scholarly journals Prospective Observational Study of Factors Related to the Movement Subscale Score of the Japanese Orthopaedic Association Hip-Disease Evaluation Questionnaire Six Months After Total Hip Arthroplasty

2021 ◽  
Author(s):  
Junya Sekita ◽  
Naonobu Takahira ◽  
Genki Iwamura ◽  
Atsushi Kusaba ◽  
Saiji Kondo
Keyword(s):  
Physical Activity ◽  
Regression Analysis ◽  
Odds Ratio ◽  
Daily Living ◽  
Activity Ratio ◽  
Japanese Orthopaedic Association ◽  
Subscale Score ◽  
Moderate Intensity ◽  
Hip Disease ◽  
Moderate Intensity Activity

Abstract Background The movement subscale score of the Japanese Orthopaedic Association Hip-Disease Evaluation Questionnaire (JHEQ) is reportedly lower than other subscale scores after total hip arthroplasty (THA). This study aimed to assess factors related to the movement subscale score of the JHEQ six months after THA. Methods Participants were 90 female patients with hip osteoarthritis who underwent THA. We examined clinical background factors and surgical information, and measured hip joint range of motion, lower extremity muscle strength, maximum walking speed, physical activity, Japanese Orthopaedic Association score, and JHEQ score. We also measured the number of steps and “fast walking time” as physical activity, and calculated the moderate intensity activity ratio. A stepwise logistic regression analysis was used to identify factors related to high and low movement subscale scores. Results Six months after surgery, the total score and all subscale scores of the JHEQ were significantly higher compared to preoperative scores (p < 0.01). The movement subscale score was lower compared to other subscale scores (p < 0.01). The stepwise multiple regression analysis revealed that preoperative movement subscale score (odds ratio: 1.26, 95%CI: 1.08–1.47, p = 0.003), activities of daily living category of the Japanese Orthopaedic Association hip score (odds ratio: 1.66, 95%CI: 1.18–2.33, p = 0.004), and moderate intensity activity ratio (odds ratio: 1.05, 95%CI: 1.00-1.11, p = 0.035) are factors that determine high and low movement subscale scores. Conclusion The postoperative movement subscale score is related to not only the ability to conduct activities of daily living and preoperative movement subscale score, but also the moderate intensity activity ratio.

scholarly journals Habitual Physical Activity Behavior of Patients After Primary Total Hip Arthroplasty

2008 ◽  
Vol 88 (9) ◽  
pp. 1039-1048 ◽  
Author(s):  
Robert Wagenmakers ◽  
Martin Stevens ◽  
Wiebren Zijlstra ◽  
Monique L Jacobs ◽  
Inge van den Akker-Scheek ◽  
...  
Keyword(s):  
Physical Activity ◽  
Total Hip Arthroplasty ◽  
Odds Ratio ◽  
Physical Activity Behavior ◽  
Moderate Intensity ◽  
Physically Active ◽  
Normative Population ◽  
Activity Behavior ◽  
Charnley Class ◽  
Health Enhancing Physical Activity

Background and Purpose Despite recognized health benefits of physical activity, little is known about the habitual physical activity behavior of patients after total hip arthroplasty (THA). The purpose of this study was to analyze this behavior and the fulfillment of guidelines for health-enhancing physical activity of these patients compared with a normative population. Subjects and Methods The participants were 273 patients who had undergone a primary THA (minimum of 1 year postoperatively). Comparisons were made between this group and 273 age- and sex-matched individuals from a normative population. Comparisons also were made between participants with THA under 65 years of age and those 65 years of age and older and among participants with THA in different Charnley classes. Level of physical activity was assessed with the Short QUestionnaire to ASsess Health-enhancing physical activity (SQUASH). Results No significant differences in total amount of physical activity or time spent in different categories of physical activity were found between the THA group and the normative group. Participants with THA spent significantly more minutes in activities of moderate intensity compared with the normative group. Participants with THA who were under 65 years of age were significantly more active than older participants with THA. Charnley class had significant effects on time spent at work, time spent in moderate-intensity activities, and total amount of activity, with the least activity performed by participants in Charnley class C. The guidelines were met by 51.2% of the participants with THA and 48.8% of the normative population. Female participants met the guidelines less frequently than male participants in both the combined groups (odds ratio=0.50, 95% confidence interval=0.35–0.72, P&lt;.001) and the THA group (odds ratio=0.48, 95% confidence interval=0.28–0.80, P=.001). Discussion and Conclusion The results suggest that patients after THA are at least as physically active as a normative population. Nevertheless, a large percentage of these patients do not meet the guidelines; therefore, they need to be stimulated to become more physically active.

