Accelerometry Shows Inpatients With Acute Medical or Surgical Conditions Spend Little Time Upright and Are Highly Sedentary: Systematic Review.

摘要: Background Physical inactivity and sedentary behaviors have significant independent effects on health. The use of wearable monitors to measure these constructs in people who are hospitalized with an acute illness is rapidly expanding, but has not been systematically described. Purpose purpose this study was review the accelerometer monitoring inpatients acutely ill, including what activity measured how active or are. Data Sources Databases used were MEDLINE, EMBASE, CINAHL, Scopus. Study Selection Quantitative studies adults medical surgical hospital admission, whom a physical behavior, selected. Extraction Synthesis Procedures completed independently by 2 reviewers, differences resolved cross-checked third reviewer. Forty-two identified that recruited had diagnoses (n = 10), stroke = 5), critical = 3), exacerbations lung disease = 7), cardiac conditions postsurgery = 10). activities reported terms time spent particular posture (lying/sitting, standing/stepping), active/inactive, at intensity. also as step count, number episodes postural transitions, bouts. Inpatients 93% 98.8% (range) their stay sedentary, most <1,000 steps/day despite up 50 transitions/day. No Many controlled for preadmission function part recruitment strategy analysis both. Limitations Heterogeneity devices (17 models), protocols, variable definitions limited comparability between clinical groups descriptive synthesis without meta-analysis. Conclusions Hospitalized patients highly inactive, especially those admissions, based parameters. Accelerometer behavior patterns less warrants further research.