Adelaide Geriatrics Training and Research with Aged Care (G-TRAC) Centre, Adelaide Medical School, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, SA, Australia.
Basil Hetzel Institute for Translational Research, 37 Woodville Road, Woodville, Adelaide, 5011, Australia.
Syst Rev. 2020 Feb 19;9(1):36. doi: 10.1186/s13643-020-01290-0.
Older adults spend up to 23 h daily sitting or lying while in hospital. Sedentary behaviour (SB) within a hospital setting is often associated with poor health outcomes including physical and cognitive decline, reduced quality of life and death as well as hospital readmissions. Conversely, replacing SB with mild to moderate levels of physical activity such as walking can significantly reduce hospital readmission risk by 30 days. Given the potentially harmful effects of SB in hospitalised older adults, it is vital to identify current literature by broadly exploring different aspects of SB among older people in hospital. The overall aim of this scoping review is to produce a literature map of current evidence on key domains of sedentary behaviour in hospitalised older people.
A search for relevant publications will be undertaken in Pedro, MEDLINE Ovid, Cochrane, Scopus, Cumulative Index to Nursing and Allied Health Literature, PsychInfo, Embase, Ageline, Joanna Briggs Institute (JBI) and clinical trials registries. Publications in English and those where the author can provide the full text in English will be included. Studies conducted in hospitals (including in-patient rehabilitation facilities) or acute and subacute care settings and in people aged ≥ 65 will be included. A three-stage method will be used to identify relevant articles, consisting of database search using keywords, keywords and index words across all databases, and reference searching. Articles will be selected following screening of titles/abstracts succeeded by a full-text appraisal utilising a standardised selection form. Two independent reviewers will extract data using the standardised form that will be tested on two articles. A narrative summary will accompany results presented in tables and figures.
老年人在住院期间每天有多达 23 小时的时间处于坐姿或躺姿。医院环境中的久坐行为（SB）通常与不良健康结果相关，包括身体和认知能力下降、生活质量降低、死亡以及再次住院。相反，用轻度到中度的身体活动（如散步）代替 SB 可以将 30 天内的再次住院风险降低 30%。鉴于 SB 对住院老年人可能产生的有害影响，广泛探索住院老年人 SB 的不同方面来确定当前文献至关重要。本次范围综述的总体目标是制作一张文献图谱，以展示目前关于住院老年人久坐行为关键领域的证据。
将在 Pedro、MEDLINE Ovid、Cochrane、Scopus、Cumulative Index to Nursing and Allied Health Literature、PsychInfo、Embase、Ageline、Joanna Briggs Institute（JBI）和临床试验登记处中搜索相关文献。将纳入英文发表的以及作者可以提供全文英文版本的文献。研究对象为在医院（包括住院康复设施）或急性和亚急性护理环境中，年龄≥65 岁的人群。将使用三步法识别相关文章，包括使用关键词、所有数据库中的关键词和索引词进行数据库搜索，以及参考文献搜索。文章将首先通过标题/摘要筛选，然后通过使用标准化选择表格进行全文评估进行筛选。两名独立的审查员将使用标准化表格提取数据，该表格将在两篇文章上进行测试。将以表格和图表形式呈现的结果附有叙述性摘要。
