scholarly journals The association between psychological characteristics and physical activity levels in people with knee osteoarthritis: a cross-sectional analysis

2020 ◽  
Author(s):  
Daisuke Uritani ◽  
Jessica Kasza ◽  
Penny K. Campbell ◽  
Ben Metcalf ◽  
Thorlene Egerton

Abstract Background The aim of this study was to examine the relationship between psychological characteristics and physical activity levels, measured as the average number of steps per day, in people with knee osteoarthritis (OA). Methods This study analysed baseline data from a randomized controlled trial (Australian New Zealand Clinical Trials Registry reference: ACTRN12612000308897). A total of 167 adults aged over 50 years, with knee pain rated as four or more on an 11-point numeric rating scale, and knee OA diagnosed using American College of Rheumatology clinical criteria, were recruited from the community (62 men and 105 women; mean age, 62.2 ± 7.5 years). The average number of steps per day over seven consecutive days was measured using an accelerometer-based device. Psychological characteristics evaluated were: depressive symptoms (Depression Anxiety Stress Scale), self-efficacy (Arthritis Self-Efficacy Scale for pain and other symptoms), fear of movement (Brief Fear of Movement Scale for Osteoarthritis), and pain catastrophizing (Pain Catastrophizing Scale). The association between the average number of steps per day and psychological characteristics was analyzed using a multiple linear regression analysis, with the average number of steps per day as the dependent variable, adjusting for each psychological characteristic separately, and age, sex, body mass index, and pain entered as covariates. Results There was evidence that the amount of physical activity was associated with fear of movement (coefficient [B]: -133, 95% confidence interval [95%CI]: -257 to -8) and with pain catastrophizing (B: -44, 95%CI: -86 to -1). The association with self-efficacy was similar (B:153, 95%CI: -2 to 308). However, the direction of the association with depressive symptoms was less clear (B:75, 95%CI: -165 to 14). Conclusions The results of this study revealed that the relationship was such that lower fear of movement and lower pain catastrophizing may be associated with more steps per day. It may be hypothesized that fear of moving and pain catastrophizing lead to activity avoidance and that strategies to improve these disease-related psychological aspects may be useful in enhancing physical activity participation, although this hypothesis is highly speculative and needs further testing given the cross-sectional design of this study.

2020 ◽  
Author(s):  
Daisuke Uritani ◽  
Jessica Kasza ◽  
Penny K. Campbell ◽  
Ben Metcalf ◽  
Thorlene Egerton

Abstract Background:The aim of this study was to examine the relationship between psychological characteristics and physical activity levels, measured as the average number of steps per day, in people with knee osteoarthritis (OA).Methods: This study analysed baseline data from a randomized controlled trial (Australian New Zealand Clinical Trials Registry reference: ACTRN12612000308897). A total of 167 adults aged over 50 years, with knee pain rated as four or more on an 11-point numeric rating scale, and knee OA diagnosed using American College of Rheumatology clinical criteria, were recruited from the community (62 men and 105 women; mean age, 62.2 ± 7.5 years). The average number of steps per day over seven consecutive days was measured using an accelerometer-based device. Psychological characteristics evaluated were: depressive symptoms (Depression Anxiety Stress Scale), self-efficacy (Arthritis Self-Efficacy Scale for pain and other symptoms), fear of movement (Brief Fear of Movement Scale for Osteoarthritis), and pain catastrophizing (Pain Catastrophizing Scale). The association between the average number of steps per day and psychological characteristics was analyzed using a multiple linear regression analysis, with the average number of steps per day as the dependent variable, adjusting for each psychological characteristic separately, and age, sex, body mass index, and pain entered as covariates.Results: There was evidence that the amount of physical activity was associated with fear of movement (coefficient [B]: -117, 95% confidence interval [95%CI]: -227 to -8) and with pain catastrophizing (B: -44, 95%CI: -86 to -1). The association with self-efficacy was similar (B:117, 95%CI: -12 to 246). However, the direction of the association with depressive symptoms was less clear (B: -59, 95%CI: -138 to 19).Conclusions: The results of this study revealed that the relationship was such that lower fear of movement and lower pain catastrophizing may be associated with more steps per day. It may be hypothesized that fear of moving and pain catastrophizing lead to activity avoidance and that strategies to improve these disease-related psychological aspects may be useful in enhancing physical activity participation, although this hypothesis is highly speculative and needs further testing given the cross-sectional design of this study.


