Osteoarthritis

Changes in physical activity and the association between pain and physical activity – a longitudinal analysis of 17,454 patients with knee or hip osteoarthritis from the GLA:D® registry

Osteoarthritis CartilagePublished Longitudinal registry study

Authors' conclusion

In low active knee or hip OA patients, a third of patients participating in an education and exercise therapy program reached and maintained at least a moderate physical activity level for 1 year. The improvement in physical activity was not dependent on pain reduction.

Study context

Population
Patients with knee/hip OA in the GLA:D® registry following an 8-week education and exercise therapy program4,836 low activity at baseline
Participants
17,454 patients
Exposure
Low activity vs All
  • Alln = 17,454
Outcome
Change in physical activity level (UCLA activity scale 1-10: low 1-4, moderate 5-6, high 7-10)
Follow-up
Immediately after completion and 12 months
Methodological detailsasymmetric fixed effects regression models
  • Asymmetric fixed effects regression models

Main finding

As reported in the abstract

Reached or maintained at least moderate physical activity level at follow-ups

Observational data: associations, not effects.

Further findings

Association of clinically relevant change in pain (≥15 mm VAS) with increased physical activity, baseline to 12 months

Low activity: pain improvement, β
1.44, P < 0.001
Low activity: pain worsening, β
1.18, P < 0.001
All patients: pain improvement, β
0.51, P < 0.001
All patients: pain worsening, β
0.11, P = 0.215

Original publication

Changes in physical activity and the association between pain and physical activity – a longitudinal analysis of 17,454 patients with knee or hip osteoarthritis from the GLA:D® registry. Osteoarthritis Cartilage. Published 19 October 2022. doi:10.1016/j.joca.2022.09.012

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