Top

Published in:

Open Access 01-03-2020 | Osteoarthritis of the Hip | Observational Research

Comparison of physical activity among different subsets of patients with knee or hip osteoarthritis and the general population

Authors: Tim Pelle, Aniek A. O. M. Claassen, Jennifer M. T. A. Meessen, Wilfred F. Peter, Thea P. M. Vliet Vlieland, Karen Bevers, Job van der Palen, Frank H. J. van den Hoogen, Cornelia H. M. van den Ende

Published in: Rheumatology International | Issue 3/2020

Abstract

To compare the amount of physical activity (PA) among patients with different subsets of knee or hip osteoarthritis (OA) and the general population. Secondary analyses of data of subjects ≥ 50 years from four studies: a study on the effectiveness of an educational program for OA patients in primary care (n = 110), a RCT on the effectiveness of a multidisciplinary self-management program for patients with generalized OA in secondary care (n = 131), a survey among patients who underwent total joint arthroplasty (TJA) for end-stage OA (n = 510), and a survey among the general population in the Netherlands (n = 3374). The Short QUestionnaire to ASssess Health-enhancing physical activity (SQUASH) was used to assess PA in all 4 studies. Differences in PA were analysed by multivariable linear regression analyses, adjusted for age, body mass index and sex. In all groups, at least one-third of total time spent on PA was of at least moderate-intensity. Unadjusted mean duration (hours/week) of at least moderate-intensity PA was 15.3, 12.3, 18.1 and 17.8 for patients in primary, secondary care, post TJA, and the general population, respectively. Adjusted analyses showed that patients post TJA spent 5.6 h [95% CI: 1.5; 9.7] more time on PA of at least moderate-intensity than patients in secondary care. The reported amount of PA of at least moderate-intensity was high in different subsets of OA and the general population. Regarding the amount of PA in patients with different subsets of OA, there was a substantial difference between patients in secondary care and post TJA patients.

Available only for authorised users

Fernandes L, Hagen KB, Bijlsma JWJ et al (2013) EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis. Ann Rheum Dis 72:1125–1135. https://doi.org/10.1136/annrheumdis-2012-202745 CrossRefPubMed

Hochberg MC, Altman RD, April KT et al (2012) American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee. Arthritis Care Res (Hoboken) 64:465–474CrossRef

McAlindon TE, Bannuru RR, Sullivan MC et al (2014) OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthr Cartil 22:363–388. https://doi.org/10.1016/j.joca.2014.01.003 CrossRef

Zhang W, Moskowitz RW, Nuki G et al (2008) OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteoarthr Cartil 16:137–162. https://doi.org/10.1016/j.joca.2007.12.013 CrossRef

Smink AJ, van den Ende CHM, Vliet Vlieland TPM et al (2011) “Beating osteoARThritis”: Development of a stepped care strategy to optimize utilization and timing of non-surgical treatment modalities for patients with hip or knee osteoarthritis. Clin Rheumatol 30:1623–1629. https://doi.org/10.1007/s10067-011-1835-x CrossRefPubMed

Rausch Osthoff A-K, Niedermann K, Braun J et al (2018) 2018 EULAR recommendations for physical activity in people with inflammatory arthritis and osteoarthritis. Ann Rheum Dis 77:1251–1260. https://doi.org/10.1136/annrheumdis-2018-213585 CrossRefPubMed

Caspersen CJ, Powell KE, Christenson GM (1985) Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep 100:126–131PubMedPubMedCentral

(2011) Global recommendations on Physical Activity for Health. World Health Organization, Geneva

Wendel-Vos GCW, Schuit AJ, Saris WHM, Kromhout D (2003) Reproducibility and relative validity of the short questionnaire to assess health-enhancing physical activity. J Clin Epidemiol 56:1163–1169CrossRefPubMed

10.

