Conclusion : Based on available evidence , older adults with hip fracture engage in prolonged sedentary behavior and have low levels of physical activity during rehabilitation and recovery
Objective : To synthesize evidence on older adults ’  sedentary behavior and physical activity during rehabilitation and recovery for hip fracture ( 1 ) across the care continuum and ( 2 ) from clinical interventions .
The long-term effect of being treated in a geriatric ward compared to an orthopaedic ward on six measures of free-living physical behavior 4 and 12 months after a hip fracture - a randomised controlled trial
Background This study is part of the Trondheim Hip Fracture Trial , where we compared free-living physical behavior in daily life 4 and 12 months following  hip surgery  for patients managed with comprehensive geriatric care ( CGC ) in a geriatric ward with those managed with orthopedic care ( OC )  in an orthopedic ward . Methods This is a single centre , prospect i ve , r and omized controlled trial . 397 hip fracture patients were r and omized to CGC ( n = 199 ) or OC ( n = 198 ) in the Emergency Department with follow-up assessment s performed four and 12 months post-surgery . Outcomes were mean upright time , number and length of upright events recorded continuously for four days at four and 12 months post-surgery by an accelerometer-based activity monitor . Missing data were h and led by multiple imputation and group differences assessed by linear regression with adjustments for gender , age and fracture type . Results There were no group differences in participants ’ pre-fracture characteristics . Estimated group difference in favor of CGC in upright time at 4 months was 34.6 min ( 17.4 % , CI 9.6 to 59.6 , p = .007 ) and at 12 months , 27.7 min ( 13.9 % , CI 3.5 to 51.8 , p = .025 ) . Average and maximum length of upright events was longer in the CGC ( p ’s < .042 ) . No group difference was found for number of upright events ( p ’s > .452 ) . Conclusion Participants treated with CGC during the hospital stay improved free-living physical behavior more than those treated with OC both 4 and 12 months after surgery , with more time and longer periods spent in upright . Results support findings from the same study for functional outcomes , and demonstrate that CGC impacts daily life as long as one year after surgery . Trials registration Clinical Trials.gov , NCT00667914 , April 18 ,
Conclusion : Based on available evidence , older adults with hip fracture engage in prolonged sedentary behavior and have low levels of physical activity during rehabilitation and recovery
Objective : To synthesize evidence on older adults ’  sedentary behavior and physical activity during rehabilitation and recovery for hip fracture ( 1 ) across the care continuum and ( 2 ) from clinical interventions .