Sedentary behavior and blood pressure control among osteoarthritis initiative participants

Sohn, Min-Woong; Manheim, Larry M.; Chang, Rowland W.; Greenland, Philip; Hochberg, Marc C.; Nevitt, Michael C.; Semanik, Pamela A.; Dunlop, Dorothy D.

doi:10.1016/j.joca.2014.07.007

Cited by 21 publications

(19 citation statements)

References 33 publications

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“…Avoidance of exercise during acute symptom flares may be tempting, but sedentary behavior may not reduce symptoms and may promote loss of strength, reduced range of motion, and physical limitations. (18-21, 38) Small amounts of activity confer reasonable to large benefits, especially in patients who transition from sedentary to active. Once active, continued improvements may plateau over time but maintenance of reduced pain-related symptoms and overall fitness is manageable with regular activity.…”

Section: Exercise Approaches For the Management Of Chronic Pain Condimentioning

confidence: 99%

“…(16, 17) Sedentary behavior is detrimental to health, physical function and health-related quality of life. (18-21) In a nationally representative study of 2286 adults 60+ years old, each additional daily hour of sedentary behavior resulted in a 46% greater odds of disability with activities of daily living, controlling for moderate-vigorous physical activity, socioeconomic factors and health conditions. (18) Results from this study and other studies of sedentary behavior (19-21) suggest that even bursts of moderate-vigorous physical activity may not negate the harms of long, continuous hours of sedentary behavior.…”

Section: Introductionmentioning

confidence: 99%

“…(18-21) In a nationally representative study of 2286 adults 60+ years old, each additional daily hour of sedentary behavior resulted in a 46% greater odds of disability with activities of daily living, controlling for moderate-vigorous physical activity, socioeconomic factors and health conditions. (18) Results from this study and other studies of sedentary behavior (19-21) suggest that even bursts of moderate-vigorous physical activity may not negate the harms of long, continuous hours of sedentary behavior. Regular physical activity emerges as a significant tool for both primary and secondary prevention of chronic disease with the ability to mitigate symptoms and slow or stall disease progression.…”

Section: Introductionmentioning

confidence: 99%

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Physical exercise as non-pharmacological treatment of chronic pain: Why and when

Ambrose

Golightly

2015

Best Practice & Research Clinical Rheumatology

384

240

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Chronic pain broadly encompasses both objectively defined conditions and idiopathic conditions that lack physical findings. Despite variance in origin or pathogenesis, these conditions are similarly characterized by chronic pain, poor physical function, mobility limitations, depression, anxiety and sleep disturbance and are treated alone or in combination by pharmacologic and nonpharmacologic approaches, such as physical activity (aerobic conditioning, muscle strengthening, flexibility training and movement therapies). Physical activity improves general health, disease risk and progression of chronic illnesses such as cardiovascular disease, type-2 diabetes and obesity. When applied to chronic pain conditions within appropriate parameters (frequency, duration, intensity), physical activity significantly improves pain and related symptoms. For chronic pain, strict guidelines for physical activity are lacking, but frequent movement is preferable to sedentary behavior. This gives considerable freedom in prescribing physical activity treatments, which are most successful when tailored individually, progressed slowly and account for physical limitations, psychosocial needs and available resources.

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Section: Exercise Approaches For the Management Of Chronic Pain Condimentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Physical exercise as non-pharmacological treatment of chronic pain: Why and when

Ambrose

Golightly

2015

Best Practice & Research Clinical Rheumatology

384

240

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“…There is new evidence that too much sitting, referred to as ''sedentary behavior'' that involves very low energy expenditure, is adversely associated with health outcomes, including CVDs and type 2 diabetes, and premature mortality [58]. In the study, which investigated the relationship between sedentary behavior and physical function in adults with knee OA, knee OA patients spent two-thirds of their daily time in sedentary behavior [59]. The average gait speed among the most sedentary quartile was 3.88 feet/second, which was significantly slower than the speed of the less Adjusted average attributable fraction of inactivity for modifiable factors adjusted for descriptive factors (age, sex, race, living status, education, employment, chronic knee pain, total knee replacement, comorbidities) and all modifiable factors (obese/overweight, inadequate dietary fiber, knee dysfunction, knee pain, high-fat diet, smoking, high depressive symptoms, or being troubled by knee confidence).…”

