Physical activity monitoring during hospital stay: a validation study

Karin Valkenet, Petra Bor, Elja Reijneveld, Cindy Veenhof, Jaap Dronkers

Research output: Contribution to journalArticleAcademicpeer-review

15 Downloads (Pure)

Abstract

PURPOSE: The primary aim of this study was to investigate the concurrent validity of the PAM AM400 accelerometer for measuring physical activity in usual care in hospitalized patients by comparing it with the ActiGraph wGT3X-BT accelerometer.

MATERIALS AND METHODS: This was a prospective single centre observational study performed at the University Medical Centre Utrecht in The Netherlands. Patients admitted to different clinical wards were included. Intraclass Correlation Coefficients (ICCs) were computed using a two-way mixed model with random subjects. Additionally, Bland-Altman plots were made to visualize the level of agreement of the PAM with the ActiGraph. To test for proportional bias, a regression analysis was performed.

RESULTS: In total 17 patients from different clinical wards were included in the analyses. The level of agreement between the PAM and ActiGraph was found strong with an ICC of 0.955. The Bland-Altman analyses showed a mean difference of 1.12 min between the two accelerometers and no proportional bias (p = 0.511).

CONCLUSIONS: The PAM is a suitable movement sensor to validly measure the active minutes of hospitalized patients. Implementation of this device in daily care might be helpful to change the immobility culture in hospitals.IMPLICATIONS FOR REHABILITATIONPhysical inactivity is common during hospital admission and the main cause of loss of muscle mass and physical fitness.The PAM AM400 is a suitable movement sensor to validly measure the active minutes of hospitalized patients.Implementation of this device in daily care might be helpful to change the immobility culture in hospitals.

Original languageEnglish
Pages (from-to)449-454
Number of pages6
JournalDisability and Rehabilitation
Volume45
Issue number3
DOIs
Publication statusPublished - Feb 2023

Keywords

  • Physical activity
  • accelerometer
  • hospital
  • patient
  • validation

Fingerprint

Dive into the research topics of 'Physical activity monitoring during hospital stay: a validation study'. Together they form a unique fingerprint.

Cite this