Osteoarthritis

Association Between Depressive Symptoms and Self-Reported Physical Activity in Persons With Knee Osteoarthritis

J RheumatolPublished Longitudinal cohort study

Main finding · PASE z score over timeResult — go to the resultβ −0.09 95% CI −0.20 to 0.01

Authors' conclusion

Depressive symptoms may contribute to worse self-reported PA levels in persons with KOA.

Study context

Population
Osteoarthritis Initiative participants with radiographic knee OA (Kellgren-Lawrence grade ≥ 2)
Participants
2,602 participants
Exposure
Depressive symptoms vs none
Outcome
Self-reported physical activity (PA) (PASE z scores) over time
Follow-up
First 4 visits
Methodological detailsmarginal structural models controlling for time-invariant and time-varying confounders
  • Marginal structural models controlling for time-invariant and time-varying confounders

Main finding

PASE z score over time

β

−0.09

95% CI −0.20 to 0.01

As reported in the abstract

Observational data: associations, not effects.

Further findings

Outcomeβ (95% CI)
PASE z score by visit (depressive symptoms-by-time interactions) · visits 1–4Depressive symptoms vs No depressive symptoms · visit 1 · relationship nonlinear from first to fourth follow-up visit−0.18 (−0.33 to −0.02)
PASE z score by visit (depressive symptoms-by-time interactions) · visits 1–4Depressive symptoms vs No depressive symptoms · visit 2 · relationship nonlinear from first to fourth follow-up visit−0.05 (−0.22 to 0.11)
PASE z score by visit (depressive symptoms-by-time interactions) · visits 1–4Depressive symptoms vs No depressive symptoms · visit 3 · relationship nonlinear from first to fourth follow-up visit−0.01 (−0.19 to 0.16)
PASE z score by visit (depressive symptoms-by-time interactions) · visits 1–4Depressive symptoms vs No depressive symptoms · visit 4 · relationship nonlinear from first to fourth follow-up visit−0.11 (−0.29 to 0.08)

Physical Activity Scale for the Elderly (PASE) z score by visit (depressive symptoms-by-time interactions) · visits 1–4

Interaction terms not statistically significant

Original publication

Association Between Depressive Symptoms and Self-Reported Physical Activity in Persons With Knee Osteoarthritis. J Rheumatol. Published 15 February 2025. doi:10.3899/jrheum.2024-0940

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