Key result
Shorter duration MX metrics correlate with better lower limb mobility and perception during long-term recovery.
Why the study?
Wearable devices facilitate real-world physical activity assessment, but the association between cut-point-free MX metrics and common clinical tests in older adults recovering from proximal femoral fracture required evaluation.
Do cut-point free MX metrics correlate with clinical mobility capacity and perception tests in older adults recovering from proximal femoral fracture?
Cross-Sectional (n=396)
Yes
Do cut-point free MX metrics correlate with clinical mobility capacity and perception tests in older adults recovering from proximal femoral fracture?
p-value: p=<0.05
Cut-point free MX metrics from wearable accelerometers are valid indicators of physical activity intensity that correlate strongly with clinical mobility assessments in older adults recovering from proximal femoral fractures.
Supports MX metrics for mobility assessment post-hip fracture; leaves open prospective validation before clinical use.
Wearable and lightweight devices facilitate real-world physical activity (PA) assessments. MX metrics, as a cut-point-free parameter, evaluate acceleration above which the most active X minutes are accumulated. It provides insights into the intensity of PA over specific durations. This study evaluated the association of MX metrics and clinical tests in older adults recovering from proximal femoral fracture (PFF). Analyses were conducted on the PFF cohort from the baseline assessment of the Mobilise-D project using an accelerometer-based device. Participants (N=396) were categorized into four recovery groups: acute, post-acute, extended recovery, and long-term recovery. Mobility capacity was assessed through the 6-min walking test (6MinWT), Short Physical Performance Battery (SPPB), 4-meter walking test (4MWT), and hand grip (HG) strength. Mobility perception was evaluated using the Late-Life Function and Disability Instrument (LLFDI). Eight MX metrics (M1-M90) were calculated using the GGIR package in R. Results showed moderate to strong positive correlation between M1-M30 and lower limb mobility capacity tests, and mobility perception (Lower Extremity domains) particularly in the extended and long-term recovery groups. MX metrics can be used for measuring PA intensity among older adults recovering from PFF. Shorter duration of MX metrics had higher association with lower limb mobility capacity and perception outcomes. Highlights What are the main findings? Clinical lower limb assessments (both subjective and objective) were more discriminative in differentiating between the four PFF recovery groups in older adults. Older adults in the acute proximal femoral fracture recovery group demonstrated lower physical activity intensity compared to those in later recovery groups, with the differences being more pronounced for shorter-duration MX metrics (M1-M5) What is the implication of the main finding? The cut-point free method (e.g., MX metrics) is useful for measuring physical activity magnitude of older adult recovering from proximal femoral fracture. Higher lower limb capacity and perception outcomes were strongly correlated with greater daily activity intensity, particularly in older adults at later stages of proximal femoral fracture recovery.
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Younesian et al. (2025) conducted a cross-sectional in Proximal Femoral Fracture (n=396). MX metrics (accelerometer-derived physical activity) was evaluated on Correlation between MX metrics and clinical tests (mobility capacity and perception) (p=<0.05). Shorter duration MX metrics (M1-M30) showed moderate to strong positive correlations with lower limb mobility capacity and perception outcomes, particularly in extended and long-term recovery groups.
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