Staying put: a systematic review of accelerometer use and physical activity levels in acutely ill adults during hospitalisation

Claire Baldwin, Anna Phillips, Gisela Van Kessel, Kylie Johnston

Research output: Contribution to conferenceAbstract


Aim: To review how objective activity monitoring has been used across studies of acutely ill inpatients. What active and sedentary behaviours have been measured; how active or sedentary are inpatients with medical or surgical admissions?
Design: Prospectively registered systematic review.
Methods: Four databases were searched. Procedures included completion of tasks in duplicate with cross-checking, and contact with corresponding authors. Risk of bias was assessed with the PEDro and Newcastle Ottawa Scales as appropriate to study design. Results: 42 studies were identified. Twenty-four percent of studies were of older general/mixed medical admissions; at least half of studies recruited people with a cardiorespiratory condition. Positional monitors were most commonly used. Physical activities were reported more frequently than sedentary behaviours as time spent in a particular posture, step count, number of postural transitions, and bouts. Inpatients spent 93-98.8% of their hospital stay inactive, and in most studies completed <1000 steps/day despite up to 50 postural transitions/day. Missing data was a concern from risk of bias assessment.
Conclusion/Key Practice Points:
• This is the first review to summarise the use of wearable technology for physical activity monitoring in the acute setting; issues of missing data can be classified according to patient factors, application errors, device issues, changes in medical status, or patient flow.
• Despite heterogeneity in outcome reporting, inactivity was a common finding across groups.
• Characteristics of sedentary behaviour were less frequently described and may warrant further detailed reporting in research considering that changes in response to treatment may first be seen in sedentary patterns.
Original languageEnglish
Number of pages1
Publication statusPublished - Oct 2017
Externally publishedYes
EventMomentum 2017 - Cockle Bay Wharf, Sydney, Australia
Duration: 19 Oct 201721 Oct 2017


ConferenceMomentum 2017
Abbreviated titleAPA 2017
OtherAs the healthcare landscape becomes more competitive, it is important to keep moving with the changes. MOMENTUM 2017, the APA national conference will empower you to be part of the future of Australian and global physiotherapy.


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