Discriminating Characteristics of Community-Dwelling Elderly at High and Low Risk for Frailty

2002 ◽  
Vol 10 (4) ◽  
pp. 413-431 ◽  
Author(s):  
Laura S. Ho ◽  
Harriet G. Williams ◽  
Emily A.W. Hardwick
Keyword(s):  
Physical Activity ◽  
Regression Analysis ◽  
High Risk ◽  
Daily Living ◽  
Cardiac Event ◽  
Community Dwelling ◽  
Low Risk ◽  
Functional Abilities ◽  
The Past ◽  
And Performance

The study’s objective was to examine the health status, physical activity behaviors, and performance-based functional abilities of individuals classified as being at high or low risk for frailty and to determine which of these characteristics discriminates between the 2 groups. Participants were 78 community-dwelling individuals with an average age of 74 years; 37 were categorized as being at high risk and 42 at low risk for frailty. Logistic-regression analysis indicated that individuals classified as being at high risk for frailty were more likely to have visited the doctor more than 3 times in the past year, experienced a cardiac event, taken more than 4 medications a day, and participated in little or no physical activity. High-risk individuals were more likely to have poor balance, difficulty with mobility, decreased range of motion, poor unimanual dexterity, and difficulty performing activities of daily living than were those classified as being at low risk for frailty.

scholarly journals Accelerometer-measured physical activity and functional behaviours among people on dialysis

2020 ◽  
Author(s):  
Khizr A Nawab ◽  
Benjamin C Storey ◽  
Natalie Staplin ◽  
Rosemary Walmsley ◽  
Richard Haynes ◽  
...  
Keyword(s):  
Physical Activity ◽  
Moderate Intensity ◽  
Activity Levels ◽  
Uk Biobank ◽  
Control Groups ◽  
Leg Weakness ◽  
Moderate Intensity Activity ◽  
Low Activity ◽  
Population Controls ◽  
Apparently Healthy

Abstract Background The feasibility of wrist-worn accelerometers, and the patterns and determinants of physical activity, among people on dialysis are uncertain. Methods People on maintenance dialysis were fitted with a wrist-worn AxivityAX3 accelerometer. Subsets also wore a 14-day electrocardiograph patch (Zio®PatchXT) and wearable cameras. Age-, sex- and season-matched UK Biobank control groups were derived for comparison. Results Median (interquartile range) accelerometer wear time for the 101 recruits was 12.5 (10.4–13.5) days, of which 73 participants (mean age 66.5 years) had excellent wear on both dialysis and non-dialysis days. Mean (standard error) overall physical activity levels were 15.5 (0.7) milligravity units (mg), 14.8 (0.7) mg on dialysis days versus 16.2 (0.8) mg on non-dialysis days. This compared with 28.1 (0.5) mg for apparently healthy controls, 23.4 (0.4) mg for controls with prior cardiovascular disease (CVD) and/or diabetes mellitus and 22.9 (0.6) mg for heart failure controls. Each day, we estimated that those on dialysis spent an average of about 1 hour (h/day) walking, 0.6 h/day engaging in moderate-intensity activity, 0.7 h/day on light tasks, 13.2 h/day sedentary and 8.6 h/day asleep. Older age and self-reported leg weakness were associated with decreased levels of physical activity, but the presence of prior CVD, arrhythmias and listing for transplantation were not. Conclusions Wrist-worn accelerometers are an acceptable and reliable method to measure physical activity in people on dialysis and may also be used to estimate functional behaviours. Among people on dialysis, who are broadly half as active as general population controls, age and leg weakness appear to be more important determinants of low activity levels than CVD.