2020 ◽  
Author(s):  
Daisuke Uritani ◽  
Jessica Kasza ◽  
Penny K. Campbell ◽  
Ben Metcalf ◽  
Thorlene Egerton

Abstract Background The aim of this study was to examine the relationship between psychological characteristics and physical activity levels, measured as the average number of steps per day, in people with knee osteoarthritis (OA).Methods This study analysed baseline data from a randomized controlled trial. A total of 167 adults aged over 50 years, with knee pain rated as four or more on an 11-point numeric rating scale, and knee OA diagnosed using American College of Rheumatology clinical criteria, were recruited from the community (62 men and 105 women; mean age, 62.2 ± 7.5 years). The average number of steps per day over seven consecutive days was measured using an accelerometer-based device. Psychological characteristics evaluated were: depressive symptoms (Depression Anxiety Stress Scale), self-efficacy (Arthritis Self-Efficacy Scale for pain and other symptoms), fear of movement (Brief Fear of Movement Scale for Osteoarthritis), and pain catastrophizing (Pain Catastrophizing Scale). Pain catastrophizing was only collected from 130 people. The association between the average number of steps per day and psychological characteristics was analyzed using a linear regression model, with the average number of steps per day as the dependent variable, adjusting for each psychological characteristic separately, and age, sex, body mass index, and pain entered as covariates.Results There was evidence that the amount of physical activity was associated with fear of movement (coefficient [B]: -133, 95% confidence interval [95%CI]: -257 to -8) and with pain catastrophizing (B: -44, 95%CI: -86 to -1). The association with self-efficacy was similar (B:153, 95%CI: -2 to 308). However, the direction of the association with depressive symptoms was less clear (B:75, 95%CI: -165 to 14).Conclusions The results of this study revealed that the relationship was such that lower fear of movement and lower pain catastrophizing may be associated with more steps per day. It may be hypothesized that fear of moving and pain catastrophizing lead to activity avoidance and that strategies to improve these disease-related psychological aspects may be useful in enhancing physical activity participation, although this hypothesis is highly speculative and needs further testing given the cross-sectional design of this study.


2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Qianqian Dun ◽  
Wanglin Xu ◽  
Maozhen Fu ◽  
Nengjian Wu ◽  
Justin B. Moore ◽  
...  

Background. Few studies have explored the relationship between the level of physical activity and the occurrence or prevalence of obesity and hypertension among people residing in urbanised areas. Method. A cross-sectional study involving a sample of 1,001 adults was conducted. Descriptive statistics were used to describe sociodemographic variables, physical activity levels, body mass index (BMI), and prevalence of hypertension. Logistic regression models were adopted to investigate the relationship between these factors. Results. A total of 939 respondents who provided valid responses were included. Among them, 56.5% of the participants reported engaging in high levels of physical activity. However, 40.4% of the respondents were classified as overweight or obese, and 31.9% had diagnosed hypertension. After adjusting for sociodemographic factors, logistic regression analysis revealed that physical activity levels were negatively correlated with the prevalence of BMI (OR = 0.564, 95% CI: 0.352–0.905; OR = 0.583, 95% CI: 0.375–0.907) and hypertension (OR = 0.556, 95% CI: 0.348–0.888). Conclusions. Our study confirms recent evidence regarding the amount of physical activity that is associated with lower prevalence of obesity and hypertension in Pingshan District. Furthermore, different physical activities of various intensity levels had different effects on hypertension. Residents should be encouraged to engage in physical activities and maintain a healthy weight to improve their quality of life.


