707High levels of back disability,but not back pain,are associated with reduced physical activity in women

Abstract Background Although clinical guidelines recommend physical activity for low back pain (LBP), our understanding of the physical activity undertaken by people with LBP is limited. We examined the amounts, intensities and types of physical activity performed by community-based women with different levels of pain and disability. Methods 542 women were invited to participate. Physical activity was measured using the International Physical Activity Questionnaire, and LBP and disability were assessed using the Chronic Pain Grade Questionnaire. Participants were categorised into no/low or high pain intensity and disability groups. Results Women with high levels of back disability performed half the total physical activity of those with no/low levels of back disability (MET(hours/week): median(95%CI)=27.3(13.2-41.4) vs. 53.9(44.9-62.8),p=0.002), including less moderate (17.5(10.4-24.7) vs. 32.1(26.8-37.4),p<0.001) and domestic and gardening activity (14.4(7.2- 21.7) vs. 23.5(19.0-28.0), p = 0.02). Moreover, fewer women with high disability participated in vigorous (3(8.11%) vs. 134(32.0%),OR(95%CI)=0.17(0.04-0.75),p=0.02) and leisure activities (17(45.9%) vs. 294(70.2%),OR(95% CI)=0.44(0.21-0.94),p=0.03) compared to those with no/low disability. There were no differences in physical activity between women with no/low and high pain intensity (all p > 0.05). Conclusions High levels of back disability, but not back pain intensity, were associated with reduced physical activity, including less total activity, moderate and vigorous intense activity, and discretionary activity. Key messages These findings highlight the impact of high levels of disability on physical activity. Further work is needed to determine whether targeting these types and intensities of physical activity will help in reducing back disability.

Download Full-text

High levels of low back disability, but not low back pain intensity, are associated with reduced physical activity: a community-based, cross-sectional study

10.21203/rs.3.rs-74076/v1 ◽

2020 ◽

Author(s):

Bothaina Alyousef ◽

Zeinab Kazemi ◽

Flavia M. Cicuttini ◽

Stephane Heritier ◽

Yuanyuan Wang ◽

...

Keyword(s):

Physical Activity ◽

Low Back Pain ◽

Back Pain ◽

Pain Intensity ◽

Total Activity ◽

Activity Levels ◽

Low Back ◽

Community Based ◽

Cross Sectional ◽

Reduced Physical Activity

Abstract Background Although clinical guidelines recommend physical activity for low back pain (LBP), our understanding of the physical activity undertaken by people with LBP is limited. We examined the amounts, intensities and types of physical activity performed by community-based women with different levels of pain and disability. Methods 542 women were invited to participate. Physical activity was measured using the International Physical Activity Questionnaire, and LBP and disability were assessed using the Chronic Pain Grade Questionnaire. Participants were categorised into no/low or high pain intensity and disability groups. Results Women with high levels of back disability performed half the total physical activity of those with no/low levels of back disability (MET(hours/week): median(95%CI) = 27.3(13.2–41.4) vs. 53.9(44.9–62.8),p = 0.002), including less moderate (17.5(10.4–24.7) vs. 32.1(26.8–37.4),p < 0.001) and domestic and gardening activity (14.4(7.2–21.7) vs. 23.5(19.0–28.0), p = 0.02). Moreover, fewer women with high disability participated in vigorous (3(8.11%) vs. 134(32.0%),OR(95%CI) = 0.17(0.04–0.75),p = 0.02) and leisure activities (17(45.9%) vs. 294(70.2%),OR(95% CI) = 0.44(0.21–0.94),p = 0.03) compared to those with no/low disability. There were no differences in physical activity between women with no/low and high pain intensity (all p > 0.05). Conclusion High levels of back disability, but not back pain intensity, were associated with reduced physical activity, including less total activity, moderate and vigorous intense activity, and discretionary activity. Further work is needed to determine whether targeting these types and intensities of physical activity will help in improving physical activity levels and reducing back disability.

Download Full-text

The impact of participant pathways on the effectiveness of a community-based physical activity intervention grounded in motivational interviewing

10.31219/osf.io/2sxc3 ◽

2020 ◽

Author(s):

Matthew Wade ◽

Nicola Brown ◽

James Steele ◽

Steven Mann ◽

Bernadette Dancy ◽

...

