Functionality in Middle-Aged and Older Overweight and Obese Individuals with Knee Osteoarthritis

Akhavan, Neda; Ormsbee, Lauren; Johnson, Sarah; George, Kelli; Elam, Marcus L.; Ezzat-Zadeh, Zahra; Arjmandi, Bahram H.

doi:10.3390/healthcare6030074

Cited by 12 publications

(10 citation statements)

References 32 publications

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“…In the study by Cetin et al (2009), womenʼs total LI scores were significantly elevated. Using the Western Ontario and McMaster Universities (WOMAC) scale, which is similar to the LI scale, Akhavan et al (2018) found higher scores in women for physical functionality and performance of daily activities. In our study, FES scores associated with falling and fear of falling were lower in women, and there was a negative correlation between LI and FES scores (Table 3).…”

Section: Discussionmentioning

confidence: 99%

How falls and fear of falling affect the performance of daily activities in individuals with knee osteoarthritis

Kurtoglu¹,

Taştan²,

Tunay³

2020

Cent Eur J Nurs Midw

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Aim: The aim of this quantitative study was to assess falls and fear of falling in patients with knee osteoarthritis, and to determine their effects on daily activities. Design: A descriptive and prospective quantitative study. Methods: The study employed a descriptive and prospective design, examining 93 patients with knee osteoarthritis. We used the Lequesne Index (LI), the Falls Efficacy Scale (FES), and the Visual Analog Scale for Fear of Falling (VAS-FOF) to assess the effects of falls and fear of falling on daily activities. Results: The mean age of participants was 62.0 years old. In total, 78.5% of patients had experienced falls in the past, 53.4% of whom were admitted to hospital as a result. There was a positive significant correlation between total mean Lequesne Index and VAS-FOF scores, age, and BMI of participants (r = 0.310; r = 0.231; r = 0.283) (p < 0.05). A negative correlation was found between FES and VAS-FOF scores, total LI score, and age (p < 0.05). In addition, a negative significant correlation was found between age and BMI (r =-0.257) (p < 0.013). Conclusion: The results demonstrated that fear of falling affects the performance of daily activities. Knee osteoarthritis is an important risk factor for falling, and falls affect daily activities in those with knee osteoarthritis.

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Section: Discussionmentioning

confidence: 99%

How falls and fear of falling affect the performance of daily activities in individuals with knee osteoarthritis

Kurtoglu¹,

Taştan²,

Tunay³

2020

Cent Eur J Nurs Midw

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“…play an important role while the patients are answering questions which may explain the subjectivity of answers to the questions asked . [10] Thus to avoid this factor 6MWT and 6PBRT were assessed to evaluate energy expenditure and exercise capacity of patients with osteoarthritis of knee. Factors such as weight bearing pain, joint instability sometimes mask patient's functional capacity since 6MWT incorporates weight bearing activity and increased weight bearing in turn increases pain [11].…”

Section: Discussionmentioning

confidence: 99%

Correlation of Exercise Capacity with Functional Disability in Patients with Osteoarthritis of Knee

Kubal¹,

Ghole²

2021

IJPR

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Introduction: Osteoarthritis of knee is a progressive joint disease which produces pain, inflammation and destruction of joint which in turn leads to range of motion limitation and walking disabilities. Affection in physical functioning is determined not only by just activities involving lower limb capacity but also by the activities which require use of upper extremities. Hence in this study, 6MWD and no. of rings moved in 6 minutes were taken as an outcome measures for determining the exercise capacity. KOOS is a self-administered questionnaire which was used in its cross culturally adapted format for determining the functional disability in patients. Objectives: 1. To study correlation of exercise capacity with functional disability in patients with osteoarthritis of knee. 2. To study correlation of upper limb exercise capacity with lower limb exercise capacity in patients with osteoarthritis of knee. Methods: Cross sectional, observational study including 30 patients of either gender having unilateral osteoarthritis of knee conducted in a tertiary care hospital. Results: No. of rings moved in 6 minutes and global KOOS score showed no statistically significant correlation. 6MWD and global KOOS score showed no statistically significant correlation. 6 minute walk distance and 6 minute peg board ring test showed no statistically significant correlation. Conclusion: The study suggests that there is no correlation of exercise capacity with functional disability in patients with osteoarthritis of knee. Also, there is no correlation found between upper limb exercise capacity and lower limb exercise capacity in patients with osteoarthritis of knee. KEY WORDS: Knee osteoarthritis, Knee pain, squat depth, functional disability, cardiorespiratory endurance, Knee Injury and Osteoarthritis Outcome Score, Quality of life.

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“…Although some studies 21,22 have investigated the individual relationship between these abilities and perceived HRQOL, the authors are not aware of any studies on the main databases that concomitantly assessed the main daily transfer activities performed by this population, understood as global physical capacity. We found the ability to walk long distances adjusted for BMI explained 22.3% of HRQOL in the pain domain of the older adults with symptomatic KOA.…”

Section: Discussionmentioning

confidence: 99%

Relationship between the ability to walk long distances and to climb up and down stairs with the health-related quality of life of older adults with symptomatic knee osteoarthritis

DeSantana

Durigan

Garcia

2021

Rev. bras. geriatr. gerontol.

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Objective To investigate the relationship between physical capacity and health-related quality of life (HRQoL) in older patients with symptomatic knee osteoarthritis (KOA). Method A cross-sectional study was carried out, in which 67 older people (55 women and 12 men) diagnosed with KOA completed the physical function tests: Timed Up and Go (TUG); 30-second Chair Stand Test (30CST); Stair Climb Test (SCT); 40m Fast-Paced Walk Test (40FPWT); and Six-Minute Walk Test (6MWT). HRQoL was measured using the Western Ontario McMaster Universities Osteoarthritis Index (WOMAC). Univariate and multivariate linear regression analyzes were used to explore the relationship between the variables. Results Patients were predominantly female, overweight, inactive, non-depressed, with bilateral KOA and in severe pain. In HRQoL, the domains showed low performance compared to healthy individuals. An association was observed between 30CST, SCT, 40FPWT and 6MWT with pain and physical function and an association of 30CTS, 6MWT with stiffness (R² = 0.064 to 0.304, p<0.05). In the multivariate analysis, BMI, sex and bilateral impairment were also considered as independent variables, resulting in significant associations of the 6MWT and BMI with pain (ß[6MWT]=0.121, 95%CI 0.005 to 0.237; ß[BMI]=0.022, 95CI and sex (ß=10.724, 95%CI 2.985 to 18.463) with physical function. Conclusion The results suggests positive association between TSDE and physical function and negative associations between physical capacity on 6MWT on pain and stifness.

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Functionality in Middle-Aged and Older Overweight and Obese Individuals with Knee Osteoarthritis

Cited by 12 publications

References 32 publications

How falls and fear of falling affect the performance of daily activities in individuals with knee osteoarthritis

How falls and fear of falling affect the performance of daily activities in individuals with knee osteoarthritis

Correlation of Exercise Capacity with Functional Disability in Patients with Osteoarthritis of Knee

Relationship between the ability to walk long distances and to climb up and down stairs with the health-related quality of life of older adults with symptomatic knee osteoarthritis

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