Sedentary Behavior, Cadence, and Physical Activity Outcomes after Knee Arthroplasty

PURPOSEThis study comprehensively examined sedentary behaviour and physical activity patterns in people with severe knee osteoarthritis awaiting total knee arthroplasty (TKA) and in individuals after TKA. METHODSPre-operative (n=32, mean ± SD = 69.9 ± 5.3 yr) and one-year post-operative participants...

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Published in:Medicine and science in sports and exercise 2017-06, Vol.49 (6), p.1057-1065
Main Authors: Webber, Sandra C, Strachan, Shaelyn M, Pachu, Navjot S
Format: Article
Language:English
Subjects:
Aged
Arthroplasty, Replacement, Knee
Chronic Pain - etiology
Chronic Pain - prevention & control
Exercise - physiology
Female
Humans
Male
Middle Aged
Osteoarthritis, Knee - physiopathology
Osteoarthritis, Knee - surgery
Postoperative Period
Preoperative Period
Sedentary Lifestyle
Walking Speed - physiology
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cited_by cdi_FETCH-LOGICAL-c4077-4193aa118aa5c31dc5ababd5eecb27d0e887f59050fea45bdca4e8d89281629c3
cites cdi_FETCH-LOGICAL-c4077-4193aa118aa5c31dc5ababd5eecb27d0e887f59050fea45bdca4e8d89281629c3
container_end_page 1065
container_issue 6
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container_title Medicine and science in sports and exercise
container_volume 49
creator Webber, Sandra C
Strachan, Shaelyn M
Pachu, Navjot S
description PURPOSEThis study comprehensively examined sedentary behaviour and physical activity patterns in people with severe knee osteoarthritis awaiting total knee arthroplasty (TKA) and in individuals after TKA. METHODSPre-operative (n=32, mean ± SD = 69.9 ± 5.3 yr) and one-year post-operative participants with TKA (n=38, 67.9 ± 7.3 yr) wore ActiGraph GT3X+ activity monitors for 6.8 ± 0.6 days. Total sedentary time, time in long sedentary bouts (≥ 30 min) and physical activity outcomes (steps, time in moderate-to-vigorous physical activity [MVPA], cadence) were examined. RESULTSThere were no differences between pre- and post-operative groups for total sedentary time (9.3 ± 1.4 hours per day vs. 9.2 ± 1.4, P=0.62) and number of long sedentary bouts per day (median [interquartile range] = 3.4 [1.9] vs. 3.1 [2.0], P=0.37). Daily steps, peak 30-min cadence, and peak 1-min cadence values were greater in people after TKA compared to those awaiting surgery (5935 [3316] vs. 3724 [2338], 55.6 [31.0] vs. 35.9 [19.3] and 91.5 ± 20.6 vs. 70.0 ± 23.7 respectively, all P
doi_str_mv 10.1249/MSS.0000000000001207
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METHODSPre-operative (n=32, mean ± SD = 69.9 ± 5.3 yr) and one-year post-operative participants with TKA (n=38, 67.9 ± 7.3 yr) wore ActiGraph GT3X+ activity monitors for 6.8 ± 0.6 days. Total sedentary time, time in long sedentary bouts (≥ 30 min) and physical activity outcomes (steps, time in moderate-to-vigorous physical activity [MVPA], cadence) were examined. RESULTSThere were no differences between pre- and post-operative groups for total sedentary time (9.3 ± 1.4 hours per day vs. 9.2 ± 1.4, P=0.62) and number of long sedentary bouts per day (median [interquartile range] = 3.4 [1.9] vs. 3.1 [2.0], P=0.37). Daily steps, peak 30-min cadence, and peak 1-min cadence values were greater in people after TKA compared to those awaiting surgery (5935 [3316] vs. 3724 [2338], 55.6 [31.0] vs. 35.9 [19.3] and 91.5 ± 20.6 vs. 70.0 ± 23.7 respectively, all P &lt;0.01). There were no differences in Lifestyle MVPA between groups. The number of bouts of Freedson MVPA were greater in post-operative participants but the differences were not substantial (1 bout per week). CONCLUSIONPatients report less knee pain and improved function after TKA, however, sedentary behaviour does not differ and physical activity is only marginally increased compared to those awaiting surgery. After TKA, daily walking at slow, moderate and brisk paces and engagement in MVPA do not match levels seen in healthy older adults, which, when combined with high levels of sedentary behaviour, leaves patients at increased risk for physical disability and cardiovascular disease.