Joint Association of Moderate-to-vigorous Intensity Physical Activity and Sedentary Behavior With Incident Functional Limitation: Data From the Osteoarthritis Initiative

Master, Hiral; Thoma, Louise M.; Dunlop, Dorothy D.; Christiansen, Meredith B.; Voinier, Dana; White, Daniel K.

doi:10.3899/jrheum.201250

Cited by 15 publications

(14 citation statements)

References 53 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our study, higher physical activity levels predicted good physical functioning, which is in line with an earlier study in which more time spent in habitual light-intensity physical activity was associated with better lower-extremity performance in community-dwelling older adults [27]. In another study, low physical activity was associated with the development of functional limitations in adults with knee OA [28]. Furthermore, Kraus et al found strong evidence that physical activity improved physical function among individual with hip or knee OA relative to less active adults with OA [29].…”

Section: Discussionsupporting

confidence: 92%

Predictors of resilience in older adults with lower limb osteoarthritis and persistent severe pain

et al. 2022

View full text Add to dashboard Cite

Background Resilience refers to the process in which people function well despite adversity. Persistent severe pain may be considered an adversity in people with lower limb osteoarthritis (LLOA). The objectives of this study are: (1) to identify what proportion of older adults with LLOA and persistent severe pain show good functioning; and (2) to explore predictors of resilience. Methods Data from the European Project on OSteoArthritis (EPOSA) were used involving standardized data from six European population-based cohort studies. LLOA is defined as clinical knee and/or hip osteoarthritis. Persistent severe pain is defined as the highest tertile of the pain subscale of the Western Ontario and McMaster Universities Osteoarthritis Index both at baseline and follow-up. Resilience is defined as good physical, mental or social functioning at follow-up despite having LLOA with persistent severe pain. Results In total, 95 (14.9%) out of 638 individuals with LLOA had persistent severe pain. Among these, 10 (11.0%), 54 (57.4%) and 49 (53.8%) had good physical, mental and social functioning, respectively. Only 4 individuals (4.5%) were resilient in all three domains of functioning. Younger age, male sex, higher education, higher mastery, smoking and alcohol use, higher physical activity levels, absence of chronic diseases, and more contacts with friends predicted resilience in one or more domains of functioning. Conclusions Few people with LLOA and persistent severe pain showed good physical functioning and about half showed good mental or social functioning. Predictors of resilience differed between domains, and might provide new insights for treatment.

show abstract

Section: Discussionsupporting

confidence: 92%

Predictors of resilience in older adults with lower limb osteoarthritis and persistent severe pain

et al. 2022

View full text Add to dashboard Cite

show abstract

“…The MVPA status was categorized as ‘active’ or ‘inactive’ based on meeting the weekly threshold 150 min of MVPA [ 24 ]. Then, the categories of SB and MVPA statuses were combined to formulate the following four mutually exclusive behavioral categories: (1) active-low sedentary, (2) active-high sedentary, (3) inactive-low sedentary and (4) inactive-high sedentary [ 20 , 21 , 22 ].…”

Section: Methodsmentioning

confidence: 99%

“…To date, a small number of studies have utilized mutually exclusive PA categories to understand the combined effects of PA and SB on different health markers [ 20 , 21 , 22 , 23 ]. For instance, in population-based samples from the United States and England, it was observed that physically active adults, regardless of their sedentary status, had better cardiometabolic health profiles in comparison to those not meeting the MVPA guidelines [ 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

“…For instance, in population-based samples from the United States and England, it was observed that physically active adults, regardless of their sedentary status, had better cardiometabolic health profiles in comparison to those not meeting the MVPA guidelines [ 20 , 21 ]. Another study from the Osteoarthritis Initiative found that adults with knee osteoarthritis who did not meet the MVPA guidelines had a higher risk of developing functional limitations compared to those classified as physically active, irrespective of their sedentary status [ 22 ]. However, to our knowledge, no study has yet investigated the associations of such PA behavioral categories with body composition and fall risk in older adults.…”

Section: Introductionmentioning

confidence: 99%

“…A distribution-based approach was used to classify the sedentary status as ‘low’ or ‘high’, depending on the time spent in sedentary behavior and LPA [ 21 ]. Based on previous findings from the abovementioned studies [ 20 , 21 , 22 ], we hypothesized that physically active participants, regardless of their sedentary status, would exhibit a more favorable body composition profile and reduced fall risk than those categorized as being inactive.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Associations of Mutually Exclusive Categories of Physical Activity and Sedentary Behavior with Body Composition and Fall Risk in Older Women: A Cross-Sectional Study