Keyword(s):

Physical Activity ◽

Primary Care ◽

Motivational Interviewing ◽

Social Action ◽

Multilevel Models ◽

Physical Activity Intervention ◽

Mental Wellbeing ◽

Community Based ◽

The Impact ◽

Time Point

Background: Brief advice is recommended to increase physical activity (PA) within primary care. This study assessed change in PA levels and mental wellbeing after a motivational interviewing (MI) community-based PA intervention and the impact of signposting [SP] and Social Action [SA] (i.e. weekly group support) pathways. Methods: Participants (n=2084) took part in a community-based, primary care PA programme using MI techniques. Self-reported PA and mental wellbeing data were collected at baseline (following an initial 30-minute MI appointment), 12-weeks, six-months, and 12-months. Participants were assigned based upon the surgery they attended to the SP or SA pathway. Multilevel models were used to derive point estimates and 95%CIs for outcomes at each time point and change scores. Results: Participants increased PA and mental wellbeing at each follow-up time point through both participant pathways and with little difference between pathways. Retention was similar between pathways at 12-weeks, but the SP pathway retained more participants at six-months and 12-months. Conclusions: Both pathways produced similar improvements in PA and mental wellbeing, suggesting the effectiveness of MI based PA interventions. However, due to lower resources required yet similar effects, SP pathways are recommended over SA to support PA in primary care settings.

Download Full-text

The Effect of Changes to Question Order on the Prevalence of ‘Sufficient’ Physical Activity in an Australian Population Survey

Journal of Physical Activity and Health ◽

10.1123/jpah.10.3.390 ◽

2013 ◽

Vol 10 (3) ◽

pp. 390-396

Author(s):

Christine Hanley ◽

Mitch J. Duncan ◽

W. Kerry Mummery

Keyword(s):

Physical Activity ◽

Binary Logistic Regression ◽

Total Activity ◽

Order Effects ◽

Computer Assisted ◽

Moderate Activity ◽

Question Order ◽

Recreational Walking ◽

Cati Survey ◽

The Impact

Background:Population surveys are frequently used to assess prevalence, correlates and health benefits of physical activity. However, nonsampling errors, such as question order effects, in surveys may lead to imprecision in self reported physical activity. This study examined the impact of modified question order in a commonly used physical activity questionnaire on the prevalence of sufficient physical activity.Methods:Data were obtained from a telephone survey of adults living in Queensland, Australia. A total of 1243 adults participated in the computer-assisted telephone interview (CATI) survey conducted in July 2008 which included the Active Australia Questionnaire (AAQ) presented in traditional or modified order. Binary logistic regression analyses was used to examine relationships between question order and physical activity outcomes.Results:Significant relationships were found between question order and sufficient activity, recreational walking, moderate activity, vigorous activity, and total activity. Respondents who received the AAQ in modified order were more likely to be categorized as sufficiently active (OR = 1.28, 95% CI 1.01−1.60).Conclusions:This study highlights the importance of question order on estimates of self reported physical activity. This study has shown that changes in question order can lead to an increase in the proportion of participants classified as sufficiently active.

Download Full-text

SAT0506 Television Viewing Time, Physical Activity and Low Back Pain in Community-Based Adults: Results from A Prospective Cohort Study

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2016-eular.4648 ◽

2016 ◽

Vol 75 (Suppl 2) ◽

pp. 853.1-853

Author(s):

S.M. Hussain ◽

D.M. Urquhart ◽

Y. Wang ◽

D. Dunstan ◽

J.E. Shaw ◽

...

Keyword(s):

Physical Activity ◽

Cohort Study ◽

Low Back Pain ◽

Back Pain ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Television Viewing ◽

Viewing Time ◽

Low Back ◽

Community Based

Download Full-text

Determining the Long-Term Effectiveness of a Group-Based Physical Activity Program

Health Promotion Practice ◽

10.1177/1524839918769590 ◽

2018 ◽

Vol 20 (3) ◽

pp. 401-408

Author(s):

Anamica Batra ◽

Richard C. Palmer ◽

Elena Bastida ◽

H. Virginia McCoy ◽

Hafiz M. R. Khan

Keyword(s):

Physical Activity ◽

Older Adults ◽

Healthy Aging ◽

Population Level ◽

The United States ◽

South Florida ◽

Community Based ◽

Evidence Based Programs ◽

The Impact

Objective. In 2015, only half (48%) of older adults in the United States (≥60 years) reported engaging in any kind of physical activity. Few studies examine the impact of evidence-based programs when adopted in community-based settings. The purpose of this study is to assess the effectiveness of EnhanceFitness (EF) upto 12-months. Method. EF was offered to older adults in South Florida. A total of 222 EF classes were offered between October 2008 and December 2014. Program consisted of a 1-hour session held three times a week. Even though participation was required for 4 months, 1,295 participants continued the program for at least 1 year. Results. All participants showed significant improvement in outcome measures. A mean change of 1.5, 1.7, and 1.9 was seen in number of chair stands at 4, 8, and 12 months (p < .001), respectively. The number of arm curls performed improved from 16.8 at baseline to 18.8, 18.8, and 19.2 at 4-, 8-, and 12-months, respectively. Participants improved their up-and-go time by decreasing from 9.1 (baseline) to 8.7 (4 months) to 8.6 (12 months; p = .001). Discussion. Randomized controlled trials are commonly used to determine the efficacy of an intervention. These interventions when disseminated at the population level have the potential to benefit large masses. EF is currently offered at more than 700 locations. This tremendous success of EF brings attention to an important question of continuous monitoring of these programs to ensure program consistency and intended outcomes. The model used by the Healthy Aging Regional Collaborative could be replicated by other communities.