Lee K, Cooke J, Cooper G, Shield A (2017) Move it or lose it. is it reasonable for older adults with osteoarthritis to continue to use paracetamol in order to maintain physical activity? Drugs Aging 34:417–423. https://doi.org/10.1007/s40266-017-0450-1 CrossRefPubMed

11.

Warburton DER (2006) Health benefits of physical activity: the evidence. Can Med Assoc J 174:801–809. https://doi.org/10.1503/cmaj.051351 CrossRef

12.

Chmelo E, Nicklas B, Davis C et al (2013) Physical activity and physical function in older adults with knee osteoarthritis. J Phys Act Health 10:777–783. https://doi.org/10.1002/art.24007 CrossRefPubMed

13.

Conaghan PG, Dickson J, Grant RL (2008) Care and management of osteoarthritis in adults: summary of NICE guidance. BMJ 336:502–503. https://doi.org/10.1136/bmj.39490.608009.AD CrossRefPubMedPubMedCentral

14.

Kahn TL, Schwarzkopf R (2015) Does total knee arthroplasty affect physical activity levels? Data from the osteoarthritis initiative. J Arthroplasty 30:1521–1525. https://doi.org/10.1016/j.arth.2015.03.016 CrossRefPubMed

15.

Hoogeboom TJ, den Broeder AA, Swierstra BA et al (2012) Joint-pain comorbidity, health status, and medication use in hip and knee osteoarthritis: a cross-sectional study. Arthritis Care Res (Hoboken) 64:54–58. https://doi.org/10.1002/acr.20647 CrossRef

16.

Altman RD (2010) Early management of osteoarthritis. Am J Manag Care 16:S41–S47PubMed

17.

Wallis JA, Webster KE, Levinger P, Taylor NF (2013) What proportion of people with hip and knee osteoarthritis meet physical activity guidelines? A systematic review and meta-analysis. Osteoarthr Cartil 21:1648–1659. https://doi.org/10.1016/j.joca.2013.08.003 CrossRef

18.

Plotnikoff R, Karunamuni N, Lytvyak E et al (2015) Osteoarthritis prevalence and modifiable factors: a population study. BMC Public Health 15:1195. https://doi.org/10.1186/s12889-015-2529-0 CrossRefPubMedPubMedCentral

19.

Hootman JM, Macera CA, Ham SA et al (2003) Physical activity levels among the general US adult population and in adults with and without arthritis. Arthritis Rheum 49:129–135. https://doi.org/10.1002/art.10911 CrossRefPubMed

20.

Arnold JB, Walters JL, Ferrar KE (2016) Does physical activity increase after total hip or knee arthroplasty for osteoarthritis? A systematic review. J Orthop Sport Phys Ther 46:431–442. https://doi.org/10.2519/jospt.2016.6449 CrossRef

21.

Hammett T, Simonian A, Austin M et al (2018) Changes in physical activity after total hip or knee arthroplasty: a systematic review and meta-analysis of six- and twelve-month outcomes. Arthritis Care Res (Hoboken) 70:892–901. https://doi.org/10.1002/acr.23415 CrossRef

22.

Kersten RFMR, Stevens M, van Raay JJAM et al (2012) Habitual physical activity after total knee replacement. Phys Ther 92:1109–1116. https://doi.org/10.2522/ptj.20110273 CrossRefPubMed

23.

Meessen JMTA, Peter WF, Wolterbeek R et al (2017) Patients who underwent total hip or knee arthroplasty are more physically active than the general Dutch population. Rheumatol Int 37:219–227. https://doi.org/10.1007/s00296-016-3598-9 CrossRefPubMed

24.

Hoogeboom TJ, den Broeder AA, de Bie RA, van den Ende CHM (2013) Longitudinal impact of joint pain comorbidity on quality of life and activity levels in knee osteoarthritis: data from the Osteoarthritis Initiative. Rheumatology 52:543–546. https://doi.org/10.1093/rheumatology/kes314 CrossRefPubMed

25.

