Evidence map›Paper›PMID 42155980›Full record

ArticlePreventing chronic disease2026

Sit-to-Stand Performance, Moderate-to-Vigorous Physical Activity, and Health-Related Quality of Life in Knee Osteoarthritis: A Prospective Mediation Analysis.

Kristen Dean, Donya Nemati, Ruopeng Sun, Matthew Smuck, Junichi Kushioka, Thomas M Best, Navin Kaushal

Abstract readMulticenter Study
In one paragraph

Article in Preventing chronic disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Kristen DeanUniversity of Miami, Miller School of Medicine, Miami, Florida.
Donya NematiCollege of Nursing, The Ohio State University, Columbus, Ohio.
Ruopeng SunDepartment of Orthopaedic Surgery, Stanford University, Stanford, California.
Matthew SmuckDepartment of Orthopaedic Surgery, Stanford University, Stanford, California.
Junichi KushiokaSpine and Scoliosis Center, Shonan Fujisawa Tokushukai Hospital, Kanagawa, Japan.
Thomas M BestUniversity of Miami, Miller School of Medicine, Miami, Florida.
Navin KaushalDepartment of Health Sciences, School of Health and Human Sciences, Indiana University, Indianapolis, Indiana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Knee osteoarthritis (KOA) is the most common form of arthritis, leading to illness, decreased physical function, and reduced health-related quality of life (HR-QoL). Sit-to-stand (STS) testing is a commonly used measure of physical capacity in KOA. This study examined whether STS performance and moderate-to-vigorous physical activity (MVPA) helped account for the association between KOA pain and subsequent HR-QoL. Methods: Data across 2 years (at year 6 and year 8 visits) were used from the Osteoarthritis Initiative (OAI), a multisite, longitudinal study of people with or at risk for KOA. We used serial mediation analysis to examine whether year 6 STS performance and year 8 MVPA accounted for the association between year 6 KOA pain and year 8 HR-QoL, adjusting for age, sex, and race. Results: Significant correlations among all model variables supported model testing. The serial mediation model revealed that an increase in KOA pain predicted worse STS performance (β = .15; P < .001). MVPA was reduced by an increase in KOA pain (β = -.13; P < .001) but not STS (β = -.02; P = .46). MVPA subsequently predicted HR-QoL (β = .12; P < .001). The overall indirect pathway was significant (β = -0.02; 95% CI, -0.040 to -0.009), but the direct pathway also remained significant (β = -0.47; 95% CI, -0.536 to -0.410), denoting a partial mediation effect. Conclusion: STS performance and MVPA partially mediated the relationship between KOA pain and HR-QoL, highlighting mechanisms to address in future interventions for improving HR-QoL. These results support STS as a complementary tool to pain for understanding MVPA participation and HR-QoL in KOA patients. The findings also underscore the importance of integrating self-management strategies to address pain in behavior-change interventions.

Indexed as

ExerciseOsteoarthritis, KneeQuality of LifeAgedFemaleHumansLongitudinal StudiesMaleMediation AnalysisMiddle AgedProspective Studies

Identifiers

PMID42155980
PMCPMC13189020

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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.