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Physical activity level and association with behavioral factors in knee osteoarthritis / Chloé Gay in Annals of physical and rehabilitation medicine, Vol. 62, n°1 (Janvier 2019)
[article]
Titre : Physical activity level and association with behavioral factors in knee osteoarthritis Type de document : texte imprimé Auteurs : Chloé Gay ; Candy Guiguet-Auclair ; Charline Mourgues ; Laurent Gerbaud Année de publication : 2019 Article en page(s) : p. 14-20 Note générale : Doi : 10.1016/j.rehab.2018.09.005 Langues : Anglais (eng) Mots-clés : Knee osteoarthritis Physical activity Exercise Epidemiology Behavior Résumé : Highlights
This study provides new epidemiological data, while highlighting new elements regarding physical activity in osteoarthritis.
Measurement of physical activity level was supplemented by modifiable osteoarthritis risk factors analysis.
The osteoarthritis population appears more affected by these risk factors, and the most severely affected patients are those with less active lifestyles.
Abstract
Background
The effects of physical activity (PA) in disease prevention and therapy have well-known effects on lower-limb osteoarthritis (OA), decreasing pain and improving function.
Objective
We aimed to describe the level and factors affecting PA practices of people with knee OA.
Design
Prospective epidemiological study.
Setting
In all, 548 people with knee OA were interviewed by use of self-administered anonymous questionnaires.
Main outcome measurement
The main outcome was physical activity level evaluated by the International physical activity questionnaire (IPAQ) (short version). Secondary outcomes included sociodemographic and clinical data, comorbidities, and barriers to and facilitators of practicing regular PA evaluated by 24 specific elements.
Results
The mean (SD) age of the study population was 67.6 (7.9) years; 73.9% were women and 30.9% had obesity (mean [SD] body mass index [BMI] 28.2 [5.7] kg/m2). Multi-joint OA affected 92% of the population, and 71.6% had comorbidities. The mean (SD) visual analog scale score for pain intensity was 4.5/10 (2.5), which was 51.4% better than the patient acceptable symptom state (PASS). The mean (SD) Western Ontario and McMaster Universities Osteoarthritis Index function score was 36.6/100 (20.7), which was 57.5% better than the PASS. In total, 67% of patients used analgesics, half of them at least once a week. According to the IPAQ, 42.6% of patients reported high, 38.6% moderate, and 18.8% low PA level; the median IPAQ total activity score was 2628 metabolic equivalent of task (MET)-min/week and time spent sitting was 257.1min/day. Only one third of participants received non-pharmacological treatment corresponding to the latest recommendations. Variables significantly related to inactive or minimally active PA levels were BMI (P=0.0294), sex (P=0.0008), and biomedical barriers, related to self-efficacy (P=0.0118).
Conclusions
The OA study population was less active, more sedentary, and had more comorbidities and more barriers to PA practice than the overall population.Permalink : ./index.php?lvl=notice_display&id=82399
in Annals of physical and rehabilitation medicine > Vol. 62, n°1 (Janvier 2019) . - p. 14-20[article] Physical activity level and association with behavioral factors in knee osteoarthritis [texte imprimé] / Chloé Gay ; Candy Guiguet-Auclair ; Charline Mourgues ; Laurent Gerbaud . - 2019 . - p. 14-20.
Doi : 10.1016/j.rehab.2018.09.005
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°1 (Janvier 2019) . - p. 14-20
Mots-clés : Knee osteoarthritis Physical activity Exercise Epidemiology Behavior Résumé : Highlights
This study provides new epidemiological data, while highlighting new elements regarding physical activity in osteoarthritis.
Measurement of physical activity level was supplemented by modifiable osteoarthritis risk factors analysis.
The osteoarthritis population appears more affected by these risk factors, and the most severely affected patients are those with less active lifestyles.
Abstract
Background
The effects of physical activity (PA) in disease prevention and therapy have well-known effects on lower-limb osteoarthritis (OA), decreasing pain and improving function.
Objective
We aimed to describe the level and factors affecting PA practices of people with knee OA.
Design
Prospective epidemiological study.
Setting
In all, 548 people with knee OA were interviewed by use of self-administered anonymous questionnaires.
