Factors Associated with Physical Activity in Community-dwelling Older Adults Undergoing Rehabilitation : A Prospective Observational Study

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  • ASANO Katsutoshi
    Department of Occupational Therapy, Health Sciences, Health Science University Department of Health Sciences, Graduate School of Medicine, Science and Technology, Shinshu University
  • WATANABE Shuntaro
    Department of Occupational Therapy, Health Sciences, Health Science University
  • MUTAI Hitoshi
    Department of Health Sciences, Graduate School of Medicine, Science and Technology, Shinshu University

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Background : Maintaining and increasing daily physical activity is important for the health of older adults, including community-dwelling older adults requiring long-term care. However, physical activity levels in this population have not been sufficiently investigated.<br>Objective : To measure quantitatively the amount of physical activity, which was categorized as locomotive and daily-living activities, in community-dwelling older adults with in-home and daycare rehabilitation, and clarify the associated factors.<br>Methods : This prospective cross-sectional study included 54 community-dwelling older adults requiring longterm care who received in-home and daycare rehabilitation. Physical activity, including locomotive and daily-living activities, was measured using a triaxial accelerometer. Associated factors assessed included physical, cognitive, and mental function ; sleep quality ; and activity of daily living (ADL) performance. Univariate and multivariate regression analyses were performed to determine factors associated with locomotive and daily-living activities.<br>Results : The amount of physical activity was low, with locomotive activity considerably low. Physical function and ADL performance were associated with locomotive and daily-living activities. Depression was associated with reduced locomotive activity, whereas sleep quality was associated with daily-living activity.<br>Conclusions : Community rehabilitation is necessary to improve physical function, ADL independence, depression, and sleep quality to increase physical activity levels, particularly locomotion and daily-living activity levels in community-dwelling older adults requiring long-term care.

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