Song J, Chang AH, Chang RW et al (2018) Relationship of knee pain to time in moderate and light physical activities: Data from osteoarthritis initiative. Semin Arthritis Rheum 47:683–688. https://doi.org/10.1016/j.semarthrit.2017.10.005 CrossRefPubMed

26.

Claassen AAOM, Schers HJ, Koëter S et al (2018) Preliminary effects of a regional approached multidisciplinary educational program on healthcare utilization in patients with hip or knee osteoarthritis: an observational study. BMC Fam Pract 19:82. https://doi.org/10.1186/s12875-018-0769-7 CrossRefPubMedPubMedCentral

27.

Cuperus N, Hoogeboom TJ, Kersten CC et al (2015) Randomized trial of the effectiveness of a non-pharmacological multidisciplinary face-to-face treatment program on daily function compared to a telephone-based treatment program in patients with generalized osteoarthritis. Osteoarthr Cartil 23:1267–1275. https://doi.org/10.1016/j.joca.2015.04.007 CrossRef

28.

Peter WF, Dekker J, Tilbury C et al (2015) The association between comorbidities and pain, physical function and quality of life following hip and knee arthroplasty. Rheumatol Int 35:1233–1241. https://doi.org/10.1007/s00296-015-3211-7 CrossRefPubMedPubMedCentral

29.

Centraal Bureau voor de Statistiek (CBS) (2014) Gezondheidsenquête 2012. DANS

30.

Wagenmakers R, van den Akker-Scheek I, Groothoff JW et al (2008) Reliability and validity of the short questionnaire to assess health-enhancing physical activity (SQUASH) in patients after total hip arthroplasty. BMC Musculoskelet Disord 9:141. https://doi.org/10.1186/1471-2474-9-141 CrossRefPubMedPubMedCentral

31.

Ainsworth BE, Haskell WL, Herrmann SD et al (2011) 2011 compendium of physical activities. Med Sci Sport Exerc 43:1575–1581. https://doi.org/10.1249/MSS.0b013e31821ece12 CrossRef

32.

StataCorp (2013) Stata statistical software: release 13. StataCorp LP, College Station=

33.

Jones DL, Cauley JA, Kriska AM et al (2004) Physical activity and risk of revision total knee arthroplasty in individuals with knee osteoarthritis: a matched case-control study. J Rheumatol 31:1384–1390PubMed

34.

Crowther JD, Lachiewicz PF (2002) Survival and polyethylene wear of porous-coated acetabular components in patients less than fifty years old: results at nine to fourteen years. J Bone Jt Surg Am 84-A:729–735CrossRef

35.

Duffy GP, Berry DJ, Rowland C, Cabanela ME (2001) Primary uncemented total hip arthroplasty in patients %3c 40 years old: 10- to 14-year results using first-generation proximally porous-coated implants. J Arthroplasty 16:140–144CrossRefPubMed

36.

Witjes S, Gouttebarge V, Kuijer PPFM et al (2016) Return to sports and physical activity after total and unicondylar knee arthroplasty: a systematic review and meta-analysis. Sport Med 46:269–292. https://doi.org/10.1007/s40279-015-0421-9 CrossRef

37.

Garber CE, Blissmer B, Deschenes MR et al (2011) Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 43:1334–1359. https://doi.org/10.1249/MSS.0b013e318213fefb CrossRefPubMed

38.

Mons U, Hahmann H, Brenner H (2014) A reverse J-shaped association of leisure time physical activity with prognosis in patients with stable coronary heart disease: evidence from a large cohort with repeated measurements. Heart 100:1043–1049. https://doi.org/10.1136/heartjnl-2013-305242 CrossRefPubMed

39.

Maessen MFH, Verbeek ALM, Bakker EA et al (2016) Lifelong exercise patterns and cardiovascular health. Mayo Clin Proc 91:745–754. https://doi.org/10.1016/j.mayocp.2016.02.028 CrossRefPubMed

40.

