Inpatient physical activity across a large university city hospital: a behavioral mapping study

Authors Karin Valkenet, Prue McRae, Elja Reijneveld, Mariëlle Jans, Petra Bor, Lotte van Delft, Daniel L. Young, Cindy Veenhof
Published in Physiotherapy Theory and Practice
Publication date 2022
Research groups Innovation of Movement Care
Type Article


Background: Physical inactivity is common during hospitalization. Physical activity has been described in different inpatient populations but never across a hospital. Purpose: To describe inpatient movement behavior and associated factors throughout a single university hospital. Methods: A prospective observational study was performed. Patients admitted to clinical wards were included. Behavioral mapping was undertaken for each participant between 9AM and 4PM. The location, physical activity, daily activity, and company of participants were described. Barriers to physical activity were examined using linear regression analyses. Results: In total, 345 participants from 19 different wards were included. The mean (SD) age was 61 (16) years and 57% of participants were male. In total, 65% of participants were able to walk independently. On average participants spent 86% of observed time in their room and 10% of their time moving. A physiotherapist or occupational therapist was present during 1% of the time, nursing staff and family were present 11% and 13%, respectively. Multivariate regression analysis showed the presence of an intravenous line (p = .039), urinary catheter (p = .031), being female (p = .034), or being dependent on others for walking (p = .016) to be positively associated with the time spent in bed. Age > 65, undergoing surgery, receiving encouragement by a nurse or physician, reporting a physical complaint or pain were not associated with the time spent in bed (P > .05). Conclusion: As family members and nursing staff spend more time with patients than physiotherapists or occupational therapists, increasing their involvement might be an important next step in the promotion of physical activity.

On this publication contributed

  • Elja Reijneveld | Researcher | Research group Innovation of Movement Care
    Elja Reijneveld
    • Researcher
    • Research group: Innovation of Movement Care
  • Cindy Veenhof portret
    Cindy Veenhof
    • Professor
    • Research group: Innovation of Movement Care

Language English
Published in Physiotherapy Theory and Practice
Key words behavioral mapping, physical activity, hospital, inpatients

Innovation of Movement Care