Leisure Time and Transportation Walking Among Adults With and Without Arthritis in the United States, 2010

Hootman, Jennifer; Theis, Kristina A.; Barbour, Kamil E.; Paul, Prabasaj; Carlson, Susan A.

doi:10.1002/acr.23790

Cited by 4 publications

(11 citation statements)

References 32 publications

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“…While this proportion is concerning given the health benefits associated with walking outdoors, 26,35,36 it is consistent with results obtained in the general population of older adults in Canada which estimate that 42% walk outdoors fewer than 3 days per week 37 . The specific nomenclature and questionnaire items used to assess aspects related to community ambulation have varied across studies; however, findings show consistency among the predictor variables of age, 24 walking difficulty, 38 chronic conditions, 38 and ratings of self‐rated health, 24 and inconsistencies regarding the significance of pain 23,24 . Unlike our results, gender was not significant in some previous multivariate analyses 23,24 .…”

Section: Discussioncontrasting

confidence: 70%

“…People with OA walk fewer steps/d than otherwise healthy adults 22 . The 2010 USA National Health Interview Survey (n = 5565) determined that only 46% of respondents with arthritis reported walking for “fun, relaxation, exercise, or to walk the dog” for at least 10 minutes per week 23 . The unadjusted prevalence of leisure walking was lower in people with arthritis who were older, had lower levels of education, and more joint pain 23 .…”

Section: Introductionmentioning

confidence: 99%

“…The 2010 USA National Health Interview Survey (n = 5565) determined that only 46% of respondents with arthritis reported walking for “fun, relaxation, exercise, or to walk the dog” for at least 10 minutes per week 23 . The unadjusted prevalence of leisure walking was lower in people with arthritis who were older, had lower levels of education, and more joint pain 23 . Analyses of data from the 2005–2006 Arthritis Conditions and Health Effects Survey (USA, n = 1793) found a multitude of variables associated with walking limitations in unadjusted models 24 .…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with social participation and community ambulation in people with osteoarthritis: Findings from the Canadian Longitudinal Study on Aging

et al. 2022

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Aim: Walking in the community allows participation in meaningful activities which positively influences self-rated health and quality of life. Our objective was to identify factors associated with social participation and community ambulation in a representative sample of Canadian adults with osteoarthritis (OA). Methods: Data were from >3800 participants in the Baseline Tracking Dataset of the Canadian Longitudinal Study on Aging with OA of the hip and/or knee. Outcomes included frequency of participation in 8 community-based activities (past year, social participation), and frequency walking outside the home (past 7 days, community ambulation). Explanatory variables (15 for social participation, 11 for community ambulation) established in previous literature were evaluated. Variables significant in univariate binary logistic regression models were entered into multivariable models.Results: Frequency of social participation was greater for females, and individuals with higher levels of education. Those who were younger, dissatisfied with life, and had difficulty walking 2-3 blocks were less likely to participate. Having fewer chronic conditions, being younger, being single/widowed and being interviewed in spring/ summer were associated with more frequent ambulation. Lower self-rated health, difficulty walking 2-3 blocks, pain and being female were associated with less frequent walking outside the home. Conclusion:Many factors influence frequency of social participation and community ambulation. The ability to walk short distances is positively associated with both outcomes. This important factor can and should be addressed clinically to improve health and quality of life in people with OA.

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Section: Discussioncontrasting

confidence: 70%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Factors associated with social participation and community ambulation in people with osteoarthritis: Findings from the Canadian Longitudinal Study on Aging

et al. 2022

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“…Despite arthritis being a cause of pain and disability, walking prevalence increased with increasing joint pain severity. A previous report on walking using national data described a similar finding, specifically for lower extremity joint pain (5). Collectively, these findings might signify that the presence of pain might not automatically preclude walking, other physical activities, and their associated benefits.…”

Section: Discussionsupporting

confidence: 67%

Walking and Other Common Physical Activities Among Adults with Arthritis — United States, 2019

Guglielmo¹

2021

MMWR Morb. Mortal. Wkly. Rep.