</description><identifier>ISSN: 0195-9131</identifier><identifier>EISSN: 1530-0315</identifier><identifier>DOI: 10.1249/MSS.0000000000001207</identifier><identifier>PMID: 28099297</identifier><language>eng</language><publisher>United States: American College of Sports Medicine</publisher><subject>Aged ; Arthroplasty, Replacement, Knee ; Chronic Pain - etiology ; Chronic Pain - prevention &amp; control ; Exercise - physiology ; Female ; Humans ; Male ; Middle Aged ; Osteoarthritis, Knee - physiopathology ; Osteoarthritis, Knee - surgery ; Postoperative Period ; Preoperative Period ; Sedentary Lifestyle ; Walking Speed - physiology</subject><ispartof>Medicine and science in sports and exercise, 2017-06, Vol.49 (6), p.1057-1065</ispartof><rights>2017 American College of Sports Medicine</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4077-4193aa118aa5c31dc5ababd5eecb27d0e887f59050fea45bdca4e8d89281629c3</citedby><cites>FETCH-LOGICAL-c4077-4193aa118aa5c31dc5ababd5eecb27d0e887f59050fea45bdca4e8d89281629c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28099297$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Webber, Sandra C</creatorcontrib><creatorcontrib>Strachan, Shaelyn M</creatorcontrib><creatorcontrib>Pachu, Navjot S</creatorcontrib><title>Sedentary Behavior, Cadence, and Physical Activity Outcomes after Knee Arthroplasty</title><title>Medicine and science in sports and exercise</title><addtitle>Med Sci Sports Exerc</addtitle><description>PURPOSEThis study comprehensively examined sedentary behaviour and physical activity patterns in people with severe knee osteoarthritis awaiting total knee arthroplasty (TKA) and in individuals after TKA. METHODSPre-operative (n=32, mean ± SD = 69.9 ± 5.3 yr) and one-year post-operative participants with TKA (n=38, 67.9 ± 7.3 yr) wore ActiGraph GT3X+ activity monitors for 6.8 ± 0.6 days. Total sedentary time, time in long sedentary bouts (≥ 30 min) and physical activity outcomes (steps, time in moderate-to-vigorous physical activity [MVPA], cadence) were examined. RESULTSThere were no differences between pre- and post-operative groups for total sedentary time (9.3 ± 1.4 hours per day vs. 9.2 ± 1.4, P=0.62) and number of long sedentary bouts per day (median [interquartile range] = 3.4 [1.9] vs. 3.1 [2.0], P=0.37). Daily steps, peak 30-min cadence, and peak 1-min cadence values were greater in people after TKA compared to those awaiting surgery (5935 [3316] vs. 3724 [2338], 55.6 [31.0] vs. 35.9 [19.3] and 91.5 ± 20.6 vs. 70.0 ± 23.7 respectively, all P &lt;0.01). There were no differences in Lifestyle MVPA between groups. The number of bouts of Freedson MVPA were greater in post-operative participants but the differences were not substantial (1 bout per week). CONCLUSIONPatients report less knee pain and improved function after TKA, however, sedentary behaviour does not differ and physical activity is only marginally increased compared to those awaiting surgery. After TKA, daily walking at slow, moderate and brisk paces and engagement in MVPA do not match levels seen in healthy older adults, which, when combined with high levels of sedentary behaviour, leaves patients at increased risk for physical disability and cardiovascular disease.</description><subject>Aged</subject><subject>Arthroplasty, Replacement, Knee</subject><subject>Chronic Pain - etiology</subject><subject>Chronic Pain - prevention &amp; control</subject><subject>Exercise - physiology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Osteoarthritis, Knee - physiopathology</subject><subject>Osteoarthritis, Knee - surgery</subject><subject>Postoperative Period</subject><subject>Preoperative Period</subject><subject>Sedentary Lifestyle</subject><subject>Walking Speed - physiology</subject><issn>0195-9131</issn><issn>1530-0315</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp9kE1LxDAQhoMoun78A5EcPVjNNI1JjuviFyoKq-cyTae02t2uSarsv7eyKuLBuQwMzzvDPIztgziGNLMnd9PpsfhVkAq9xkagpEiEBLXORgKsSixI2GLbITwPkJYSNtlWaoS1qdUjNp1SSfOIfsnPqMa3pvNHfILDzNERx3nJH-plaBy2fOxi89bEJb_vo-tmFDhWkTy_mRPxsY-17xYthrjcZRsVtoH2vvoOe7o4f5xcJbf3l9eT8W3iMqF1koGViAAGUTkJpVNYYFEqIlekuhRkjK6UFUpUhJkqSocZmdLY1MBpap3cYYervQvfvfYUYj5rgqO2xTl1fcjBnILSWup0QLMV6nwXgqcqX_hmNnydg8g_deaDzvyvziF28HWhL2ZU_oS-_Q2AWQHvXTu4CC9t_04-rwnbWP-_-wPbLoGk</recordid><startdate>20170601</startdate><enddate>20170601</enddate><creator>Webber, Sandra