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Background:  Physical  functioning  is  a  key  factor  in  independent  living,  and  its  preclinical  state  assessment and monitoring during the subject’s normal life would be beneficial. Objectives: The aim of the study is  to  analyse  associations  between  ambulatory  measured  physical  activity  behaviour  and  sleep  patterns  (wrist  actigraphy) and self-reported difficulties in performing activities of daily living. Participants, setting and design:36  residents  in  assisted  living  facilities  and  nursing  homes  (average  age=80.4±9.0  years)  without  dementia  in  free  living  conditions  participated.  Actigraphic  monitoring  is  integrated  with  the  facilities’  social  alarm  system.  Measurements: Indices  on  activity  level,  activity  rhythm,  sleep  pattern  and  external  stimuli    response  of  sleep-wake behaviours  were extracted from the actigraph data and correlated (Spearman rank-order correlation) with activities of daily living measures. Bonferroni correction for multiple comparisons was applied. Results: Activity level (ρ=-0.49, p&lt;0.05) and night-time activity variance (ρ=-0.69, p&lt;0.01) had correlation with the activities of daily living scores. The similarity of subject-wise activity pattern to facility common activities had a trend with activities of daily living (ρ=-0.44, p&lt;0.1).  In longitudinal case analysis, sleep and activity patterns were found to  be  associated  with  local  weather  variables.  Conclusions:  Activity  patterns  as  measured  by  actigraphy  may  provide objective information on older people’s behaviour related to functioning state and its changes in nursing home and assisted living facility settings. However, variance between individuals was large in this dataset which decreases the reliability of the results. Furthermore, external stimuli such as weather and facility-related activities can affect subjects’ activity and sleep behaviour and should be considered in the related studies as well.

ASSOCIATION BETWEEN CONTINUOUS WEARABLE ACTIVITY MONITORING AND SELF-REPORTED FUNCTIONING IN ASSISTED LIVING FACILITY AND NURSING HOME RESIDENTS