Trajectory of physical activity following total hip and knee arthroplasty: data from the English Longitudinal Study of Ageing (ELSA) cohort

Smith, Toby; Dainty, J.; Macgregor, Alexander

doi:10.1080/21679169.2017.1332683

Cited by 2 publications

(3 citation statements)

References 40 publications

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“…Twelve articles reported on subjects with various types of arthroplasties [ 22 , 27 , 34 , 53 , 61 , 66 , 80 , 91 , 99 , 102 , 105 , 111 ]. Most results found in the studies using more than one type of arthroplasty were, as could be expected, comparable to the results described above.…”

Section: Resultsmentioning

confidence: 99%

Amount and type of physical activity and sports from one year forward after hip or knee arthroplasty—A systematic review

2021

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Introduction After rehabilitation following total hip or knee arthroplasty (THA/TKA), patients are advised to participate in physical activity (PA) and sports. However, profound insight into whether people adopt a physically active lifestyle is lacking. Aim is to gain insight into the performed amount and type of PA (including sports) and time spent sedentarily by persons after THA/TKA. Methods A systematic review (PROSPERO: CRD42020178556). Pubmed, Cinahl, EMBASE and PsycInfo were systematically searched for articles reporting on amount of PA, and on the kind of activities performed between January 1995-January 2021. Quality of the articles was assessed with the adapted tool from Borghouts et al. Results The search retrieved 5029 articles, leading to inclusion of 125 articles reporting data of 123 groups; 53 articles reported on subjects post-THA, 16 on post-hip-resurfacing arthroplasty, 40 on post-TKA, 15 on post-unicompartimental knee arthroplasty and 12 on a mix of arthroplasty types. With respect to quality assessment, 14 articles (11%) met three or fewer criteria, 29 (24%) met four, 32 (26%) met five, 42 (34%) met six, and 6 (5%) met seven out of the eight criteria. PA levels were comparable for THA and TKA, showing a low to moderately active population. Time spent was mostly of low intensity. Roughly 50% of -subjects met health-enhancing PA guidelines. They spent the largest part of their day sedentarily. Sports participation was relatively high (rates above 70%). Most participation was in low-impact sports at a recreational level. Roughly speaking, participants were engaged in sports 3 hours/week, consisting of about three 1-hour sessions. Conclusion Activity levels seem to be low; less than half of them seemed to perform the advised amount of PA following health-enhancing guidelines Sports participation levels were high. However, many articles were unclear about the definition of sports participation, which could have led to overestimation.

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Section: Resultsmentioning

confidence: 99%

Amount and type of physical activity and sports from one year forward after hip or knee arthroplasty—A systematic review

2021

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“…Older adults often have broken sleep due to medication, 19 or needing to void urine; 29 so it is reasonable to conclude that attention to sleep issues or bladder training may decrease the risk of fatigue associated with a lack of sleep. 30 One small (n = 44) prospective study in the Netherlands demonstrated a significant increase in participants' sedentary behaviour (measured by accelerometry) four years after total hip or knee replacement, 6 however factors associated with or predictive of increased sedentary behaviour were not discussed. No pre-surgery predictors of excessive sedentary behaviour were identified by our multivariate model, however excessive sedentary behaviour and lack of energy at one year after surgery significantly predicted excessive sedentary behaviour at five years.…”

Section: Discussionmentioning

confidence: 99%

“…5,7 The studies varied in their design and included retrospective, 8,9 cross-sectional, 4,7,10,11 and prospective 5,12,15 investigations. Most studies used questionnaires to collect data, 4,6,9,11,12,14,15 although two used accelerometers. 5,10 Only three studies reported whether the WHO physical activity guidelines had been met by participants, giving a range of results from 5% to 42%.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and determinants of physical activity, sedentary behaviour and fatigue five years after total knee replacement

et al. 2022

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Objective To determine the prevalence and predictors of physical activity, sedentary behaviour and fatigue five years after total knee replacement surgery. Design A longitudinal cohort study. Setting Community-dwelling adults who had previously undergone total knee replacement. Methods Five-year follow-up questionnaire data were obtained from participants previously enrolled in a randomised controlled trial examining rehabilitation after total knee replacement. Main study outcomes at one year did not differ between randomisation groups, hence data were pooled for the present longitudinal analysis. Before and one and five years after surgery, participants completed questionnaires (Active Australia Survey, WOMAC, SF12 v2, demographics and fatigue). Results 272/422 community-dwelling adults (45–74 years) completed the questionnaires at five years. Excessive sedentary behaviour was evident in 91% of the cohort, predicted by excessive sedentary behaviour and lack of energy at one year. Inadequate physical activity at five years was evident for 59% of the cohort, predicted by higher fatigue and comorbidity scores pre-surgery and inadequate physical activity at one year. Just under half (47%) of the cohort experienced clinically-important fatigue at five years, predicted by clinically-important fatigue before and one year after surgery, lack of sleep before surgery and physical activity one year after surgery. Conclusion Documenting physical activity, sedentary behaviour and fatigue before and one year after knee replacement is important to identify those at risk of longer-term inadequate physical activity, excessive sedentary behaviour and clinically-important fatigue. Interventions to maintain activity and reduce sedentary behaviour are needed to reap the potential health benefits of total knee replacement surgery.

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Trajectory of physical activity following total hip and knee arthroplasty: data from the English Longitudinal Study of Ageing (ELSA) cohort

Cited by 2 publications

References 40 publications

Amount and type of physical activity and sports from one year forward after hip or knee arthroplasty—A systematic review

Amount and type of physical activity and sports from one year forward after hip or knee arthroplasty—A systematic review

Prevalence and determinants of physical activity, sedentary behaviour and fatigue five years after total knee replacement

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