Sedentary Behavior in Older Patients before and after Total Hip Arthroplasty: A Prospective Cohort Study

Abstract

Objective: To compare the habitual sedentary behavior (SB) and physical activity (PA) of older hip osteoarthritis patients before and after elective arthroplasty. Methods: SB, PA and joint-specific disability of 16 patients (68.9 ± 6.8 years) were assessed by accelerometry and questionnaires before and 9 months after arthroplasty. Results: All patients reported substantial postoperative improvements of their joint-related complaints (p ≤ 0.001). Accelerometry showed changes in neither daily SB (10–60 min sedentary bouts, p ≥ 0.569) nor in PA (steps, time in mild-to-vigorous activity and energy expenditure, p ≥ 0.255). Correlation analyses revealed that patients with severe preoperative disability showed a decrease in sedentary time, which was the opposite in patients with mild preoperative disability. Conclusion: SB and PA do not necessarily change after arthroplasty in older orthopedic patients. Even longer bouts of uninterrupted sitting, which are detrimental to health, do not decrease. Preoperative patient education is recommended to foster behavioral changes following elective arthroplasty.

Everyday Physical Activity and Sedentary Behavior After Total Joint Arthroplasty: Do Patients and Partners Develop an Active Lifestyle?

“…These findings are also consistent with previous investigations of different aspects of SB in this patient population. 22 …”

“…Indeed, it has recently been shown that OA patient-partner dyads differ significantly from control couples in terms of PA. 21 With regard to SB, it was even found that both partners and controls were in fact at the same level as the OA patients, which could be attributed to the widespread sedentary lifestyle in today’s society. 22 , 23 …”

Good to excellent long-term survival of a single-design condylar constrained knee arthroplasty for primary and revision surgery

“…This finding was explained with the activity level of the patients. However, notably aseptic loosening and instability were no major problems in this series, possibly due to the relatively high patient age at surgery which is often associated with a lower activity level [19]. As the median time to revision surgery was less than three years in the present cohort, it is possible that some patients may have failed due to infection before instability could have become a problem.…”

Alignment of Physical Activity in Older Couples Affected by Osteoarthritis: Investigation by Accelerometry and Questionnaire

“…Reduced PA, as inevitably occurs in the context of musculoskeletal diseases, consequently poses an increased risk for morbidity and mortality not only to patients, but also to their partners—an aspect that has received little attention so far. OA patients, whose daily lives are typically characterized by long periods of sitting [ 37 ], short walking distances, and rare MVPA [ 6 ], should be highlighted in this context. Using accelerometry, it has already been shown that the couple-specific deviation in everyday PA is significantly smaller in couples consisting of OA patients and their spouses than in control couples [ 19 ].…”