scholarly journals Amount and type of physical activity and sports from one year forward after hip or knee arthroplasty—A systematic review

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0261784
Author(s):  
Yvet Mooiweer ◽  
Inge van den Akker-Scheek ◽  
Martin Stevens ◽  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Knee Arthroplasty ◽  
Sports Participation ◽  
Hip Resurfacing ◽  
Activity Levels ◽  
Physically Active ◽  
Active Population ◽  
One Year ◽  
Insight Into

Introduction After rehabilitation following total hip or knee arthroplasty (THA/TKA), patients are advised to participate in physical activity (PA) and sports. However, profound insight into whether people adopt a physically active lifestyle is lacking. Aim is to gain insight into the performed amount and type of PA (including sports) and time spent sedentarily by persons after THA/TKA. Methods A systematic review (PROSPERO: CRD42020178556). Pubmed, Cinahl, EMBASE and PsycInfo were systematically searched for articles reporting on amount of PA, and on the kind of activities performed between January 1995-January 2021. Quality of the articles was assessed with the adapted tool from Borghouts et al. Results The search retrieved 5029 articles, leading to inclusion of 125 articles reporting data of 123 groups; 53 articles reported on subjects post-THA, 16 on post-hip-resurfacing arthroplasty, 40 on post-TKA, 15 on post-unicompartimental knee arthroplasty and 12 on a mix of arthroplasty types. With respect to quality assessment, 14 articles (11%) met three or fewer criteria, 29 (24%) met four, 32 (26%) met five, 42 (34%) met six, and 6 (5%) met seven out of the eight criteria. PA levels were comparable for THA and TKA, showing a low to moderately active population. Time spent was mostly of low intensity. Roughly 50% of -subjects met health-enhancing PA guidelines. They spent the largest part of their day sedentarily. Sports participation was relatively high (rates above 70%). Most participation was in low-impact sports at a recreational level. Roughly speaking, participants were engaged in sports 3 hours/week, consisting of about three 1-hour sessions. Conclusion Activity levels seem to be low; less than half of them seemed to perform the advised amount of PA following health-enhancing guidelines Sports participation levels were high. However, many articles were unclear about the definition of sports participation, which could have led to overestimation.

scholarly journals Return to Physical Activity After High Tibial Osteotomy or Unicompartmental Knee Arthroplasty: A Systematic Review and Pooling Data Analysis

2020 ◽  
pp. 036354652094886
Author(s):  
James Belsey ◽  
Sam K. Yasen ◽  
Simon Jobson ◽  
James Faulkner ◽  
Adrian J. Wilson
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Knee Arthroplasty ◽  
Unicompartmental Knee Arthroplasty ◽  
Tibial Osteotomy ◽  
Activity Levels ◽  
Physically Active ◽  
Outcome Scores ◽  
Physical Activity Levels ◽  
Active Patients

Background: The 2 most common definitive surgical interventions currently performed for the treatment of medial osteoarthritis of the knee are medial opening wedge high tibial osteotomy (HTO) and medial unicompartmental knee arthroplasty (UKA). Research exists to suggest that physically active patients may be suitably indicated for either procedure despite HTO being historically indicated in active patients and UKA being more appropriate for sedentary individuals. Purpose: To help consolidate the current indications for both procedures regarding physical activity and to ensure that they are based on the best information presently available. Study Design: Systematic review. Methods: A search of the literature via the MEDLINE, Embase, and PubMed databases was conducted independently by 2 reviewers in accordance with the PRISMA (Preferred Reporting Items for Systematic Meta-Analyses) guidelines. Studies that reported patient physical activity levels with the Tegner activity score were eligible for inclusion. Patient demographics, operative variables, and patient-reported outcome scores were abstracted from the included studies. Results: Thirteen eligible studies were included, consisting of 401 knees that received HTO (399 patients) and 1622 that received UKA (1400 patients). The patients’ mean age at surgery was 48.4 years for the HTO group and 60.6 years for the UKA group. Mean follow-up was 46.6 months (HTO) and 53.4 months (UKA). All outcome scores demonstrated an equal or improved score for activity and knee function regardless of the operation performed. Operative variables during HTO had a larger effect on outcome than during UKA. Conclusion: Patients who underwent HTO were more physically active pre- and postoperatively, but patients undergoing UKA experienced an overall greater increase in their physical activity levels and knee function according to Tegner and Lysholm scores. Activity after HTO may be influenced by operative factors such as the implant used and the decision to include a graft material in the osteotomy gap, although this requires further research. Some studies found that patients were able to return to physical activity postoperatively despite having an age or body mass index that would traditionally be a relative contraindication for HTO or UKA.