Main outcome measurement
The main outcome was physical activity level evaluated by the International physical activity questionnaire (IPAQ) (short version). Secondary outcomes included sociodemographic and clinical data, comorbidities, and barriers to and facilitators of practicing regular PA evaluated by 24 specific elements.
Results
The mean (SD) age of the study population was 67.6 (7.9) years; 73.9% were women and 30.9% had obesity (mean [SD] body mass index [BMI] 28.2 [5.7] kg/m2). Multi-joint OA affected 92% of the population, and 71.6% had comorbidities. The mean (SD) visual analog scale score for pain intensity was 4.5/10 (2.5), which was 51.4% better than the patient acceptable symptom state (PASS). The mean (SD) Western Ontario and McMaster Universities Osteoarthritis Index function score was 36.6/100 (20.7), which was 57.5% better than the PASS. In total, 67% of patients used analgesics, half of them at least once a week. According to the IPAQ, 42.6% of patients reported high, 38.6% moderate, and 18.8% low PA level; the median IPAQ total activity score was 2628 metabolic equivalent of task (MET)-min/week and time spent sitting was 257.1min/day. Only one third of participants received non-pharmacological treatment corresponding to the latest recommendations. Variables significantly related to inactive or minimally active PA levels were BMI (P=0.0294), sex (P=0.0008), and biomedical barriers, related to self-efficacy (P=0.0118).
Conclusions
The OA study population was less active, more sedentary, and had more comorbidities and more barriers to PA practice than the overall population.Permalink : ./index.php?lvl=notice_display&id=82399 Exemplaires (1)
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Exclu du prêtOnly limited correlations between patient-reported outcomes and objectively monitored physical activity 10-years after THA / Jetse Jelsma in Acta Orthopaedica Belgica, Vol. 87/4 (Décembre 2021)
[article]
Titre : Only limited correlations between patient-reported outcomes and objectively monitored physical activity 10-years after THA Type de document : texte imprimé Auteurs : Jetse Jelsma, Auteur ; Sander Van Kuijk ; Ivo Buil Année de publication : 2021 Article en page(s) : p. 593-599 Note générale : https://doi.org/10.52628/87.4.03 Langues : Anglais (eng) Mots-clés : hip arthroplasty patient reported outcomes (PROMs) physical activity physical activity monitoring wearables Résumé : In orthopaedics, patient reported outcomes (PROMs) are designed to quantify changes in pain and to assess physical function, most often after joint arthroplasty. However, PROMs have some disadvantages, most important is their subjective nature. The aim was to investigate how patient-self-reported-outcomes of general health, disease-specific outcome and physical function, joint-awareness and self-perceived activity- levels are correlated with objectively-measured physical-activity (PA) parameters derived from wearable activity-monitors (AM) in subjects with a hip-arthroplasty. A prospective cohort study was conducted in a group of 32 patients, with a mean follow-up of 10 years after total hip arthroplasty. To assess different domains, the SF-36 (general health), HOOS-PS (pain/functional outcome), FJS-12 (joint awareness) and SQUASH (physical activity) were chosen. Activity-monitoring was performed using a 3-axis accelerometer, gyroscope and magnetometer. No significant correlations between PA-parameters and the FJS-12 and SQUASH were found. The HOOS- PS was significant correlated with BMI, the daily time walking and total-time active and the amount of daily steps. The physical functioning-subscale of the SF-36 was significant negative correlated with BMI and time sitting, but significant positive correlated with time walking, total-time active and the amount of daily steps. Considering the value of PA for maintaining general health, the value of using sensor-based AMs to assess efficacy of treatments in this health related dimension or use it as a tool for patient education, awareness and communication, seems very high. Permalink : ./index.php?lvl=notice_display&id=102008
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 593-599[article] Only limited correlations between patient-reported outcomes and objectively monitored physical activity 10-years after THA [texte imprimé] / Jetse Jelsma, Auteur ; Sander Van Kuijk ; Ivo Buil . - 2021 . - p. 593-599.
