Are Older Adults With Symptomatic Knee Osteoarthritis Less Active Than the General Population? Analysis From the Osteoarthritis Initiative and the National Health and Nutrition Examination Survey

Thoma, Louise M.; Dunlop, Dorothy D.; Song, Jing; Lee, Jung Hwa; Tudor‐Locke, Catrine; Aguiar, Elroy J.; Master, Hiral; Christiansen, Meredith B.; White, Daniel K.

doi:10.1002/acr.23511

Cited by 43 publications

(49 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Additionally, we could not confirm our hypothesis that patients in primary and secondary care were less active than the general population. Our results are in line with a recent study showing comparable levels of objectively measured activity of at least moderate intensity for patients with knee OA and the general population [44]. On the other hand, our findings are inconsistent with a study concluding that patients with end-stage OA were less active than controls [45].…”

Section: Discussioncontrasting

confidence: 61%

Comparison of physical activity among different subsets of patients with knee or hip osteoarthritis and the general population

et al. 2020

View full text Add to dashboard Cite

To compare the amount of physical activity (PA) among patients with different subsets of knee or hip osteoarthritis (OA) and the general population. Secondary analyses of data of subjects ≥ 50 years from four studies: a study on the effectiveness of an educational program for OA patients in primary care (n = 110), a RCT on the effectiveness of a multidisciplinary selfmanagement program for patients with generalized OA in secondary care (n = 131), a survey among patients who underwent total joint arthroplasty (TJA) for end-stage OA (n = 510), and a survey among the general population in the Netherlands (n = 3374). The Short QUestionnaire to ASssess Health-enhancing physical activity (SQUASH) was used to assess PA in all 4 studies. Differences in PA were analysed by multivariable linear regression analyses, adjusted for age, body mass index and sex. In all groups, at least one-third of total time spent on PA was of at least moderate-intensity. Unadjusted mean duration (hours/week) of at least moderate-intensity PA was 15.3, 12.3, 18.1 and 17.8 for patients in primary, secondary care, post TJA, and the general population, respectively. Adjusted analyses showed that patients post TJA spent 5.6 h [95% CI: 1.5; 9.7] more time on PA of at least moderate-intensity than patients in secondary care. The reported amount of PA of at least moderate-intensity was high in different subsets of OA and the general population. Regarding the amount of PA in patients with different subsets of OA, there was a substantial difference between patients in secondary care and post TJA patients.

show abstract

Section: Discussioncontrasting

confidence: 61%

Comparison of physical activity among different subsets of patients with knee or hip osteoarthritis and the general population

et al. 2020

View full text Add to dashboard Cite

show abstract

“…For instance, the intervention group walked about 6,000 steps/day after discharge from outpatient PT, which is a meaningful threshold for reducing the risk of functional limitation in people with knee OA . In contrast, the control group walked about the same amount as the general population, i.e., ~4,000 steps/day . Moreover, the intervention group spent >150 minutes/week engaging in moderate‐to‐vigorous PA at discharge and at the 6‐month follow‐up visit, meeting the 2018 Department of Health and Human Services PA guidelines for aerobic activity .…”

Section: Discussionmentioning

confidence: 99%

Feasibility and Preliminary Outcomes of a Physical Therapist–Administered Physical Activity Intervention After Total Knee Replacement

Christiansen

Thoma

Master

et al. 2020

Arthritis Care & Research

Self Cite

106

View full text Add to dashboard Cite

Objective. To explore the feasibility, fidelity, safety, and preliminary outcomes of a physical therapist-administered physical activity (PA) intervention after total knee replacement (TKR).Methods. People who had undergone a unilateral TKR and were receiving outpatient physical therapy (PT) were randomized to a control or intervention group. Both groups received standard PT for TKR. The intervention included being provided with a Fitbit Zip, step goals, and 1 phone call a month for 6 months after discharge from PT. Feasibility was measured by rates of recruitment and retention, safety was measured by the frequency of adverse events, and fidelity was measured by adherence to the weekly steps/day goal created by the physical therapist and participant monitoring of steps/day. An Actigraph GT3X measured PA, which was quantified as steps/day and minutes/week of engaging in moderate-to-vigorous PA. Our preliminary outcome was the difference in PA 6 months after discharge from PT between the control and intervention groups.Results. Of the 43 individuals who were enrolled, 53.4% were women, the mean ± SD age was 67.0 ± 7.0 years, and the mean ± SD body mass index was 31.5 ± 5.9 kg/m 2 . For both the control and intervention groups, the recruitment and retention rates were 64% and 83.7%, respectively, and adherence to the intervention ranged from 45% to 60%. No study-related adverse events occurred. The patients in the intervention group accumulated a mean 1,798 more steps/day (95% confidence interval [95% CI] 240, 3,355) and spent 73.4 more minutes/week (95% CI -14.1, 160.9) engaging in moderate-to-vigorous PA at 6 months than those in the control group.Conclusion. A physical therapist-administered PA intervention is feasible and safe, demonstrates treatment fidelity, and may increase PA after TKR. Future research is needed to establish the effectiveness of the intervention.ClinicalTrials.gov identifier: NCT02724137.

show abstract

“…Regarding time in moderate-to-vigorous physical activity, results were quite difficult to interpret, first because the number was low, and second because there was a discrepancy between the moderate SMD and the rather high mean difference (16 minutes per day). A total of 16 minutes may be considered clinically relevant when time in moderate-to-vigorous physical activity is approximately 10 minutes per day in lower-extremity osteoarthritis (47).…”

mentioning

confidence: 99%

Use of Wearable Activity Trackers to Improve Physical Activity Behavior in Patients With Rheumatic and Musculoskeletal Diseases: A Systematic Review and Meta‐Analysis

Davergne

Pallot

Dechartres

et al. 2019

Arthritis Care & Research

View full text Add to dashboard Cite

show abstract

Are Older Adults With Symptomatic Knee Osteoarthritis Less Active Than the General Population? Analysis From the Osteoarthritis Initiative and the National Health and Nutrition Examination Survey

Abstract: Time spent in MVPA was similarly low in those with symptomatic knee OA as in older adults without knee pain or OA.

Cited by 43 publications

References 32 publications

Comparison of physical activity among different subsets of patients with knee or hip osteoarthritis and the general population

Comparison of physical activity among different subsets of patients with knee or hip osteoarthritis and the general population

Feasibility and Preliminary Outcomes of a Physical Therapist–Administered Physical Activity Intervention After Total Knee Replacement

Use of Wearable Activity Trackers to Improve Physical Activity Behavior in Patients With Rheumatic and Musculoskeletal Diseases: A Systematic Review and Meta‐Analysis

Contact Info

Product

Resources

About