2008 ◽  
Vol 5 (1) ◽  
pp. 117-131 ◽  
Author(s):  
Aileen P. McGinn ◽  
Kelly R. Evenson ◽  
Amy H. Herring ◽  
Sara L. Huston ◽  
Daniel A. Rodriguez

Background:Crime is one aspect of the environment that can act as a barrier to physical activity. The goals of this study were to (1) compare measures of perceived crime with observed crime and (2) examine the association between the independent and combined effects of objective and perceived crime on physical activity.Methods:Perceived crime and physical activity were assessed in 1659 persons via telephone survey. Crime was objectively measured in a subset of 303 survey participants.Results:For all types of crime, there was low agreement between objective and perceived measures. Both perceived and objectively measured crime were independently associated with leisure activities.Conclusions:This study suggests that perceptions and objective measures of crime are both important correlates of leisure physical activity. Evaluating both measures is necessary when examining the relationship between crime and physical activity to develop interventions that will most influence leisure physical activity levels.


2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Vinariani Tangkilisan ◽  
Shirley E. S. Kawengian ◽  
Nelly Mayulu

Abstract: The development of technology facilitate all the activities, that make us not moving. This can increase the incidence of obesity that will be at risk for cardiovascular disease. When the atherosclerotic plaque formation involves inflammatory processes that can increase levels of Hs CRP, which is one marker of inflammation. The purpose of this study to determine differences in physical activity and Hs CRP in obese and non-obese groups and the relationship between physical activity levels of Hs CRP in students in the Faculty of Medicine, University of Sam Ratulangi. The design of this study are analytical by using cross-sectional approach (cross-sectional). The research sample is determined by purposive sampling that meet the inclusion and exclusion criteria, amounting to 59 students. Data were collected through questionnaires and through the measurement of physical activity levels of Hs CRP, and the data were analyzed using non-parametric test of Mann Whitney test and the Spearman test. The test results obtained by Mann Whitney test with p values ​​are 0.799 for MET values and 0.000 ​​for Hs CRP levels, which means there is no difference in activity in both groups and there is has difference Hs CRP levels in both groups. Then do the Spearman test at 95% significance level of p value of 0.638 is obtained which is greater than the value of α 0.05, which means the relationship between two variables declared statistically significant. Keywords: Hs CRP, Physical Activity.   Abstrak: Perkembangan dunia teknologi memudahkan semua kegiatan sehingga kita kurang bergerak. Hal ini dapat meningkatkan kejadian  obesitas yang nantinya akan beresiko terhadap penyakit kardiovaskuler. Saat pembentukan plak aterosklerosis melibatkan proses inflamasi yang dapat meningkatkan kadar hsCRP yang merupakan salah satu penanda terjadinya inflamasi. Tujuan penelitian ini untuk mengetahui perbedaan aktivitas fisik dan hsCRP pada kelompok obes dan tidak obes serta hubungan antara aktivitas fisik dengan kadar hsCRP pada mahasiswa di Fakultas Kedokteran Universitas Sam Ratulangi. Rancangan penelitian ini bersifat analitik dengan menggunakan pendekatan potong lintang (cross sectional). Sampel penelitian ditentukan secara purposive sampling yang memenuhi kriteria inklusi dan eksklusi yang berjumlah 59 mahasiswa. Data yang dikumpulkan melalui kuesioner aktivitas fisik dan melalui pengukuran kadar hsCRP, kemudian data dianalisis dengan menggunakan uji non parametric yaitu uji Mann Whitney dan uji spearman. Selanjutnya hasil uji dengan Mann Whitney diperoleh nilai p yaitu 0,799 untuk nilai MET dan 0,000 untuk kadar hsCRP, yang artinya tidak ada perbedaan aktivitas pada kedua kelompok dan ada perbedaan kadar Hs CRP pada kedua kelompok. Kemudian dilakukan uji Spearman pada tingkat kemaknaan 95% diperoleh nilai p sebesar 0,638 yakni lebih besar dari nilai α 0,05 yang artinya hubungan antara kedua variabel ini dinyatakan tidak bermakna secara statistik.Kata Kunci: Aktivitas Fisik, hsCRP.