Section: Jkommentioning

confidence: 99%

“…Furthermore, a more recent knee injury, which occurred within a year, was associated with accelerated (OR 8.5) and common knee OA progression (OR 3.1). [59] In another study, in which the association between selfreported OA and incident falls and fractures was studied in postmenopausal women, 20,409 of 51,386 women (40 %) with self-reported OA were followed up for a median of 2.9 years, and the adjusted RR for falls was 1.24 (95 % CI 1.22-1.26, p \ 0.0001) [64]. Postmenopausal women with self-reported OA have an experience 25 % more falls than those without OA.…”

Section: Jkommentioning

confidence: 99%

Osteoarthritis as a Cause of Locomotive Syndrome: Its Influence on Functional Mobility and Activities of Daily Living

Ishijima

Kaneko

Hada

et al. 2016

Clinic Rev Bone Miner Metab

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Locomotive syndrome'' is defined as a condition associated with restriction in one's ability to walk or lead a normal life due to a dysfunction in one or more of the parts of the locomotion system, including the muscles, bones, joints, cartilage or intervertebral discs. This syndrome especially refers to individuals who have come to need nursing care services because of problems with the locomotive organs, or those who have conditions which may require them to need such services in the near future. Recent epidemiological studies revealed that the one-fourth of elderly individuals who require special assistance or nursing care have locomotive disorders in Japan. Osteoarthritis of the knee (knee OA) and hip (hip OA), and osteoporosis and spinal canal stenosis due to spondylosis are three major locomotive disorders that cause elderly individuals require special assistance or nursing care. In this review, we focus on the effects of knee and hip OA on the lives of elderly individuals and the recent advantages in clinical research on the pathophysiology and management of these diseases.

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Sitting Time Reduction and Blood Pressure in Older Adults

Rosenberg,

Zhu,

Greenwood-Hickman

et al. 2024

JAMA Netw Open

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ImportancePractical health promotion strategies for improving cardiometabolic health in older adults are needed.ObjectiveTo examine the efficacy of a sedentary behavior reduction intervention for reducing sitting time and improving blood pressure in older adults.Design, Setting, and ParticipantsThis parallel-group randomized clinical trial was conducted in adults aged 60 to 89 years with high sitting time and body mass index of 30 to 50 from January 1, 2019, to November 31, 2022, at a health care system in Washington State.InterventionParticipants were randomized 1:1 to the sitting reduction intervention or a healthy living attention control condition for 6 months. Intervention participants received 10 health coaching contacts, sitting reduction goals, and a standing desk and fitness tracker to prompt sitting breaks. The attention control group received 10 health coaching contacts to set general healthy living goals, excluding physical activity or sedentary behavior.Main Outcomes and MeasuresThe primary outcome, measured at baseline, 3 months, and 6 months, was sitting time assessed using accelerometers worn for 7 days at each time point. Coprimary outcomes were systolic and diastolic blood pressure measured at baseline and 6 months.ResultsA total of 283 participants (140 intervention and 143 control) were randomized (baseline mean [SD] age, 68.8 [6.2] years; 186 [65.7%] female; mean [SD] body mass index, 34.9 [4.7]). At baseline, 147 (51.9%) had a hypertension diagnosis and 97 (69.3%) took at least 1 antihypertensive medication. Sitting time was reduced, favoring the intervention arm, with a difference in the mean change of −31.44 min/d at 3 months (95% CI, −48.69 to −14.19 min/d; P &lt; .001) and −31.85 min/d at 6 months (95% CI, −52.91 to −10.79 min/d; P = .003). Systolic blood pressure change was lower by 3.48 mm Hg, favoring the intervention arm at 6 months (95% CI, −6.68 to −0.28 mm Hg; P = .03). There were 6 serious adverse events in each arm and none were study related.Conclusions and RelevanceIn this study of a 6-month sitting reduction intervention, older adults in the intervention reduced sedentary time by more than 30 min/d and reduced systolic blood pressure. Sitting reduction could be a promising approach to improve health in older adults.Trial RegistrationClinicalTrials.gov Identifier: NCT03739762

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Sedentary behavior and blood pressure control among osteoarthritis initiative participants

Cited by 21 publications

References 33 publications

Physical exercise as non-pharmacological treatment of chronic pain: Why and when

Physical exercise as non-pharmacological treatment of chronic pain: Why and when

Osteoarthritis as a Cause of Locomotive Syndrome: Its Influence on Functional Mobility and Activities of Daily Living

Sitting Time Reduction and Blood Pressure in Older Adults

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