Physical activity and risk of revision total knee arthroplasty in individuals with knee osteoarthritis: A matched case-control study

Dina L. Jones, Jane A. Cauley, Andrea M. Kriska, Stephen R. Wisniewski, James J. Irrgang, David A. Heck, Chian K Kwoh, Lawrence S. Crossett

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Objective. To determine if physical activity was a risk factor for revision arthroplasty after primary total knee arthroplasty (TKA) due to osteoarthritis (OA) within the previous 15 years. Methods. This was a matched case-control study. The cases had primary TKA followed by revision arthroplasty. Controls had primary TKA and no revision arthroplasty. Cases and controls were matched for age, sex, number of knees replaced, and date of primary TKA. Standardized telephone interviews were conducted to assess historical leisure activity, occupational activity, and instrumental activities of daily living after primary TKA in metabolic equivalent (MET)-hours per week. Conditional logistic regression was performed to identify the variables that predicted the need for revision arthroplasty. Results. Seventeen female and 9 male pairs, aged 47 to 85 years, participated. Most of the reported activity was of low impact and low or moderate intensity. Cases reported a median of 44.5 (range 0 to 137) MET-hours of total historical physical activity per week compared with controls' 55.1 (range 0 to 278) MET-hours. Total historical physical activity was not associated with the risk of revision arthroplasty (OR 0.99, 95% CI 0.99-1.01). Participants with primary TKA (controls) consistently reported more MET-hours of leisure and occupational activity than those with revision arthroplasty (cases) regardless of the number of knees replaced or whether or not walking was accounted for. Conclusion. This study quantified and described patterns of physical activity in a population with TKA. Physical activity did not appear to be a risk factor for revision arthroplasty. Our results suggest that individuals undergoing primary TKA should be encouraged to remain active after surgery.

Original languageEnglish (US)
Pages (from-to)1384-1390
Number of pages7
JournalJournal of Rheumatology
Volume31
Issue number7
StatePublished - Jul 2004
Externally publishedYes

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Knee Replacement Arthroplasties
Knee Osteoarthritis
Case-Control Studies
Arthroplasty
Metabolic Equivalent
Leisure Activities
Knee
Activities of Daily Living
Osteoarthritis
Walking
Logistic Models
Interviews

Keywords

  • Knee
  • Osteoarthritis
  • Physical activity
  • Primary
  • Revision
  • Total knee arthroplasty

ASJC Scopus subject areas

  • Rheumatology
  • Immunology

Cite this

Jones, D. L., Cauley, J. A., Kriska, A. M., Wisniewski, S. R., Irrgang, J. J., Heck, D. A., ... Crossett, L. S. (2004). Physical activity and risk of revision total knee arthroplasty in individuals with knee osteoarthritis: A matched case-control study. Journal of Rheumatology, 31(7), 1384-1390.

Physical activity and risk of revision total knee arthroplasty in individuals with knee osteoarthritis : A matched case-control study. / Jones, Dina L.; Cauley, Jane A.; Kriska, Andrea M.; Wisniewski, Stephen R.; Irrgang, James J.; Heck, David A.; Kwoh, Chian K; Crossett, Lawrence S.

In: Journal of Rheumatology, Vol. 31, No. 7, 07.2004, p. 1384-1390.

