Potential Effect Modifiers of the Association Between Physical Activity Patterns and Joint Symptoms in Middle‐Aged Women

Peeters, Geeske; Edwards, Kimberley L.; Brown, Wendy J.; Barker, Anna; Arden, N K; Redmond, Anthony; Conaghan, Philip G.; Cicuttini, Flavia Maria; Mishra, Gita D.

doi:10.1002/acr.23430

Cited by 6 publications

(6 citation statements)

References 46 publications

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“…Regarding the independent associations between potential confounding variables and musculoskeletal pain our results showed that the level of physical activity (in this case, physical inactivity) was associated with a higher number of body areas with pain in the last 7 days, as older age and higher severity of depressive symptoms were associated with pain in the knee and thigh regions in the last 12 months. These results are similar to those of previous studies where depression, physical inactivity, and age were potential risk factors for musculoskeletal pain in postmenopausal women 39–41 . Concerning BMI, we observed the same, where a higher value was associated with more multi‐located pain in the last 7 days.…”

Section: Discussionsupporting

confidence: 91%

Associations between the severity of menopausal symptoms and musculoskeletal pain in postmenopausal Portuguese women

Santo,

Lavilla‐Lerma,

del Carmen Carcelén‐Fraile

et al. 2023

Intl J Gynecology & Obste

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ObjectiveTo analyze the association of the severity of the menopausal symptoms with musculoskeletal pain in Portuguese postmenopausal women.MethodsA cross‐sectional, observational study was conducted on 167 women (63.85 ± 9.36 years). The Menopause Rating Scale was used to evaluate the menopausal symptoms severity, while the Nordic Musculoskeletal Questionnaire was employed to assess the localization of the musculoskeletal pain, and multi‐located pain was determined if two or more body regions were affected. Depression (Hospital Anxiety and Depression Scale), age, body mass index (BMI) and physical activity level were considered as potential confounders.ResultsA greater severity of the somato‐vegetative menopausal symptoms was related to the prevention from usual activities because of pain in the neck, shoulders, elbows, wrists/hands and knees (R2 of Nagelkerke = 0.064, 0.043, 0.074, 0.045 and 0.045, respectively). Associations were also observed between greater age and pain in the knees, ankles and feet (R2 of Nagelkerke = 0.036 and 0.034, respectively), and being physically inactive with upper back pain (R2 of Nagelkerke = 0.060). Higher depressive symptoms were linked to pain in the hip/thighs and knees (R2 of Nagelkerke = 0.067 and 0.085, respectively), as well as being physically inactive was related ton in the neck (R2 of Nagelkerke = 0.053). Only a greater BMI was related to multi‐located pain in the last 7 days (R2 of Nagelkerke = 0.041).ConclusionsThe findings of our study showed that, taking into account possible confounders, greater severity of the menopausal symptoms at a somatic‐vegetative level was associated with more anatomical regions with musculoskeletal pain.

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Section: Discussionsupporting

confidence: 91%

Associations between the severity of menopausal symptoms and musculoskeletal pain in postmenopausal Portuguese women

Santo,

Lavilla‐Lerma,

del Carmen Carcelén‐Fraile

et al. 2023

Intl J Gynecology & Obste

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“…Due to the cross-sectional nature of this finding, it is unclear whether worse pain or lower levels of physical activity comes first. However, a recent study suggests that maintaining at least low levels of physical activity throughout middle age is associated with a lower incidence of later joint symptoms 12 , underscoring the importance of physical activity for patients with knee OA. We are unaware of previous studies investigating the impact of baseline physical activity level on pain relief from exercise therapy in patients with knee OA.…”

Section: Discussionmentioning

confidence: 99%

The impact of physical activity level on the short- and long-term pain relief from supervised exercise therapy and education: a study of 12,796 Danish patients with knee osteoarthritis

Skou

Roos

2018

Osteoarthritis and Cartilage

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“…Physical activity has a positive impact on physical function and disease-related symptoms such as pain [7][8][9][10]. Furthermore, physical activity is a strong, evidencebased measure for primary and secondary prevention of osteoarthritis, above all in the knee [11][12][13]. Still, many patients do not comply with exercise recommendations in the long term although they know about and have experienced the positive effects of physical activity and training [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

High self-efficacy – a predictor of reduced pain and higher levels of physical activity among patients with osteoarthritis: an observational study

Degerstedt¹,

Alinaghizadeh

Thorstensson

et al. 2020

BMC Musculoskelet Disord

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Background Self-efficacy is considered a core component in self-management. However, there is a lack of knowledge about the association between self-efficacy and health-related outcomes in osteoarthritis. The aim of this study was to investigate whether self-efficacy at baseline was associated with change over time in pain and physical activity after a supported osteoarthritis self-management programme. Methods A total of 3266 patients with hip or knee osteoarthritis attended this observational, register-based study. Self-efficacy was assessed using the Arthritis Self-Efficacy Scale. Pain was estimated on a visual analogue scale and physical activity by self-reporting number of days per week the patients were physically active ≥30 min. Data were self-reported at baseline and at follow-ups after 3 and 12 months. Analyses were performed using a mixed linear model analysis and are presented with an unadjusted and an adjusted model. Results High vs low self-efficacy for pain management at baseline resulted in reduced pain and increased physical activity at the follow-ups; least squares means and standard error were 37.43 ± 0.40 vs 44.26 ± 0.40, for pain, and 5.05 ± 0.07 vs 4.90 ± 0.08 for physical activity. High self-efficacy for management of other symptoms resulted in lower pain and higher physical activity at follow-up: 35.78 ± 0.71 vs 41.76 ± 0.71 for pain, and 5.08 ± 0.05 vs 4.72 ± 0.05 for physical activity. Patients with obesity reported lower activity levels at the follow-ups. Conclusion Self-efficacy at baseline was associated with change over time in pain and physical activity at 3 and 12 months after the supported osteoarthritis self-management programme. High self-efficacy had a positive effect on pain and physical activity, indicating the need for exploring and strengthening patients’ self-efficacy. Patients with obesity may need further interventions and support during a self-management programme to achieve an increase in physical activity.

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Potential Effect Modifiers of the Association Between Physical Activity Patterns and Joint Symptoms in Middle‐Aged Women

Cited by 6 publications

References 46 publications

Associations between the severity of menopausal symptoms and musculoskeletal pain in postmenopausal Portuguese women

Associations between the severity of menopausal symptoms and musculoskeletal pain in postmenopausal Portuguese women

The impact of physical activity level on the short- and long-term pain relief from supervised exercise therapy and education: a study of 12,796 Danish patients with knee osteoarthritis

High self-efficacy – a predictor of reduced pain and higher levels of physical activity among patients with osteoarthritis: an observational study

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