Skip to main content
Top

25-02-2017 | Osteoarthritis | Article

Physical activity and osteoarthritis: a consensus study to harmonise self-reporting methods of physical activity across international cohorts

Journal: Rheumatology International

Authors: L. S. Gates, K. M. Leyland, S. Sheard, K. Jackson, P. Kelly, L. F. Callahan, R. Pate, E. M. Roos, B. Ainsworth, C. Cooper, C. Foster, J. L. Newton, M. E. Batt, N. K. Arden

Publisher: Springer Berlin Heidelberg

Abstract

Physical activity (PA) is increasingly recognised as an important factor within studies of osteoarthritis (OA). However, subjective methods used to assess PA are highly variable and have not been developed for use within studies of OA, which creates difficulties when comparing and interpreting PA data in OA research. The aim of this study was, therefore, to gain expert agreement on the appropriate methods to harmonise PA data among existing population cohorts to enable the investigation of the association of PA and OA. The definition of PA in an OA context and methods of harmonization were established via an international expert consensus meeting and modified Delphi exercise using a geographically diverse committee selected on the basis of individual expertise in physical activity, exercise medicine, and OA. Agreement was met for all aims of study: (1) The use of Metabolic Equivalent of Task (MET) minutes per week (MET-min/week) as a method for harmonising PA variables among cohorts; (2) The determination of methods for treating missing components of MET-min/week calculation; a value will be produced from comparable activities within a representative cohort; (3) Exclusion of the domain of occupation from total MET-min/week; (4) The need for a specific measure of joint loading of an activity in addition to intensity and time, in studies of diseases, such as OA. This study has developed a systematic method to classify and harmonise PA in existing OA cohorts. It also provides minimum requirements for future studies intending to include subjective PA measures.
Literature
1.
Brandt KD, Radin EL, Dieppe PA, van de Putte L (2006) Yet more evidence that osteoarthritis is not a cartilage disease. Ann Rheum Dis 65(10):1261–1264CrossRefPubMedPubMedCentral
2.
Jordan JM, Helmick CG, Renner JB, Luta G, Dragomir AD, Woodard J et al (2007) Prevalence of knee symptoms and radiographic and symptomatic knee osteoarthritis in African Americans and Caucasians: the Johnston County Osteoarthritis Project. J Rheumatol 34(1):172–180PubMed
3.
Pereira D, Peleteiro B, Araújo J, Branco J, Santos RA, Ramos E (2011) The effect of osteoarthritis definition on prevalence and incidence estimates: a systematic review. Osteoarthr Cartil 19(11):1270–1285CrossRefPubMed
4.
Turkiewicz A, Gerhardsson de Verdier M, Engström G, Nilsson PM, Mellström C, Lohmander LS et al (2015) Prevalence of knee pain and knee OA in southern Sweden and the proportion that seeks medical care. Rheumatology 54(5):827–835CrossRefPubMed
5.
Jordan JM, Helmick CG, Renner JB, Luta G, Dragomir AD, Woodard J et al (2009) Prevalence of hip symptoms and radiographic and symptomatic hip osteoarthritis in African Americans and caucasians: the Johnston county osteoarthritis project. J Rheumatol 36(4):809–815CrossRefPubMedPubMedCentral
6.
Kim C, Linsenmeyer KD, Vlad SC, Guermazi A, Clancy MM, Niu J et al (2014) Prevalence of radiographic and symptomatic hip osteoarthritis in an urban united states community: the framingham osteoarthritis study. Arthritis Rheumatol 66(11):3013–3017CrossRefPubMedPubMedCentral
7.
