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  • Levels of physical activity and sleep patterns among older people with dementia living in long-term care facilities: A 24-h snapshot

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    Author(s)
    Moyle, Wendy
    Jones, Cindy
    Murfield, Jenny
    Draper, Brian
    Beattie, Elizabeth
    Shum, David
    Thalib, Lukman
    O'Dwyer, Siobhan
    Mervin, Cindy M
    Griffith University Author(s)
    Shum, David
    Moyle, Wendy
    Jones, Cindy J.
    Mervin, Cindy C.
    Murfield, Jenny E.
    O'Dwyer, Siobhan
    Thalib, Lukman
    Year published
    2017
    Metadata
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    Abstract
    Objectives: To objectively measure over a 24-h period the daytime and nighttime levels of physical activity and sleep patterns of older people with dementia living in long-term care facilities. Study design: Nested within a larger research program, this cross-sectional study involved 415 residents, aged ≥60 years, with a documented diagnosis of dementia, from 28 long-term care facilities in south-east Queensland, Australia. Main outcome measures: Residents wore SenseWear® activity armbands continuously for 24 h, with data recorded for: step count; total energy expenditure; metabolic equivalent of task (MET); and the amount ...
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    Objectives: To objectively measure over a 24-h period the daytime and nighttime levels of physical activity and sleep patterns of older people with dementia living in long-term care facilities. Study design: Nested within a larger research program, this cross-sectional study involved 415 residents, aged ≥60 years, with a documented diagnosis of dementia, from 28 long-term care facilities in south-east Queensland, Australia. Main outcome measures: Residents wore SenseWear® activity armbands continuously for 24 h, with data recorded for: step count; total energy expenditure; metabolic equivalent of task (MET); and the amount of time spent physically active, lying down, awake, and asleep. Residents’ levels of cognitive impairment (assessed using the Rowland Universal Dementia Assessment Scale) and agitation (assessed using the Cohen-Mansfield Agitation Inventory-Short Form), and demographic data were also collected. Results: From a total of 415 residents monitored with the SenseWear® activity armbands, 192 met the valid weartime of 21 h or more, and had activity and sleep data recorded. These residents were largely inactive during the daytime (engaged in an average of 1.8 h of light physical activity), but achieved recommended amounts of sleep at night (average of 6.8 h). There was considerable variation within the sample, and activity and sleep differed by sex (p < 0.001), age (p = 0.010), mobility (p < 0.001), and antipsychotic usage (p = 0.030). Conclusions: These data can be used by long-term care clinicians to assist in planning interventions and care approaches which promote physical activity and good sleep practices, and are individualized to physical and cognitive capabilities.
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    Journal Title
    Maturitas
    Volume
    102
    DOI
    https://doi.org/10.1016/j.maturitas.2017.05.015
    Copyright Statement
    © 2017 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
    Subject
    Clinical sciences
    Clinical sciences not elsewhere classified
    Publication URI
    http://hdl.handle.net/10072/346309
    Collection
    • Journal articles

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