scholarly journals Odds of Getting Adequate Physical Activity by Dog Walking

2015 ◽  
Vol 12 (s1) ◽  
pp. S102-S109 ◽  
Author(s):  
Jesus Soares ◽  
Jacqueline N. Epping ◽  
Chantelle J. Owens ◽  
David R. Brown ◽  
Tina J. Lankford ◽  
...  
Keyword(s):  
Physical Activity ◽  
Confidence Interval ◽  
Random Effects ◽  
Odds Ratio ◽  
Systematic Search ◽  
Moderate Intensity ◽  
Random Effects Model ◽  
Unadjusted Odds Ratio ◽  
Dog Walking ◽  
Dog Owners

Background:We aimed to determine the likelihood that adult dog owners who walk their dogs will achieve a healthy level of moderate-intensity (MI) physical activity (PA), defined as at least 150 mins/wk.Methods:We conducted a systematic search of 6 databases with data from 1990–2012 on dog owners’ PA, to identify those who achieved MIPA. To compare dog-walkers’ performance with non-dog walkers, we used a random effects model to estimate the unadjusted odds ratio (OR) and corresponding 95% confidence interval (CI).Results:We retrieved 9 studies that met our inclusion criterion and allowed OR calculations. These yielded data on 6980 dog owners aged 18 to 81 years (41% men). Among them, 4463 (63.9%) walked their dogs. Based on total weekly PA, 2710 (60.7%) dog walkers, and 950 (37.7%) non-dog walkers achieved at least MIPA. The estimated OR was 2.74 (95% CI 2.09–3.60).Conclusion:Across 9 published studies, almost 2 in 3 dog owners reported walking their dogs, and the walkers are more than 2.5 times more likely to achieve at least MIPA. These findings suggest that dog walking may be a viable strategy for dog owners to help achieve levels of PA that may enhance their health.

Fatigue after Physical Activity in Healthy and Balance-Impaired Elderly

2009 ◽  
Vol 17 (1) ◽  
pp. 89-105 ◽  
Author(s):  
Thorlene Egerton ◽  
Sandra G. Brauer ◽  
Andrew G. Cresswell
Keyword(s):  
Physical Activity ◽  
Daily Activity ◽  
Daily Living ◽  
Analogue Scale ◽  
Knee Extension ◽  
Moderate Intensity ◽  
Moderate Intensity Physical Activity ◽  
Hip Abduction ◽  
Intensity Physical Activity ◽  
Abduction Strength

This study aimed to determine whether physical activity similar to daily living results in signs and sensations of fatigue in healthy old, balance-impaired old, and healthy young adults. Sensations of general tiredness, leg tiredness, knee-extension and hip-abduction strength, and temporospatial gait variables were measured before, immediately after, and up to 20 min after moderate-intensity physical activity. After activity, all groups reported increased levels of tiredness but showed no changes in strength. The balance-impaired had greater and more prolonged feelings of tiredness, with a mean increase before to immediately after activity of 3.6 on the visual analogue scale and no recovery at 16 min. The young and healthy old had an increase of 3 and 2.6, respectively, and had recovered before 16 min. In the balance-impaired group only, cadence slowed immediately after activity. It is proposed that these changes, in particular the prolonged feelings of tiredness, might limit daily activity.

Physical Activity, Self-Esteem, and Mental Health in Students from Ethnic Minorities Attending Colleges in China

2014 ◽  
Vol 42 (4) ◽  
pp. 529-537 ◽  
Author(s):  
Yahong Li ◽  
Zhipeng Xu ◽  
Shunzhong Liu
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Ethnic Minorities ◽  
International Physical Activity Questionnaire ◽  
Multivariate Logistic Regression Analysis ◽  
Self Esteem ◽  
Moderate Intensity ◽  
Moderate Intensity Activity ◽  
Positive Correlations ◽  
Activity Questionnaire

