P69 Occupational and leisure activities as a risk factor for hip and knee revision surgery

Abstract Background Lower limb arthroplasty is a highly successful orthopaedic procedure, but the prosthesis may fail over time, necessitating revision surgery. Recognised risk factors for revision include obesity and metal on metal devices, but it is less clear whether heavy physical activity, at work or during leisure time, can impact the survival of the replaced joint. We undertook a systematic review to explore this question. Methods Original studies published 1985-2017 reporting risk factors for hip or knee revision arthroplasty (excluding revision for infection) in people aged over 18 years and with ≥1 year follow-up post-arthroplasty were identified from Medline, Embase, and Scopus. The search yielded 10,361 results, amongst which 12 addressed the research question. Results Out of the 12 studies, 9 were concerned with failure of primary hip arthroplasty and only 3 with failure of primary knee arthroplasty. We found extraordinary variation in the methods used to quantify exposure to both occupational and leisure-time physical activity. As a result, the data were poorly comparable, and some studies reported that post-operative physical exposures were beneficial for joint survival whilst others reported that they were deleterious. Many studies only assessed the relevant exposures before the operation, which may limit the relevance to post-arthroplasty physical activities. Overall, we found some (variable quality) evidence suggesting that agriculture/farming and industry/engineering/construction work and, in women, health services work may increase the risk of revision. Likewise, there was conflicting and moderate quality evidence that exposure to high-intensity leisure-time activities may increase the risk of failure. Conclusion As increasing numbers of arthroplasties are performed at younger ages, and people are encouraged to work to older ages, more evidence is urgently needed about returning to some types of work and any future risk of joint failure. This is particularly important for advising people doing manual and emergency services/military type work. Leisure-time physical activity is good for health and high-quality evidence is needed here to inform if specific types of sport should be avoided, particularly for knee patients. Disclosures E. Zaballa Lasala None. C. Harris None. K. Walker-Bone None.

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Greater daily leisure time physical activity is associated with lower chronic disease risk in adults with spinal cord injury

Applied Physiology Nutrition and Metabolism ◽

10.1139/h09-050 ◽

2009 ◽

Vol 34 (4) ◽

pp. 640-647 ◽

Cited By ~ 88

Author(s):

Andrea C. Buchholz ◽

Kathleen A. Martin Ginis ◽

Steven R. Bray ◽

B. Catharine Craven ◽

Audrey L. Hicks ◽

...

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Blood Pressure ◽

Type 2 Diabetes ◽

Spinal Cord ◽

Spinal Cord Injury ◽

Leisure Time ◽

Leisure Time Physical Activity ◽

Cord Injury

The objective of this study was to examine the relationship between leisure time physical activity (LTPA) and common risk factors for cardiovascular disease (CVD) and type 2 diabetes in community-dwelling adults with chronic spinal cord injury (SCI). LTPA was measured using the Physical Activity Recall Assessment for People with SCI in 76 men and women with chronic (≥1 year) paraplegia or tetraplegia, living in or near Hamilton, Ontario. Body mass index (BMI), waist circumference, body composition (fat mass (FM) and fat-free mass (FFM)), blood pressure, and biochemical data were collected. Thirty-seven percent (n = 28 participants) were inactive, reporting no LTPA whatsoever, and were compared with an equal-sized group consisting of the most active study participants (≥25 min of LTPA per day). After adjusting for significant covariates, BMI (18.7%), %FM (19.4%), and C-reactive protein (143%) were all lower, and %FFM was higher (7.2%), in active participants (all p ≤ 0.05). Ten percent of active participants vs. 33% of inactive participants were insulin resistant (p = 0.03). Waist circumference (17.6%) and systolic blood pressure (15.3%) were lower in active vs. inactive participants with paraplegia (both p ≤ 0.05), but not tetraplegia. In conclusion, greater daily LTPA is associated with lower levels of selected CVD and type 2 diabetes risk factors in individuals living with SCI. Whether this relationship translates into a lower incidence of these chronic diseases has yet to be determined.

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Cardiorespiratory fitness or self-report leisure time physical activity status: which delineates cardiovascular disease risk factors in postmenopausal women?

European Journal of Cardiovascular Prevention & Rehabilitation ◽

10.1097/00149831-200605001-00279 ◽

2006 ◽

Vol 13 (Supplement 1) ◽

pp. S69

Author(s):

KM Birch ◽

SE Barber ◽

D Barker ◽

LB Tan

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Cardiovascular Disease ◽

Postmenopausal Women ◽

Cardiorespiratory Fitness ◽

Leisure Time ◽

Disease Risk ◽

Leisure Time Physical Activity ◽

Cardiovascular Disease Risk ◽

Self Report

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Leisure-Time Physical Activity and Coronary Risk Factors in Women

European Journal of Cardiovascular Prevention & Rehabilitation ◽

10.1177/204748730000700403 ◽

2000 ◽

Vol 7 (4) ◽

pp. 259-266 ◽

Cited By ~ 12

Author(s):

W. David Ashton ◽

Kiran Nanchahal ◽

David A. Wood

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Leisure Time ◽

Leisure Time Physical Activity ◽

Coronary Risk Factors ◽

Coronary Risk

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Moderate and Vigorous Leisure-Time Physical Activity and Cardiovascular Disease Risk Factors in West Germany, 1984–1991

International Journal of Epidemiology ◽

10.1093/ije/23.2.285 ◽

1994 ◽

Vol 23 (2) ◽

pp. 285-292 ◽

Cited By ~ 25

Author(s):

