Physical activity of elderly patients with rheumatoid arthritis and healthy individuals: an actigraphy study

Hashimoto, Toshihide; Yoshiuchi, Kazuhiro; Inada, Shyuji; Shirakura, Kenji; Wada, Naoki; Takeuchi, Kensuke; Matsushita, M.

doi:10.1186/s13030-015-0046-0

Cited by 24 publications

(26 citation statements)

References 31 publications

(37 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Movement-related acceleration (which in turn correlates with energy consumption) was monitored using accelerometers [6,7]. In an objective assessment using wristwatch-type wearable trackers, it was reported that patients with rheumatoid arthritis and lower back pain had decreased activity levels compared to healthy participants, and it appeared that the amount of daytime activity reduced due to disease and pain [8,9]. However, there have been few reports on changes in the amount of actual activity before and after lumbar surgery of patients.…”

Section: Introductionmentioning

confidence: 99%

Objective evaluation of postoperative changes in real-life activity levels in the postoperative course of lumbar spinal surgery using wearable trackers

Inoue

Orita

Inage

et al. 2020

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background: Lumbar spinal disease causes disabilities in performing daily activities. Operative treatments are aimed at pain relief and rapid return to routine activity. Patient-based outcome measures are used to evaluate pathologies and therapeutic effects associated with lumbar spinal disease. Nevertheless, it remains unknown as to how much such treatment improves activity levels. The purpose of the current study was to measure changes in activity levels before and after lumbar spinal surgery using a wearable activity tracker and to analyze the differences between results and patient-based outcomes. Methods: Sixty patients who underwent lumbar surgery were studied. The physical activity of participants was objectively evaluated using a wearable Micro-Motion logger system (Actigraph). We measured the amount of activity before and at 1, 3, 6, and 12 months after the surgery to evaluate postoperative changes. The Japanese Orthopaedic Association Back Pain Evaluation Questionnaire, Oswestry Disability Index, Roland-Morris Disability Questionnaire and visual analog scale were used to assess patient-based outcomes of pain and activities of daily living-related scores; we analyzed the relationships between scores and actual activity levels. Results: The amount of actual activity decreased significantly 1 month after the surgery compared to that during the preoperative period, which then improved after 3 months postoperatively (p < 0.01). Furthermore, there was a significant improvement 6 months after the surgery compared to that during the preoperative period (p < 0.05). The changes in activity for each period were strongly correlated, regardless of the period. In contrast, a significant improvement was observed at 1 month after the surgery in almost all items of the patient-based questionnaires (p < 0.05). Conclusions: The objective activity tracker demonstrated that lumbar surgery results in the amount of activity decreasing 1 month just after surgery followed by gradual postoperative recovery within 3 months. By contrast, patient-based outcomes showed improvement in 1 month that was significantly different from the change in actual activity, indicating a gap between patient-oriented clinical scores and their actual activities.

show abstract

Section: Introductionmentioning

confidence: 99%

Objective evaluation of postoperative changes in real-life activity levels in the postoperative course of lumbar spinal surgery using wearable trackers

Inoue

Orita

Inage

et al. 2020

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…In humans, accelerometer-based activity monitoring has been used to assess activity during sleep [9], following stroke [10], and as a criterion for validation of physical activity survey/assessment tools [11]. Population based epidemiologic studies have used accelerometry to evaluate physical activity in people with arthritis [3, 12–14] while intervention studies have quantified effects of treatments on activity with some showing improvement [15] and others showing more equivocal effects [16]. Analytical methods across studies have varied resulting in calls for greater uniformity in the interpretation of accelerometer-based data [17, 18].…”

Section: Introductionmentioning

confidence: 99%

The Use of Functional Data Analysis to Evaluate Activity in a Spontaneous Model of Degenerative Joint Disease Associated Pain in Cats

