Evidence map›Paper›PMID 39955095›Full record

ArticleThe Journal of rheumatology2025

Association Between Depressive Symptoms and Self-Reported Physical Activity in Persons With Knee Osteoarthritis.

Alan M Rathbun, Alice S Ryan, Michelle D Shardell, Yu Dong, Brock A Beamer, Mark Luborsky, Marc C Hochberg

Abstract read
In one paragraph

Article in The Journal of rheumatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Alan M RathbunA.M. Rathbun, PhD, MPH, M.C. Hochberg, MD, MPH, Department of Epidemiology and Public Health, and Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland; arathbun@som.umaryland.edu.
Alice S RyanA.S. Ryan, PhD, B.A. Beamer, MD, Department of Medicine, University of Maryland School of Medicine, and Geriatric Research Education and Clinical Center, VA Maryland Health Care System, Baltimore, Maryland.
Michelle D ShardellM.D. Shardell, PhD, Department of Epidemiology and Public Health, and Institute for Genome Sciences, University of Maryland School of Medicine, Baltimore, Maryland.
Yu DongY. Dong, MD, PhD, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland.
Brock A BeamerA.S. Ryan, PhD, B.A. Beamer, MD, Department of Medicine, University of Maryland School of Medicine, and Geriatric Research Education and Clinical Center, VA Maryland Health Care System, Baltimore, Maryland.
Mark LuborskyM. Luborsky, PhD, Department of Anthropology, Wayne State University, Detroit, Michigan, USA.
Marc C HochbergA.M. Rathbun, PhD, MPH, M.C. Hochberg, MD, MPH, Department of Epidemiology and Public Health, and Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland.

Funding

University of Maryland Claude D. Pepper Older Americans Independence Center (UM-OAIC)P30AG028747 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI ALICE S. RYAN · 2006 to 2026
$28.9M
A Feasibility and Pilot Study of Combined Treatment Protocol using Aerobic Exercise and Duloxetine in Older Adults with Symptomatic Knee Osteoarthritis and Comorbid DepressionK01AG064041 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI RATHBUN, ALAN MICHAEL · 2019 to 2023
$619k
NIA NIH HHS K01 AG064041NIA NIH HHS P30 AG028747RRD VA IK6 RX003977
6 · The paper itself

Abstract

objectiveDepressive symptoms are common in patients with knee osteoarthritis (KOA) and reduce energy, motivation, and movement; thus, declines in physical activity (PA) could worsen as clinical disease progresses. The objective was to evaluate the longitudinal relationship between depressive symptoms and self-reported PA over time among persons with KOA.

methodsThe sample included Osteoarthritis Initiative participants (N = 2602) with radiographic disease (Kellgren-Lawrence grade ≥ 2). Depressive symptoms were measured using the Center for Epidemiologic Studies Depression Scale (CES-D; score ≥ 16) at baseline and first 3 follow-up visits. Self-reported PA was assessed with the Physical Activity Scale for the Elderly (PASE) at the first 4 follow-up visits. Marginal structural models controlling for time-invariant and time-varying confounders evaluated the longitudinal relationship between depressive symptoms and PASE

resultsDepressive symptoms were associated with lower PA (β -0.09; 95% CI -0.20 to 0.01) over time, but the relationship was not statistically significant. When including depressive symptoms-by-time interactions, the relationship was nonlinear from the first to fourth follow-up visit: visit 1 = -0.18 (95% CI -0.33 to -0.02), visit 2 = -0.05 (95% CI -0.22 to 0.11), visit 3 = -0.01 (95% CI -0.19 to 0.16), and visit 4 = -0.11 (95% CI -0.29 to 0.08). However, the interaction terms were not statistically significant.

conclusionDepressive symptoms may contribute to worse self-reported PA levels in persons with KOA. Future research should determine whether lower physical function is a further sequela of decreased PA related to depressive symptoms.

Indexed as

DepressionExerciseOsteoarthritis, KneeAgedFemaleHumansLongitudinal StudiesMaleMiddle AgedSelf ReportSeverity of Illness Indexdepressionexerciseosteoarthritis

Identifiers

PMID39955095
PMCPMC12045742

What OpenQuestion holds

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Registered trials

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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.