scholarly journals Modulation of Exercise-Induced Muscle Damage, Inflammation, and Oxidative Markers by Curcumin Supplementation in a Physically Active Population: A Systematic Review

Nutrients ◽  
2020 ◽  
Vol 12 (2) ◽  
pp. 501 ◽  
Author(s):  
Diego Fernández-Lázaro ◽  
Juan Mielgo-Ayuso ◽  
Jesús Seco Calvo ◽  
Alfredo Córdova Martínez ◽  
Alberto Caballero García ◽  
...  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Muscle Damage ◽  
Exercise Performance ◽  
Subjective Perception ◽  
Physically Active ◽  
Active Population ◽  
Oxidative Markers ◽  
Anti Inflammatory ◽  
Exercise Induced

Physical activity, particularly high-intensity eccentric muscle contractions, produces exercise-induced muscle damage (EIMD). The breakdown of muscle fibers and the consequent inflammatory responses derived from EIMD affect exercise performance. Curcumin, a natural polyphenol extracted from turmeric, has been shown to have mainly antioxidant and also anti-inflammatory properties. This effect of curcumin could improve EIMD and exercise performance. The main objective of this systematic review was to critically evaluate the effectiveness of curcumin supplementation on EIMD and inflammatory and oxidative markers in a physically active population. A structured search was carried out following Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines in the databases SCOPUS, Web of Science (WOS), and Medline (PubMed) from inception to October 2019. The search included original articles with randomized controlled crossover or parallel design in which the intake of curcumin administered before and/or after exercise was compared with an identical placebo situation. No filters were applied to the type of physical exercise performed, the sex or the age of the participants. Of the 301 articles identified in the search, 11 met the established criteria and were included in this systematic review. The methodological quality of the studies was assessed using the McMaster Critical Review Form. The use of curcumin reduces the subjective perception of the intensity of muscle pain; reduces muscle damage through the decrease of creatine kinase (CK); increases muscle performance; has an anti-inflammatory effect by modulating the pro-inflammatory cytokines, such as TNF-α, IL-6, and IL-8; and may have a slight antioxidant effect. In summary, the administration of curcumin at a dose between 150–1500 mg/day before and during exercise, and up until 72 h’ post-exercise, improved performance by reducing EIMD and modulating the inflammation caused by physical activity. In addition, humans appear to be able to tolerate high doses of curcumin without significant side-effects.

scholarly journals Motivations and barriers to prosthesis users participation in physical activity, exercise and sport: a review of the literature

2012 ◽  
Vol 36 (3) ◽  
pp. 260-269 ◽  
Author(s):  
Sarah Deans ◽  
David Burns ◽  
Anthony McGarry ◽  
Kevin Murray ◽  
Nanette Mutrie
Keyword(s):  
Physical Activity ◽  
Literature Review ◽  
Sports Participation ◽  
Cochrane Library ◽  
Bibliographic Databases ◽  
Activity Levels ◽  
Physically Active ◽  
Barriers To Participation ◽  
Rehabilitation Outcomes ◽  
The Uk

