Evidence map›Paper›PMID 33692619›Full record

ArticleClinical interventions in aging2021

Everyday Physical Activity and Sedentary Behavior After Total Joint Arthroplasty: Do Patients and Partners Develop an Active Lifestyle?

Tobias Kalisch, Frank Horst, Georg Gosheger, Christoph Theil, Leonie Seeber, Burkhard Moellenbeck

Open access · goldAbstract read
In one paragraph

Article in Clinical interventions in aging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Tobias KalischDepartment of Orthopedics and Tumor Orthopedics, Muenster University Hospital, Muenster, 48149, Germany.ORCID 0000-0003-4206-4283
Frank HorstDepartment of Orthopedics and Traumatology, St. Josef-Stift Sendenhorst, Sendenhorst, 48324, Germany.
Georg GoshegerDepartment of Orthopedics and Tumor Orthopedics, Muenster University Hospital, Muenster, 48149, Germany.
Christoph TheilDepartment of Orthopedics and Tumor Orthopedics, Muenster University Hospital, Muenster, 48149, Germany.ORCID 0000-0003-0563-4128
Leonie SeeberDepartment of Orthopedics and Tumor Orthopedics, Muenster University Hospital, Muenster, 48149, Germany.
Burkhard MoellenbeckDepartment of Orthopedics and Tumor Orthopedics, Muenster University Hospital, Muenster, 48149, Germany.
University Hospital Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsteoarthritis (OA) is a frequent cause of pain and disability, affecting half of the world's population aged 65 years or older. Due to experienced pain and limitations, OA patients generally spend most of their waking hours sedentary and fail to adhere to physical activity (PA) recommendations. As a result of living together with OA patients, their partners might adopt a sedentary lifestyle. This study investigates the change in habitual PA and sedentary behavior (SB) in patients and their partners one year after the patients' total joint replacement (arthroplasty) and inpatient rehabilitation.

methodsThis is a follow-up of a prospective cohort study including 24 older couples (69.3±7.8 years, gender ratio 11:13) consisting of OA patients (17 hip OA, 7 knee OA) and their partners. The participants' habitual PA and SB were assessed by means of synchronous accelerometry (16h per day, 4-7 days) and additional self-report.

resultsAlthough the partners (~6300 steps per day) were significantly more active than the patients (~4800 steps per day) before arthroplasty, their lifestyle was still classified "low active". Irrespective of the method used, the PA and SB parameters of patients and partners were significantly correlated before arthroplasty (accelerometry: r≥0.333, p≤0.001; self-report: r≥0.569, p≤0.004). Following the patients' arthroplasty, no improvement in PA or SB was observed either in the patients or their partners. A detailed evaluation of accelerometric data on hourly basis revealed no change in behavior for both groups. Furthermore, their everyday activities remained correlated (accelerometry: r≥0.418, p≤0.001; questionnaire: r≥0.554, p≤0.005).

conclusionOne year post-arthroplasty and inpatient rehabilitation neither the OA patients nor their partners had changed their PA or SB. Their everyday physical activity was still strongly intertwined. Further research is needed to determine why behavior change does not occur even though the prerequisites are in place.

Indexed as

Sedentary BehaviorAccelerometryAgedAged, 80 and overArthroplasty, Replacement, HipArthroplasty, Replacement, KneeExerciseFemaleHumansLife StyleMaleMiddle AgedOsteoarthritis, HipOsteoarthritis, KneePainProspective Studiesarthroplastydyadsosteoarthritisphysical activitysedentary behavior

Identifiers

PMID33692619
PMCPMC7939488
OpenAlexW3134946021

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.