Effect of diabetes mellitus on physical activity in patients with knee osteoarthritis: A cross-sectional study.

IF 1.3 4区医学 Q3 ORTHOPEDICS

Journal of Orthopaedic Surgery Pub Date : 2023-05-01 DOI:10.1177/10225536231197726

Remi Fujita, Susumu Ota, Yuri Yamamoto, Akito Kataoka, Hideki Warashina, Tomoe Inoue, Shinya Ozeki, Hideshi Sugiura

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引用次数: 0

Abstract

Purpose: Knee osteoarthritis (OA) may be comorbid with diabetes mellitus (DM), and physical activity is a recommended lifestyle strategy for both diseases. The present study investigated the physical activity differences by intensity between knee OA patients with or without DM, and evaluated if physical activity was associated with the presence of DM in knee OA patients.

Methods: A total of 183 patients (mean age 74.9 ± 6.4 years) with moderate-to-severe knee OA underwent evaluation of knee function (i.e., knee flexion/extension range-of-motion, knee-extension muscle strength, and knee pain), the timed up-and-go (TUG) test, and physical activity measurement using an accelerometer. Physical activity by intensity was compared between knee OA patients with and without DM. The association between physical activity, including knee function and the TUG test time, and DM was assessed.

Results: The 2 groups (with or without DM) did not differ significantly in knee OA severity or age. Compared to knee OA patients without DM, knee OA patients with DM had a significantly lower average daily step count (p < 0.001), and significantly shorter times spent performing light-intensity physical activity (LPA; p < 0.001) and moderate-to-vigorous-intensity physical activity (MVPA; p = 0.006). After adjusting for age, sex, and body mass index, we found that a lower average daily step count and shorter LPA time significantly correlated with DM (β = -0.200, p = 0.006; β = -0.216, p = 0.004, respectively) and a longer TUG test time (β = -0.196, p = 0.014; β = -0.208, p = 0.011, respectively). A shorter MVPA time significantly correlated with lower contralateral knee-extension muscle strength (β = 0.187, p = 0.032).

Conclusion: Knee OA patients with DM had significantly lower physical activity levels than those without DM. Furthermore, the presence of DM correlated with a lower step count and a shorter LPA time in knee OA patients.

查看原文本刊更多论文

糖尿病对膝骨关节炎患者体力活动的影响：一项横断面研究。

目的：膝骨关节炎（OA）可能与糖尿病（DM）合并，体育活动是治疗这两种疾病的推荐生活方式。本研究调查了患有或不患有糖尿病的膝关节骨性关节炎患者之间按强度划分的体力活动差异，并评估了体力活动是否与糖尿病的存在有关。方法：共有183名中重度膝关节骨性关节炎患者（平均年龄74.9±6.4岁）接受了膝关节功能评估（即膝关节屈曲/伸展运动范围、膝关节伸展肌肉力量和膝关节疼痛）、定时运动（TUG）测试和使用加速度计测量身体活动。比较膝关节骨性关节炎合并和不合并糖尿病患者的体力活动强度。评估体力活动（包括膝关节功能和TUG测试时间）与糖尿病之间的关系。结果：两组（合并或不合并糖尿病）在膝关节骨性关节炎的严重程度或年龄方面没有显著差异。与无糖尿病的膝关节骨性关节炎患者相比，有糖尿病的膝膝关节骨性骨折患者的平均每日步数显著较低（p＜0.001），进行轻强度体力活动（LPA）和中等至剧烈体力活动（MVPA；p＝0.006）的时间显著较短。在调整了年龄、性别和体重指数后，我们发现，较低的平均每日步数和较短的LPA时间与DM（分别为β=-0.200，p=0.006；β=-0.216，p=0.004）和较长的TUG测试时间（分别为α=-0.196，p=0.014；β=-0.108，p=0.011）显著相关。MVPA时间越短，对侧膝下伸肌强度越低（β=0.187，p=0.032）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Orthopaedic Surgery ORTHOPEDICS-SURGERY

CiteScore

3.10

自引率

0.00%

发文量

审稿时长

13 weeks

期刊介绍： Journal of Orthopaedic Surgery is an open access peer-reviewed journal publishing original reviews and research articles on all aspects of orthopaedic surgery. It is the official journal of the Asia Pacific Orthopaedic Association. The journal welcomes and will publish materials of a diverse nature, from basic science research to clinical trials and surgical techniques. The journal encourages contributions from all parts of the world, but special emphasis is given to research of particular relevance to the Asia Pacific region.