Stoutenberg Mark, Rogers Michael, Denison Paige, Schlicht Jeff, Weitzel Kelsey, Ory Marcia, Kellar Garrett, Summers Louisa, Wingood Mariana
Department of Sport and Exercise Sciences, Durham University, Durham, UK.
College of Public Health, Temple University, Philadelphia, Pennsylvania, USA.
J Am Geriatr Soc. 2025 Jan;73(1):266-276. doi: 10.1111/jgs.19202. Epub 2024 Oct 3.
Participating in recommended levels of physical activity (PA) is critical for preventing functional decline, falls, and frailty, making it essential to identify older adults not meeting national PA guidelines. However, guidance on assessing older adult PA levels, particularly in clinical settings, is lacking. This article presents an overview of clinically feasible PA assessment tools for older adults, identifies gaps in current tools, and provides recommendations on addressing these gaps.
We conducted a literature review on clinically feasible PA assessment tools, suggested modifications to an existing PA assessment for older adult patients, and highlighted opportunities for integrating the modified PA assessment tool in clinical settings.
We identified 16 PA assessment tools used in clinical settings. The most widely used tool is the Physical Activity Vital Sign (PAVS), which has been successfully integrated into several electronic health records (EHR) and clinical practices. Most tools, including the PAVS, primarily focus on aerobic activities, with limited consideration for strength and balance. We recommend the use of a Modified PAVS for Older Adults that includes items on muscle-strengthening and balance activities to better align with national PA guidelines. We then identified several existing opportunities for broad implementation of the Modified PAVS for Older Adults within clinical settings.
Widespread integration of the Modified PAVS for Older Adults will better support healthcare providers in identifying individuals not meeting national PA recommendations, assisting them in prescribing tailored PA prescriptions and better connecting their patients to appropriate resources and professionals for further support.
参与推荐水平的体育活动（PA）对于预防功能衰退、跌倒和虚弱至关重要，因此识别未达到国家体育活动指南的老年人至关重要。然而，缺乏关于评估老年人体育活动水平的指导，尤其是在临床环境中。本文概述了适用于老年人的临床可行的体育活动评估工具，识别了当前工具中的差距，并就解决这些差距提供了建议。
我们对临床可行的体育活动评估工具进行了文献综述，建议对现有的老年患者体育活动评估进行修改，并强调了在临床环境中整合修改后的体育活动评估工具的机会。
我们识别了16种在临床环境中使用的体育活动评估工具。使用最广泛的工具是体育活动生命体征（PAVS），它已成功整合到多个电子健康记录（EHR）和临床实践中。大多数工具，包括PAVS，主要关注有氧运动，对力量和平衡的考虑有限。我们建议使用针对老年人的改良PAVS，其中包括肌肉强化和平衡活动的项目，以更好地符合国家体育活动指南。然后，我们确定了在临床环境中广泛实施针对老年人的改良PAVS的几个现有机会。
广泛整合针对老年人的改良PAVS将更好地支持医疗保健提供者识别未达到国家体育活动建议的个体，帮助他们开出量身定制的体育活动处方，并更好地将患者与适当的资源和专业人员联系起来以获得进一步支持。
