Will We Do If We Can? Habitual Qualitative and Quantitative Physical Activity in Multi-morbid, Older Persons with Cognitive Impairment

• Main Authors: Bastian Abel, Martin Bongartz, Tobias Eckert, Phoebe Ullrich, Rainer Beurskens, Sabato Mellone, Jürgen M. Bauer, Sallie E. Lamb, Klaus Hauer
• Format: Article
• Language: English
• Published: MDPI AG 2020-12-01
• Series: Sensors
• Subjects: sensor-based; activity behavior; gait; turning; symmetry; regularity
• Online Access: https://www.mdpi.com/1424-8220/20/24/7208

This study aimed to identify determinants of quantitative dimensions of physical activity (PA; duration, frequency, and intensity) in community-dwelling, multi-morbid, older persons with cognitive impairment (CI). In addition, qualitative and quantitative aspects of habitual PA have been described. Quantitative PA and qualitative gait characteristics while walking straight and while walking turns were documented by a validated, sensor-based activity monitor. Univariate and multiple linear regression analyses were performed to delineate associations of quantitative PA dimensions with qualitative characteristics of gait performance and further potential influencing factors (motor capacity measures, demographic, and health-related parameters). In 94 multi-morbid, older adults (82.3 ± 5.9 years) with CI (Mini-Mental State Examination score: 23.3 ± 2.4), analyses of quantitative and qualitative PA documented highly inactive behavior (89.6% inactivity) and a high incidence of gait deficits, respectively. The multiple regression models (adjusted <i>R²</i><i> </i>= 0.395–0.679, all <i>p</i><i> </i>< 0.001) identified specific qualitative gait characteristics as independent determinants for all quantitative PA dimensions, whereas motor capacity was an independent determinant only for the PA dimension duration. Demographic and health-related parameters were not identified as independent determinants. High associations between innovative, qualitative, and established, quantitative PA performances may suggest gait quality as a potential target to increase quantity of PA in multi-morbid, older persons.