U HELMERT ◽

B HERMAN ◽

S SHEA

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Cardiovascular Disease ◽

Leisure Time ◽

Disease Risk ◽

Leisure Time Physical Activity ◽

Cardiovascular Disease Risk ◽

West Germany ◽

Cardiovascular Disease Risk Factors

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A Survey on Low Back Pain Risk Factors in Steel Industry Workers in 2015

Asian Spine Journal ◽

10.4184/asj.2017.11.1.44 ◽

2017 ◽

Vol 11 (1) ◽

pp. 44-49 ◽

Cited By ~ 7

Author(s):

Ehsan Rafeemanesh ◽

Farzad Omidi Kashani ◽

Reza Parvaneh ◽

Fatemeh Ahmadi

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Steel Industry ◽

Leisure Time ◽

Leisure Time Physical Activity ◽

Individual Factors ◽

Low Back ◽

Job Status ◽

Administrative Personnel ◽

Employment Duration

<sec><title>Study Design</title>This was a cross-sectional study.</sec><sec><title>Purpose</title>The aim of this study was to determine the prevalence of low back pain (LBP) and its association with individual factors and current job status among steel industry workers in Mashhad, Iran.</sec><sec><title>Overview of Literature</title>Several studies have been conducted on LBP and its related risk factors, some of which emphasized oc-cupational factors as the main etiology of LBP. Meanwhile, individual risk factors have been emphasized in other studies. Despite several published articles, there are still many unresolved, basic issues about developing LBP.</sec><sec><title>Methods</title>For this study, 358 male workers were selected by a random sampling method and divided into two groups: production workers (n=201) and administrative personnel (n=157). Data were collected using modified Nordic questionnaire and physical examination. Statistical analysis was performed to identify the correlation between individual factors and current job status with LBP.</sec><sec><title>Results</title>Despite the young age of participants and their short employment duration, the overall prevalence of LBP was high (32.4%) in this industry. The prevalence of non-specific LBP in production workers and administrative personnel was 26.8% and 21.0%, respectively. Disk herniation was observed in 10.4% of production workers and 6.3% of administrative personnel. Age, employment duration, body mass index and smoking status were similar in the two groups. There was no significant relationship between LBP and current job status; however, a significant relationship was found between prevalence of LBP with age, duration of employment, and leisure time physical activity (<italic>p</italic><0.05).</sec><sec><title>Conclusions</title>We have not found any relationship between LBP and current occupational status suggesting that the effects of general health-related factors such as weight, age, leisure time physical activity, and duration of employment are more important than occupational factors in developing LBP.</sec>

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Cardiovascular risk factors in relation to leisure-time physical activity and fruit-vegetable consumption

Journal of Science and Medicine in Sport ◽

10.1016/j.jsams.2012.11.422 ◽

2012 ◽

Vol 15 ◽

pp. S173

Author(s):

A. Queralt ◽

J. Molina-García

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Cardiovascular Risk ◽

Cardiovascular Risk Factors ◽

Leisure Time ◽

Vegetable Consumption ◽

Leisure Time Physical Activity

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Abstract 045: Leisure Time Physical Activity is Associated With Higher Coronary Artery Calcium Density: The Multi-Ethnic Study of Atherosclerosis

Circulation ◽

10.1161/circ.137.suppl_1.045 ◽

2018 ◽

Vol 137 (suppl_1) ◽

Author(s):

Isac C Thomas ◽

Matthew Allison ◽

Nketi Forbang ◽

Michelle Takemoto ◽

Erin Michos ◽

...

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Coronary Artery ◽

Coronary Artery Calcium ◽

Leisure Time ◽

Leisure Time Physical Activity ◽

Statistical Significance ◽

Unexpected Finding ◽

Cvd Risk ◽

Ethnic Study

Introduction: Leisure-time physical activity (LTPA) has favorable effects on many risk factors for cardiovascular disease (CVD). Paradoxically, LTPA has also been associated with higher amounts of coronary artery calcium (CAC) in athletes. Recently, a higher density of CAC was shown to significantly mitigate the risk of CVD associated with a given volume of CAC. The effects of LTPA and non-LTPA on the density and volume components of CAC among individuals with calcified coronary atherosclerosis are unknown. Methods: We evaluated 3,398 participants from the Multi-Ethnic Study of Atherosclerosis with prevalent CAC (50% of cohort). CAC was assessed via cardiac computed tomography, while physical activity was assessed via questionnaire and categorized by quintiles of moderate and vigorous LTPA (e.g. exercise) and non-LTPA (e.g. work). Multiple linear regression with mutual adjustment for LTPA, non-LTPA, demographics, and CVD risk factors was performed. Results: Mean age of the sample was 66 years, 58% were male, 44% were Caucasian, 24% were African-American, 20% were Hispanic, and 12% were Chinese-American. Compared to the lower four quintiles, LTPA above the threshold of 2567 MET-minutes/week (quintile 5) was associated with 0.057 (0.008, 0.105) higher CAC density-units after full adjustment. LTPA at any level was not associated with CAC volume. Conversely, non-LTPA was associated with both lower CAC density and higher CAC volume in a stepwise fashion, with the highest quintile meeting statistical significance for both (see Table). Conclusions: The highest quintile of LTPA was associated with higher CAC density but not higher CAC volume, suggesting a possible explanation for high CAC scores in athletes with favorable CVD risk factor profiles. Non-LTPA was associated with a less favorable CAC composition after adjustment for LTPA, an unexpected finding that merits further investigation.

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