Self Cite

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The numerous health benefits of physical activity include reduced risk for chronic disease and improved mental health and quality of life (1). Physical activity can improve physical function and reduce pain and fall risk among adults with arthritis, a group of approximately 100 conditions affecting joints and surrounding tissues (most commonly osteoarthritis, fibromyalgia, gout, rheumatoid arthritis, and lupus) (1). Despite these benefits, the 54.6 million U.S. adults currently living with arthritis are generally less active than adults without arthritis, and only 36.2% of adults with arthritis are aerobically active (i.e., meet aerobic physical activity guidelines*) (2). Little is known about which physical activities adults with arthritis engage in. CDC analyzed 2019 Behavioral Risk Factor Surveillance System (BRFSS) data to examine the most common nonwork-related physical activities among adults with arthritis who reported any physical activity during the past month, nationally and by state. In 2019, 67.2% of adults with arthritis reported engaging in physical activity in the past month; among these persons, the most commonly reported activities were walking (70.8%), gardening (13.3%), and weightlifting (7.3%). In 45 U.S. states, at least two thirds of adults with arthritis who engaged in physical activity reported walking. Health care providers can help inactive adults with arthritis become active and, by encouraging physical activity and referring these persons to evidence-based physical activity programs, improve their health and quality of life.BRFSS is an ongoing, state-based landline and cellular telephone survey of noninstitutionalized U.S. adults aged ≥18 years conducted by health departments in 50 states, the District of Columbia (DC), and U.S. territories. † In 2019, the median response rate among the 49 states included in this analysis § was 49.4% (range = 37.3%-73.1%). ¶ Arthritis was defined as an affirmative response to the question, "Have you ever been told by a doctor or other health care professional that you have

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“…Research is now beginning to show how overlaying external contextual information, for example, location [24], onto objectively captured sensor data and patient-reported outcome data can help explain some of the observed variations and enable even more meaningful comparisons. Although the wearable sensor that we deployed does not allow for the direct capture of contextual information, it has been shown that by grouping concerted periods of walking ( bouts ) by length, some context can be inferred and enable comparisons of distinct behaviors over time and between individuals [16,25,26].…”

Section: Resultsmentioning

confidence: 99%

Continuous Digital Monitoring of Walking Speed in Frail Elderly Patients: Noninterventional Validation Study and Longitudinal Clinical Trial

Mueller¹,

Hoefling²,

Muaremi³

et al. 2019

JMIR Mhealth Uhealth

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BackgroundDigital technologies and advanced analytics have drastically improved our ability to capture and interpret health-relevant data from patients. However, only limited data and results have been published that demonstrate accuracy in target indications, real-world feasibility, or the validity and value of these novel approaches.ObjectiveThis study aimed to establish accuracy, feasibility, and validity of continuous digital monitoring of walking speed in frail, elderly patients with sarcopenia and to create an open source repository of raw, derived, and reference data as a resource for the community.MethodsData described here were collected as a part of 2 clinical studies: an independent, noninterventional validation study and a phase 2b interventional clinical trial in older adults with sarcopenia. In both studies, participants were monitored by using a waist-worn inertial sensor. The cross-sectional, independent validation study collected data at a single site from 26 naturally slow-walking elderly subjects during a parcours course through the clinic, designed to simulate a real-world environment. In the phase 2b interventional clinical trial, 217 patients with sarcopenia were recruited across 32 sites globally, where patients were monitored over 25 weeks, both during and between visits.ResultsWe have demonstrated that our approach can capture in-clinic gait speed in frail slow-walking adults with a residual standard error of 0.08 m per second in the independent validation study and 0.08, 0.09, and 0.07 m per second for the 4 m walk test (4mWT), 6-min walk test (6MWT), and 400 m walk test (400mWT) standard gait speed assessments, respectively, in the interventional clinical trial. We demonstrated the feasibility of our approach by capturing 9668 patient-days of real-world data from 192 patients and 32 sites, as part of the interventional clinical trial. We derived inferred contextual information describing the length of a given walking bout and uncovered positive associations between the short 4mWT gait speed assessment and gait speed in bouts between 5 and 20 steps (correlation of 0.23) and longer 6MWT and 400mWT assessments with bouts of 80 to 640 steps (correlations of 0.48 and 0.59, respectively).ConclusionsThis study showed, for the first time, accurate capture of real-world gait speed in slow-walking older adults with sarcopenia. We demonstrated the feasibility of long-term digital monitoring of mobility in geriatric populations, establishing that sufficient data can be collected to allow robust monitoring of gait behaviors outside the clinic, even in the absence of feedback or incentives. Using inferred context, we demonstrated the ecological validity of in-clinic gait assessments, describing positive associations between in-clinic performance and real-world walking behavior. We make all data available as an open source resource for the community, providing a basis for further study of the relationship between standardized physical performance assessment and real-world behavior and independence.

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Leisure Time and Transportation Walking Among Adults With and Without Arthritis in the United States, 2010

Cited by 4 publications

References 32 publications

Factors associated with social participation and community ambulation in people with osteoarthritis: Findings from the Canadian Longitudinal Study on Aging

Factors associated with social participation and community ambulation in people with osteoarthritis: Findings from the Canadian Longitudinal Study on Aging

Walking and Other Common Physical Activities Among Adults with Arthritis — United States, 2019

Continuous Digital Monitoring of Walking Speed in Frail Elderly Patients: Noninterventional Validation Study and Longitudinal Clinical Trial

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