A Comparison of Objectively Measured Free-Living Physical Behaviour in Adults with and without Lower Limb Amputation

Sarah Deans, Alison Kirk (), Anthony McGarry, David A. Rowe and Philippa M. Dall
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Sarah Deans: National Centre for Prosthetics and Orthotics, Department of Biomedical Engineering, University of Strathclyde, Glasgow G4 0NS, UK
Alison Kirk: Physical Activity for Health, School of Psychological Sciences and Health, University of Strathclyde, Glasgow G1 1QE, UK
Anthony McGarry: National Centre for Prosthetics and Orthotics, Department of Biomedical Engineering, University of Strathclyde, Glasgow G4 0NS, UK
David A. Rowe: Physical Activity for Health, School of Psychological Sciences and Health, University of Strathclyde, Glasgow G1 1QE, UK
Philippa M. Dall: Research Centre for Health, Glasgow Caledonian University, Glasgow G4 0BA, UK

IJERPH, 2023, vol. 20, issue 13, 1-14

Abstract: Objectively monitored free-living physical behaviours of adults with and without lower limb amputation (LLA) were compared. Methods: 57 adults with LLA wore an activPAL3™ for 8 days. A comparison data set ( n = 57) matched on gender, age and employment status was used. Variables included: time sitting; standing; stepping; sit-to-stand transitions; step count and cadence. Comparisons were made between adults with and without LLA and between gender, level and cause of amputation. Results: Participants with LLA due to trauma versus circulatory causes were less sedentary and more active; however, no difference in physical behaviour was recorded across gender or level of amputation. Participants with LLA spent more time sitting ( p < 0.001), less time standing and stepping ( p < 0.001) and had a lower step count ( p < 0.001). Participants with LLA took more steps in cadence bands less than 100 steps·min −1 and fewer steps in cadence bands greater than 100 steps·min −1 compared to participants without LLA. Conclusions: People with LLA were less active and more sedentary than people without LLA and participated in less activity at a moderate or higher intensity when matched on age, gender and employment. Interventions are needed to promote active lifestyles in this population.

Keywords: measurement; physical activity; sedentary behaviour; lower limb amputation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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