We investigated the relationships among physical activity, self-esteem, and mental health in students at colleges in China who are from ethnic minorities. We administered the International Physical Activity Questionnaire, the Rosenberg Self-Esteem Scale, and the Symptom Checklist-90-R (SCL-90-R) to 849 participants. The results showed that total physical activity and moderate intensity activity had significant negative correlations with the respective SCL-90-R factor scores and significant positive correlations with self-esteem. Multivariate logistic regression analysis showed that study stress was an independent risk factor for mental health, whereas high levels of physical activity and self-esteem were preventive factors. The results suggest that promoting physical activity in college students from ethnic minorities has the potential to increase self-esteem and decrease the risk of mental disorders.

scholarly journals Impact of ActiGraph Sampling Rate and Intermonitor Comparability on Measures of Physical Activity in Adults

2021 ◽  
pp. 1-11
Author(s):  
Kimberly A. Clevenger ◽  
Jan Christian Brønd ◽  
Daniel Arvidsson ◽  
Alexander H.K. Montoye ◽  
Kelly A. Mackintosh ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sampling Rate ◽  
Mean Amplitude ◽  
Moderate Intensity ◽  
Equivalence Testing ◽  
Cut Points ◽  
Activity Intensity ◽  
Moderate Intensity Activity ◽  
Mean Differences ◽  
Vector Magnitude

Background: ActiGraph is a commonly used, research-grade accelerometer brand, but there is little information regarding intermonitor comparability of newer models. In addition, while sampling rate has been shown to influence accelerometer metrics, its influence on measures of free-living physical activity has not been directly studied. Purpose: To examine differences in physical activity metrics due to intermonitor variability and chosen sampling rate. Methods: Adults (n = 20) wore two hip-worn ActiGraph wGT3X-BT monitors for 1 week, with one accelerometer sampling at 30 Hz and the other at 100 Hz, which was downsampled to 30 Hz. Activity intensity was classified using vector magnitude, Euclidean Norm Minus One (ENMO), and mean amplitude deviation (MAD) cut points. Equivalence testing compared outcomes. Results: There was a lack of intermonitor equivalence for ENMO, time in sedentary/light- or moderate-intensity activity according to ENMO cut points, and time in moderate-intensity activity according to MAD cut points. Between sampling rates, differences existed for time in moderate-intensity activity according to vector magnitude, ENMO, and MAD cut points, and time in sedentary/light-intensity activity according to ENMO cut points. While mean differences were small (0.1–1.7 percentage points), this would equate to differences in moderate-to vigorous-intensity activity over a 10-hr wear day of 3.6 (MAD) to 10.8 (ENMO) min/day for intermonitor comparisons or 3.6 (vector magnitude) to 5.4 (ENMO) min/day for sampling rate. Conclusions: Epoch-level intermonitor differences were larger than differences due to sampling rate, but both may impact outcomes such as time spent in each activity intensity. ENMO was the least comparable metric between monitors or sampling rates.

scholarly journals Objectively Measured Physical Activity and Body Mass Index in Preschool Children

2010 ◽  
Vol 2010 ◽  
pp. 1-6 ◽  
Author(s):  
Susana Maria Coelho Guimarães Vale ◽  
Rute Marina Roberto Santos ◽  
Luísa Maria da Cruz Soares-Miranda ◽  
Carla Marisa Maia Moreira ◽  
Jonatan R. Ruiz ◽  
...  
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Preschool Children ◽  
Body Mass ◽  
Odds Ratio ◽  
Moderate Intensity ◽  
School Age ◽  
Z Score ◽  
Objectively Measured ◽  
Objectively Measured Physical Activity

Aim. To examine the association between objectively measured physical activity (PA) and body mass index (BMI) in preschool children.Methods. The study comprised 281 children (55.9% boys) aged from 4 to 6 years. PA was measured by accelerometer. Children were categorized as non-overweight (NOW) and overweight/obese (OW) according to the sex-adjusted BMI z-score (<1 and≥1, resp.).Results. Total and moderate intensity PA were not associated with BMI. We observed that a higher proportion of OW children were classified as low-vigorous PA compared to their NOW peers (43.9 versus 32.1%, resp.,P>.05). Logistic regression analysis showed that children with low-vigorous PA had higher odds ratio (OR) to be classified as OW compared to those with high-vigorous PA (OR=4.4; 95% CI: 1.4–13.4;P=.008) after adjusting for BMI at first and second years of life and other potential confounders.Conclusion. The data suggests that vigorous PA may play a key role in the obesity development already at pre-school age.

