Impact of physical activity on hospitalization in older adults: A nationwide cohort from Taiwan

Li, Chia-Lin; Chu, Shu-Jung; Sheu, Ji-Tian; Huang, Laura

doi:10.1016/j.archger.2010.09.014

Cited by 21 publications

(14 citation statements)

References 21 publications

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“…The protective effect of physical activity on subsequent hospital care utilisation in this study, though substantial, is smaller than that described in previous studies [10][11][12]. This may be due to the more comprehensive covariates (such as baseline hospital care utilisation) included in the present study.…”

Section: Discussioncontrasting

confidence: 54%

“…Prospective studies examining the relationship have suffered from methodological limitations such as short follow-up periods [8,9], failure to adjust for health care utilisation at baseline [10][11][12], self-reported health care use [11], and small sample sizes [9,12]. Besides, the previous studies of this topic have been mainly conducted in North America and European countries.…”

Section: Introductionmentioning

confidence: 99%

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Prospective association between late-life physical activity and hospital care utilisation: a 7-year nationwide follow-up study

Steptoe

Chen

et al. 2016

Age Ageing

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Section: Discussioncontrasting

confidence: 54%

Section: Introductionmentioning

confidence: 99%

Prospective association between late-life physical activity and hospital care utilisation: a 7-year nationwide follow-up study

Steptoe

Chen

et al. 2016

Age Ageing

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“…There was no evidence that the PA intervention reduced LOS. In cross‐sectional and observational studies of older adults, regular PA has been shown to significantly reduce healthcare use and costs, including LOS . However, a recent Cochrane review reported that there was only a nonsignificant trend toward fewer individuals being admitted to the hospital with exercise in randomized controlled trials of exercise‐based interventions with 6 months of follow‐up or longer than with usual medical care.…”

Section: Discussionmentioning

confidence: 99%

Hospitalizations During a Physical Activity Intervention in Older Adults at Risk of Mobility Disability: Analyses from the Lifestyle Interventions and Independence for Elders Randomized Clinical Trial

Marsh

Applegate

Guralnik

et al. 2016

J American Geriatrics Society

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Background/Objectives Information about the safety of physical activity (PA) programs in older adults with mobility limitations is critically important to inform clinicians and others responsible for their clinical management. We conducted a safety analysis of study hospitalization data and determined whether the intervention was differentially associated with categories of hospitalizations or subgroups of participants. Design Multicenter RCT. Participants randomized to a PA or health education (HE) program for an average of 2.6 years. Setting 8 field centers. Participants 1,635 sedentary men and women aged 70-89 years with lower extremity physical limitations, but able to walk 400-m in ≤15 min. Interventions Structured, moderate-intensity PA (n = 818) at a center (2x/wk) and at home (3-4x/wk) that included aerobic, strength, balance, and flexibility training or HE (n = 817) of educational workshops and upper extremity stretching exercises. Main Outcomes and Measures All cause in-patient hospitalizations ascertained at six-month intervals. Results 49.1% of PA and 44.4% of HE (risk difference=4.68%, 95%CI −0.18 to 9.54; HR=1.16, 95%CI 1.00 to 1.34) reported a total of 1458 hospitalizations. The intervention effect on incident hospitalization did not differ by race, sex, SPPB, age, and history of CVD/diabetes. PA was associated with an increase in the rates of hospitalization within the middle baseline gait speed category, compared to HE: <0.8m/s, HR[95%CI] 0.93[0.76-1.14]; 0.8–1.0m/s, 1.54[1.23-1.94]; >1.0m/s, 1.05[0.67-1.65]; interaction p=0.005). Conclusion/Relevance A PA program in older adults at risk for mobility disability did not lead to a differential risk of specific types of hospitalizations compared to a HE group, overall. Baseline gait speed may be a marker for risk of hospitalization during a PA intervention, as individuals with moderate baseline gait speed in the PA group had slightly higher rates of hospitalizations, compared to HE.

