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Daily pain catastrophizing predicts less physical activity and more sedentary behavior in older adults with osteoarthritis
Open accessAbstract
Musculoskeletal disorders such as knee osteoarthritis (OA) are the primary cause of chronic pain in older adults. Recommended self-management strategies for knee OA include staying physically active in the face of pain, but many patients avoid activities they are capable of doing. The overall purpose of this study was to examine the extent to which daily pain catastrophizing, a maladaptive coping strategy, could influence OA patients' physical activity and sedentary behavior. The current study used data from 143 older knee OA patients who completed electronic daily diaries for 22 days and wore an accelerometer to capture physical activity and sedentary behavior. At the beginning of each day, patients reported their pain catastrophizing regarding the day ahead. Results from multilevel models demonstrated that on mornings when patients catastrophized more than usual about their pain in the day ahead, they spent more time in sedentary behavior and engaged in fewer minutes of moderate to vigorous physical activity that day. Cross-day lagged analyses further showed that the effect of morning pain catastrophizing on subsequent sedentary behavior extended to the next day. More time spent in sedentary behavior, in turn, contributed to greater pain catastrophizing the next morning. These findings support the mechanistic role of daily pain catastrophizing in the avoidance of physical activity for older OA patients, and suggest that effective interventions for pain catastrophizing may also reduce sedentary behavior and enhance physical activity, with longer-term benefits for pain management, physical function, and overall health.
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“Pain catastrophizing is associated with reduced physical activity and avoidance of movement, both of which are known to exacerbate central sensitization.42–44”
From Acceptance and commitment therapy for prevention of chronic pain after total knee arthroplasty. (2026) · cites this paper as [44]
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“Bae et al. (2017) and Zhaoyang et al. (2020) also reported that older people have reduced physical wellbeing.”
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Association Between Occurrence of Knee Osteoarthritis and Physical Activity in Older Adults
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“…Picavet et al., 2002; Sullivan et al., 2000), increased use of analgesics (Altan et al., 2019; Elphinston et al., 2022), reduced participation in daily activities (Zhaoyang et al., 2020), and greater susceptibility to injury and low resilience (Arbinaga & Bernal-López, 2023), among other issues.”
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“The relationship between pain relief and SB is bidirectiona 9 l. Studies 44 indicate that knee osteoarthritis patients may experience temporary pain relief shortly after sitting.”
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“In 9 studies, 19,30,31,36,38,39,43–45 participants were required to complete three assessments per day.”
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Metadata
- Authors
- Zhaoyang, R., Martire, L. M., & Darnall, B. D.
- Affiliations
- Pennsylvania State University (US)
- Stanford Medicine (US)
- Corresponding author
- Zhaoyang, Ruixue
- Venue
- Pain
- Published
- 2020-06-15
- Volume
- 161
- Issue
- 11
- Pages
- 2603-2610
- ISSN
- 0304-3959 (ISSN-L)
- 1872-6623
- PMC
- PMC7572728
- OpenAlex
- W3036178370
- Cited by
- 105
- References
- 50
- Citations by year
- 2026: 16 · 2025: 17 · 2024: 27 · 2023: 20 · 2022: 8 · 2021: 15 · 2020: 2
- FWCI
- 6.75
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (R01AG026010, R01AG063241, R03AG067006)
- National Center for Complementary and Integrative Health (R01AT008561)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Keywords
- pain catastrophizing, knee osteoarthritis, older adults, physical activity, sedentary behavior, activity avoidance, maladaptive coping, chronic pain, self-management, accelerometer-measured activity
- MeSH terms
- Aged, Female, Humans, Male, Middle Aged, Prospective Studies, Exercise, Osteoarthritis, Knee, Sedentary Behavior, Catastrophization
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