Health-Related Behaviors Associated With Knee Pain Increase: A Longitudinal Community-Based Cohort Study That Examines Osteoarthritis

Morgan L Wolff; Sarah H Nash; Cora E Lewis; Michael C Nevitt; David T Felson; Tuhina Neogi; James C Torner

doi:10.1002/acr2.90043

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Health-Related Behaviors Associated With Knee Pain Increase: A Longitudinal Community-Based Cohort Study That Examines Osteoarthritis

Journal article

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Health-Related Behaviors Associated With Knee Pain Increase: A Longitudinal Community-Based Cohort Study That Examines Osteoarthritis

Morgan L Wolff, Sarah H Nash, Cora E Lewis, Michael C Nevitt, David T Felson, Tuhina Neogi and James C Torner

ACR open rheumatology, Vol.8(5), e90043

05/2026

DOI: 10.1002/acr2.90043

PMCID: PMC13126612

PMID: 42053163

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Abstract

To understand the impact of lifestyle changes on osteoarthritis outcomes during the COVID-19 pandemic in a group of older Midwestern adults. We conducted a cross-sectional mailed survey in May of 2022 among participants of the Multicenter Osteoarthritis Study (MOST) in participants that completed their prior clinic visit. We assessed the perceived changes in health behaviors and barriers/facilitators to healthy eating and physical activity from before to during the COVID-19 pandemic. We used a generalized estimating equation to model knee-level pain increase from a previous survey, as a function of demographic variables and changes in behavioral factors. We surveyed 502 MOST participants. There were significant differences in perceived health-related behaviors and barriers/facilitators to healthy eating and physical activity associated with knee-level pain increase during the COVID-19 pandemic. After multivariable-adjustment, increased knee-level pain was positively associated with previous frequent knee pain and use of weight control products. Changes in perceived health-related behaviors and barriers/facilitators to healthy eating and physical activity, along with previous osteoarthritis disease status, may impact knee pain in older adults. These results may be informative to promote health among older adults with and without osteoarthritis during future times of generalized stress.

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Details

Title: Subtitle: Health-Related Behaviors Associated With Knee Pain Increase: A Longitudinal Community-Based Cohort Study That Examines Osteoarthritis
Creators: Morgan L Wolff - University of Iowa
Sarah H Nash - University of Iowa
Cora E Lewis - University of Alabama at Birmingham
Michael C Nevitt - University of California, San Francisco
David T Felson - Boston University
Tuhina Neogi - Boston University
James C Torner - University of Iowa
Resource Type: Journal article
Publication Details: ACR open rheumatology, Vol.8(5), e90043
DOI: 10.1002/acr2.90043
PMID: 42053163
PMCID: PMC13126612
NLM abbreviation: ACR Open Rheumatol
ISSN: 2578-5745
eISSN: 2578-5745
Publisher: Wiley
Grant note: U01 AG018832 / NIA NIH HHS U01 AG018947 / NIA NIH HHS P30 AR072571 / NIAMS NIH HHS P30-AR072571 / NIAMS NIH HHS U01 AG019069 / NIA NIH HHS U01-AG-18947 / NIA NIH HHS U01-AG18832 / NIA NIH HHS K24 AR070892 / NIAMS NIH HHS U01-AG-18820 / NIA NIH HHS U19 AG076471 / NIA NIH HHS
Language: English
Date published: 05/2026
Academic Unit: Neurology; Epidemiology; Surgery; Injury Prevention Research Center; Neurosurgery; Community and Behavioral Health
Record Identifier: 9985157521102771

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