https://doi.org/10.52628/87.4.03
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 593-599
Mots-clés : hip arthroplasty patient reported outcomes (PROMs) physical activity physical activity monitoring wearables Résumé : In orthopaedics, patient reported outcomes (PROMs) are designed to quantify changes in pain and to assess physical function, most often after joint arthroplasty. However, PROMs have some disadvantages, most important is their subjective nature. The aim was to investigate how patient-self-reported-outcomes of general health, disease-specific outcome and physical function, joint-awareness and self-perceived activity- levels are correlated with objectively-measured physical-activity (PA) parameters derived from wearable activity-monitors (AM) in subjects with a hip-arthroplasty. A prospective cohort study was conducted in a group of 32 patients, with a mean follow-up of 10 years after total hip arthroplasty. To assess different domains, the SF-36 (general health), HOOS-PS (pain/functional outcome), FJS-12 (joint awareness) and SQUASH (physical activity) were chosen. Activity-monitoring was performed using a 3-axis accelerometer, gyroscope and magnetometer. No significant correlations between PA-parameters and the FJS-12 and SQUASH were found. The HOOS- PS was significant correlated with BMI, the daily time walking and total-time active and the amount of daily steps. The physical functioning-subscale of the SF-36 was significant negative correlated with BMI and time sitting, but significant positive correlated with time walking, total-time active and the amount of daily steps. Considering the value of PA for maintaining general health, the value of using sensor-based AMs to assess efficacy of treatments in this health related dimension or use it as a tool for patient education, awareness and communication, seems very high. Permalink : ./index.php?lvl=notice_display&id=102008 Réservation
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DisponibleCanadian-French adaptation and test-retest reliability of the leisure time physical activity questionnaire for people with disabilities / Isabelle Cummings in Annals of physical and rehabilitation medicine, Vol. 62, n°3 (Mai 2019)
[article]
Titre : Canadian-French adaptation and test-retest reliability of the leisure time physical activity questionnaire for people with disabilities Type de document : texte imprimé Auteurs : Isabelle Cummings ; Marie-Eve Lamontagne ; Shane N. Sweet ; Michael Spivock ; Sèbiyo Charles Batcho Année de publication : 2019 Article en page(s) : p. 161-167 Note générale : https://doi.org/10.1016/j.rehab.2018.12.002 Langues : Anglais (eng) Mots-clés : Physical activity Physical disability French translation Content validity Test-retest reliability Résumé : Objectives
The Leisure Time Physical Activity Questionnaire (LTPAQ) measures the duration of physical activities performed during the past 7 days, and results are expressed in minutes. This study aimed to translate this questionnaire into Canadian-French and to evaluate the content validity and its test-retest reliability in people with physical disabilities.
Methods
The LTPAQ was translated from English to French by forward and backward translation. To assess content validity, 9 adults with physical disabilities read and provided comments regarding the relevance, wording and understanding of the items of the preliminary Canadian-French version of the questionnaire. For test-retest reliability, 37 adults with physical disabilities completed the questionnaire 2 or 3 times at T1 (baseline), T2 (2 days from baseline) and T3 (7 days from baseline). The test–retest reliability was investigated by intra-class correlation coefficients (ICCs), paired t test and Bland and Altman tests.
Results
The translation and the content validation process resulted in a Canadian-French version of the LTPAQ (LTPAQ-CF). Total LTPAQ-CF scores between T1-T2 and T1-T3 featured strong ICCs, 0.90 and 0.75 (P ≤ 0.01). Paired t tests and Bland and Altman analyses confirmed the good reproducibility of results.
Conclusion
The LTPAQ-CF has good test–retest reliability when self-administered or administered by interview to people with physical disabilities.Permalink : ./index.php?lvl=notice_display&id=84114
in Annals of physical and rehabilitation medicine > Vol. 62, n°3 (Mai 2019) . - p. 161-167[article] Canadian-French adaptation and test-retest reliability of the leisure time physical activity questionnaire for people with disabilities [texte imprimé] / Isabelle Cummings ; Marie-Eve Lamontagne ; Shane N. Sweet ; Michael Spivock ; Sèbiyo Charles Batcho . - 2019 . - p. 161-167.
https://doi.org/10.1016/j.rehab.2018.12.002
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°3 (Mai 2019) . - p. 161-167
Mots-clés : Physical activity Physical disability French translation Content validity Test-retest reliability Résumé : Objectives
The Leisure Time Physical Activity Questionnaire (LTPAQ) measures the duration of physical activities performed during the past 7 days, and results are expressed in minutes. This study aimed to translate this questionnaire into Canadian-French and to evaluate the content validity and its test-retest reliability in people with physical disabilities.
