ABSTRACT
Purpose: We examined and compared the daily step counts and health-related quality of life of patients before undergoing either bilateral or unilateral (with or without arthritis in the opposite joint) total hip arthroplasty (THA), and for 6 months afterwards.Participants and Methods: Participants were patients who were living at home and were requested to wear accelerometers and log their daily step count preoperatively and again 6 months postoperatively. Additionally, they completed the Oxford Hip Score and EuroQol 5-Dimension questionnaires at both time points.Results: Data from 40 patients were analyzed. Patients underwent bilateral total hip arthroplasty (n=13), unilateral total hip arthroplasty with arthritis in the opposite joint (n=13), and unilateral total hip arthroplasty without arthritis in the opposite joint (n=14). The Oxford Hip Score and EuroQol 5-Dimension score showed that the daily step counts of patients who underwent bilateral or unilateral total hip arthroplasty without arthritis in the opposite joint significantly increased postoperatively, but that of patients who received unilateral THA with arthritis in the opposite joint did not change significantly. The Oxford Hip Score indicated an improvement in hip joint function after surgery, but the EuroQol 5-Dimension score did not show a significant change postoperatively in patients who received bilateral total hip arthroplasty.Conclusion: The pre- and postoperative comparisons of the participant’s daily step count after bilateral and unilateral operations without arthritis on the other side showed improvements in their amount of daily life activities. In all surgeries, Oxford Hip Score improvements were confirmed. The EuroQol 5-Dimension score of bilateral operations did not change. Bilateral operations and an understanding of unilateral postoperative qualitative support will be necessary in the future.
ABSTRACT
The purpose of this study was to establish step-count guidelines for sixth-grade students and assess the ability of step-counts to discriminate between students achieving and not achieving 60-minutes of moderate to vigorous physical activity daily. 201 sixth-grade students completed the study. They wore a pedometer and an accelerometer at the waist level for one full day. ROC curves were used to establish step-count guidelines and determine the diagnostic accuracy of step-counts. Sixth grade students need 12,118 steps/day to reach adequate daily levels of physical activity. The AUC indicated good diagnostic accuracy of step-counts. Suggested step-count guidelines can be a useful tool for identifying children who need to increase their daily levels of physical activity. The step-count cutoff proposed in this study is adequate for discriminating between sixth grade students reaching and not reaching recommended levels of physical activity.
O objetivo deste estudo foi estabelecer diretrizes de passos por dia para estudantes da sexta série escolar e avaliar a possibilidade da contagem de passos para discriminar estudantes que atendem ou não a recomendação de 60 minutos diários de atividade física de moderada a vigorosa intensidade. 201 estudantes completaram o estudo. Ele usaram pedômetros e acelerômetros na cintura por 1 dia inteiro. Curvas ROC foram utilizadas para estabelecer diretrizes e precisão diagnóstica da contagem de passos. A AUC indicou boa capacidade diagnóstica da contagem de passos. Para atender níveis adequados de atividade física, 12.118 passos/dia são recomendados para estudantes da sexta série. Recomendações de contagem de passos sugeridas podem ser uma ferramenta útil para identificar crianças que necessitam aumentar seu nível diário de atividade física. O ponto de corte de passos/dia proposto neste estudo é adequado para discriminar estudantes de sexta série que atendem ou não níveis recomendados de atividade física.
El propósito de este estudio fue a establecerse directrices de pasos/día para los estudiantes de sexto grado y evaluar la capacidad de pasos/día para discriminar entre los estudiantes que alcanzan y no alcanzan 60 minutos de actividad física moderada a vigorosa. 201 estudiantes de sexto grado finalizaron el estudio. Ellos usaran un podómetro y un acelerómetro en el nivel de la cintura por un día completo. Se utilizaron curvas ROC para establecerse directrices y la exactitud diagnóstica de pasos/día. Para alcanzar un nivel adecuado de actividad física, se recomienda 12.118 pasos/día. El AUC mostró buena capacidad diagnóstica de pasos/día. Directrices de pasos/día sugeridos pueden ser una herramienta útil para la identificación de los niños que necesitan incrementar sus niveles de actividad física. El punto de corte de pasos/día propuesto es adecuado para discriminar entre los estudiantes que alcanzan y no alcanzan a los niveles recomendados de actividad física diario.
Subject(s)
Humans , Male , Female , Child , Motor Activity/physiology , Walking/physiology , Guideline Adherence , Health Promotion , ROC CurveABSTRACT
Although the physical activity reference value for older adults (10 METs*hour/week) has been promoted by Japan Ministry of Health, Welfare, and Labour since 2013, little is known about how many steps/day cut-off values that optimally identify meeting the reference value according to the differences of age, sex, medical history, and joint pain. The purpose of this study were 1) to determine the steps/day that optimally identify meeting the reference value, and 2) to identify the differences by the effects of age, sex, medical history, and joint pain on cut-off values. This study included 583 community-dwelling older Japanese adults (aged 73.2 ± 5.4 years; 153 men, 430 women). A uniaxial accelerometer survey was conducted to estimate the total physical activity volume and steps/day. Receiver operating characteristic (ROC) analyses were used to detect steps/day cut-off values for meeting the reference value among all participants and stratified by age, sex, medical history, and joint pain. The optimal cut-off value (AUC (area under the ROC curve), sensitivity, and specificity) for the reference value was 4376 steps/day (0.99, 95.2%, and 97.2%) in all participants. Differences among the cut-off values according to age, sex, medical history, and joint pain ranged from 39 to 169 steps/day. These results suggest that step counts has satisfactory validity to represent the reference value in older adults, and the effects of age, sex, medical history, and joint pain on cut-off values were considerably small. Therefore, this step-count level may be a useful indicator for modifying the daily-life activities of older adults.
ABSTRACT
Most Japanese preschool children attend either kindergartens or nursery schools, each providing a distinct environment for children, and the difference between these may be associated with varying patterns of physical activity (PA). The purpose of the present study is to compare the levels of PA in Japanese preschool children enrolled in kindergartens to those enrolled in nursery schools by using triaxial accelerometry (ActivTracer, GMS). PA was assessed using a triaxial accelerometer and daily steps were captured using a uniaxial accelerometer for 6 consecutive days, including weekdays and weekends. Subjects were 157 four- to six-year-old Japanese children attending kindergartens or nursery schools. Moderate-to-vigorous physical activity (MVPA) and step counts were 107 (±34) min/day and 13,567 (±2,725) steps/day respectively for kindergartens, and 97 (±30) min/day and 12,526 (±2,884) steps/day respectively for nursery schools. MVPA and step counts were significantly higher for children enrolled in kindergartens than those enrolled in nursery schools. Although PA on weekdays did not differ significantly, physical activity level, MVPA, and step counts on weekends were significantly higher for children enrolled in kindergartens than those enrolled in nursery schools. In addition, we observed large variability in PA among children enrolled in kindergartens, and relatively little variability among children enrolled in nursery schools. The results suggest that children in nursery schools exhibit less engagement in moderate PA than children in kindergartens, and the difference is more pronounced on weekends. Additionally, we found that PA patterns in young children enrolled in kindergartens may vary greatly.