Background: The UK will host the Paralympics in 2012 and the Commonwealth Games in 2014 showcasing the talents of elite athletes and aiming to inspire the population to become involved. However, low levels of physical activity are prevalent: only 40% of men and 28% of women meet the minimum UK physical activity recommendations. The population of people with limb absence is no exception. Objectives: To determine if people with amputation are participating in physical activity and sport; whether post-amputation activity levels match pre-amputation levels; and if there are motivations and barriers to participation. Study Design: Literature review. Methods: Five reviewers systematically searched all peer reviewed and gray literature in seven bibliographic databases and the Cochrane Library. Results: Following rigorous elimination, 12 articles were finally included in the review and critically appraised. Four themes were identified: components; rehabilitation outcomes; body image; and motivations and barriers to participation. Conclusion: People with limb absence are not participating in physical activity conducive to health benefits, and only a minority participate in exercise and sports. Participation following amputation does not mirror that of pre-amputation levels, and more barriers than motivations exist to adopting or maintaining a physically active lifestyle. Clinical relevance This literature review aims to inform those involved in rehabilitation and ongoing care of those with limb absence about what motivates or precludes their participation in physical activity, exercise and sport. Such knowledge could be applied to improving health and wellbeing in this population.

scholarly journals Sustainable Mobility Issues of Physically Active University Students: The Case of Serres, Greece

2021 ◽  
Vol 1 (3) ◽  
pp. 777-794
Author(s):  
Foteini Mikiki ◽  
Andreas Oikonomou ◽  
Ermioni Katartzi
Keyword(s):  
Physical Activity ◽  
Physical Education ◽  
Purchase Intention ◽  
Student Mobility ◽  
Activity Levels ◽  
Sustainable Mobility ◽  
Physically Active ◽  
Greek City ◽  
Active Population ◽  
Positive Attitudes

The mobility practices of students are largely dictated by their respective educational obligations. Students of physical education are an ostensibly physically active population, whose active lifestyle may include active travel. University student mobility research calls for behavioral approaches to ground relevant interventions. This work investigated the sustainability practices in the student community of the Physical Education Department in Serres, a medium-sized Greek city. Moreover, this paper aimed to shed light on the gender differences in the physical activity levels of 259 students, as well as their respective differences in mobility practices. A novel questionnaire, based on Ajzen’s theory of planned behavior and Godin–Shephard’s approach to physical activity, was used. The results confirmed higher levels of physical activity in male students, although their attitude toward physical activity was less positive than that of their female classmates. Further positive attitudes in women were recorded toward sustainable mobility choices, although the evidence demonstrated a similar gap between the answers of the two genders. Car possession was higher in men, whereas car purchase intention was slightly lower in women, who had a lower income in general. Moreover, income impacted gender mobility preferences. Recommendations can be guided by students’ sports preferences and can be gender-sensitive, taking income into account.

scholarly journals Effect of knee arthroplasty on sports participation and activity levels: a systematic review and meta-analysis

2020 ◽  
Vol 6 (1) ◽  
pp. e000729
Author(s):  
Marco J Konings ◽  
Henri De Vroey ◽  
Ive Weygers ◽  
Kurt Claeys
Keyword(s):  
Systematic Review ◽  
Knee Arthroplasty ◽  
Sport Participation ◽  
Meta Analysis ◽  
Sports Participation ◽  
Activity Level ◽  
Outcome Variable ◽  
Activity Levels ◽  
Post Surgery ◽  
Sport Activities