Eijsvogels TMH, Thompson PD, Franklin BA (2018) The “Extreme Exercise Hypothesis”: recent findings and cardiovascular health implications. Curr Treat Options Cardiovasc Med 20:84. https://doi.org/10.1007/s11936-018-0674-3 CrossRefPubMedPubMedCentral

41.

Arem H, Moore SC, Patel A et al (2015) Leisure time physical activity and mortality. JAMA Intern Med 175:959. https://doi.org/10.1001/jamainternmed.2015.0533 CrossRefPubMedPubMedCentral

42.

Pandey A, Garg S, Khunger M et al (2015) Dose-response relationship between physical activity and risk of heart failure: a meta-analysis. Circulation 132:1786–1794. https://doi.org/10.1161/CIRCULATIONAHA.115.015853 CrossRefPubMed

43.

Dunlop DD, Song J, Semanik PA et al (2011) Objective physical activity measurement in the osteoarthritis initiative: are guidelines being met? Arthritis Rheum 63:3372–3382. https://doi.org/10.1002/art.30562 CrossRefPubMedPubMedCentral

44.

Thoma LM, Dunlop D, Song J et al (2018) Are older adults with symptomatic knee osteoarthritis less active than the general population? analysis from the osteoarthritis initiative and the national health and nutrition examination survey. Arthritis Care Res (Hoboken) 70:1448–1454. https://doi.org/10.1002/acr.23511 CrossRef

45.

de Groot IB, Bussmann JB, Stam HJ, Verhaar JAN (2008) Actual everyday physical activity in patients with end-stage hip or knee osteoarthritis compared with healthy controls. Osteoarthr Cartil 16:436–442. https://doi.org/10.1016/j.joca.2007.08.010 CrossRef

46.

Smith TO, Mansfield M, Dainty J et al (2018) Does physical activity change following hip and knee replacement? Matched case-control study evaluating Physical Activity Scale for the Elderly data from the Osteoarthritis Initiative. Physiotherapy 104:80–90. https://doi.org/10.1016/j.physio.2017.02.001 CrossRefPubMed

47.

Farr JN, Going SB, Lohman TG et al (2008) Physical activity levels in patients with early knee osteoarthritis measured by accelerometry. Arthritis Rheum 59:1229–1236. https://doi.org/10.1002/art.24007 CrossRefPubMedPubMedCentral

Title: Comparison of physical activity among different subsets of patients with knee or hip osteoarthritis and the general population
Authors: Tim Pelle
Aniek A. O. M. Claassen
Jennifer M. T. A. Meessen
Wilfred F. Peter
Thea P. M. Vliet Vlieland
Karen Bevers
Job van der Palen
Frank H. J. van den Hoogen
Cornelia H. M. van den Ende
Publication date: 01-03-2020
Publisher: Springer Berlin Heidelberg
Keywords: Osteoarthritis of the Hip
Osteoarthrosis
Osteoarthrosis
Osteoarthritis of the Hip
Care
Published in: Rheumatology International / Issue 3/2020
Print ISSN: 0172-8172
Electronic ISSN: 1437-160X
DOI: https://doi.org/10.1007/s00296-019-04507-1

ACC 2024 Congress Coverage

Heart Failure Video

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Comparison of physical activity among different subsets of patients with knee or hip osteoarthritis and the general population

Abstract

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2020

A positive Helicobacter pylori test is associated with low spondylarthritis incidence in a Danish historical cohort study

Effects of 1-year anti-TNF-α therapy on vascular function in rheumatoid arthritis and ankylosing spondylitis

Cardiovascular risk factors’ behavior during the early stages of the disease, in Hispanic rheumatoid arthritis patients: a cohort study

Correction to: A prospective, longitudinal monocentric study on laser Doppler imaging of microcirculation: comparison with macrovascular pathophysiology and effect of adalimumab treatment in early rheumatoid arthritis

Oral health and orofacial function in patients with rheumatoid arthritis

Prevalence and clinical presentation of lymphoproliferative disorder in patients with primary Sjögren’s syndrome

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page