Prevalence and determinants of physical activity and sedentary behaviour before and up to 12 months after total knee replacement : A longitudinal cohort study

Journal article


Hodges, Alison, Harmer, Alison R., Dennis, Sarah, Nairn, Lillias, March, Lyn, Crawford, Ross, Parker, David and Fransen, Marlene. (2018). Prevalence and determinants of physical activity and sedentary behaviour before and up to 12 months after total knee replacement : A longitudinal cohort study. Clinical Rehabilitation. 32(9), pp. 1271-1283. https://doi.org/10.1177/0269215518769986
AuthorsHodges, Alison, Harmer, Alison R., Dennis, Sarah, Nairn, Lillias, March, Lyn, Crawford, Ross, Parker, David and Fransen, Marlene
Abstract

Objective:
This study aims to evaluate the prevalence and determinants of inadequate physical activity and excessive sedentary behaviour before and after total knee replacement.
Design, setting and subjects:
Secondary analysis was performed on data from a cohort of 422 adults (45–74 years), drawn from 12 public or private hospitals, undergoing primary unilateral or bilateral total knee replacement surgery.
Main measures:
Questionnaires were used to determine the presence of inadequate physical activity and excessive sedentary behaviour before and 6  and 12 months after total knee replacement surgery. Knee pain, activity limitations, comorbidities, muscle strength, psychological well-being, fatigue, sleep and body mass index were measured/assessed as possible determinants of physical activity or sedentary behaviour.
Results:
Before surgery, 77% (n = 326) of the cohort participated in inadequate physical activity according to World Health Organization guidelines, and 60% (n = 253) engaged in excessive sedentary behaviour. Twelve months after surgery, 53% (n = 185) of the cohort engaged in inadequate physical activity and 45% (n = 157) in excessive sedentary behaviour. Inadequate physical activity before surgery (P = 0.02), obesity (P = 0.07) and comorbidity score >6 (P = 0.04) predicted inadequate physical activity 12 months after surgery. Excessive sedentary behaviour and activity limitations before surgery predicted excessive sedentary behaviour 12 months after surgery.
Conclusion:
Although there were improvements after total knee replacement, 12 months after surgery about half the cohort did not meet World Health Organization recommendations for activity. Pre-surgery assessment of physical activity, activity limitations, sedentary behaviour and body mass index is essential to identify patients at risk for long-term inactivity.

Keywordsphysical activity; sedentary behaviour; knee arthroplasty
Year2018
JournalClinical Rehabilitation
Journal citation32 (9), pp. 1271-1283
PublisherSAGE Publications
ISSN0269-2155
Digital Object Identifier (DOI)https://doi.org/10.1177/0269215518769986
PubMed ID29690780
Scopus EID2-s2.0-85046772588
Page range1271-1283
FunderHospital Contributions Fund of Australia (HCF)
British United Provident Association (Bupa)
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online25 Apr 2018
Publication process dates
Accepted18 Mar 2018
Deposited14 Mar 2023
Permalink -

https://acuresearchbank.acu.edu.au/item/8ywvq/prevalence-and-determinants-of-physical-activity-and-sedentary-behaviour-before-and-up-to-12-months-after-total-knee-replacement-a-longitudinal-cohort-study

Restricted files

Publisher's version

  • 21
    total views
  • 0
    total downloads
  • 1
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Prevalence and determinants of physical activity, sedentary behaviour and fatigue five years after total knee replacement
Hodges, Alison, Harmer, Alison R., Dennis, Sarah, March, Lyn, Crawford, Ross and Parker, David. (2022). Prevalence and determinants of physical activity, sedentary behaviour and fatigue five years after total knee replacement. Clinical Rehabilitation. 36(11), pp. 1524-1538. https://doi.org/10.1177/02692155221113909
Prevalence and determinants of fatigue following total knee replacement : A longitudinal cohort study
Hodges, Alison, Harmer, Alison R., Dennis, Sarah, Nairn, Lillias, March, Lyn, Crosbie, Jack, Crawford, Ross, Parker, David and Fransen, Marlene. (2016). Prevalence and determinants of fatigue following total knee replacement : A longitudinal cohort study. Arthritis Care and Research. 68(10), pp. 1434-1442. https://doi.org/10.1002/acr.22861