Physical Activity and Sedentary Behavior From Discharge to 1 Year After Inpatient Rehabilitation in Ambulatory People With Spinal Cord Injury: A Longitudinal Cohort Study

被引：6

作者：

Postma, Karin ^{[1
,2
]}

Bussmann, Johannes B. J. ^{[2
]}

van Diemen, Tijn ^{[3
,4
,5
]}

Post, Marcel W. M. ^{[4
,5
,6
]}

Dekkers, Jos ^{[7
]}

van Nes, Ilse J. W. ^{[3
]}

Osterthun, Rutger ^{[1
,2
]}

van den Berg-Emons, Rita J. G. ^{[2
]}

机构：

[1] Rijndam Rehabil, Rotterdam, Netherlands

[2] Erasmus MC Univ Med Ctr Rotterdam, Dept Rehabil Med, POB 2040, NL-3000 CA Rotterdam, Netherlands

[3] Sint Maartensklin, Dept Rehabil, Nijmegen, Netherlands

[4] Univ Med Ctr Utrecht, Ctr Excellence Rehabil Med, UMC Utrecht Brain Ctr, Utrecht, Netherlands

[5] Hoogstr Rehabil, Utrecht, Netherlands

[6] Univ Groningen, Dept Rehabil Med, Ctr Rehabil, Univ Med Ctr Groningen, Groningen, Netherlands

[7] Dutch Spinal Cord Injury Assoc, Nijkerk, Netherlands

来源：

ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2020年 / 101卷 / 12期

关键词：

Exercise; Physical activity; Rehabilitation; Sedentary behavior; Spinal cord injuries; Walking; ADULTS; TIME; HEALTH; RECOMMENDATIONS; ACCELEROMETRY; ASSOCIATIONS; INDIVIDUALS; BENEFITS; FITNESS; PART;

D O I：

10.1016/j.apmr.2020.06.027

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Objective: To evaluate changes in duration of physical activity (PA) and sedentary behavior (SB) from discharge to 1 year after inpatient rehabilitation in ambulatory people with spinal cord injury (SCI). Design: Longitudinal cohort study with objective measurements of physical behavior at discharge and at 6 and 12 months post discharge. Setting: Three rehabilitation centers and the participant's home environment. Participants: Participants (N= 47) with ambulatory function were consecutively recruited from the self-management and self-efficacy in patients with SCI cohort (age 18 years or older, recent SCI, expected inpatient stay >4wk). Mean age was 54.5 +/- 12.9 years, all had incomplete lesions, 53% were men, 49% had tetraplegia, and 51% were community ambulators at discharge. Interventions: Not applicable. Main Outcome Measures: Duration (min) of PA (summed duration of walking, cycling, running, and wheeling) and SB (sitting/lying). Results: Mean duration of PA increased by 21 min/d (95% confidence interval, 7-35) and SB decreased by 64 min/d (95% confidence interval, -94 to -35) from discharge to 6 months after inpatient rehabilitation. No changes were found in the second half-year. One year after discharge mean PA was 116 +/- 59 min/d and mean SB was 665 +/- 121 min/d. The increase in PA was the result of an almost doubling of time spent walking. Variability in physical behavior and its change was large. Older age and lower ambulation level were associated with lower PA, lower ambulation level with higher SB, and tetraplegia was associated with a reduced increase in PA. Conclusions: At group level, duration of PA and SB improved following inpatient rehabilitation in ambulatory people with SCI. However, there were large differences between individuals. Levels 1 year after discharge were still unfavorable, particularly regarding SB. (C) 2020 by the American Congress of Rehabilitation Medicine

引用

页码：2061 / 2070

页数：10

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