Osteoarthritis
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,
Corresponding Author
Daniel K. White
Boston University, Boston, Massachusetts
Boston University, Clinical Epidemiology Research and Training Unit, 650 Albany Street, X Building, Suite 200, Boston, MA 02118Search for more papers by this authorCatrine Tudor-Locke
Pennington Biomedical Research Center, Baton Rouge, Louisiana
Search for more papers by this authorK. Douglas Gross
Massachusetts General Hospital Institute of Health Professions, Boston
Search for more papers by this authorDaniel K. White,
Catrine Tudor-Locke,
David T. Felson, K. Douglas Gross,
Jingbo Niu, Michael Nevitt, Cora E. Lewis, James Torner, Tuhina Neogi,
Corresponding Author
Daniel K. White
Boston University, Boston, Massachusetts
Boston University, Clinical Epidemiology Research and Training Unit, 650 Albany Street, X Building, Suite 200, Boston, MA 02118Search for more papers by this authorCatrine Tudor-Locke
Pennington Biomedical Research Center, Baton Rouge, Louisiana
Search for more papers by this authorK. Douglas Gross
Massachusetts General Hospital Institute of Health Professions, Boston
Search for more papers by this authorAbstract
Objective
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.
Methods
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.
Results
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.
Conclusion
Disease and pain have little impact on achieving recommended physical activity levels among people with or at high risk of knee OA.
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