Purpose: Environmental factors are known to influence physical activity (PA) levels of healthy people, but little work has explored these factors in people with osteoarthritis (OA). The purpose of this study was to explore the influence of outdoor temperature on PA in people with knee OA. Methods: A total of 38 people with knee OA (10 women; mean age 54 y) wore an accelerometer around their waist for 7 consecutive days. Dependent variables from the accelerometers were three PA measures: (1) activity counts/day and time spent at or above moderate levels of PA with (2) a cut-point of 1,041 activity counts/minute (MVPA 1041 ) and (3) a cut-point of 1,952 activity counts/minute (MVPA 1952 ). Independent variables were age, sex, body mass index (BMI), and maximum daily outdoor temperature. Three linear regression analyses were conducted using the three PA dependent variables and independent variables. Results: After controlling for age, sex, and BMI, maximum daily outdoor temperature explained 9% of the variance in activity counts/day (p ¼ 0.042), 10% of variance in MVPA 1041 (p ¼ 0.032), and 14% of variance in MVPA 1952 (p ¼ 0.016). Participants who engaged in more PA were younger and were exposed to warmer temperatures. Conclusions: Outdoor temperature and age influence the PA levels of people with knee OA. These factors should be considered when designing PA programmes.Key Words: knee osteoarthritis; motor activity; temperature; weather. Knee osteoarthritis (OA) has numerous physical consequences, including a decrease in physical activity (PA). 1 In a study by Farr and colleagues, only one-third of individuals with knee OA met the minimum recommendation of 30 minutes of moderate-intensity PA 5 days a week. 2 Furthermore, the frequency and intensity of PA in women with hip or knee OA have been shown to be lower than in healthy controls. 1 These findings are
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