Choudhury

Park

Banarjee

et al. 2023

IJERPH

View full text Add to dashboard Cite

The individual effects of physical activity (PA) and sedentary behavior (SB) on health are well-recognized. However, little is known about the extent to which different combinations of these behaviors are associated with body composition and fall risk in older adults. This cross-sectional study examined the associations of mutually exclusive categories of PA and SB with body composition and fall risk in older women. Accelerometer-measured PA, body composition and fall risk (static and dynamic balance) parameters were assessed among 94 community-dwelling older women. The participants were categorized into four groups: active-low sedentary, active-high sedentary, inactive-low sedentary and inactive-high sedentary (active: ≥150 min/week moderate-to-vigorous PA (MVPA); low sedentary: lowest tertile of SB and light PA ratio). Compared to the inactive-high sedentary group, more favorable body composition and dynamic balance results were found in the active-low sedentary (body fat mass index (BFMI): β = −4.37, p = 0.002; skeletal muscle mass index (SMI): β = 1.23, p = 0.017; appendicular lean mass index (ALMI): β = 1.89, p = 0.003; appendicular fat mass index (AFMI): β = −2.19, p = 0.003; sit-to-stand: β = 4.52, p = 0.014) and inactive-low sedentary (BFMI: β = −3.14, p = 0.007; SMI: β = 1.05, p = 0.014; AFMI: β = −1.74, p = 0.005, sit-to-stand: β = 3.28, p = 0.034) groups. Our results suggest that PA programs focusing on concurrently achieving sufficient MVPA and reduced SB might promote a healthy body composition and reduced fall risk among older adults.

show abstract

Maximal daily stepping cadence partially explains functional capacity of individuals with end‐stage knee osteoarthritis

Hoffman,

Davis‐Wilson,

Hanlon

et al. 2023

PM&R

View full text Add to dashboard Cite

IntroductionIndividuals with end‐stage knee osteoarthritis (OA) walk at a lower intensity (i.e., slower step cadence) contributing to worse physical function. Previous literature reports daily step counts and sedentary time, with little information regarding stepping bouts or cadence. Determining relationships between daily higher stepping cadence duration and clinical outcomes can move the field towards optimal daily stepping prescription.ObjectiveTo quantify daily physical activity patterns of individuals with end‐stage knee OA and determine the contribution of high stepping cadence to explain functional capacity variability.DesignCross‐sectional analysis.SettingVeterans Administration Medical Center.ParticipantsUS Military Veterans (n= 104; age: 67.1 [7.2]; mean [SD]; male (89.3%)) with end‐stage knee OA were enrolled.InterventionNot applicableMain outcome measureFunctional capacity (6‐Minute Walk Test (6MWT)). Physical activity (activPAL wearable sensor; cadence and time sitting, standing, and stepping),), pain (Western Ontario and McMaster Universities Osteoarthritis Index‐pain subscale) sociodemographic variables, and comorbidities (Body Mass Index and Functional Comorbidity Index) are the main explanatory variables.ResultsParticipants’ wake time was mainly sitting (11.0 hrs/day) in > 60‐minute bouts (29.7% + 12.7 of sitting time). Standing (3.4 hrs/day) and stepping (1.4 hrs/day) primarily occurred in 0‐5 minute bouts (standing: 87.7% + 14.4 of standing time, stepping: 98.7% + 12.7 of stepping time) and stepping cadence was predominately incidental (1‐19 spm; 52.9% + 9.6 of total stepping time). Backward elimination model results indicated shorter medium‐to‐brisk cadence bout duration, older age, and higher pain significantly explained shorter 6MWT distance (AdjR2=0.24, P<0.01).ConclusionsIndividuals with knee OA spend most of their waking hours sitting while standing and stepping in short bouts at very low stepping cadence. Decreased time in high stepping cadence is associated with lower functional capacity. Future studies should explore if increasing the daily time spent in higher step cadence can improve functional capacity in this population.This article is protected by copyright. All rights reserved.

show abstract

Joint Association of Moderate-to-vigorous Intensity Physical Activity and Sedentary Behavior With Incident Functional Limitation: Data From the Osteoarthritis Initiative

Cited by 15 publications

References 53 publications

Predictors of resilience in older adults with lower limb osteoarthritis and persistent severe pain

Predictors of resilience in older adults with lower limb osteoarthritis and persistent severe pain

Associations of Mutually Exclusive Categories of Physical Activity and Sedentary Behavior with Body Composition and Fall Risk in Older Women: A Cross-Sectional Study

Maximal daily stepping cadence partially explains functional capacity of individuals with end‐stage knee osteoarthritis

Contact Info

Product

Resources

About