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ArticleEuropean geriatric medicine2024

The impact of changes in physical activity on functional recovery for older inpatients in post-acute rehabilitation units.

Hiroki Saegusa, Iwao Kojima, Yusuke Terao, Shingo Koyama, Mizue Suzuki, Shu Tanaka, Yosuke Kimura, Yuhei Otobe, Takuya Aoki, Sho Nishida and 2 more

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Article in European geriatric medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

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4 · The record

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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

12 authors.

Hiroki SaegusaDepartment of Rehabilitation Medicine, Shonan Keiiku Hospital, 4360 Endo, Fujisawa-City, Kanagawa, 252-0816, Japan. hs.fuefuki@gmail.com.ORCID 0009-0006-3855-596X
Iwao KojimaGraduate School of Comprehensive Human Sciences, University of Tsukuba, Tokyo, Japan.
Yusuke TeraoGraduate School of Comprehensive Human Sciences, University of Tsukuba, Tokyo, Japan.
Shingo KoyamaFaculty of Health Sciences, Tsukuba University of Technology, Ibaraki, Japan.
Mizue SuzukiFaculty of Allied Health Sciences, Yamato University, Osaka, Japan.
Shu TanakaMajor of Physical Therapy, Department of Rehabilitation, School of Health Sciences, Tokyo University of Technology, Tokyo, Japan.
Yosuke KimuraCollege of Science and Engineering, Health Science and Technology Course, Kanto Gakuin University, Yokohama, Japan.
Yuhei OtobePhysical Therapy Course, Department of Rehabilitation Science, School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Takuya AokiGraduate School of Comprehensive Human Sciences, University of Tsukuba, Tokyo, Japan.
Sho NishidaGraduate School of Comprehensive Human Sciences, University of Tsukuba, Tokyo, Japan.
Yasuhiro KitagawaDepartment of Orthopedic Surgery, Shonan Keiiku Hospital, Kanagawa, Japan.
Minoru YamadaFaculty of Human Sciences, University of Tsukuba, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe effect of increased physical activity duration on functional recovery in older inpatients in subacute settings is not well established. This study aimed to investigate the relationship between physical activity and functional recovery in older patients receiving post-acute and subacute care.

methodsWe analyzed cohort data of hospitalized older patients (age ≥ 65 years) in the post-acute rehabilitation units. The main outcome was functional independence measure (FIM) gain. Physical activity was measured using a triaxial accelerometer. Changes in sedentary behavior and total physical activity time from admission to discharge were measured as changes in each physical activity time. Logistic regression analysis was performed to examine the relationship between changes in physical activity and FIM gain.

resultsA total of 210 patients were eligible for analysis. The mean age of the study patients was 83.6 ± 7.2 years, and 63.8% (n = 134) were female. According to the multivariate regression analysis, changes in sedentary behavior time were significantly associated with high recovery of FIM gain (odds ratio [OR] 0.996, 95% confidence interval [CI]: 0.993-1.000; p = 0.026), and changes in total physical activity time also showed a similar association (OR 1.006, 95% CI 1.000-1.011; p = 0.041).

conclusionDecreased sedentary behavior time and increased total physical activity time were significantly associated with high functional recovery in post-acute rehabilitation units. These results suggest that interventions for physical activity duration may be effective in improving activities of daily living in older post-acute and subacute patients.

Indexed as

ExerciseRecovery of FunctionAccelerometryActivities of Daily LivingAgedAged, 80 and overCohort StudiesFemaleGeriatric AssessmentHospitalizationHumansInpatientsMaleRehabilitation CentersSedentary BehaviorSubacute CareCommunity-based integrated care unitsFunctional recoveryOlder patientsPhysical activityPost-acuteRehabilitationSubacute

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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.