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“…International research has shown that older age, low levels of physical performance (Dorr et al, 2006;Li, Chu, Sheu, & Huang, 2011), limitations in activities of daily living (Li, Chang, Wang, & Bai, 2011), comorbidity (Dorr et al, 2006;Landi et al, 2004), potentially inappropriate medications (Albert, Colombi, & Hanlon, 2010), and previous hospital admissions (Landi et al, 2004) are factors related to higher risk of hospitalization. In addition, hospitalization is related to community assistance (Nägga, Dong, Marcusson, Skoglund, & Wressle, 2012) and economic hardship (Landi et al, 2004) as well as psychosocial factors such as life satisfaction, loneliness (Jakobsson, Kristensson, Hallberg, & Midlöv, 2011), and selfrated health (Li, Chang, et al, 2011;Nägga et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Factors associated with hospitalization risk among community living middle aged and older persons: Results from the Swedish Adoption/Twin Study of Aging (SATSA)

Hällgren

Fransson

Kåreholt

et al. 2016

Archives of Gerontology and Geriatrics

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PostprintThis is the accepted version of a paper published in Archives of gerontology and geriatrics (Print). This paper has been peer-reviewed but does not include the final publisher proof-corrections or journal pagination. Citation for the original published paper (version of record):Hallgren, J., Fransson, E I., Kåreholt, I., Reynolds, C A., Pedersen, N L. et al. (2016) Factors associated with hospitalization risk among community living older persons: results from the Swedish Adoption/TwinStudy of Aging (SATSA). Archives of gerontology and geriatrics (Print AbstractThe aims of the present study were to: (1) describe and compare individual characteristics of hospitalized and not hospitalized community living persons, and (2) to determine factors that are associated with hospitalization risk over time. We conducted a prospective study with a multifactorial approach based on the population-based longitudinal Swedish Adoption/Twin Study of Aging (SATSA). A total of 772 Swedes (mean age at baseline 69.7 years, range 46-103, 59.8% females) answered a postal questionnaire about physical and psychological health, personality and socioeconomic factors. During nine years of follow-up, information on hospitalizations and associated diagnoses were obtained from national registers. Results show that 484 persons (63%) had at least one hospital admission during the follow-up period. The most common causes of admission were cardiovascular diseases (25%) and tumors (22%). Cox proportional hazard regression models controlling for age, sex and dependency within twin pairs, showed that higher age (HR=1.02, p<0.001) and more support from relatives (HR=1.09, p=0.028) were associated with increased risk of hospitalization, while marital status (unmarried (HR=0.75, p=0.033) and widow/widower (HR=0.69, p<0.001)) and support from friends (HR=0.93, p=0.029) were associated with lower risk of hospitalization. Social factors were important for hospitalization risk even when medical factors were controlled for in the analyses. Number of diseases was not a risk in the final regression model. Hospitalization risk was also different for women and men and within different age groups. We believe that these results might be used in future interventions targeting health care utilization. Key wordsHospitalization, prospective design, older persons, marital status, social factors, friends support Highlights• While medical factors are important when predicting hospitalization, social factors matter as well.• Marital status significantly affects hospitalization risk.• Hospitalization risk differs between community-living men and women.• Different factors are associated with hospitalization risk in different age groups.3

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Impact of physical activity on hospitalization in older adults: A nationwide cohort from Taiwan

Cited by 21 publications

References 21 publications

Prospective association between late-life physical activity and hospital care utilisation: a 7-year nationwide follow-up study

Prospective association between late-life physical activity and hospital care utilisation: a 7-year nationwide follow-up study

Hospitalizations During a Physical Activity Intervention in Older Adults at Risk of Mobility Disability: Analyses from the Lifestyle Interventions and Independence for Elders Randomized Clinical Trial

Factors associated with hospitalization risk among community living middle aged and older persons: Results from the Swedish Adoption/Twin Study of Aging (SATSA)

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