et al. 2017

View full text Add to dashboard Cite

Introduction and objectivesAccelerometry is used as an objective measure of physical activity in humans and veterinary species. In cats, one important use of accelerometry is in the study of therapeutics designed to treat degenerative joint disease (DJD) associated pain, where it serves as the most widely applied objective outcome measure. These analyses have commonly used summary measures, calculating the mean activity per-minute over days and comparing between treatment periods. While this technique has been effective, information about the pattern of activity in cats is lost. In this study, functional data analysis was applied to activity data from client-owned cats with (n = 83) and without (n = 15) DJD. Functional data analysis retains information about the pattern of activity over the 24-hour day, providing insight into activity over time. We hypothesized that 1) cats without DJD would have higher activity counts and intensity of activity than cats with DJD; 2) that activity counts and intensity of activity in cats with DJD would be inversely correlated with total radiographic DJD burden and total orthopedic pain score; and 3) that activity counts and intensity would have a different pattern on weekends versus weekdays.Results and conclusionsResults showed marked inter-cat variability in activity. Cats exhibited a bimodal pattern of activity with a sharp peak in the morning and broader peak in the evening. Results further showed that this pattern was different on weekends than weekdays, with the morning peak being shifted to the right (later). Cats with DJD showed different patterns of activity from cats without DJD, though activity and intensity were not always lower; instead both the peaks and troughs of activity were less extreme than those of the cats without DJD. Functional data analysis provides insight into the pattern of activity in cats, and an alternative method for analyzing accelerometry data that incorporates fluctuations in activity across the day.

show abstract

“…Similarly, also Palmer and El Miedany noted (23) that the patients are, because of the presence of pain as a consequence of rheumatism, limited in their movement, are tired, and may experience problems with their self-image and self-esteem. Murphy et al (30) stated that the average physical activities of patients with osteoarthritis are significantly worse than those in the control group of healthy people, which was also found by Hashimoto et al (25). Nikolič et al (31) studied 98 patients with rheumatoid arthritis and found that the most common problems faced by them are painful and swollen joints, morning stiffness, reduced mobility, and the reduced ability to perform daily activities, together with fatigue, which can lead to anxiety and depression.…”

Section: Resultsmentioning

confidence: 64%

“…A number of research shows that the presence of the disease influences the self-image and the self-respect of the elderly (15,16,20,(22)(23)(24)(25) and that a reduction in self-esteem can cause the emergence of numerous problems, such as depression, anxiety, and a sense of loneliness (14). Living with chronic diseases can be stressful and can have a negative impact on an individual's self-esteem (26).…”

Section: Resultsmentioning

confidence: 99%

“…Hashimoto et al (25) studied the physical activity of the elderly with rheumatoid arthritis and found that the majority of the patients were physically inactive, which prevented their inclusion. Similarly, also Palmer and El Miedany noted (23) that the patients are, because of the presence of pain as a consequence of rheumatism, limited in their movement, are tired, and may experience problems with their self-image and self-esteem.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The connection between chronic diseases and self-image and self-esteem

Filej

Žvanut

Kaučič

2018

JHSCI

View full text Add to dashboard Cite

Introduction: With aging, the incidence of chronic diseases among elderly increases, as about 88% of them have at least one chronic condition, with 50% having at least two. The presence of these diseases influences their self-image and self-esteem. This study aimed to identify the effects of chronic diseases on self-esteem and self-image in the group of elderly people. Methods: A quantitative research design using a structured questionnaire was employed, where Rosenberg questionnaire with an adapted measurement scale was used for evaluating self-esteem, while Marsh’s adjusted Multidimensional self-concept scale was used for assessing self-image. Results: The survey involved 51 respondents: 25.5% were male, and 74.5% were female, the average age of the respondents was 77.0 years. 60.8 % of them reported high blood pressure, 31.4% rheumatism, 25.5% osteoporosis and 23.5% diabetes. “Rheumatism” was statistically significantly associated with two elements of self-esteem: the “athletic self-esteem” and “inclusion”, whereas the claim for self-assessment “I can do things as good the majority of other people” was associated to the incidence of “diabetes”. Conclusions: The results of our study indicate that rheumatism, as a most common chronic disease among this population, has a significant impact on some elements of self-image and self-esteem. Further research should focus on the concepts of self-esteem and self-image of this population.

show abstract

Physical activity of elderly patients with rheumatoid arthritis and healthy individuals: an actigraphy study

Cited by 24 publications

References 31 publications

Objective evaluation of postoperative changes in real-life activity levels in the postoperative course of lumbar spinal surgery using wearable trackers

Objective evaluation of postoperative changes in real-life activity levels in the postoperative course of lumbar spinal surgery using wearable trackers

The Use of Functional Data Analysis to Evaluate Activity in a Spontaneous Model of Degenerative Joint Disease Associated Pain in Cats

The connection between chronic diseases and self-image and self-esteem

Contact Info

Product

Resources

About