Methods
The LTPAQ was translated from English to French by forward and backward translation. To assess content validity, 9 adults with physical disabilities read and provided comments regarding the relevance, wording and understanding of the items of the preliminary Canadian-French version of the questionnaire. For test-retest reliability, 37 adults with physical disabilities completed the questionnaire 2 or 3 times at T1 (baseline), T2 (2 days from baseline) and T3 (7 days from baseline). The test–retest reliability was investigated by intra-class correlation coefficients (ICCs), paired t test and Bland and Altman tests.
Results
The translation and the content validation process resulted in a Canadian-French version of the LTPAQ (LTPAQ-CF). Total LTPAQ-CF scores between T1-T2 and T1-T3 featured strong ICCs, 0.90 and 0.75 (P ≤ 0.01). Paired t tests and Bland and Altman analyses confirmed the good reproducibility of results.
Conclusion
The LTPAQ-CF has good test–retest reliability when self-administered or administered by interview to people with physical disabilities.Permalink : ./index.php?lvl=notice_display&id=84114 Exemplaires (1)
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Exclu du prêtPerceived barriers to and facilitators of physical activity in people with knee osteoarthritis : Development of the Evaluation of the Perception of Physical Activity questionnaire / N. Coste in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)
[article]
Titre : Perceived barriers to and facilitators of physical activity in people with knee osteoarthritis : Development of the Evaluation of the Perception of Physical Activity questionnaire Type de document : texte imprimé Auteurs : N. Coste ; Candy Guiguet-Auclair ; Laurent Gerbaud ; B. Pereira ; P. Berland ; C. Gay ; Emmanuel Coudeyre Année de publication : 2020 Article en page(s) : p. 202-208 Note générale : doi.org/10.1016/j.rehab.2019.07.009 Langues : Anglais (eng) Mots-clés : Knee osteoarthritis Questionnaire Physical activity Barriers Facilitators Construct Validation Résumé : Background
The physical activity (PA) level of individuals with knee osteoarthritis is lower than in the general population. International recommendations recommend a non-pharmacological intervention including a self-management education program, weight loss and an adapted exercise program. However, we have no scale assessing the perceived barriers to and facilitators of PA in this population.
Objective
We constructed and validated a self-administered questionnaire assessing perceived barriers to and facilitators of regular practice of PA in people with knee osteoarthritis.
Methods
Semi-structured interviews identified 24 barriers and facilitators. We developed a 24-item questionnaire, Evaluation of the Perception of Physical Activity (EPPA) that was completed by 548 individuals with knee osteoarthritis, to assess acceptability, construct validity, internal consistency and convergent validity. Participants also completed the Knee Osteoarthritis Fears and Beliefs Questionnaire (KOFBeQ), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and International Physical Activity Questionnaire (IPAQ). Reliability and sensitivity to change were evaluated in a second group of 168 people with knee osteoarthritis at a 3-week spa therapy resort.
Results
Factorial analysis identified 17 items grouped into 4 subscales (Barriers, Facilitators, Motivation and Beliefs). The internal consistency was good for Barriers, Facilitators and Motivation subscales (Cronbach α > 0.70) and intermediate for the Beliefs subscale (Cronbach α = 0.64). The EPPA subscale scores were significantly correlated with KOFBeQ and WOMAC scores but not associated with IPAQ physical activity level. Reliability was good for all subscales, with intraclass correlation coefficients > 0.60. A sensitivity to change was found for only the Beliefs subscale, with a moderate effect size.
Conclusions
The EPPA questionnaire has good psychometric properties and can help guide the management of knee osteoarthritis. It can be used in research for evaluating the perception of physical activity.Permalink : ./index.php?lvl=notice_display&id=90796
in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 202-208[article] Perceived barriers to and facilitators of physical activity in people with knee osteoarthritis : Development of the Evaluation of the Perception of Physical Activity questionnaire [texte imprimé] / N. Coste ; Candy Guiguet-Auclair ; Laurent Gerbaud ; B. Pereira ; P. Berland ; C. Gay ; Emmanuel Coudeyre . - 2020 . - p. 202-208.
doi.org/10.1016/j.rehab.2019.07.009
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 202-208
Mots-clés : Knee osteoarthritis Questionnaire Physical activity Barriers Facilitators Construct Validation Résumé : Background
The physical activity (PA) level of individuals with knee osteoarthritis is lower than in the general population. International recommendations recommend a non-pharmacological intervention including a self-management education program, weight loss and an adapted exercise program. However, we have no scale assessing the perceived barriers to and facilitators of PA in this population.