ObjectiveDesires and expectations of patients in regard to resume participation in sport activities after knee arthroplasty strongly increased in recent years. Therefore, this review systematically reviewed the available scientific literature on the effect of knee arthroplasty on sports participation and activity levels.DesignSystematic review and meta-analysis.Data sourcesPubMed, Embase, SPORTDiscus and reference lists were searched in February 2019.Studies eligibility criteriaInclusion of knee osteoarthritis patients who underwent total knee arthroplasty (TKA) and/or unicondylar knee arthroplasty. Studies had to include at least one preoperative and one postoperative measure (≥1 year post surgery) of an outcome variable of interest (ie, activity level: University of California, Los Angeles and/or Lower Extremity Activity Scale; sport participation: type of sport activity survey).ResultsNineteen studies were included, consisting data from 4074 patients. Knee arthroplasty has in general a positive effect on activity level and sport participation. Most patients who have stopped participating in sport activities in the year prior to surgery, however, do not seem to reinitiate their sport activities after surgery, in particular after a TKA. In contrast, patients who continue to participate in sport activities until surgery appear to become even more active in low-impact and medium-impact sports than before the onset of restricting symptoms.ConclusionsKnee arthroplasty is an effective treatment in resuming sports participation and physical activity levels. However, to achieve the full benefits from knee arthroplasty, strategies and guidelines aimed to keep patients capable and motivated to participate in (low-impact or medium-impact) sport activities until close before surgery are warranted.

scholarly journals The Acceptability, Feasibility and Effectiveness of Wearable Activity Trackers for Increasing Physical Activity in Children and Adolescents: A Systematic Review

2021 ◽  
Vol 18 (12) ◽  
pp. 6211
Author(s):  
Amy V. Creaser ◽  
Stacy A. Clemes ◽  
Silvia Costa ◽  
Jennifer Hall ◽  
Nicola D. Ridgers ◽  
...  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Children And Adolescents ◽  
Behaviour Change Techniques ◽  
Physically Active ◽  
Self Monitoring ◽  
Start Date ◽  
Activity Trackers ◽  
Wearable Activity Trackers

Wearable activity trackers (wearables) embed numerous behaviour change techniques (BCTs) that have previously been shown to increase adult physical activity (PA). With few children and adolescents achieving PA guidelines, it is crucial to explore ways to increase their PA. This systematic review examined the acceptability, feasibility, and effectiveness of wearables and their potential mechanisms of action for increasing PA in 5 to 19-year-olds. A systematic search of six databases was conducted, including data from the start date of each database to December 2019 (PROSPERO registration: CRD42020164506). Thirty-three studies were included. Most studies (70%) included only adolescents (10 to 19 years). There was some—but largely mixed—evidence that wearables increase steps and moderate-to-vigorous-intensity PA and reduce sedentary behaviour. There were no apparent differences in effectiveness based on the number of BCTs used and between studies using a wearable alone or as part of a multi-component intervention. Qualitative findings suggested wearables increased motivation to be physically active via self-monitoring, goal setting, feedback, and competition. However, children and adolescents reported technical difficulties and a novelty effect when using wearables, which may impact wearables’ long-term use. More rigorous and long-term studies investigating the acceptability, feasibility, and effectiveness of wearables in 5 to 19-year-olds are warranted.

scholarly journals Walking Cadence to Exercise at Moderate Intensity for Adults: A Systematic Review

2017 ◽  
Vol 2017 ◽  
pp. 1-12 ◽  
Author(s):  
J. Slaght ◽  
M. Sénéchal ◽  
T. J. Hrubeniuk ◽  
A. Mayo ◽  
D. R. Bouchard
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Older Adults ◽  
Leisure Activity ◽  
Moderate Intensity ◽  
Activity Levels ◽  
Physical Activity Guidelines ◽  
Aerobic Activity ◽  
Physical Activity Levels

Background. Most adults choose walking as a leisure activity. However, many do not reach the international physical activity guidelines for adults, which recommend moderate intensity aerobic activity for at least 150 minutes/week in bouts of 10 minutes. Purpose. This systematic review provides an update on the walking cadence required to reach moderate intensity in adults and older adults, identifies variables associated with reaching moderate intensity, and evaluates how walking cadence intensity should be measured, but the main purpose is to report the interventions that have been attempted to prescribe walking cadence to increase time spent at moderate intensity or other outcomes for adults and older adults. Methods. SportDISCUS, Scopus, and PubMed databases were searched. We identified 3,917 articles and 31 were retained for this systematic review. Only articles written in English were included. Results. In general, 100 steps/minute is prescribed for adults to achieve moderate intensity, but older adults may require a higher cadence. Currently, few studies have explored using walking cadence prescription as an intervention to increase physical activity levels. Conclusion. Prescribing walking cadence as a way to increase physical activity levels has potential as a practical and useful strategy, but more evidence is required to assess its ability to increase physical activity levels at moderate intensity.

