Osteoarthritis

The Relation of Within‐Day Physical Activity Patterns With All‐Cause Mortality in Adults With Knee Osteoarthritis: Findings From the Osteoarthritis Initiative

Arthritis Care Res (Hoboken)Published Secondary analysis of the Osteoarthritis Initiative

Primary result · All-cause mortalityResult — go to the resultAdjusted hazard ratio 2.09 95% CI 1.15–3.80

Authors' conclusion

Unique within-day patterns of physical activity were associated with risk of death. Those with inactivity in the morning and evening were at increased risk for death.

Study context

Population
Adults with or at high risk for knee osteoarthritis (OA) (Osteoarthritis Initiative)
Participants
1,927 adults
Comparison
Low activity in the morning and evening vs the average activity pattern of the sample
Primary endpoint
All-cause mortality
Follow-up
Up to eight years
Methodological detailsmultidimensional (14-hour) multilevel (4-day) functional principal component analysis of accelerometer data, Cox proportional hazards regression
  • Multidimensional (14-hour) multilevel (4-day) functional principal component analysis of accelerometer data
  • Cox proportional hazards regression

Primary result

As reported in the abstract

Adjusted hazard ratio

2.09

95% CI 1.15–3.80

Low morning and evening activityvs Average activity pattern
aHR 2.09 (95% CI 1.15–3.80)

Further findings

Within-day activity patterns identified

Four primary within-day activity patterns accounting for around 82% of sample variability

Original publication

The Relation of Within‐Day Physical Activity Patterns With All‐Cause Mortality in Adults With Knee Osteoarthritis: Findings From the Osteoarthritis Initiative. Arthritis Care Res (Hoboken). Published 8 April 2026. doi:10.1002/acr.70024

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