When it hurts, a positive attitude may help: association of positive affect with daily walking in knee osteoarthritis. Results from a multicenter longitudinal cohort study

Daniel K White; Julie J Keysor; Tuhina Neogi; David T Felson; Michael LaValley; K Doug Gross; Jingbo Niu; Michael Nevitt; Cora E Lewis; Jim Torner; Lisa Fredman

doi:10.1002/acr.21694

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When it hurts, a positive attitude may help: association of positive affect with daily walking in knee osteoarthritis. Results from a multicenter longitudinal cohort study

Journal article

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Peer reviewed

When it hurts, a positive attitude may help: association of positive affect with daily walking in knee osteoarthritis. Results from a multicenter longitudinal cohort study

Daniel K White, Julie J Keysor, Tuhina Neogi, David T Felson, Michael LaValley, K Doug Gross, Jingbo Niu, Michael Nevitt, Cora E Lewis, Jim Torner, …

Arthritis care & research (2010), Vol.64(9), pp.1312-1319

09/2012

DOI: 10.1002/acr.21694

PMCID: PMC3410957

PMID: 22504854

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Abstract

While depressive symptoms and knee pain are independently known to impede daily walking in older adults, it is unknown whether positive affect promotes daily walking. This study investigated this association among adults with knee osteoarthritis (OA) and examined whether knee pain modified this association. This study is a cross-sectional analysis of the Multicenter Osteoarthritis Study. We included 1,018 participants (mean ± SD age 63.1 ± 7.8 years, 60% women) who had radiographic knee OA and had worn a StepWatch monitor to record their number of steps per day. High and low positive affect and depressive symptoms were based on the Center for Epidemiologic Studies Depression Scale. Knee pain was categorized as present in respondents who reported pain on most days at both a clinic visit and a telephone screening. Compared to respondents with low positive affect (27% of all respondents), those with high positive affect (63%) walked a similar number of steps per day, while those with depressive symptoms (10%) walked less (adjusted β -32.6 [95% confidence interval (95% CI) -458.9, 393.8] and -579.1 [95% CI -1,274.9, 116.7], respectively). There was a statistically significant interaction of positive affect by knee pain (P = 0.0045). Among the respondents with knee pain (39%), those with high positive affect walked significantly more steps per day (adjusted β 711.0 [95% CI 55.1, 1,366.9]) than those with low positive affect. High positive affect was associated with more daily walking among adults with painful knee OA. Positive affect may be an important psychological factor to consider for promoting physical activity among people with painful knee OA.

Radiography

Arthralgia - etiology

Multivariate Analysis

Humans

Knee Joint - physiopathology

Middle Aged

Male

Arthralgia - physiopathology

Alabama

Affect

Osteoarthritis, Knee - psychology

Osteoarthritis, Knee - complications

Female

Arthralgia - psychology

Cross-Sectional Studies

Risk Assessment

Osteoarthritis, Knee - diagnosis

Risk Factors

Knee Joint - diagnostic imaging

Linear Models

Arthralgia - diagnosis

Health Knowledge, Attitudes, Practice

Actigraphy - instrumentation

Walking

Iowa

Aged

Osteoarthritis, Knee - physiopathology

Pain Measurement

Longitudinal Studies

Details

Title: Subtitle: When it hurts, a positive attitude may help: association of positive affect with daily walking in knee osteoarthritis. Results from a multicenter longitudinal cohort study
Creators: Daniel K White - Boston University, Massachusetts, USA. dwtbn@bu.edu
Julie J Keysor
Tuhina Neogi
David T Felson
Michael LaValley
K Doug Gross - Boston University
Jingbo Niu
Michael Nevitt
Cora E Lewis
Jim Torner
Lisa Fredman
Resource Type: Journal article
Publication Details: Arthritis care & research (2010), Vol.64(9), pp.1312-1319
DOI: 10.1002/acr.21694
PMID: 22504854
PMCID: PMC3410957
NLM abbreviation: Arthritis Care Res (Hoboken)
ISSN: 2151-464X
eISSN: 2151-4658
Publisher: United States
Grant note: U01 AG018947 / NIA NIH HHS U01 AG019069-01A1 / NIA NIH HHS U01 AG018832 / NIA NIH HHS R01 AG018037-04S1 / NIA NIH HHS R01 AG028556-01A2 / NIA NIH HHS U01 AG019069 / NIA NIH HHS R21 AT002959-01A2 / NCCIH NIH HHS P60 AR047785 / NIAMS NIH HHS R01 AG028556 / NIA NIH HHS U01 AG018820-01A1 / NIA NIH HHS K23 AR055127-01 / NIAMS NIH HHS U01 AG018832-02 / NIA NIH HHS R21 AT002959 / NCCIH NIH HHS K23 AR055127 / NIAMS NIH HHS T32 AR007598 / NIAMS NIH HHS R01 AG018037 / NIA NIH HHS P30 AG031679 / NIA NIH HHS R01 AG028144 / NIA NIH HHS R01 AG028144-01A1 / NIA NIH HHS U01 AG018947-01A1 / NIA NIH HHS U01 AG018820 / NIA NIH HHS
Language: English
Date published: 09/2012
Academic Unit: Epidemiology; Surgery; Injury Prevention Research Center; Neurosurgery
Record Identifier: 9983995161902771

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