scholarly journals Evidence-Based Overview of Accelerometer-Measured Physical Activity during School Recess: An Updated Systematic Review

2021 ◽  
Vol 18 (2) ◽  
pp. 578
Author(s):  
Sergio Pulido Sánchez ◽  
Damián Iglesias Gallego
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
School Environment ◽  
Vigorous Physical Activity ◽  
Extraction Process ◽  
Intervention Programs ◽  
World Health ◽  
After School ◽  
Cross Sectional ◽  
Physically Active

Interest in analyzing physically active behaviors during school recesses has grown in recent years as the school environment has consolidated (recess, physical education classes, lunch-time, before and after school) as a crucial space to bring these levels towards those recommended through intervention programs and improvements in the school environment. Unfortunately, in most of these studies, children do not achieve the 60 min a day of moderate to vigorous physical activity (MVPA) recommended by the World Health Organization. The aim of this systematic review is to analyze the cross-sectional, longitudinal, and intervention studies objectively measured with accelerometers that have emerged in recent years to determine the amount of MVPA of children at recess. This systematic review followed the PRISMA guidelines. The extraction process for the studies included in this systematic review yielded a total of 43 articles. The studies were classified according to the methodological nature of the research: cross-sectional (n = 34), longitudinal (n = 3) and quasi-experimental (n = 6). The results of the studies confirm that during the recess period younger children are physically more active than older ones and that in general, boys are more physically active than girls. In addition, the data show that the school contributes to more than 40% of the total MVPA. The intervention programs led to an increase in MVPA of up to 5%. Providing schools with equipment and facilities shows that intervention programs are beneficial for raising children’s levels of physical activity.

Vicinity of Schools, But Not of Residences, Seems to Regulate Physical and Sports Activities of 13-Year-Old Teenagers in a South European Setting

2017 ◽  
Vol 14 (1) ◽  
pp. 67-75 ◽  
Author(s):  
Alexandre Magalhães ◽  
Elisabete Ramos ◽  
Maria Fátima Pina
Keyword(s):  
Physical Activity ◽  
Odds Ratio ◽  
Parental Education ◽  
Sports Participation ◽  
Green Spaces ◽  
Chi Square ◽  
Physically Active ◽  
Urban Green Spaces ◽  
Chi Square Test ◽  
Sports Activities

Background:Proximity to urban green spaces (UGS) and open sports spaces (OSS) benefits health, promotes physical activity (PA) and sports practice (SP).Objective:Analyze the association between PA or SP according to distances between UGS or OSS and teenagers’ residences or schools.Methods:We evaluated 1333 (53.9% girls) teenagers (13 years old) living and studying in Porto, Portugal (EPITeen cohort). PA was classified as light or moderate/vigorous. Distances were the shortest routes from residences or schools to UGS/OSS, and classified in ≤250 m; >250 m to ≤500 m; >500 m to ≤750 m; >750 m. Chi-square test and chi-square for trends were used to compare proportions; associations were measured using logistic regression, through odds ratio and 95% confidence intervals, adjusting to BMI and parental education.Results:Regarding vicinity’ of schools, the prevalence of moderate/vigorous PA among boys, decreases as distances to OSS increases. For girls, the prevalence of sports decreases as distances to UGS increase. For boys, we found an association between moderate/vigorous PA and proximity to OSS in the vicinity of schools: considering ≤250 m as reference, the odds of moderate/vigorous PA is 0.20 (0.06–0.63) for >250 m to ≤500 m; 0.21 (0.07–0.61) for >500 m to ≤750 m and 0.19 (0.06–0.58) for >750 m.Conclusion:Vicinities of schools seem to influence teenagers to be more physically active and increase sports participation.

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