Identifying determinants of physical activity in older patients with musculoskeletal disorders undergoing rehabilitation: Comparison of two distinct models using structural equation modeling.
Aim: Mobility restrictions cause older adults with musculoskeletal disorders to have lower levels of physical activity. However, the determinants of their physical activity during hospitalization are unclear. We aimed to compare two conceptual frameworks using structural equation modeling to identif...
| Published in: | Geriatrics & Gerontology International Vol. 25; no. 2; pp. 160 - 167 |
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| Main Authors: | , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Wiley-Blackwell
Feb2025
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=183691451&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 183691451 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14441586 EVM jtl: Geriatrics & Gerontology International issn: 14441586 maglogo: Y pubinfo: dt: Feb2025 vid: 25 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 183691451 181639921 183691451 183691451 10.1111/ggi.15022 183691451 ppf: 160 ppct: 7 formats: tig: atl: Identifying determinants of physical activity in older patients with musculoskeletal disorders undergoing rehabilitation: Comparison of two distinct models using structural equation modeling. aug: au: Kanai, Masashi Yoshida, Kazuki Okada, Hiroki Ohtsubo, Takuro Ueno, Katsuhiro Nozoe, Masafumi affil: Institute of Transdisciplinary Sciences for Innovation, Kanazawa University, Kanazawa, Japan sug: subj: Physical Activity Psychosocial Factors Musculoskeletal Diseases Rehabilitation Models, Theoretical Geriatric Assessment Hospitalization of Older Persons Psychosocial Factors Human Male Female Aged Aged, 80 and Over Cross Sectional Studies Comparative Studies Structural Equation Modeling Gerontologic Care Accelerometry Sarcopenia Rehabilitation Malnutrition Complications Immobility Complications Conceptual Framework Activities of Daily Living Evaluation Descriptive Statistics Quality of Life Aging Psychosocial Factors Aged: 65+ years Aged, 80 & over Male Female ab: Aim: Mobility restrictions cause older adults with musculoskeletal disorders to have lower levels of physical activity. However, the determinants of their physical activity during hospitalization are unclear. We aimed to compare two conceptual frameworks using structural equation modeling to identify factors influencing physical activity in older patients with musculoskeletal disorders. Methods: This cross‐sectional study included older patients with musculoskeletal disorders at a single convalescent rehabilitation hospital. Physical activity was objectively measured using a triaxial accelerometer. We utilized structural equation modeling to contrast two conceptual frameworks: (i) the sarcopenia/nutrition/activities of daily living model, and (ii) the age‐related deconditioning/activities of daily living model. The models' goodness‐of‐fit was evaluated, including root mean square approximation error, goodness‐of‐fit index (GFI), adjusted GFI and Akaike information criterion. Results: We enrolled 274 older patients (age 78.0 years; 42 men, 232 women) with musculoskeletal disorders. Among them, 123 (44.9%) were diagnosed with sarcopenia and 69 (25.2%) with malnutrition. The goodness‐of‐fit of the (ii) model (root mean square approximation error = 0.068, GFI = 0.958, adjusted GFI = 0.909, Akaike information criterion = 5780.875) was superior to the (i) model (root mean square approximation error = 0.080, GFI = 0.953, adjusted GFI = 0.887, Akaike information criterion = 5791.429). Conclusions: We discovered that the age‐related deconditioning/activities of daily living model effectively explained physical activity in hospitalized older patients with musculoskeletal disorders. A comprehensive approach considering age‐related changes, such as sarcopenia and malnutrition, might offer a simpler and more effective framework for understanding and promoting physical activity in this demographic. Geriatr Gerontol Int 2025; 25: 160–166. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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