The influence of long-term exposure and timing of physical activity on new joint pain and stiffness in mid-age women

Peeters, G.; Pisters, Martijn F.; Mishra, Gita D.; Brown, Wendy J.

doi:10.1016/j.jsams.2014.11.042

Cited by 4 publications

(6 citation statements)

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“…To our knowledge, no other studies have examined the association between patterns of PA over time and joint symptoms in this age group. The finding that being physically active is associated with lower odds of joint symptoms is consistent with previous findings from the same cohort . As there were no significant differences between the low or meeting guidelines and the meeting guidelines at all times groups (Table ), it seems that doing at least low levels of PA consistently at each time point is sufficient for protective effects on joint symptoms.…”

Section: Discussionsupporting

confidence: 90%

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

Peeters

Edwards

Brown

et al. 2018

Arthritis Care & Research

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ObjectiveTo examine whether body mass index (BMI), menopausal status, and hormone therapy (HT) use modify the association between physical activity (PA) patterns throughout middle age and the incidence and prevalence of joint symptoms in women in later middle age.MethodsData were from 6,661 participants (born 1946–1951) in the Australian Longitudinal Study on Women's Health. Surveys, with questions on joint pain and stiffness, PA, height and weight, menopausal symptoms, and HT use, were completed every 3 years from 1998 to 2010. PA patterns were defined as none or low, low or meeting guidelines, fluctuating, or meeting guidelines at all times (reference pattern). Logistic regression was used to examine the association between PA patterns and prevalent (in 2010) and cumulative incident (1998–2010) joint symptoms and effect modification by patterns in BMI, menopausal status, and HT.ResultsThe groups representing fluctuating PA (odds ratio [OR] 1.34 [99% confidence interval (99% CI) 1.04–1.72]) and no or low PA (OR 1.60 [99% CI 1.08–2.35]) had higher odds of incident joint symptoms than those described as meeting guidelines at all times. Stratification by BMI showed that this association was statistically significant in the obese group only. No evidence for effect modification by menopausal status or HT use was found. The findings were similar for prevalent joint symptoms.ConclusionMaintaining at least low levels of PA throughout middle age was associated with a lower prevalence and incidence of joint symptoms later in life. This apparent protective effect of PA on joint symptoms was stronger in obese women than in under‐ or normal‐weight women, and not related to menopause or HT status.

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Section: Discussionsupporting

confidence: 90%

“…A study that followed middle‐aged women over a period of 12 years showed that being physically active at ages 52–58 years, but not at ages 47–52 years, reduced the risk of new‐onset joint symptoms in later middle age . The change in the association between PA and joint symptoms coincided with menopause .…”

Section: Introductionmentioning

confidence: 99%

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

Peeters

Edwards

Brown

et al. 2018

Arthritis Care & Research

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“…Our study could have benefitted from a control group, as scientific reference data of healthy participants are limited for most measures. While the AAS is commonly used as a measure of self‐reported activity (Pavey et al., ; Peeters et al., ; Brown et al., ), quantifiable activity measurement devices (e.g. accelerometers) may help elucidate the complex relationship between physical activity and pain and disability in individuals with gluteal tendinopathy.…”

Section: Discussionmentioning

confidence: 99%

Psychological factors not strength deficits are associated with severity of gluteal tendinopathy: A cross‐sectional study

Plinsinga

Coombes

Mellor

et al. 2018

European Journal of Pain

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“…Recently published research has shown that mid-age and older adults can gain substantial health benefits by becoming more active, regardless of past PA levels and established risk factors [11][12][13]. Other studies have shown positive impacts of becoming more active on intermediate health outcomes at older age, such as physical function [14], joint symptoms [15] and cognitive function [16]. These positive effects may influence utilization of health services in later years, and consequently, the costs.…”

Section: Introductionmentioning

confidence: 99%

Twelve year trajectories of physical activity and health costs in mid-age Australian women

Gomes

Brown

Codogno

et al. 2020

Int J Behav Nutr Phys Act

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Background: Few studies have examined relationships between physical activity (PA) during mid-age and health costs in women. The aim of this study was to investigate associations between PA levels and trajectories over 12 years with medical and pharmaceutical costs in mid-age Australian women. Methods: Data from 6953 participants in the Australian Longitudinal Study on Women's Health (born in 1946-1951) were analysed in 2019. PA was self-reported in 2001 (50-55y), 2007 (56-61y) and 2013 (62-67y). PA data were linked with 2013-2015 data from the Medicare (MBS) and Pharmaceutical (PBS) Benefits Schemes. Quantile regression was used to examine associations between PA patterns [always active, increasers, decreasers, fluctuaters or always inactive (reference)] with these medical and pharmaceutical costs. Results: Among women who were consistently inactive (< 500 MET.minutes/week) in 2001, 2007 and 2013, median MBS and PBS costs (2013 to 2015) were AUD4261 and AUD1850, respectively. Those costs were AUD1728 (95%CI: 443-3013) and AUD578 (95%CI: 426-729) lower among women who were consistently active in 2001, 2007 and 2013 than among those who were always inactive. PBS costs were also lower in women who were active at only one survey (AUD205; 95%CI: 49-360), and in those whose PA increased between 2001 and 2013 (AUD388; 95%CI: 232-545). Conclusion: Maintaining 'active' PA status was associated with 40% lower MBS and 30% lower PBS costs over three years in Australian women. Helping women to remain active in mid-life could result in considerable savings for both women and the Australian government.

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The influence of long-term exposure and timing of physical activity on new joint pain and stiffness in mid-age women

Cited by 4 publications

References 0 publications

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

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

Psychological factors not strength deficits are associated with severity of gluteal tendinopathy: A cross‐sectional study

Twelve year trajectories of physical activity and health costs in mid-age Australian women

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