Evidence map›Paper›PMID 24866573›Full record

ArticlePloS one2014

Objectively assessed physical activity and subsequent health service use of UK adults aged 70 and over: a four to five year follow up study.

Bethany Simmonds, Kenneth Fox, Mark Davis, Po-Wen Ku, Selena Gray, Melvyn Hillsdon, Debbie Sharp, Afroditi Stathi, Janice Thompson, Joanna Coulson and 1 more

Abstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

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  11. The Association Between Objectively Measured Physical Activity and Subsequent Health Care Utilization in Older Men.The journals of gerontology. Series A, Biological sciences and medical sciences · 2019
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  14. Prospective associations of objectively assessed physical activity at different intensities with subjective well-being in older adults.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2016
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  16. An exploration of barriers and facilitators to older adults' participation in higher impact physical activity and bone health: a qualitative study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2016
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Bethany SimmondsCentre for Exercise, Nutrition and Health Sciences, School for Policy Studies, University of Bristol, Bristol, United Kingdom.
Kenneth FoxCentre for Exercise, Nutrition and Health Sciences, School for Policy Studies, University of Bristol, Bristol, United Kingdom; School of Sport & Exercise Sciences, University of Birmingham, Birmingham, United Kingdom.
Mark DavisCentre for Exercise, Nutrition and Health Sciences, School for Policy Studies, University of Bristol, Bristol, United Kingdom.
Po-Wen KuGraduate Institute of Sports and Health, National Changhua University of Education, Changhua City, Changua, Taiwan.
Selena GrayDepartment of Health and Applied Social Sciences, University of the West of England, Bristol, United Kingdom.
Melvyn HillsdonSport and Health Sciences, Exeter University, Exeter, United Kingdom.
Debbie SharpThe School of Social and Community Medicine, The University of Bristol, Bristol, United Kingdom.
Afroditi StathiDepartment for Health, The University of Bath, Bath, United Kingdom.
Janice ThompsonSchool of Sport & Exercise Sciences, University of Birmingham, Birmingham, United Kingdom.
Joanna CoulsonCentre for Exercise, Nutrition and Health Sciences, School for Policy Studies, University of Bristol, Bristol, United Kingdom.
Tanya TrayersThe School of Social and Community Medicine, The University of Bristol, Bristol, United Kingdom.

Funding

British Heart FoundationCancer Research UKChief Scientist OfficeDepartment of HealthMedical Research Council G0501312Medical Research Council MR/K00414X/1The Dunhill Medical Trust R200/0511
6 · The paper itself

Abstract

objectivesTo examine the associations between volume and intensity of older peoples' physical activity, with their subsequent health service usage over the following four to five years. STUDY

designA prospective cohort design using baseline participant characteristics, objectively assessed physical activity and lower limb function provided by Project OPAL (Older People and Active Living). OPAL-PLUS provided data on numbers of primary care consultations, prescriptions, unplanned hospital admissions, and secondary care referrals, extracted from medical records for up to five years following the baseline OPAL data collection. PARTICIPANTS AND DATA COLLECTION: OPAL participants were a diverse sample of 240 older adults with a mean age of 78 years. They were recruited from 12 General Practitioner surgeries from low, middle, and high areas of deprivation in a city in the West of England. Primary care consultations, secondary care referrals, unplanned hospital admissions, number of prescriptions and new disease diagnoses were assessed for 213 (104 females) of the original 240 OPAL participants who had either consented to participate in OPAL-PLUS or already died during the follow-up period.

resultsIn regression modelling, adjusted for socio-economic variables, existing disease, weight status, minutes of moderate-to-vigorous physical activity (MVPA) per day predicted subsequent numbers of prescriptions. Steps taken per day and MVPA also predicted unplanned hospital admissions, although the strength of the effect was reduced when further adjustment was made for lower limb function.

conclusionsCommunity-based programs are needed which are successful in engaging older adults in their late 70s and 80s in more walking, MVPA and activity that helps them avoid loss of physical function. There is a potential for cost savings to health services through reduced reliance on prescriptions and fewer unplanned hospital admissions.

Indexed as

AdultAgedAged, 80 and overEnglandExerciseFemaleGeriatric AssessmentHealth ServicesHospitalizationHumansLower ExtremityMaleMiddle AgedMobility LimitationMonitoring, PhysiologicMotor Activity

Identifiers

PMID24866573
PMCPMC4035293

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.