bed during hospitalization. Future research is needed to establish standardized methods to accurately and consistently measure inpatient mobility over time.
KW - Early mobility
KW - Fitness tracker
KW - Hospitalization
KW - Physical activity
KW - Systematic review
UR - http://www.scopus.com/inward/record.url?scp=85074482757&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85074482757&partnerID=8YFLogxK
U2 - 10.1016/j.apnr.2019.151189
DO - 10.1016/j.apnr.2019.151189
M3 - Article
AN - SCOPUS:85074482757
JO - Applied Nursing Research
JF - Applied Nursing Research
SN - 0897-1897
M1 - 151189
ER -