Objective
We constructed and validated a self-administered questionnaire assessing perceived barriers to and facilitators of regular practice of PA in people with knee osteoarthritis.
Methods
Semi-structured interviews identified 24 barriers and facilitators. We developed a 24-item questionnaire, Evaluation of the Perception of Physical Activity (EPPA) that was completed by 548 individuals with knee osteoarthritis, to assess acceptability, construct validity, internal consistency and convergent validity. Participants also completed the Knee Osteoarthritis Fears and Beliefs Questionnaire (KOFBeQ), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and International Physical Activity Questionnaire (IPAQ). Reliability and sensitivity to change were evaluated in a second group of 168 people with knee osteoarthritis at a 3-week spa therapy resort.
Results
Factorial analysis identified 17 items grouped into 4 subscales (Barriers, Facilitators, Motivation and Beliefs). The internal consistency was good for Barriers, Facilitators and Motivation subscales (Cronbach α > 0.70) and intermediate for the Beliefs subscale (Cronbach α = 0.64). The EPPA subscale scores were significantly correlated with KOFBeQ and WOMAC scores but not associated with IPAQ physical activity level. Reliability was good for all subscales, with intraclass correlation coefficients > 0.60. A sensitivity to change was found for only the Beliefs subscale, with a moderate effect size.
Conclusions
The EPPA questionnaire has good psychometric properties and can help guide the management of knee osteoarthritis. It can be used in research for evaluating the perception of physical activity.Permalink : ./index.php?lvl=notice_display&id=90796 Exemplaires (1)
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Exclu du prêtA short educational program to reduce barriers to physical activity in patients with coronary artery disease / Joffrey Drigny in Annals of physical and rehabilitation medicine, Vol. 63, n°6 (November 20)
[article]
Titre : A short educational program to reduce barriers to physical activity in patients with coronary artery disease Type de document : texte imprimé Auteurs : Joffrey Drigny ; Vincent Gremeaux ; Anthony Peullier ; Emmanuel Reboursière ; Alexis Ruet ; Charles Joussain Année de publication : 2020 Article en page(s) : p. 574-577 Note générale : doi.org/10.1016/j.rehab.2019.12.004 Langues : Anglais (eng) Mots-clés : Coronary artery disease Physical activity Intervention Behavioral Barriers Permalink : ./index.php?lvl=notice_display&id=91475
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 574-577[article] A short educational program to reduce barriers to physical activity in patients with coronary artery disease [texte imprimé] / Joffrey Drigny ; Vincent Gremeaux ; Anthony Peullier ; Emmanuel Reboursière ; Alexis Ruet ; Charles Joussain . - 2020 . - p. 574-577.
doi.org/10.1016/j.rehab.2019.12.004
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 574-577
Mots-clés : Coronary artery disease Physical activity Intervention Behavioral Barriers Permalink : ./index.php?lvl=notice_display&id=91475 Exemplaires (1)
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Exclu du prêtValidation of a novel activity monitor in impaired, slow-walking, crutch-supported patients / Simon N. van Laarhoven in Annals of physical and rehabilitation medicine, Vol. 59, n°5-6 (December 2016)
PermalinkPhysical and psychological paths toward less severe fibromyalgia : A structural equation model / Manuel Pulido-Martos in Annals of physical and rehabilitation medicine, Vol. 63, n°1 (Janvier 2020)
PermalinkAn update on the pathophysiology of osteoarthritis / Ali Mobasheri in Annals of physical and rehabilitation medicine, Vol. 59, n°5-6 (December 2016)
PermalinkCriteria for inclusion in programs of functional restoration for chronic low back pain: Pragmatic Study / Marina Assadourian in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)
PermalinkSports organisés : environnements d’influence et habitudes de vie des adolescents - Organized sports: Environmental influences and health behaviours among adolescents / P. DUBREUIL in Science & sports, volume 29 numéro 5 (Octobre 2014)
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