Patterns of physical activity among nursing home residents before and during the Covid 19 pandemic-a systematic observation.

IF 3.7 1区医学 Q2 GERIATRICS & GERONTOLOGY European Review of Aging and Physical Activity Pub Date : 2023-12-06 DOI:10.1186/s11556-023-00332-5

Lea-Sofie Hahn, Ansgar Thiel, Dorothée Trüb, Gerhard W Eschweiler, Andreas M Nieß, Gorden Sudeck, Annika Frahsa

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Abstract

Background: The Covid-19 outbreak in spring of 2020 posed an array of challenges for nursing homes, including promoting resident physical activity (PA). Given the diversity of factors affecting resident PA, we explored how activity patterns outside weekly-scheduled structured activities changed during the pandemic and what factors promoted or inhibited PA during the pandemic.

Methods: We conducted systematic direct observations over 823.5 h in eight nursing homes in Southern Germany in 2020 and 2021.

Results: In 2020, 84.7% of person observation units were classified as sedentary (average activity level: 1.14 MET). In 2021, the percentage increased to 91.6% of observed person units (average activity level: 1.08 MET) (t = 6.947; p = .000). According to tree classification, influencing factors of PA included mealtime and daytime in 2020 and 2021, as well as presence of men residents only in 2020 and guided low threshold activities in 2021.

Conclusions: Nursing homes constitute highly sedentary places-an issue exacerbated by access restrictions for external activity experts and significant others as well as behavioural restrictions for residents during the Covid-19 pandemic. Staff could not compensate due to existing time restraints and lack of training in PA promotion. Based on our findings, we recommend future studies to develop feasible and resource-low activities to be integrated into the daily routines of nursing homes.

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2019冠状病毒病大流行之前和期间养老院居民身体活动模式的系统观察

背景:2020年春季的Covid-19疫情给养老院带来了一系列挑战，包括促进居民身体活动(PA)。考虑到影响居民PA的因素的多样性，我们探讨了在大流行期间，每周安排的结构化活动之外的活动模式如何变化，以及哪些因素在大流行期间促进或抑制了PA。方法:我们于2020年和2021年在德国南部的8家养老院进行了823.5小时的系统直接观察。结果:2020年，84.7%的人观察单位被归类为久坐(平均活动水平:1.14 MET)。到2021年，这一比例增加到91.6%(平均活动水平:1.08 MET) (t = 6.947;p = .000)。根据树分类，PA的影响因素包括2020年和2021年的用餐时间和白天，以及2020年仅男性居民存在和2021年引导低阈值活动。结论:疗养院是久坐不动的场所，在Covid-19大流行期间，外部活动专家和重要他人的进入限制以及居民的行为限制加剧了这一问题。由于现有的时间限制和缺乏PA晋升培训，工作人员无法补偿。基于我们的研究结果，我们建议未来的研究开发可行且资源低的活动，以整合到养老院的日常生活中。

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来源期刊

European Review of Aging and Physical Activity 医学-老年医学

CiteScore

8.60

自引率

1.60%

发文量

审稿时长

>12 weeks

期刊介绍： European Review of Aging and Physical Activity (EURAPA) disseminates research on the biomedical and behavioural aspects of physical activity and aging. The main issues addressed by EURAPA are the impact of physical activity or exercise on cognitive, physical, and psycho-social functioning of older people, physical activity patterns in advanced age, and the relationship between physical activity and health.