Association of physical activity with physical function and quality of life in people with hip and knee osteoarthritis: longitudinal analysis of a population-based cohort

被引:10
作者
Lopes, David G. [1 ,2 ]
Costa, Daniela [1 ,2 ,3 ]
Cruz, Eduardo B. [2 ,4 ]
Mendonca, Nuno [1 ,2 ]
Henriques, Ana Rita [1 ,2 ]
Branco, Jaime [1 ,2 ,5 ]
Canhao, Helena [1 ,2 ]
Rodrigues, Ana M. [1 ,2 ,6 ]
机构
[1] Univ Nova Lisboa, NOVA Med Sch, EpiDoC Unit, NMS,FCM,Fac Ciencias Med, Edificio Amarelo,Rua Inst Bacteriol 5, P-1150082 Lisbon, Portugal
[2] Univ Nova Lisboa, NOVA Med Sch, CHRC, NMS,FCM,Fac Ciencias Med, Lisbon, Portugal
[3] Univ Nova Lisboa, Publ Hlth Res Ctr, NOVA Natl Sch Publ Hlth, Lisbon, Portugal
[4] Polytech Inst Setubal, Sch Hlth, Physiotherapy Dept, Setubal, Portugal
[5] Hosp Egas Moniz, Ctr Hosp Lisboa Ocidental CHLO EPE, Serv Reumatol, Lisbon, Portugal
[6] Hosp Lusiadas, Rheumatol Unit, Lisbon, Portugal
关键词
Osteoarthritis; Health-related quality of life; Physical function; Exercise; Longitudinal;
D O I
10.1186/s13075-023-02996-x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Hip and knee osteoarthritis (HKOA) is a chronic disease characterized by joint pain that leads to reduced physical function and health-related quality of life (HRQoL). At present, no cure is available. Clinical trials indicate that people with HKOA benefit from physical activity in several health-related outcomes. However, few studies have evaluated the long-term positive effect of regular physical activity. This study analyzed participants with HKOA from a nationwide population-based cohort (EpiDoC Cohort) to assess the impact of physical activity on patients' physical function and HRQoL over a long-term follow-up. The regular weekly frequency of intentional physical activity was self-reported as non-frequent (0 times/week), frequent (1-2 times/week), or very frequent (>= 3 times/week). This study followed 1086 participants over a mean period of 4.7 +/- 3.4 years, during which 6.3% and 14.9% of participants reported frequent and very frequent physical activity, respectively. Using linear mixed models, we found that frequent (beta = - 0.101 [- 0.187, - 0.016]; beta = 0.039 [- 0.002, 0.080]) and very frequent physical activity (beta = - 0.061 [- 0.118, - 0.004]; beta = 0.057 [0.029, 0.084]) were associated with improved physical function and HRQoL over time, respectively, when compared with non-frequent exercise, adjusting for years to baseline, sex, age, years of education, body mass index, multimorbidity, hospitalizations, clinical severity, and unmanageable pain levels. These findings raise awareness of the importance of maintaining exercise/physical activity long term to optimize HRQoL and physical function. Further studies must address barriers and facilitators to improve the adoption of regular physical activity among citizens with HKOA.
引用
收藏
页数:10
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