膝骨关节炎患者的基线体育活动参与与参与者特征和教育和运动治疗后的结果的相关性:GLA:D®澳大利亚前瞻性队列研究。

IF 1.5 Q3 RHEUMATOLOGY Musculoskeletal Care Pub Date : 2023-12-01 Epub Date: 2023-10-05 DOI:10.1002/msc.1828
Emily C Bell, Marcella F Pazzinatto, Jason A Wallis, Joanne L Kemp, Søren T Skou, Paul O'Halloran, Kay M Crossley, Danilo De Oliveira Silva, Adam I Semciw, Karen Dundules, Christian J Barton
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引用次数: 1

摘要

目的:调查在基线时被归类为“更多”或“更少”体力活动的膝骨关节炎参与者在基线时以及在教育和运动治疗计划开始后的3个月和12个月时的特征和/或结果是否不同。方法:使用GLA:D®澳大利亚注册中心的前瞻性队列研究。加州大学洛杉矶分校体育活动量表(UCLA)参与者数据分为“更多”(≥7)或“更少”(≤6)。使用卡方(肥胖[仅限基线]、共病患病率、药物消耗、对体育活动损伤的恐惧)对各组进行比较;以及线性混合模型回归(12项损伤性骨关节炎结果评分[KOOS-12]、疼痛[视觉模拟量表]、健康相关生活质量[QoL][EQ-5D-5L])统计,根据年龄、性别和3个月和12个月时的基线体力活动进行调整。结果:我们包括1059名参与者(70%为女性)。在基线时,267人(25%)被归类为“更活跃”,在3个月和12个月时分别增加到29%和30%。在基线时,与“较少”活动组相比,“较多”活动组的参与者肥胖(“较多”=21%,“较少”=44%)、有合并症(58%对74%)和服用药物(71%对85%)的比例较低;较低的疼痛强度(37对47);以及更高的KOOS-12(59对50)和健康相关的生活质量(0.738对0.665)得分。考虑到年龄、性别和基线体力活动,在3个月或12个月时,两组之间膝盖相关负担和健康相关生活质量的改善没有差异。与“较少”活动组相比,“较多”活动组在3个月(“较多”45%对“较少”28%)和12个月(43%对32%)时不服用药物的参与者比例仍然较高,在所有时间点,与“不太活跃”的参与者相比,健康相关的生活质量更高。
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Association of baseline physical activity participation with participant characteristics and outcomes following education and exercise-therapy in people with knee osteoarthritis: A GLA:D® Australia prospective cohort study.

Objectives: To investigate whether participants with knee osteoarthritis classified as 'more' or 'less' physically active at baseline differ in characteristics and/or outcomes at baseline and at 3 and 12 months following the commencement of an education and exercise-therapy program.

Methods: Prospective cohort study using the GLA:D® Australia registry. The University of California, Los Angeles Physical Activity Scale (UCLA) participant data dichotomised as 'more' (≥7) or 'less' active (≤6). Groups were compared using chi-square (obesity [baseline only], comorbidity prevalence, medication consumption, fear of damage from physical activity); and linear mixed model regression (12-item Injury Osteoarthritis Outcome Score [KOOS-12], pain [visual analogue scale], health-related quality of life [QoL] [EQ-5D-5L]) statistics, adjusted for age, sex and baseline physical activity at 3 and 12 months.

Results: We included 1059 participants (70% female). At baseline, 267 (25%) were classified as 'more' active, increasing to 29% and 30% at 3 and 12 months, respectively. At baseline, compared to the 'less' active group, the 'more' active group had a lower proportion of participants who were obese ('more' = 21% vs. 'less' = 44%), had comorbidities (58% vs. 74%) and consumed medications (71% vs. 85%); lower pain intensity (37 vs. 47); and higher KOOS-12 (59 vs. 50), and health-related QoL (0.738 vs. 0.665) scores. When accounting for age, sex and baseline physical activity, improvements seen in knee-related burden and health-related QoL were not different between groups at 3 or 12 months. Compared to the 'less' active group, the proportion of participants not consuming medication remained higher in the 'more' active group at 3 ('more' 45% vs. 'less' 28%) and 12 months (43% vs. 32%).

Conclusion: 'More' active people with knee osteoarthritis were less likely to be obese, had fewer comorbidities, lower medication consumption, knee-related burden and pain intensity, and higher health-related QoL than 'less' active participants at all timepoints.

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来源期刊
Musculoskeletal Care
Musculoskeletal Care RHEUMATOLOGY-
CiteScore
2.30
自引率
7.70%
发文量
88
期刊介绍: Musculoskeletal Care is a peer-reviewed journal for all health professionals committed to the clinical delivery of high quality care for people with musculoskeletal conditions and providing knowledge to support decision making by professionals, patients and policy makers. This journal publishes papers on original research, applied research, review articles and clinical guidelines. Regular topics include patient education, psychological and social impact, patient experiences of health care, clinical up dates and the effectiveness of therapy.
期刊最新文献
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