240; Does fall prevention also have to hinder physical activity?

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Vydáno v:European Journal of Public Health vol. 34 (Sep 2024)
Hlavní autor: Eva Ekvall Hansson
Další autoři: Agneta Malmgren Fänge, Schmidt, Steven
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Oxford University Press
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024 7 |a 10.1093/eurpub/ckae114.162  |2 doi 
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045 2 |b d20240901  |b d20240930 
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100 1 |a Eva Ekvall Hansson  |u Lund University, Medical Faculty, Dep of Health Sciences , Lund, Sweden 
245 1 |a 240; Does fall prevention also have to hinder physical activity? 
260 |b Oxford University Press  |c Sep 2024 
513 |a Journal Article 
520 3 |a Purpose Physical activity is effective for preventing falls and improves physical and mental health, increase function and quality of life. Regarding people at high risk of falling, such as residents at nursing homes, global guidelines recommend individually adapted exercise programs to prevent falls. These guidelines are not followed. We aimed to map out physical activity among people living at a nursing home. To our knowledge, this is the first study measuring physical activity 24 hours per day among residents at a nursing home. Method In this pilot study, persons who lived at one nursing home and could walk without a walking aid wore an Inertial Measurement Unit for 24 hours per day for 3 months. Main outcome measure was steps per day. For each participant, the mean steps per day during the period was calculated and for the total group, the median value of the mean steps per day was calculated. Results The participants (n = 5), three women and 2 men, 72 to 98 years old, walked in a median of 65 steps per day (10-356). Conclusion In Sweden, instead of following guidelines, technical solutions that monitor if a person tries to move are introduced at nursing homes, often in the form of web cameras. This means that falls are prevented by hindering physical activity and making sure the residents do not move at all. Our study shows that people living in nursing homes can have a very low level of physical activity. We call on all responsible organizations to initiate activities and efforts that enable rather than hinder physical activity. For example, use technology that promotes physical activity, build gyms located in nursing homes, use Virtual Reality to make the bike ride seem to take place outside in a beautiful landscape, and employ physiotherapists who can do balance-training exercises on an everyday basis. 
653 |a Physical fitness 
653 |a Exercise 
653 |a Falls 
653 |a Physical activity 
653 |a Guidelines 
653 |a Virtual reality 
653 |a Mental health 
653 |a Residents 
653 |a Nursing homes 
653 |a Public health 
653 |a Knowledge management 
653 |a Quality of life 
653 |a Computer applications 
653 |a Pilot projects 
653 |a Inertial platforms 
653 |a Prevention programs 
653 |a Health status 
653 |a Walking 
653 |a Cameras 
653 |a Measurement 
653 |a High risk 
653 |a Physical therapists 
653 |a Social 
700 1 |a Agneta Malmgren Fänge  |u Lund University, Medical Faculty, Dep of Health Sciences , Lund, Sweden 
700 1 |a Schmidt, Steven  |u Lund University, Medical Faculty, Dep of Health Sciences , Lund, Sweden 
773 0 |t European Journal of Public Health  |g vol. 34 (Sep 2024) 
786 0 |d ProQuest  |t ABI/INFORM Global 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3192273054/abstract/embedded/6A8EOT78XXH2IG52?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3192273054/fulltextPDF/embedded/6A8EOT78XXH2IG52?source=fedsrch