Bauman A, Phongsavan P, Schoeppe S, Owen N (2006) Physical activity measurement—a primer for health promotion. Promot Educ 13(2):92–103CrossRefPubMed
8.
Richmond SA, Fukuchi RK, Ezzat A, Schneider K, Schneider G, Emery CA (2013) Are joint injury, sport activity, physical activity, obesity, or occupational activities predictors for osteoarthritis? A systematic review. J Orthopaed Sports Phys Ther 43(8):515–519CrossRef
9.
Riley RD, Lambert PC, Abo-Zaid G (2010) Meta-analysis of individual participant data: rationale, conduct, and reporting. BMJ 340:c221CrossRefPubMed
10.
Feinleib M, Kannel WB, Garrison RJ, McNamara PM, Castelli WP (1975) The Framingham Offspring Study. Design and preliminary data. Prevent Med (Baltimore) 4:518–525
11.
Jordan JM, Linder GF, Renner JB, Fryer JG (1995) The impact of arthritis in rural populations. Arthritis Care Res 8(4):242–250CrossRefPubMed
12.
Cummings SR, Black DM, Nevitt MC et al (1990) APpendicular bone density and age predict hip fracture in women. JAMA 263(5):665–668CrossRefPubMed
13.
Felson DT, Nevitt MC (2004) Epidemiologic studies for osteoarthritis: new versus conventional study design approaches. Rheum Dis Clin N Am 30(4):783–797CrossRef
14.
Hart DJ, Mootoosamy I, Doyle DV, Spector TD (1994) The relationship between osteoarthritis and osteoporosis in the general population: the Chingford Study. Ann Rheum Dis 53(3):158–162CrossRefPubMedPubMedCentral
15.
Syddall H, Aihie Sayer A, Dennison E, Martin H, Barker D, Cooper C et al (2005) Cohort profile: the Hertfordshire cohort study. Int J Epidemiol 34(6):1234–1242CrossRefPubMed
16.
Hofman A, Murad SD, Duijn CM, Franco OH, Goedegebure A, Arfan Ikram M et al (2013) The Rotterdam study: 2014 objectives and design update. Eur J Epidemiol 28(11):889–926CrossRefPubMed
17.
Yoshimura N, Muraki S, Oka H, Kawaguchi H, Nakamura K, Akune T (2010) Cohort profile: research on osteoarthritis/osteoporosis against disability study. Int J Epidemiol 39(4):988–995CrossRefPubMed
18.
Ding C, Parameswaran V, Cicuttini F, Burgess J, Zhai G, Quinn S et al (2008) Association between leptin, body composition, sex and knee cartilage morphology in older adults: the Tasmanian older adult cohort (TASOAC) study. Ann Rheum Dis 67(9):1256–1261CrossRefPubMed
19.
Stewart J (2001) Is the Delphi technique a qualitative method? Med Educ 35(10):922–923CrossRefPubMed
20.
Hunter DJ, Arden N, Conaghan PG, Eckstein F, Gold G, Grainger A et al (2011) Definition of osteoarthritis on MRI: results of a Delphi exercise. Osteoarthr Cartil 19(8):963–969CrossRefPubMedPubMedCentral
21.
Ainsworth BE, Haskell WL, Herrmann SD, Meckes N, Bassett DR, Tudor-Locke C et al (2011) Compendium of physical activities: a second update of codes and MET values. Med Sci Sports Exerc 43(8):1575–1581CrossRefPubMed
22.
Ainsworth B, Haskell W, Leon A, Jacobs D, Montoye H, Sallis J et al (1993) Compendium of physical activities: classification of energy costs of human physical activities. Med Sci Sports Exerc 25(1):71–80CrossRefPubMed
23.
Physical Activity Guidelines Advisory Committee (2008) Physical Activity guidelines advisory committee report, Washington, D.C
24.
Strath SJ, Kaminsky LA, Ainsworth BE, Ekelund U, Freedson PS, Gary RA et al (2013) Guide to the assessment of physical activity: clinical and research applications: a scientific statement from the American heart association. Circulation 128(20):2259–2279CrossRefPubMed
25.
Kelly P, Kahlmeier S, Götschi T, Orsini N, Richards J, Roberts N et al (2014) Systematic review and meta-analysis of reduction in all-cause mortality from walking and cycling and shape of dose response relationship. Int J Behav Nutr Phys Act 11(1):1–15CrossRef
