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Table 3 Round 3 responses

From: Recommendations for older adults’ physical activity and sedentary behaviour during hospitalisation for an acute medical illness: an international Delphi study

Item

Mean (SD)

Median (MADM)

Proportion of participants scoring the item ≥7 on the 9-point Likert scale a

All

n = 40

Professionals

n = 36

Patients

n = 4

How applicable are the following recommendations to older medical patients while acutely hospitalised?

Older adults should do at least 150 min of moderate-intensity aerobic physical activity throughout the week or do at least 75 min of vigorous-intensity aerobic physical activity throughout the week or an equivalent combination of MVPA

2.7 (2.1)

2 (0.7)

3 (8%) b

1 (3%)

2 (50%)

Aerobic activity should be performed in bouts of at least 10 min duration

3.7 (2.4)

4 (0.4)

5 (13%)

3 (8%)

2 (50%)

Older adults, with poor mobility, should perform physical activity to enhance balance and prevent falls on 3 or more days per week

7.7 (1.5)

8 (0.3)

34 (85%)

31 (86%)

3 (75%)

Muscle-strengthening activities, involving major muscle groups, should be done on 2 or more days a week

7.8 (1.6)

8.5 (0.7)

33 (83%)

30 (83%)

3 (75%)

Potential recommendations (or targets) for older adults while hospitalised for an acute medical illness. How important is it to develop:c

Physical activity

  

n = 39

n = 35

n = 4

a focussed recommendation about physical activity

7.4 (1.0)

7 (0.4)

35 (90%)

33 (94%)

2 (50%)

including the following components

- duration (e.g., total activity per day)

6.8 (1.7)

7 (0.2)

27 (69%)

26 (74%)

1 (25%)

- intensity (e.g., light, moderate, vigorous)

6.4 (1.4)

7 (0.6)

22 (65%)

20 (57%)

2 (50%)

- type (e.g., what activities)

6.9 (1.2)

7 (0.2)

25 (64%)

24 (69%)

1 (25%)

- timing (e.g., when to commence being active during admission, or, what hours of the day)

6.6 (1.7)

7 (0.4)

25 (64%)

22 (63%)

3 (75%)

3. a physical activity recommendation about walking should include the following components

- that is tailored to those who can walk independently

7.7 (1.1)

8 (0.3)

35 (90%)

32 (91%)

3 (75%)

- target number of steps per day

6.7 (1.4)

7 (1.8)

24 (62%)

24 (69%)

0 (0%)

Sedentary behaviour

2. a focussed recommendation about sedentary behaviour

7.7 (1.0)

8 (0.3)

36 (92%)

33 (94%)

3 (75%)

including the following components

- total sedentary time

6.9 (1.3)

7 (0.2)

26 (68%)

23 (66%)

3 (75%)

- types of sedentary breaks d

6.9 (1.7)

7 (0.1)

28 (72%)

26 (74%)

2 (50%)

- duration of sedentary breaks d

6.7 (1.6)

7 (0.3)

24 (62%)

24 (69%)

0 (0%)

People factors

3. a recommendation about professional roles and responsibilities including the following component

- ensuring appropriate staff competence to enable mobility d

7.9 (1.2)

8 (0.1)

34 (87%)

32 (91%)

2 (50%)

5. a recommendation about staff encouraging patient activity including the following component

- principles of sensitivity and respect (e.g., to culture, physical and mental capability) d

7.8 (1.3)

8 (0.2)

31 (80%)

28 (80%)

3 (75%)

  1. MADM, mean absolute deviation from the median; MVPA, moderate-to-vigorous physical activity; SD, standard deviation
  2. an (%) results in bold text indicate where consensus agreement was reached
  3. bconsensus agreement was reached based on inverse scoring, 28 (70%) participants rated the item ≤3 (not applicable)
  4. cno ‘organisational factors’ were rated in Round 3 as all reached consensus agreement within Round 2, and no new items were generated relating to organisational factors
  5. dnew items generated from Round 2 responses