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Association Between Time to First Mobilization and Recovery of Oral Intake Function in Patients with Pneumonia: A
Shinichi Watanabe1,2, Takaaki Sakurai1, Takahiro Kanaya1,3
1Department of Rehabilitation, National Hospital Organization Nagoya Medical Center, 4-1-1 Sannomaru, Naka-ku, Nagoya 460-0001, Japan.
Life (Basel, Switzerland)
|May 4, 2026
Summary
Early mobilization is key for hospitalized pneumonia patients to regain oral intake. Delaying physical activity significantly hinders recovery, highlighting the importance of timely intervention for better outcomes.
Area of Science:
- Gerontology
- Pulmonology
- Rehabilitation Medicine
Background:
- Delayed oral intake recovery is frequent in hospitalized pneumonia patients, especially older adults with low physical activity.
- The link between early mobilization timing and oral intake recovery in pneumonia patients requires clarification.
Purpose of the Study:
- To investigate the association between the time to first mobilization and oral intake recovery in hospitalized pneumonia patients.
- To analyze data from 431 patients with pneumonia, including aspiration and COVID-19 pneumonia.
Main Methods:
- Retrospective cohort study design.
- Primary outcome: Functional Oral Intake Scale ≥ 4 (partial oral intake recovery).
- Multivariable Cox proportional hazards models were employed for analysis.
Main Results:
- Median time to first mobilization was 4 days (IQR: 2-14 days).
- A longer delay to first mobilization was significantly associated with delayed oral intake recovery (HR: 0.96, 95% CI: 0.94-0.98, p < 0.001).
Conclusions:
- Early mobilization may promote oral intake recovery in hospitalized pneumonia patients.
- Avoiding prolonged delays in mobilization is crucial for supporting oral intake and swallowing function recovery.
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