26.
Matthews CE, Jurj AL, Shu XO, Li HL, Yang G, Li Q et al (2007) Influence of exercise, walking, cycling, and overall nonexercise physical activity on mortality in Chinese women. Am J Epidemiol 165(12):1343–1350CrossRefPubMed
27.
Carlsson S, Andersson T, Wolk A, Ahlbom A (2006) Low physical activity and mortality in women: baseline lifestyle and health as alternative explanations. Scand J Public Health 34(5):480–487CrossRefPubMed
28.
World Health Organisation (2009) Global health risks: mortality and burden of disease attributable to selected major risks. WHO Press, Geneva
29.
Ratzlaff CR, Koehoorn M, Cibere J, Kopec JA (2012) Is lifelong knee joint force from work, home, and sport related to knee osteoarthritis? Int J Rheumatol 2012:1–14CrossRef
30.
Palmer KT (2012) Occupational activities and osteoarthritis of the knee. Br Med Bull 102(1):147–170CrossRefPubMedPubMedCentral
31.
Martin KR, Kuh D, Harris TB, Guralnik JM, Coggon D, Wills AK (2013) Body mass index, occupational activity, and leisure-time physical activity: an exploration of risk factors and modifiers for knee osteoarthritis in the 1946 British birth cohort. BMC Musculoskelet Disord 14(1):1–11CrossRef
32.
Washburn RA, Smith KW, Jette AM, Janney CA (1993) The physical activity scale for the elderly (PASE): development and evaluation. J Clin Epidemiol 46(2):153–162CrossRefPubMed
33.
Felson DT (2013) Osteoarthritis as a disease of mechanics. Osteoarthr Cartil 21(1):10–15CrossRefPubMedPubMedCentral
34.
Litwic A, Edwards MH, Dennison EM, Cooper C (2013) Epidemiology and burden of osteoarthritis. Br Med Bull 105(1):185–199CrossRefPubMedPubMedCentral
35.
Buckwalter JA, Lane NE (1997) Does participation in sports cause osteoarthritis? Iowa Orthopaed J 17:80–89
36.
Dolan S, Williams D, Ainsworth B, Shaw J (2006) Development and reproducibility of the bone loading history questionnaire. Med Sci Sports Exerc 38(6):1121–1131CrossRefPubMed
37.
Haskell W, Lee I, Pate R, Powell K, Blair S, Franklin B et al (2007) Physical activity and public health: Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association Medicine. Circulation 116:1081–1093CrossRefPubMed
38.
Bull F, Groups. EW (2010) Technical report. Physical activity guidelines in the UK: Review and recommendations. Loughborough School of Sport, Exercise and Health Sciences. Loughborough University
39.
Bravata DM, Smith-Spangler C, Sundaram V et al (2007) Using pedometers to increase physical activity and improve health: a systematic review. JAMA 298(19):2296–2304CrossRefPubMed
40.
Tudor-Locke C, Bassett DR Jr (2004) How many steps/day are enough? Preliminary pedometer indices for public health. Sports Med 34(1):1–8CrossRefPubMed
41.
Tudor-Locke C, Craig CL, Aoyagi Y, Bell RC, Croteau KA, De Bourdeaudhuij I et al (2011) How many steps/day are enough? For older adults and special populations. Int J Behav Nutr Phys Act 8(1):1–19CrossRef
42.
Dwyer T, Pezic A, Sun C, Cochrane J, Venn A, Srikanth V et al (2015) Objectively measured daily steps and subsequent long term all-cause mortality: the tasped prospective cohort study. PLoS One 10(11):e0141274CrossRefPubMedPubMedCentral
43.
Marshall SJ, Levy SS, Tudor-Locke CE, Kolkhorst FW, Wooten KM, Ji M et al (2009) Translating physical activity recommendations into a pedometer-based step goal: 3000 steps in 30 min. Am J Prev Med 36(5):410–415CrossRefPubMed
44.
Autier P, Pizot C., Meaningless METS: studying the link between physical activity and health: BMJ. 2016 Aug 9;354:i4200. doi:10.​1136/​bmj.​i4200 CrossRefPubMed