Effect of preoperative sedentary behavior on clinical recovery after total knee arthroplasty: a prospective cohort study

Factors Correlated With Physical Function 1 Year After Total Knee Arthroplasty in Patients With Knee Osteoarthritis

“…The Figure 1 study flow diagram outlines study selection and reasons for exclusion. 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 From 12 052 articles screened for title and abstracts, 391 articles were selected for full-text examination, with 20 studies 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 (total sample = 11 317 patients) for qualitative analysis at 3, 6, and 12 months and 17 studies 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 35 , 36 , 37 , 38 , 41 for quantitative analysis at...…”

“…Individual study characteristics are detailed in the Table . 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 All were prospective longitudinal observational designs; no randomized trial met inclusion criteria. We identified 37 factors across 20 studies.…”

“…We identified 37 factors across 20 studies. There were 8 studies 26 , 27 , 28 , 29 , 30 , 34 , 37 , 38 conducted in Europe, 6 studies 24 , 31 , 32 , 33 , 39 , 40 in Asia, 4 studies 25 , 35 , 36 , 41 in North America, and 1 study 22 in Australia, and 1 study 23 was multicontinental (ie, Australia, Europe, and North America). Sample sizes ranged from 49 patients 36 to 5309 patients.…”

“… 42 , 43 , 44 , 45 , 46 , 47 owing to unsuccessful attempts to obtain missing data. Sedentary behavior, 40 lack of energy, 38 drowsiness, 38 sleeping difficulties, 38 bloating, 38 worrying, 38 and problems with sexuality were reported once 38 and were not included in the meta-analysis.…”

“…For the secondary outcome, physical function 6 months after TKA, 9 studies with 5743 participants reported estimates on 20 potential factors. 29 , 30 , 31 , 32 , 33 , 35 , 36 , 40 , 41 Estimated correlation coefficients from multivariate meta-analysis are in Figure 3 . 29 , 30 , 31 , 32 , 33 , 35 , 36 , 41 Mean correlation with more catastrophizing was estimated to be –0.19 (95% CI, –0.35 to –0.01; P = .03; P score = 63.4%; 2 studies 35 , 41 ; very low–certainty evidence and substantial heterogeneity between reported estimates of association [ I 2 = 85%]), while mean correlation with walking use was estimated to be –0.31 (95% CI, –0.45 to –0.17; P < .001, P score = 84.1%; 2 studies 31 , 41 ; high-certainty evidence and substantial heterogeneity between reported estimates of association [ I 2 = 63%]).…”