Osteoarthritis

Garstang, Susan V.; Stitik, Todd P.

doi:10.1097/01.phm.0000245568.69434.1a

Cited by 176 publications

(51 citation statements)

References 79 publications

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“…Osteoarthritis (OA) affects an estimated 12.1% of the US adult population 1 , being one of the most common forms of arthritis 2 and a leading cause of disability in the elderly 3 . Disability due to arthritis is associated with an extremely high economic burden, increased risk of hospitalization, institutionalization, and mortality.…”

Section: Introductionmentioning

confidence: 99%

Sedentary Behavior and Physical Function: Objective Evidence From the Osteoarthritis Initiative

Lee

Chang

Ehrlich-Jones

et al. 2015

Arthritis Care & Research

131

106

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Objective Investigate the relationship between sedentary behavior and physical function in adults with knee osteoarthritis (OA), controlling for moderate-vigorous physical activity () levels. Methods Sedentary behavior was objectively measured by accelerometer on 1,168 participants in the Osteoarthritis Initiative aged 49–83 years with radiographic knee OA at the 48 month clinic visit. Physical function was assessed using 20-meter walk and chair stand testing. Sedentary behavior was identified by accelerometer activity counts/minute <100. The cross-sectional association between sedentary quartiles and physical function was examined by multiple linear regression adjusting for demographic factors (age, sex, race/ethnicity, education level), health factors (comorbidity, body mass index, knee pain, knee OA severity, presence of knee symptoms) and average daily MVPA minutes. Results Adults with knee OA spent 2/3 their daily time in sedentary behavior. The average gait speed among the most sedentary quartile was 3.88 feet/second, which was significantly slower than the speed of the less sedentary groups (4.23, 4.33, 4.33 feet/second, respectively). The average chair stand rate among the most sedentary group was significantly lower (25.9 stands/minute) than the rates of the less sedentary behavior groups (28.9, 29.1, 31.1 stands/minute, respectively). These trends remained significant in multivariable analyses adjusted for demographic factors, health factors and average daily MVPA minutes. Conclusion Being less sedentary was related to better physical function in adults with knee OA independent of MVPA time. These findings support guidelines to encourage adults with knee OA to decrease time spent in sedentary behavior in order to improve physical function.

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Section: Introductionmentioning

confidence: 99%

Sedentary Behavior and Physical Function: Objective Evidence From the Osteoarthritis Initiative

Lee

Chang

Ehrlich-Jones

et al. 2015

Arthritis Care & Research

131

106

View full text Add to dashboard Cite

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“…Several risk factors (i.e., obesity, joint injury, and certain sports) have been found to be strongly associated with an increased risk for incident knee OA. (4, 5) However, findings on risk factors for OA progression have been inconclusive. There are scarce data on the possible role of dietary factors, though low intake of antioxidant vitamins (A, C, E) and vitamin D may be associated with increased risk of progression of knee OA (6-8).…”

Section: Introductionmentioning

confidence: 99%

Milk Consumption and Progression of Medial Tibiofemoral Knee Osteoarthritis: Data From the Osteoarthritis Initiative

Driban

Duryea

McAlindon

et al. 2014

Arthritis Care & Research

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Objectives: Milk consumption has long been recognized for its important role in bone health, but its role in the progression of knee osteoarthritis (OA) is unclear. We examine the prospective association of milk consumption with radiographic progression of knee OA. Methods: In the Osteoarthritis Initiative, 2,148 participants (3,064 knees) with radiographic knee OA and having dietary data at baseline were followed up to 12, 24, 36 and 48 months. The milk consumption was assessed with a Block Brief Food Frequency Questionnaire completed at baseline. To evaluate progression of OA, we used quantitative joint space width (JSW) between the medial femur and tibia of the knee based on plain radiographs. The multivariate linear models for repeated measures were used to test the independent association between milk intake and the decrease in JSW over time, while adjusting for baseline disease severity, body mass index, dietary factors and other potential confounders. Results: We observed a significant dose-response relationship between baseline milk intake and adjusted mean decrease of JSW in women (p trend=0.014). With increasing levels of milk intake (none, ≤3, 4-6, and ≥7 glasses/week), the mean decreases of JSW were 0.38mm, 0.29mm, 0.29mm and 0.26mm respectively. In men, we observed no significant association between milk consumption and the decreases of JSW. Conclusion: Our results suggest that frequent milk consumption may be associated with reduced OA progression in women. Replication of these novel findings in other prospective studies demonstrating the increase in milk consumption leads to delay in knee OA progression are needed.

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“…Repetitive tasks cause muscle fatigue and increase the use of joints, predisposing dental workers to joint injuries. [7,8] Comments from the practitioners showed that the development of a healthy workplace environment and practice should be prioritised to prevent work-based injuries. Poor working conditions, staffing problems and time pressures are common stressors.…”

Section: Discussionmentioning

confidence: 99%

‘Pain and stress are part of my profession’: Using dental practitioners’ views of occupation-related factors to inform dental training

Moodley

Naidoo

Wyk

2018

AJHPE

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Background. Stress is prevalent among dental workers and students. A possible means to address this would be to include stress management programmes in undergraduate dental programmes. The purpose of this study was to establish how the current cohort of dental practitioners incorporate occupational health and self-care principles into professional practice, and their potential relevance to future curriculum design. Objectives. To gain input from participants regarding stress and burnout -their causes, implications and prevention -as linked to their practice in dentistry. Methods. A qualitative research design was used, with a purposive sampling technique. The study population consisted of dentists, dental therapists, hygienists and specialists. A total of 36 participants participated in four focus-group discussions to explore dental education, occupational health, stress and self-care. The data were thematically analysed. Results. Dental training in the South African context, occupational health experiences, self-care, coping strategies and education were the main themes that emerged. Dental services in the public sector were reported to be overwhelmed by high patient volumes and shortages of staff and resources, which added to these stressors. The coping strategies adopted were exercise, stretching, reducing workload and encouraging teamwork. The participants believed that the causes of musculoskeletal disorders, and their impact, should be taught in dental training, as students do not perceive this as a potential problem. A multidisciplinary approach and teamwork training are the recommendations for curricula. Conclusion. Stress management techniques and workplace posture assessment should be taught in preclinical training to make students aware of managing stress and correct working postures. A multidisciplinary approach should be used. Dental curricula should include occupational health safety principles. KZN (ref. no. HSS/1490/015D). Written informed consent was obtained from all participants, who were informed of their right to withdraw from the study at any stage. All participants agreed to participate and to have an audio recording made of the interview. Anonymity of participants was maintained throughout the study by using participant codes instead of names. The participants filled out an anonymous demographic information sheet. The audio recordings were transcribed verbatim, and the transcripts checked for accuracy. Member check, or respondent validation, was conducted to establish validity. The data were then analysed thematically. Broad themes were identified, according to the main aim, and then further refined and coded until the final analysis was complete. Afr J Health Professions Educ[6] The themes identified were analysed in line with the objectives of this study. ResultsFive main themes were identified, based on the questions that were explored. The themes were identified, refined and grouped. Dental training in the SA context, occupational health experiences, self-care and burnout, coping st...

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Osteoarthritis

Cited by 176 publications

References 79 publications

Sedentary Behavior and Physical Function: Objective Evidence From the Osteoarthritis Initiative

Sedentary Behavior and Physical Function: Objective Evidence From the Osteoarthritis Initiative

Milk Consumption and Progression of Medial Tibiofemoral Knee Osteoarthritis: Data From the Osteoarthritis Initiative

‘Pain and stress are part of my profession’: Using dental practitioners’ views of occupation-related factors to inform dental training

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