Download Full-text

Physical Activity Patterns of Free Living Dogs Diagnosed with Osteoarthritis

Journal of Animal Science ◽

10.1093/jas/skab204 ◽

2021 ◽

Author(s):

Anne H Lee ◽

Katelyn B Detweiler ◽

Tisha A Harper ◽

Kim E Knap ◽

Maria R C de Godoy ◽

...

Keyword(s):

Physical Activity ◽

Pain Intensity ◽

Repeated Measures ◽

Pearson Correlation ◽

Clinical Signs ◽

Total Activity ◽

Activity Count ◽

Free Living ◽

Activity Monitors ◽

Average Activity

Abstract Osteoarthritis (OA) affects about 90% of dogs > 5 yr of age in the US, resulting in reduced range of motion, difficulty climbing and jumping, reduced physical activity, and lower quality of life. Our objective was to use activity monitors to measure physical activity and identify how activity counts correlate with age, body weight (BW), body condition score (BCS), serum inflammatory markers, veterinarian pain assessment, and owner perception of pain in free-living dogs with OA. The University of Illinois Institutional Animal Care and Use Committee approved the study and owner consent was received prior to experimentation. Fifty-six client-owned dogs (mean age = 7.8 yr; mean BCS = 6.1) with clinical signs and veterinary diagnosis of OA wore HeyRex activity collars continuously over a 49-d period. Blood samples were collected on d 0 and 49, and dog owners completed canine brief pain inventory (CBPI) and Liverpool osteoarthritis in dogs (LOAD) surveys on d 0, 21, 35, and 49. All data were analyzed using SAS 9.3 using repeated measures and R Studio 1.0.136 was used to generate Pearson correlation coefficients between data outcomes. Average activity throughout the study demonstrated greater activity levels on weekends. It also showed that 24-h activity spiked twice daily, once in the morning and another in the afternoon. Serum C-reactive protein concentration was lower (P < 0.01) at d 49 compared to d 0. Survey data indicated lower (P < 0.05) overall pain intensity and severity score on d 21, 35 and 49 compared to d 0. BW was correlated with average activity counts (p=0.02; r=-0.12) and run activity (p=0.10; r=-0.24). Weekend average activity counts were correlated with owner pain intensity scores (p=0.0813; r=-0.2311), but weekday average activity count was not. Age was not correlated with total activity count, sleep activity, or run activity, but it was correlated with scratch (p=0.03; r=-0.10), alert (p=0.03; r=-0.13) and walk (p=0.09; r=-0.23) activities. Total activity counts and activity type (sleep, scratch, alert, walk, run) were not correlated with pain scored by veterinarians, pain intensity or severity scored by owners, or baseline BCS. Even though the lack of controls and/or information on the individual living conditions of dogs resulted in a high level of variability in this study, our data suggest that the use of activity monitors have the potential to aid in the management of OA and other conditions affecting activity (e.g., allergy; anxiety).

Download Full-text

Economic evaluation of ‘Men on the Move’, a ‘real world’ community-based physical activity programme for men

European Journal of Public Health ◽

10.1093/eurpub/ckaa152 ◽

2020 ◽

Author(s):

Liam Kelly ◽

Michael Harrison ◽

Noel Richardson ◽

Paula Carroll ◽

Tom Egan ◽

...

Keyword(s):