Step-Rate Recommendations for Moderate-Intensity Walking in Overweight/Obese and Healthy Weight Children

2015 ◽  
Vol 12 (3) ◽  
pp. 370-375 ◽  
Author(s):  
Charles F. Morgan ◽  
Allison R. Tsuchida ◽  
Michael William Beets ◽  
Ronald K. Hetzler ◽  
Christopher D. Stickley
Keyword(s):  
Physical Activity ◽  
Hierarchical Linear Modeling ◽  
Indirect Calorimetry ◽  
Weight Status ◽  
Moderate Intensity ◽  
Moderate Physical Activity ◽  
Healthy Weight ◽  
Step Rate ◽  
Metabolic Equivalents ◽  
Moderate Intensity Activity

Background:Physical activity guidelines for youth and adults include recommendations for moderate intensity activity to attain health benefits. Indirect calorimetry studies have consistently reported a 100 ste·min−1 threshold for moderate intensity walking in adults. No indirect calorimetry studies have investigated step-rate thresholds in children and therefore the primary purpose of the study was to determine preliminary step-rate thresholds for moderate physical activity walking in children.Methods:Oxygen consumption was measured at rest and used to determine 3 and 4 age-adjusted metabolic equivalents (A-AMETs) for 4 treadmill trials (self-selected, 2.5, 3.0, and 3.5 MPH). Two trained observers simultaneously counted children’s steps during each walking trial. Step-rate thresholds associated with moderate-intensity activity, defined as 3 and 4 A-AMETs, were determined using hierarchical linear modeling.Results:Regression analysis determined an overall step rate of 112 and 134 step·min-1 for 3 and 4 A-AMETs respectively. Body mass index (BMI) weight status and age were positively related to A-AMETs.Conclusions:We suggest age and BMI weight status specific recommendations that range from a low of 100 step·min-1 threshold (3 A-AMETs) for overweight/obese 11- to 12-year-olds to a high of 140 step·min-1 threshold (4 A-AMETs) for healthy weight 9- to 10-year-old children.

The influence of anterior and posterior knot placement on hip function after total hip arthroplasty using a modified Dall’s approach: a prospective non-randomised comparative study

2020 ◽  
pp. 112070002097778
Author(s):  
Hiroaki Hara ◽  
Hiroshi Fujita ◽  
Yuki Okutani ◽  
Masanao Kataoka ◽  
Hideto Harada ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Positive Impact ◽  
Japanese Orthopaedic Association ◽  
Randomised Study ◽  
Total Hip ◽  
Patient Demographics ◽  
Hip Disease ◽  
Hip Function

Background: The direct lateral modified Dall’s approach for total hip arthroplasty (THA) provides an excellent vision of the hip joint by osteotomising the greater trochanter (GT). A robust method for the reattachment of osteotomised fragments is essential to prevent complications around the GT. Ultra-high molecular weight polyethylene cables are reported to be useful for reattachment; but the optimal suture method of these cables is unknown. The purpose of this study was to investigate the influence of the knot position on hip function after primary THA. Methods: In a prospective non-randomised study 216 primary THA were included, being scheduled for an operation with a modified Dall’s approach. They were divided into 2 groups, anterior (A) and posterior (P) according to the knot position for the GT. Hip function was assessed using the Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire (JHEQ), pain visual analogue scale (VAS), satisfaction VAS and Merle d’Aubigne-Postel hip score at 3 and 6 months postoperatively. A logistic regression analysis was used to investigate factors influenced by the knot position. Results: Patient demographics were comparable between the 2 groups. Differences of the knot position did not affect the radiological failure rate of GT reattachment. Regression analysis showed a significantly positive impact on pain VAS and flexion range at 6 months postoperatively for posterior knot position. Conclusions: For the reattachment of osteotomised fragments, the posterior knot may be superior to the anterior knot.

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