{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T05:22:19Z","timestamp":1783488139614,"version":"3.55.0"},"reference-count":68,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2019,10,7]],"date-time":"2019-10-07T00:00:00Z","timestamp":1570406400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Monash University Faculty of Medicine Nursing and Health Sciences Strategic"},{"name":"National Health and Medical Research Council of Australia","award":["1106633"],"award-info":[{"award-number":["1106633"]}]},{"name":"National Health and Medical Research Council of Australia","award":["569940"],"award-info":[{"award-number":["569940"]}]},{"name":"Australian Research Council Future Fellowship","award":["FT170100048"],"award-info":[{"award-number":["FT170100048"]}]},{"name":"Senior Principal Research Fellowship","award":["1003960"],"award-info":[{"award-number":["1003960"]}]},{"name":"Victorian Government\u2019s Operational Infrastructure Support Program"},{"name":"Senior Research Fellowship","award":["1078360"],"award-info":[{"award-number":["1078360"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,2,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Physical activity is increasingly recognized as an important marker of functional recovery following fracture.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>The objectives of this study were to measure sedentary behavior and physical activity 2\u00a0weeks and 6\u00a0months following fracture and to determine associated demographic and injury factors.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>This was an observational study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Two weeks and 6\u00a0months following fracture, 83 adults who were 18 to 69\u00a0years old and had upper limb (UL) or lower limb (LL) fractures wore an accelerometer and an inclinometer for 10\u00a0days. We calculated sitting time, steps, moderate-intensity physical activity (MPA), and vigorous-intensity physical activity and conducted linear mixed-effects multivariable regression analyses to determine factors associated with temporal changes in activity.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>At 6\u00a0months versus 2\u00a0weeks after fracture, participants sat less, took more steps, and engaged in more MPA. Participants with LL fractures sat 2\u00a0hours more, took 66% fewer steps, and engaged in 77% less MPA than participants with UL fractures. Greater reductions in sitting time were observed for participants in the youngest age group and with LL fractures, participants with high preinjury activity, and participants who were overweight or obese. For steps, greater improvement was observed for participants in the youngest and middle-aged groups and those with LL fractures. For MPA, greater improvement was observed for middle-aged participants and those with LL fractures.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Limitations<\/jats:title>\n                  <jats:p>Although this study was sufficiently powered for the analysis of major categories, a convenience sample that may not be representative of all people with musculoskeletal trauma was used.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Working-age adults with LL fractures had lower levels of physical activity 6\u00a0months after fracture than those with UL fractures. Older adults showed less improvement over time, suggesting that they are an important target group for interventions aimed at regaining preinjury activity levels.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ptj\/pzz151","type":"journal-article","created":{"date-parts":[[2019,10,2]],"date-time":"2019-10-02T11:14:38Z","timestamp":1570014878000},"page":"332-345","source":"Crossref","is-referenced-by-count":11,"title":["Physical Activity and Sedentary Behavior 6\u00a0Months After Musculoskeletal Trauma: What Factors Predict Recovery?"],"prefix":"10.1093","volume":"100","author":[{"given":"Christina L","family":"Ekegren","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Preventive Medicine, Monash University , 553 St Kilda Rd, Melbourne, Victoria 3004, Australia; Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia; and The Alfred, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel E","family":"Climie","sequence":"additional","affiliation":[{"name":"Baker Heart and Diabetes Institute; and Paris Centre de Recherche Cardiovasculaire , Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela M","family":"Simpson","sequence":"additional","affiliation":[{"name":"BSc (Hons), Grad Dip Biostats, Department of Epidemiology and Preventive Medicine , Monash University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neville","family":"Owen","sequence":"additional","affiliation":[{"name":"Baker Heart and Diabetes Institute; and Swinburne University of Technology , Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David W","family":"Dunstan","sequence":"additional","affiliation":[{"name":"Baker Heart and Diabetes Institute; and Mary MacKillop Institute for Health Research, Australian Catholic University , Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Veitch","sequence":"additional","affiliation":[{"name":"BBiomedSci (Hons), Department of Epidemiology and Preventive Medicine , Monash University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Belinda J","family":"Gabbe","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Preventive Medicine, Monash University ; and Health Data Research UK, Swansea University, Swansea, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,10,7]]},"reference":[{"key":"2023011706560946600_ref1","author":"Australian Institute of Health and Welfare","year":"2018"},{"key":"2023011706560946600_ref2","volume-title":"Cat. no. 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