Article

OBJECTIVE: To synthesize evidence on older adults' sedentary behavior and
physical activity during rehabilitation and recovery for hip fracture (1) across
the care continuum and (2) from clinical interventions.
DESIGN: We conducted a
systematic review of peer-reviewed publications using CINAHL, Embase, Ovid
MEDLINE, PsycINFO, and SportDiscus (last search: 17 October 2017). STUDY
SELECTION: We included studies that measured sedentary behavior and physical
activity of older adults with hip fracture using activity monitors (e.g.
accelerometers). We identified literature at Level 1 (title and abstract) and
Level 2 (full text), and conducted forward and backward searches. We assessed
observational studies' adherence to reporting guidelines and intervention
studies' risk of bias. RESULTS: We included 14 studies (882 participants). Four
studies reported sedentary behavior data, while all studies reported information
on physical activity. Settings included hospital, rehabilitation centers, and the
community. Nine studies were observational; five were experimental design. Older
adults had excessive sedentary time (>10 hours/day) and low physical activity.
Participants' average upright time differed across settings. During hospital
stay, it ranged 16-52 minutes/day, while in the community, it ranged 51-261
minutes/day. Data from five interventions reported on physical activity change:
two studies increased between 14 and 27 minutes/day. Another study reported
participants accumulated 6994 steps/day at the end of the intervention, but for
two other interventions, activity was below 5000 steps/day. CONCLUSION: Based on
available evidence, older adults with hip fracture engage in prolonged sedentary
behavior and have low levels of physical activity during rehabilitation and
recovery.

Langue : ANGLAIS