Do radiographic disease and pain account for why people with or at high risk of knee osteoarthritis do not meet physical activity guidelines?

Daniel K White; Catrine Tudor-Locke; David T Felson; K Douglas Gross; Jingbo Niu; Michael Nevitt; Cora E Lewis; James Torner; Tuhina Neogi

doi:10.1002/art.37748

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Do radiographic disease and pain account for why people with or at high risk of knee osteoarthritis do not meet physical activity guidelines?

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Do radiographic disease and pain account for why people with or at high risk of knee osteoarthritis do not meet physical activity guidelines?

Daniel K White, Catrine Tudor-Locke, David T Felson, K Douglas Gross, Jingbo Niu, Michael Nevitt, Cora E Lewis, James Torner and Tuhina Neogi

Arthritis and rheumatism, Vol.65(1), pp.139-147

01/2013

DOI: 10.1002/art.37748

PMCID: PMC3535507

PMID: 23124774

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Abstract

Knee osteoarthritis (OA) and pain are assumed to be barriers to meeting physical activity guidelines, but this has not been formally evaluated. The purpose of this study was to determine the proportions of people with and those without knee OA and knee pain who meet recommended physical activity levels through walking. We performed a cross-sectional analysis of community-dwelling adults from the Multicenter Osteoarthritis Study who had or who were at high risk of knee OA. Participants wore a StepWatch activity monitor to record steps per day for 7 days. The proportion of participants who met the recommended physical activity levels was defined as those accumulating≥150 minutes per week at ≥100 steps per minute in bouts lasting ≥10 minutes. These proportions were also determined for those with and those without knee OA, as classified by radiography and by severity of knee pain. Of the 1,788 study participants (mean±SD age 67.2±7.7 years, mean±SD body mass index 30.7±6.0 kg/m2, 60% women), lower overall percentages of participants with radiographic knee OA and knee pain met recommended physical activity levels. However, these differences were not statistically significant between those with and those without knee OA; 7.3% and 10.1% of men (P=0.34) and 6.3% and 7.8% of women (P=0.51), respectively, met recommended physical activity levels. Similarly, for those with moderate/severe knee pain and those with no knee pain, 12.9% and 10.9% of men (P=0.74) and 6.7% and 11.0% of women (P=0.40), respectively, met recommended physical activity levels. Disease and pain have little impact on achieving recommended physical activity levels among people with or at high risk of knee OA.

Radiography

Severity of Illness Index

Cross-Sectional Studies

Follow-Up Studies

Humans

Middle Aged

Risk Factors

Knee Joint - diagnostic imaging

Male

Motor Activity

Osteoarthritis, Knee - diagnostic imaging

Pain - diagnostic imaging

Walking

Adult

Female

Aged

Longitudinal Studies

Cohort Studies

Practice Guidelines as Topic

Details

Title: Subtitle: Do radiographic disease and pain account for why people with or at high risk of knee osteoarthritis do not meet physical activity guidelines?
Creators: Daniel K White - Boston University, Clinical Epidemiology Research and Training Unit, and Massachusetts General Hospital Institute of Health Professions, Boston, Massachusetts 02118, USA. dwtbn@bu.edu
Catrine Tudor-Locke
David T Felson
K Douglas Gross
Jingbo Niu
Michael Nevitt
Cora E Lewis
James Torner
Tuhina Neogi
Resource Type: Journal article
Publication Details: Arthritis and rheumatism, Vol.65(1), pp.139-147
DOI: 10.1002/art.37748
PMID: 23124774
PMCID: PMC3535507
NLM abbreviation: Arthritis Rheum
ISSN: 0004-3591
eISSN: 1529-0131
Publisher: Wiley; United States
Grant note: U01 AG018947 / NIA NIH HHS U01 AG018832 / NIA NIH HHS AG-18947 / NIA NIH HHS U01 AG019069 / NIA NIH HHS AG-19069 / NIA NIH HHS P60 AR047785 / NIAMS NIH HHS AG-18820 / NIA NIH HHS K23 AR055127 / NIAMS NIH HHS T32 AR007598 / NIAMS NIH HHS K23-AR-055127 / NIAMS NIH HHS P30 AG031679 / NIA NIH HHS AR-47885 / NIAMS NIH HHS AR-007598 / NIAMS NIH HHS P30-AG-031679 / NIA NIH HHS U01 AG018820 / NIA NIH HHS AG-18832 / NIA NIH HHS
Language: English
Date published: 01/2013
Academic Unit: Epidemiology; Surgery; Injury Prevention Research Center; Neurosurgery
Record Identifier: 9983995121402771

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