Objectives

To systematically review and synthesize the evidence on physical activity and sedentary behavior during and after hospitalization.

Data Sources

Electronic databases and reference lists of relevant articles were searched from 2000 to April 2020.

Study Selection

Studies which continuously monitored physical activity and/or sedentary behavior in hospitalized adults across 2 settings (ie, without a break in measurement between settings). Monitoring could occur from an acute to a subacute or rehabilitation hospital setting, an acute setting to home, or from a subacute or rehabilitation setting to home.

Date Extraction

Data extraction and methodological quality assessments were independently performed by 2 reviewers using standardized checklists.

Data Synthesis

A total of 15 of the 5579 studies identified were included. The studies were composed of heterogenous patient populations. All studies monitored patients with either an accelerometer and/or pedometer and reported a variety of measures, including steps per day, sedentary time, and activity counts. The majority of studies (12 of 15) showed that patients engaged in 1.3 to 5.9 times more physical activity and up to 67% less daily sedentary behavior at home after discharge from acute or subacute settings.

Conclusions

Patients engaged in more physical activity and less sedentary behavior at home compared to both the acute and subacute hospital settings. This may reflect the natural course of recovery or the effect of setting on activity levels. Enabling early discharge home through the implementation of home-hospitalization models may result in increased patient physical activity and reduced sedentary behavior. Further experimental studies are required investigating the effect of home-based models of care on physical activity and sedentary behavior.

中文翻译：

---

住院期间和住院后的体力活动和久坐行为水平：系统评价

目标

系统地审查和综合住院期间和住院后身体活动和久坐行为的证据。

数据源

检索了 2000 年至 2020 年 4 月的电子数据库和相关文章的参考文献列表。

研究选择

连续监测住院成人在 2 种环境中的身体活动和/或久坐行为的研究（即，在不同环境之间不中断测量）。监测可以从急性到亚急性或康复医院环境，急性环境到家庭，或从亚急性或康复环境到家庭。

日期提取

数据提取和方法学质量评估由 2 名审查员使用标准化清单独立进行。

数据综合

共纳入 5579 项研究中的 15 项。这些研究由异质的患者群体组成。所有研究都使用加速度计和/或计步器监测患者，并报告了各种措施，包括每天的步数、久坐时间和活动计数。大多数研究（15 项中的 12 项）表明，从急性或亚急性环境中出院后，患者在家中进行 1.3 至 5.9 倍的体力活动，减少多达 67% 的日常久坐行为。

结论

与急性和亚急性医院环境相比，患者在家中从事更多的体育活动和更少的久坐行为。这可能反映了恢复的自然过程或环境对活动水平的影响。通过实施家庭住院模式实现早期出院回家可能会增加患者的身体活动并减少久坐行为。需要进一步的实验研究调查基于家庭的护理模式对身体活动和久坐行为的影响。