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Trajectory of physical activity after hip fracture: An analysis of community-dwelling individuals from the English Longitudinal Study of Ageing

Aboelmagd, Tariq ; Dainty, Jack R. ; MacGregor, Alex ; Smith, Toby O.

Injury, 2018-03, Vol.49 (3), p.697-701 [Periódico revisado por pares]

Netherlands: Elsevier Ltd

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  • Título:
    Trajectory of physical activity after hip fracture: An analysis of community-dwelling individuals from the English Longitudinal Study of Ageing
  • Autor: Aboelmagd, Tariq ; Dainty, Jack R. ; MacGregor, Alex ; Smith, Toby O.
  • Assuntos: Aged ; Aged, 80 and over ; Aging ; Biomechanical Phenomena ; Community-dwelling ; Disability Evaluation ; England ; Exercise ; Female ; Femur ; Fracture ; Fracture Fixation, Internal ; Health Surveys ; Hip Fractures - physiopathology ; Hip Fractures - rehabilitation ; Hip Fractures - surgery ; Humans ; Independent Living ; Longitudinal ; Longitudinal Studies ; Male ; Mobility Limitation ; Physical activity ; Postoperative Period ; Recovery ; Recovery of Function ; Time Factors
  • É parte de: Injury, 2018-03, Vol.49 (3), p.697-701
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
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  • Descrição: To analyse physical activity participation in a community-dwelling people in England with hip fracture the interval prior to fracture, in the fracture recovery period, and a minimum of two years post-fracture. 215 individuals were identified from the English Longitudinal Study of Ageing cohort (2002–2014) who sustained a hip fracture following a fall and for whom data were available on physical activity participation relating to the period pre-fracture, within-fracture recovery phase and post-fracture (minimum of two years). Physical activity was assessed using the validated ELSA physical activity questionnaire. Prevalence of ‘low’ physical activity participation was calculated and multi-level modelling analyses were performed to explore physical activity trajectories over the follow-up phase, and whether age, depression, gender and frailty were associated with physical activity participation. Prevalence of low physical activity participation within two years prior to hip fracture was 16.7% (95% Confidence Intervals (CI): 11.6% to 21.8%). This increased at the final follow-up phase to 21.3% (95% CI: 15.1% to 27.6%). This was not a statistically significant change (P = 0.100). Age (P = 0.005) and frailty (P < 0.001) were statistically significant explanatory variables (P = 0.005) where older age and greater frailty equated to lower physical activity participation. Neither gender (P = 0.288) nor depression (P = 0.121) were significant explanatory variables. Physical activity levels do not significantly change between pre-fracture to a minimum of two years post-hip fracture for community-dwelling individuals. This contrasts with previous reports of reduced mobility post-hip fracture, suggesting that ‘physical activity’ and ‘mobility’ should be considered as separate outcomes in this population.
  • Editor: Netherlands: Elsevier Ltd
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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