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

Wendy Moyle, Cindy Jones, Jenny Murfield, Brian Draper, Elizabeth Beattie, David Shum, Lukman Thalib, Siobhan O'Dwyer, Cindy M. Mervin

Research output: Contribution to journalArticleResearchpeer-review

7 Citations (Scopus)

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 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 wear-time 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. Australian New Zealand Clinical Trials Registry (ACTRN12614000508673).

Original languageEnglish
Pages (from-to)62-68
Number of pages7
JournalMaturitas
Volume102
DOIs
Publication statusPublished - 1 Aug 2017
Externally publishedYes

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Long-Term Care
Dementia
Sleep
Wear of materials
Metabolic Equivalent
Queensland
New Zealand
Energy Metabolism
Antipsychotic Agents
Registries
Cross-Sectional Studies
Demography
Outcome Assessment (Health Care)
Clinical Trials
Light
Planning
Equipment and Supplies
Research

Cite this

Moyle, Wendy ; Jones, Cindy ; Murfield, Jenny ; Draper, Brian ; Beattie, Elizabeth ; Shum, David ; Thalib, Lukman ; O'Dwyer, Siobhan ; Mervin, Cindy M. / Levels of physical activity and sleep patterns among older people with dementia living in long-term care facilities : A 24-h snapshot. In: Maturitas. 2017 ; Vol. 102. pp. 62-68.
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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{\circledR} 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{\circledR} activity armbands, 192 met the valid wear-time 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. Australian New Zealand Clinical Trials Registry (ACTRN12614000508673).",
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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. / Moyle, Wendy; Jones, Cindy; Murfield, Jenny; Draper, Brian; Beattie, Elizabeth; Shum, David; Thalib, Lukman; O'Dwyer, Siobhan; Mervin, Cindy M.

In: Maturitas, Vol. 102, 01.08.2017, p. 62-68.

Research output: Contribution to journalArticleResearchpeer-review

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T2 - A 24-h snapshot

AU - Moyle, Wendy

AU - Jones, Cindy

AU - Murfield, Jenny

AU - Draper, Brian

AU - Beattie, Elizabeth

AU - Shum, David

AU - Thalib, Lukman

AU - O'Dwyer, Siobhan

AU - Mervin, Cindy M.

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N2 - 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 wear-time 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. Australian New Zealand Clinical Trials Registry (ACTRN12614000508673).

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