Functional Fitness and Self-Reported Quality of Life of Older Women Diagnosed with Knee Osteoarthrosis: A Cross-Sectional Case Control Study

Abstract

Aim. Utilizing a cross-sectional case control design, the aim of this study was to evaluate the functional fitness and self-reported quality of life differences in older people diagnosed with knee osteoarthrosis (O) who participated in health promotion groups. Methods. Ninety older women were distributed into two groups: control without O of the knee (C, n = 40) and a group diagnosed with primary and secondary knee O with grade II or higher, with definite osteophytes (OA, n = 50). Functional fitness was evaluated by specific tests, and the time spent in physical activity and quality of life was evaluated by the IPAQ and WHOQOL (distributed in four domains: physical: P, psychological: PS, social: S, and environmental: E) domain questionnaires. Results. No differences were found between ages of groups (C: 66 ± 7; OA: 67 ± 9; years). The values of the chair stand test (rep) in the OA (13 ± 5) group were different when compared to C group (22 ± 5). For the 6-minute walk test (meters), the values obtained for the C (635 ± 142) were higher (P < 0.01) than the OA (297 ± 143) group. The time spent in physical activity (min) was greater (P < 0.001) in the control (220 ± 12) group compared to OA (100 ± 10) group. Higher values (P < 0.001) in all domains were found in the C (P: 69 ± 16, PS: 72 ± 17, S: 67 ± 15, E: 70 ± 15) group compared to OA (P: 48 ± 7, PS: 43 ± 8, S: 53 ± 13, E: 47 ± 14) group. Conclusion. Our data suggests that knee O, in older women, can promote a decline in time spent performing physical activity and functional fitness with decline in quality of life with an increase in sitting time.

Global management of patients with knee osteoarthritis begins with quality of life assessment: a systematic review

“…The results from the quality appraisal tool had all articles scoring moderate to high quality scores; no study scored lower than 8 points. Four (6%) of the articles [25, 28, 54, 60] were classified as moderate quality, with the remaining 58 (94%) articles classified as having high quality [11–24, 26, 27, 29–53, 55–59, 61–72].…”

“…The total KOA population was 24,706 of which 93.4% ( n = 23,079) were female [11–72]. 11 articles included only females [19, 26, 28, 37, 41, 43, 53, 55, 56, 60, 63] and one article included only males [64]. When the male and female only articles were removed, the total KOA population still comprised 93.8% female.…”

“…The mean number of KOA patients per study was 560, with sample size varying between 12 [43] and 7977 [31] and the median number was 101. The mean age across all studies was 65 years (range 47 to 85) and 68.2 (range 56.9 to 71.1) years for those studies including only females [19, 26, 28, 37, 41, 43, 53, 55, 56, 60, 63] and 50 (range 50 to 69) for the one study enrolling only males (Table 1) [64].…”

Asociación predictiva entre parámetros de condición física y dimensiones de calidad de vida relacionada con la salud en adultos mayores chilenos insertos en la comunidad

“…Investigaciones han descrito las asociaciones entre CF y la percepción de problemas de salud, evaluada mediante diversos instrumentos como el cuestionario EQ-5D 18,23 y WHOQOL 22,38 . En esta investigación se utilizó el cuestionario SF-12v2 debido a su corto tiempo de aplicación, validez-confiabilidad 39 y a su capacidad de aportar las mismas dimensiones del ampliamente utilizado SF-36 40 .…”

“…Sin embargo, no existe consenso acerca de la contribución de cada componente de CF sobre las distintas dimensiones de salud, probablemente debido a que no todas las investigaciones han valorado integralmente la CF mediante baterías estandarizadas. Adicionalmente, se ha planteado que los resultados obtenidos en población mayor deben ser interpretados con cautela, debido a que los diferentes contextos clínicos y metodologías de análisis no han hecho posible la generalización de ellos [20][21][22][23] . Por tanto, el objetivo de este trabajo fue identificar el comportamiento predictivo de cada uno de los parámetros esenciales de la CF sobre la CVRS, evaluada multidimensionalmente en una muestra de AM chilenos autovalentes insertos en la comunidad.…”