Research output: Contribution to journalArticle

Jones, DL, Cauley, JA, Kriska, AM, Wisniewski, SR, Irrgang, JJ, Heck, DA, Kwoh, CK & Crossett, LS 2004, 'Physical activity and risk of revision total knee arthroplasty in individuals with knee osteoarthritis: A matched case-control study', Journal of Rheumatology, vol. 31, no. 7, pp. 1384-1390.
Jones, Dina L. ; Cauley, Jane A. ; Kriska, Andrea M. ; Wisniewski, Stephen R. ; Irrgang, James J. ; Heck, David A. ; Kwoh, Chian K ; Crossett, Lawrence S. / Physical activity and risk of revision total knee arthroplasty in individuals with knee osteoarthritis : A matched case-control study. In: Journal of Rheumatology. 2004 ; Vol. 31, No. 7. pp. 1384-1390.
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abstract = "Objective. To determine if physical activity was a risk factor for revision arthroplasty after primary total knee arthroplasty (TKA) due to osteoarthritis (OA) within the previous 15 years. Methods. This was a matched case-control study. The cases had primary TKA followed by revision arthroplasty. Controls had primary TKA and no revision arthroplasty. Cases and controls were matched for age, sex, number of knees replaced, and date of primary TKA. Standardized telephone interviews were conducted to assess historical leisure activity, occupational activity, and instrumental activities of daily living after primary TKA in metabolic equivalent (MET)-hours per week. Conditional logistic regression was performed to identify the variables that predicted the need for revision arthroplasty. Results. Seventeen female and 9 male pairs, aged 47 to 85 years, participated. Most of the reported activity was of low impact and low or moderate intensity. Cases reported a median of 44.5 (range 0 to 137) MET-hours of total historical physical activity per week compared with controls' 55.1 (range 0 to 278) MET-hours. Total historical physical activity was not associated with the risk of revision arthroplasty (OR 0.99, 95{\%} CI 0.99-1.01). Participants with primary TKA (controls) consistently reported more MET-hours of leisure and occupational activity than those with revision arthroplasty (cases) regardless of the number of knees replaced or whether or not walking was accounted for. Conclusion. This study quantified and described patterns of physical activity in a population with TKA. Physical activity did not appear to be a risk factor for revision arthroplasty. Our results suggest that individuals undergoing primary TKA should be encouraged to remain active after surgery.",
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AU - Kriska, Andrea M.

AU - Wisniewski, Stephen R.

AU - Irrgang, James J.

AU - Heck, David A.

AU - Kwoh, Chian K

AU - Crossett, Lawrence S.

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N2 - Objective. To determine if physical activity was a risk factor for revision arthroplasty after primary total knee arthroplasty (TKA) due to osteoarthritis (OA) within the previous 15 years. Methods. This was a matched case-control study. The cases had primary TKA followed by revision arthroplasty. Controls had primary TKA and no revision arthroplasty. Cases and controls were matched for age, sex, number of knees replaced, and date of primary TKA. Standardized telephone interviews were conducted to assess historical leisure activity, occupational activity, and instrumental activities of daily living after primary TKA in metabolic equivalent (MET)-hours per week. Conditional logistic regression was performed to identify the variables that predicted the need for revision arthroplasty. Results. Seventeen female and 9 male pairs, aged 47 to 85 years, participated. Most of the reported activity was of low impact and low or moderate intensity. Cases reported a median of 44.5 (range 0 to 137) MET-hours of total historical physical activity per week compared with controls' 55.1 (range 0 to 278) MET-hours. Total historical physical activity was not associated with the risk of revision arthroplasty (OR 0.99, 95% CI 0.99-1.01). Participants with primary TKA (controls) consistently reported more MET-hours of leisure and occupational activity than those with revision arthroplasty (cases) regardless of the number of knees replaced or whether or not walking was accounted for. Conclusion. This study quantified and described patterns of physical activity in a population with TKA. Physical activity did not appear to be a risk factor for revision arthroplasty. Our results suggest that individuals undergoing primary TKA should be encouraged to remain active after surgery.

AB - Objective. To determine if physical activity was a risk factor for revision arthroplasty after primary total knee arthroplasty (TKA) due to osteoarthritis (OA) within the previous 15 years. Methods. This was a matched case-control study. The cases had primary TKA followed by revision arthroplasty. Controls had primary TKA and no revision arthroplasty. Cases and controls were matched for age, sex, number of knees replaced, and date of primary TKA. Standardized telephone interviews were conducted to assess historical leisure activity, occupational activity, and instrumental activities of daily living after primary TKA in metabolic equivalent (MET)-hours per week. Conditional logistic regression was performed to identify the variables that predicted the need for revision arthroplasty. Results. Seventeen female and 9 male pairs, aged 47 to 85 years, participated. Most of the reported activity was of low impact and low or moderate intensity. Cases reported a median of 44.5 (range 0 to 137) MET-hours of total historical physical activity per week compared with controls' 55.1 (range 0 to 278) MET-hours. Total historical physical activity was not associated with the risk of revision arthroplasty (OR 0.99, 95% CI 0.99-1.01). Participants with primary TKA (controls) consistently reported more MET-hours of leisure and occupational activity than those with revision arthroplasty (cases) regardless of the number of knees replaced or whether or not walking was accounted for. Conclusion. This study quantified and described patterns of physical activity in a population with TKA. Physical activity did not appear to be a risk factor for revision arthroplasty. Our results suggest that individuals undergoing primary TKA should be encouraged to remain active after surgery.

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