2015 ◽  
Vol 7 (1) ◽  
pp. 42-50
Author(s):  
WHYE LIAN CHEAH ◽  
HELMY HAZMI ◽  
CHING THON CHANG

Background: This study aimed to describe the patterns of physical activities both at weekends and on weekdays and to identify their associated factors. Material/Methods: This was a cross-sectional study conducted among secondary school students aged 13-15 years old in Kuching Division, Sarawak, Malaysia. A self-administered questionnaire was used to collect socio-demographic information and to measure perceived barriers, self-efficacies and social influences. Anthropometric measurements were taken and used to determine BMI-for-age, while pedometers were used to assess the physical activity levels. Data were analyzed using SPSS. Results: A total of 474 students from six secondary schools participated. About 16% of the respondents were overweight and obese, majority of them males. The mean BMI was 21.21 ±12.93, higher among males. The mean steps per day were 6251.37±3085.31, with weekends recorded a higher number of steps. The number of steps among males was higher than among females. On weekdays, self-motivation scores significantly predicted the participants’ number of steps/physical activity rate (b = 521.43, 95% CI -72.78 to 1050.19). At weekends, lack of interest and knowledge scores (b = -427.82, 95% CI -837.72 to 17.92) and making choices scores (b = 737.41, 95% CI -197.94 to 1276.88) were significant to predict the number of steps/physical activity levels. Conclusions: These findings indicated the importance of investigating predictors of physical activity for weekdays and weekends. Thus, efforts should focus on how to motivate adolescents to be more physically active targeting the identified predictors for weekdays and week ends.


2005 ◽  
Vol 8 (7) ◽  
pp. 896-903 ◽  
Author(s):  
Greet Cardon ◽  
Renaat Philippaerts ◽  
Johan Lefevre ◽  
Lynn Matton ◽  
Katrien Wijndaele ◽  
...  

AbstractObjectivesTo evaluate gender differences for levels of physical activity, for sedentary behaviour and for psychosocial correlates in children, to evaluate whether psychosocial correlates cluster in meaningful ways and to examine whether physical activity and sedentary behaviour differ between children of clusters, differentiated by the level of perceived barriers and benefits, attitudes, social support and self-efficacy.DesignCross-sectional study using the Flemish Physical Activity Questionnaire.SettingQuestionnaires to be filled out by the children and one of their parents, contacted through the school system.SubjectsA sample of 1124 10- to 11-year-olds (579 boys and 545 girls).ResultsGirls were found to be less active than boys, with boys scoring better for social support, perceived benefits and self-efficacy compared with girls. The way of clustering differed between boys and girls. Boys were allocated to three clusters: one cluster with positive correlates towards physical activity, labelled ‘positives’; one with negative correlates, labelled ‘negatives’; and one characterised mainly by high perceived barriers, labelled ‘hindered’;. In both genders the highest levels of physical activity were found in the ‘positives’;, the lowest in the ‘negatives’;. In girls a fourth cluster was identified, characterised mainly by low perceived barriers and low social support. Physical activity levels in the girls of this cluster, labelled ‘indifferents’;, were the second highest.ConclusionsMore research is needed to further characterise these clusters. To prevent the physical activity decline during the transition from childhood to adulthood, novel interventions need to be explored that focus on children of the clusters with the most negative correlates.


Author(s):  
Venurs H. Y. Loh ◽  
Jenny Veitch ◽  
Jo Salmon ◽  
Ester Cerin ◽  
Suzanne Mavoa ◽  
...  

Without accurate awareness of features within the built environment, the availability of a supportive built environment alone may not be sufficient to influence physical activity levels. We examined the moderating effects of concordance/discordance between selected objective and perceived built environment features in the relationship between objective built environment features and physical activity. Cross-sectional data from 465 youth aged 12–20 years from 18 schools in Melbourne, Australia were used. The relationship between trails and physical activity differed by concordance/discordance. There were positive relationships among those with concordant perceptions, but no significant differences for those with discordant perceptions. At least for trails, environmental interventions designed to enhance physical activity may be less effective if efforts are not made to enhance individuals’ awareness of their environment.


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