C</creator><creator>Strachan, Shaelyn M</creator><creator>Pachu, Navjot S</creator><general>American College of Sports Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170601</creationdate><title>Sedentary Behavior, Cadence, and Physical Activity Outcomes after Knee Arthroplasty</title><author>Webber, Sandra C ; Strachan, Shaelyn M ; Pachu, Navjot S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4077-4193aa118aa5c31dc5ababd5eecb27d0e887f59050fea45bdca4e8d89281629c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Arthroplasty, Replacement, Knee</topic><topic>Chronic Pain - etiology</topic><topic>Chronic Pain - prevention &amp; control</topic><topic>Exercise - physiology</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Osteoarthritis, Knee - physiopathology</topic><topic>Osteoarthritis, Knee - surgery</topic><topic>Postoperative Period</topic><topic>Preoperative Period</topic><topic>Sedentary Lifestyle</topic><topic>Walking Speed - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Webber, Sandra C</creatorcontrib><creatorcontrib>Strachan, Shaelyn M</creatorcontrib><creatorcontrib>Pachu, Navjot S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Medicine and science in sports and exercise</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Webber, Sandra C</au><au>Strachan, Shaelyn M</au><au>Pachu, Navjot S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sedentary Behavior, Cadence, and Physical Activity Outcomes after Knee Arthroplasty</atitle><jtitle>Medicine and science in sports and exercise</jtitle><addtitle>Med Sci Sports Exerc</addtitle><date>2017-06-01</date><risdate>2017</risdate><volume>49</volume><issue>6</issue><spage>1057</spage><epage>1065</epage><pages>1057-1065</pages><issn>0195-9131</issn><eissn>1530-0315</eissn><abstract>PURPOSEThis study comprehensively examined sedentary behaviour and physical activity patterns in people with severe knee osteoarthritis awaiting total knee arthroplasty (TKA) and in individuals after TKA. METHODSPre-operative (n=32, mean ± SD = 69.9 ± 5.3 yr) and one-year post-operative participants with TKA (n=38, 67.9 ± 7.3 yr) wore ActiGraph GT3X+ activity monitors for 6.8 ± 0.6 days. Total sedentary time, time in long sedentary bouts (≥ 30 min) and physical activity outcomes (steps, time in moderate-to-vigorous physical activity [MVPA], cadence) were examined. RESULTSThere were no differences between pre- and post-operative groups for total sedentary time (9.3 ± 1.4 hours per day vs. 9.2 ± 1.4, P=0.62) and number of long sedentary bouts per day (median [interquartile range] = 3.4 [1.9] vs. 3.1 [2.0], P=0.37). Daily steps, peak 30-min cadence, and peak 1-min cadence values were greater in people after TKA compared to those awaiting surgery (5935 [3316] vs. 3724 [2338], 55.6 [31.0] vs. 35.9 [19.3] and 91.5 ± 20.6 vs. 70.0 ± 23.7 respectively, all P &lt;0.01). There were no differences in Lifestyle MVPA between groups. The number of bouts of Freedson MVPA were greater in post-operative participants but the differences were not substantial (1 bout per week). CONCLUSIONPatients report less knee pain and improved function after TKA, however, sedentary behaviour does not differ and physical activity is only marginally increased compared to those awaiting surgery. After TKA, daily walking at slow, moderate and brisk paces and engagement in MVPA do not match levels seen in healthy older adults, which, when combined with high levels of sedentary behaviour, leaves patients at increased risk for physical disability and cardiovascular disease.</abstract><cop>United States</cop><pub>American College of Sports Medicine</pub><pmid>28099297</pmid><doi>10.1249/MSS.0000000000001207</doi><tpages>9</tpages></addata></record>
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subjects Aged
Arthroplasty, Replacement, Knee
Chronic Pain - etiology
Chronic Pain - prevention & control
Exercise - physiology
Female
Humans
Male
Middle Aged
Osteoarthritis, Knee - physiopathology
Osteoarthritis, Knee - surgery
Postoperative Period
Preoperative Period
Sedentary Lifestyle
Walking Speed - physiology
title Sedentary Behavior, Cadence, and Physical Activity Outcomes after Knee Arthroplasty
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