Public Health ◽

Physical Activity ◽

Economic Evaluation ◽

Cost Effectiveness ◽

Health Benefits ◽

Cost Effective ◽

Health Improvement ◽

Community Based ◽

Life Years ◽

The Impact

Abstract Background Physical activity (PA) interventions capable of producing health benefits cost effectively are a public health priority across the Western world. ‘Men on the Move’ (MOM), a community-based PA intervention for men, demonstrated significant health benefits up to 52-weeks (W) post-baseline. This article details the economic evaluation of MOM with a view to determining its cost-effectiveness as a public health intervention to be rolled out nationally in Ireland. Methods Cost-effectiveness was determined by comparing the costs (direct and indirect) of the programme to its benefits, which were captured as the impact on quality-adjusted life-years (QALYs). For the benefits, cost–utility analysis was conducted by retrospectively adapting various health-related measures of participants to generate health states using Brazier et al.’s (2002) short form-6D algorithm. This in turn allowed for ‘utility measures’ to be generated, from which QALYs were derived. Results Findings show MOM to be cost-effective in supporting an ‘at risk’ cohort of men achieves significant improvements in aerobic fitness, weight loss and waist reduction. The total cost per participant (€125.82 for each of the 501 intervention participants), the QALYs gained (11.98 post-12-W intervention, or 5.3% health improvement per participant) and estimated QALYs ratio costs of €3723 represents a cost-effective improvement when compared to known QALY guidelines. Conclusions The analysis shows that the cost per QALY achieved by MOM is significantly less than the existing benchmarks of £20 000 and €45 000 in the UK and Ireland respectively, demonstrating MOM to be cost-effective.

Download Full-text

The Impact of the COVID-19 Pandemic on Psychological Distress, Physical Activity, and Symptom Severity in Parkinson’s Disease

Journal of Parkinson s Disease ◽

10.3233/jpd-202251 ◽

2020 ◽

Vol 10 (4) ◽

pp. 1355-1364 ◽

Cited By ~ 1

Author(s):

Anouk van der Heide ◽

Marjan J. Meinders ◽

Bastiaan R. Bloem ◽

Rick C. Helmich

Keyword(s):

Physical Activity ◽

Parkinson’S Disease ◽

Parkinson's Disease ◽

Psychological Distress ◽

Symptom Severity ◽

Neuropsychiatric Symptoms ◽

Lifestyle Changes ◽

Personality Factors ◽

Reduced Physical Activity ◽

The Impact

Background: The ongoing COVID-19 pandemic has many consequences for people with Parkinson’s disease (PD). Social distancing measures complicate regular care and result in lifestyle changes, which may indirectly cause psychological stress and worsening of PD symptoms. Objective: To assess whether the COVID-19 pandemic was associated with increased psychological distress and decreased physical activity in PD, how these changes related to PD motor and non-motor symptom severity, and what frequency and burden of COVID-related stressors were. Methods: We sent an online survey to the Personalized Parkinson Project (PPP) cohort (n = 498 PD patients) in the Netherlands. In the survey, we distinguished between COVID-related stressor load, psychological distress, PD symptom severity, and physical activity. We related inter-individual differences to personality factors and clinical factors collected before the pandemic occurred. Results: 358 PD patients completed the survey between April 21 and May 25, 2020 (response rate 71.9%). Patients with higher COVID-related stressor load experienced more PD symptoms, and this effect was mediated by the degree of psychological distress. 46.6% of PD patients were less physically active since the COVID-19 pandemic, and reduced physical activity correlated with worse PD symptoms. Symptoms that worsened most were rigidity, fatigue, tremor, pain and concentration. Presence of neuropsychiatric symptoms (anxiety, depression) before the pandemic, as well as cognitive dysfunction and several personality traits predicted increased psychological distress during the COVID-19 pandemic. Conclusion: Our findings show how an external stressor (the COVID-19 pandemic) leads to a worsening of PD symptoms by evoking psychological distress as well as lifestyle changes (reduced physical activity).

Download Full-text

The Impact of Selected Aspects of Life on the Incidence of Back Pain in Relation to Age of Patients

Health Promotion & Physical Activity ◽

10.5604/01.3001.0010.7582 ◽

2017 ◽

Vol 1 (1) ◽

pp. 9-17

Author(s):

Jerzy Błyszczuk ◽

Renata Błyszczuk

Keyword(s):

Physical Activity ◽

Back Pain ◽

Modern Society ◽

Basic Knowledge ◽

Survey Study ◽

Moderate Physical Activity ◽

Lumbar Region ◽

Therapeutic Massage ◽

Males And Females ◽

The Impact

Intodruction: The most common reasons for back pain in modern society include inadequate physical activity, obesity and lack of basic knowledge on the correct positions of the spine. There are also other reasons such as pathological changes including damage and degeneration of annular fibers in the spinal disk, posttraumatic back pain and incorrect posture. Materials and methods: On the basis of a survey study on the population of 240 individuals (120 males and 120 females) we aimed to answer the following questions: how body index, physical activity, type of profession and education level correlate with the frequency of back pain in relation to age. Furthermore, responders reported the most commonly injured spine regions and types of treatments. Results and Conclusions: Obese individuals more often suffer from back pain. Moderate physical activity is beneficial on spine prophylaxis. Aging correlates with higher risk of back pain. Back pain is the most commonly reported in the lumbar region. Common painkiller medications and restricted physical activity represent main treatments of back pain. Visiting a doctor, physiotherapy and therapeutic massage are less common. These conclusions hold true for both males and females.

Download Full-text