{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T21:04:01Z","timestamp":1793221441883,"version":"4.5.0"},"reference-count":45,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,4,10]],"date-time":"2023-04-10T00:00:00Z","timestamp":1681084800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100012775","name":"Royal Melbourne Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012775","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australas J Ageing"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To quantify physical activity in patients prior to and during an acute general medical hospital admission and explore relationships between mobility, pre\u2010 and in\u2010hospital physical activity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a prospective, single\u2010site secondary observational study conducted on general medical wards at a tertiary hospital. Prehospital physical activity was measured via the Physical Activity Scale for the Elderly (PASE; scored 0\u2013400); in\u2010hospital physical activity was measured via accelerometry (time at metabolic equivalents [METs]\u2009&gt;\u20091.5), and mobility was measured via the de Morton Mobility Index (DEMMI). Associations were determined via Spearman's correlations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty\u2010six participants were included: median age 81 [76\u201385] years, 59% female, DEMMI on admission 39 [30\u201349]. Prehospital physical activity was low (PASE median 27.1 [1.6\u201361.9]). In\u2010hospital physical activity was also low (0.5 [0.2\u20131.5] hours per day being physically active and 54 [16\u2013194] steps per day taken). No statistically significant relationships existed between pre\u2010 and in\u2010hospital physical activity (Spearman's rho (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      ) 0.24, 95% CI \u22120.08\u20130.53,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.07). However, physical activity levels in the pre\u2010 and in\u2010hospital settings were positively associated with patients' mobility in\u2010hospital (Spearman's\n                      <jats:italic>\u03c1<\/jats:italic>\n                      0.44, 95% CI 0.15\u20130.67,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.002; Spearman's\n                      <jats:italic>\u03c1<\/jats:italic>\n                      0.40, 95% CI 0.08\u20130.645,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.011 respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Physical activity is low both before and during a general medical admission. Assessment of usual physical activity patterns should be part of the clinical assessment of patients in general medicine; however, the low activity levels observed indicate a need for valid and reliable tools suitable for an older, frail cohort. Findings will inform the development of physical activity guidelines during hospitalisation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajag.13186","type":"journal-article","created":{"date-parts":[[2023,4,10]],"date-time":"2023-04-10T12:59:55Z","timestamp":1681131595000},"page":"545-553","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Physical activity is low before and during hospitalisation: A secondary observational study in older Australian general medical patients"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2510-109X","authenticated-orcid":false,"given":"Aruska N.","family":"D'Souza","sequence":"first","affiliation":[{"name":"Department of Physiotherapy Royal Melbourne Hospital  Melbourne Victoria Australia"},{"name":"Department of Physiotherapy University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine L.","family":"Granger","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Royal Melbourne Hospital  Melbourne Victoria Australia"},{"name":"Department of Physiotherapy University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline E.","family":"Kay","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine M.","family":"Said","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Allied Health Western Health  Melbourne Victoria Australia"},{"name":"Australian Institute of Musculoskeletal Science  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,4,10]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/sms.13616"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/54.10.M521"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02598279"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2008.02023.x"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajag.12458"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2020.101076"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2009.02393.x"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2004.06.016"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2010.03276.x"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16231"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-6612.2009.00388.x"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14872"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12966-020-00970-3"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-6612.2006.00167.x"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1519\/JPT.0000000000000272"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(93)90053-4"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(99)00049-9"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2002.27467"},{"issue":"2","key":"e_1_2_11_20_1","first-page":"186","article-title":"Stability and convergent validity of the physical activity scale for the elderly (PASE)","volume":"44","author":"Dinger M","year":"2004","journal-title":"J Sports Med Phys Fitness"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1249\/01.mss.0000128144.91337.38"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/1479-5868-10-30"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/3280240"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1123\/jpah.10.5.742"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2021.04.018"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2318-10-72"},{"key":"e_1_2_11_27_1","volume-title":"Foundations of Clinical Research: Applications to Practice","author":"Portney L","year":"2009"},{"key":"e_1_2_11_28_1","unstructured":"World Health Organization.Physical activity. 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