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What proportion of people with hip and knee osteoarthritis meet physical activity guidelines? A systematic review and meta-analysis
Open accessAbstract
Objective To determine the proportion of people with hip and knee osteoarthritis that meet physical activity guidelines recommended for adults and older adults.Method Systematic review with meta-analysis of studies measuring physical activity of participants with hip and knee osteoarthritis using an activity monitor. Physical activity levels were calculated using the mean average [95% confidence interval (CI)] weighted according to sample size. Meta-analyses determined the proportion of people meeting physical activity guidelines and recommendations of (1) ≥150 min per week of moderate to vigorous physical activity (MVPA) in bouts of ≥10 min; (2) ≥150 min per week of MVPA in absence of bouts; (3) ≥10,000 steps per day and ≥7000 steps per day. The Grades of Research, Assessment, Development and Evaluation (GRADE) approach was used to determine the quality of the evidence.Results For knee osteoarthritis, 21 studies involving 3266 participants averaged 50 min per week (95% CI = 46, 55) of MVPA when measured in bouts of ≥10 min, 131 min per week (95% CI = 125, 137) of MVPA, and 7753 daily steps (95% CI = 7582, 7924). Proportion meta-analyses provided high quality evidence that 13% (95% CI = 7, 20) completed ≥150 min per week of MVPA in bouts of ≥10 min, low quality evidence that 41% (95% CI = 23, 61) completed ≥150 min per week of MVPA in absence of bouts, moderate quality evidence that 19% (95% CI = 8, 33) completed ≥10,000 steps per day, and low quality evidence that 48% (95% CI = 31, 65) completed ≥7000 steps per day. For hip osteoarthritis, 11 studies involving 325 participants averaged 160 min per week (95% CI = 114, 216) of MVPA when measured in bouts of ≥10 min, 189 min per week (95% CI = 166, 212) of MVPA, and 8174 daily steps (95% CI = 7670, 8678). Proportion meta-analyses provided low quality evidence that 58% (95% CI = 18, 92) completed ≥150 min per week of MVPA in absence of bouts, low quality evidence that 30% (95% CI = 13, 50) completed ≥10,000 steps per day, and low quality evidence that 60% (95% CI = 47, 73) completed ≥7000 steps per day.Conclusion A small to moderate proportion of people with knee and hip osteoarthritis met physical activity guidelines and recommended daily steps. Future research should establish the effects of increasing physical activity in this population to meet the current physical activity guidelines.
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“however, participation in physical activity is very low in this population.”
From A Community-Based Physical Activity Counselling Program for People With Knee Osteoarthritis: Feasibility and Preliminary Efficacy of the Track-OA Study (2017) · cites this paper as [10]
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“These findings concur with a 2013 systematic review that found that only 13% of people with OA met physical activity guidelines [10].”
From A Community-Based Physical Activity Counselling Program for People With Knee Osteoarthritis: Feasibility and Preliminary Efficacy of the Track-OA Study (2017) · cites this paper as [10]
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Osteoarthritis and mortality: A prospective cohort study and systematic review with meta-analysis
Veronese, N., Cereda, E., Maggi, S., Luchini, C., Solmi, M., Smith, T. O., Denkinger, M. D., Hurley, M., Thompson, T., Manzato, E., et al. (2016) · Seminars in Arthritis and Rheumatism · doi:10.1016/j.semarthrit.2016.04.002 · Cited by 211
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Metadata
- Authors
- Wallis, J. A., Webster, K. E., Levinger, P., & Taylor, N. F.
- Affiliations
- La Trobe University (AU)
- Victoria University (AU)
- Corresponding author
- Wallis, J.A.
- Venue
- Osteoarthritis and Cartilage
- Publisher
- Elsevier BV
- Published
- 2013-11
- Volume
- 21
- Issue
- 11
- Pages
- 1648-1659
- ISSN
- 1063-4584 (ISSN-L)
- OpenAlex
- W2060995792
- Cited by
- 328
- References
- 63
- Citations by year
- 2026: 19 · 2025: 31 · 2024: 33 · 2023: 26 · 2022: 39 · 2021: 45 · 2020: 33 · 2019: 21 · 2018: 32 · 2017: 15 · 2016: 14 · 2015: 10 · 2014: 9
- FWCI
- 1.21
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Osteoarthritis and Cartilage (publishedVersion)
- PubMed (publishedVersion)
- Victoria University Research Repository (Victoria University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Rheumatology › Osteoarthritis Treatment and Mechanisms
- Keywords
- hip osteoarthritis, knee osteoarthritis, physical activity guidelines, moderate-to-vigorous physical activity, step count, physical activity monitoring, wearable activity trackers, guideline adherence, older adults, sedentary behavior, physical activity interventions, quality of life
- MeSH terms
- Humans, Motor Activity, Patient Compliance, Osteoarthritis, Hip, Practice Guidelines as Topic, Monitoring, Ambulatory, Osteoarthritis, Knee
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