Physical Activity in Men and Women with Arthritis
American Journal of Preventive MedicinePublished 19 April 2006
Margaret Shih, Jennifer M. Hootman, Judy Kruger, Charles G. Helmick
Citations239
SJR quartileQ1
SJR score2.08
SNIP1.50
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TL;DR
Although physical activity is a recommended therapy for people with arthritis, levels among adults with arthritis are insufficient, and those with arthritis have worse activity profiles than their peers without arthritis.
Abstract
Although physical activity is a recommended therapy for people with arthritis, levels among adults with arthritis are insufficient, and those with arthritis have worse activity profiles than their peers without arthritis. Efforts to promote physical activity should include expanding access to evidence-based interventions and recreational facilities/programs. The importance of physical activity counseling and associated pain management measures by healthcare providers should be emphasized.
Keywords
MedicineEngineering
PsycEXTRA DatasetPhysical Activity and Health: A Report of the Surgeon General
5,511 Citations1995
This report is the first report of the Surgeon General on physical activity and health, and strong evidence is shown to indicate that regular physical activity will provide clear and substantial health gains.
JAMAThe functioning and well-being of depressed patients. Results from the Medical Outcomes Study
2,524 Citations1989Kenneth B. Wells
JAMAThe Functioning and Well-being of Depressed Patients
2,119 Citations1989Kenneth B. Wells
Depressed patients tended to have worse physical, social, and role functioning, worse perceived current health, and greater bodily pain than did patients with no chronic conditions.
Journal of Health and Social BehaviorGender and Health: An Update on Hypotheses and Evidence
1,245 Citations1985Lois M. Verbrugge
The paper organizes the hypotheses proposed for male-female differences in physical health status, therapeutic health behaviors, and longevity and it summarizes empirical research, especially sociological research, on the topic over the past 10-15 years.
Arthritis & RheumatismExercise and dietary weight loss in overweight and obese older adults with knee osteoarthritis: The arthritis, diet, and activity promotion trial
1,077 Citations2004Stephen P. Messier, Richard F. Loeser +7 more
The combination of modest weight loss plus moderate exercise provides better overall improvements in self-reported measures of function and pain and in performance measures of mobility in older overweight and obese adults with knee OA compared with either intervention alone.
JAMAA Randomized Trial Comparing Aerobic Exercise and Resistance Exercise With a Health Education Program in Older Adults With Knee Osteoarthritis
936 Citations1997Walter H. Ettinger
The data suggest that exercise should be prescribed as part of the treatment for knee osteoarthritis, and modest improvements in measures of disability, physical performance, and pain from participating in either an aerobic or a resistance exercise program.
Journal of the American Academy of Nurse PractitionersGuidelines for the Management of Rheumatoid Arthritis 2002 Update
860 Citations2002Mary Jo Goolsby, Grace Newsome
The guideline reviewed in this month's column describes the recommended care of patients who have been previously diagnosed with RA.
Choice Reviews OnlinePhysical activity and health
755 Citations2008Bouchard, Claude 1939-
The main evidence for the various health indicators is collated in this final issue of Nayam News in this physical activity series to improve health and wellness.
Psychosomatic MedicineDepression in Rheumatoid Arthritis: A Systematic Review of the Literature With Meta-Analysis
637 Citations2002Chris Dickens, Linda McGowan +2 more
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Cochrane Database of Systematic ReviewsExercise for treating fibromyalgia syndrome
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Supervised aerobic exercise training has beneficial effects on physical capacity and FMS symptoms and research on the long-term benefit of exercise for FMS is needed.
JAMAEffect of Improving Depression Care on Pain and Functional Outcomes Among Older Adults With Arthritis
592 Citations2003Elizabeth Lin, Wayne Katon +13 more
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British journal of rheumatologyEvidence-based recommendations for the role of exercise in the management of osteoarthritis of the hip or knee--the MOVE consensus
558 Citations2004Edward Roddy
These are the first recommendations for exercise in hip and knee OA to clearly differentiate research evidence and expert opinion and to guide health-care practitioners.
Arthritis & RheumatismEfficacy of physical conditioning exercise in patients with rheumatoid arthritis and osteoarthritis
533 Citations1989Marian A. Minor, Richard R. Webel +3 more
The aquatics and walking exercise groups showed significant improvement over the control group in aerobic capacity, 50-foot walking time, depression, anxiety, and physical activity after the 12-week exercise program.
Annals of Internal MedicineSupervised Fitness Walking in Patients with Osteoarthritis of the Knee
491 Citations1992Pamela A. Kovar, John P. Allegrante +4 more
A program of supervised fitness walking and patient education can improve functional status without worsening pain or exacerbating arthritis-related symptoms in patients with osteoarthritis of the knee.
Annals of the Rheumatic DiseasesEffectiveness of home exercise on pain and disability from osteoarthritis of the knee: a randomised controlled trial
462 Citations1999S. C O'Reilly, Kenneth Muir +1 more
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Arthritis & RheumatismEffectiveness of exercise therapy in patients with osteoarthritis of the hip or knee: A systematic review of randomized clinical trials
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BMJHome based exercise programme for knee pain and knee osteoarthritis: randomised controlled trial
439 Citations2002Kim S Thomas, K R Muir +4 more
A simple home based exercise programme can significantly reduce knee pain and the lack of improvement in patients who received only telephone contact suggests that improvements are not just due to psychosocial effects because of contact with the therapist.
JAMAGroup- vs Home-Based Exercise Training in Healthy Older Men and Women
394 Citations1991Abby C. King
This community-based exercise training program improved fitness but not heart disease risk factors among sedentary, healthy older adults and lower-intensity exercise training was as effective as higher- intensity exercise training in the home setting; and the exercise programs were relatively safe.
Journal of the American Geriatrics SocietyRecreational Physical Activity Levels in Healthy Older Women: The Importance of Fear of Falling
366 Citations2002David Bruce, Amanda Devine +1 more
It is shown that fear of falling is a probable cause of reduced recreational physical activity levels in healthy older women and this should not be considered a cause for concern.
American Journal of Preventive MedicineThe benefits of strength training for older adults
359 Citations2003Rebecca A. Seguin‐Fowler
It is clear that a variety of strength-training prescriptions from highly controlled laboratory-based to minimally supervised home-based programs have the ability to elicit meaningful health benefits in older adults.
PubMedThe efficacy of home based progressive strength training in older adults with knee osteoarthritis: a randomized controlled trial.
345 Citations2001Kristin Baker, M. E. Nelson +4 more
High intensity, home based strength training can produce substantial improvements in strength, pain, physical function and quality of life in patients with knee OA.
JAMAEffects of Physical Activity Counseling in Primary Care: The Activity Counseling Trial: A Randomized Controlled Trial
344 Citations2001Denise G. Simons-Morton
Two patient counseling interventions differing in type and number of contacts were equally effective in women in improving cardiorespiratory fitness over 2 years compared with recommended care.
The Journals of Gerontology Series BExercise and Depressive Symptoms: A Comparison of Aerobic and Resistance Exercise Effects on Emotional and Physical Function in Older Persons With High and Low Depressive Symptomatology
336 Citations2002Brenda W.J.H. Penninx, W. Jack Rejeski +5 more
Aerobic and resistance exercise significantly reduced disability and pain and increased walking speed both, and to an equal extent, in persons with high depressive symptom atology and persons with low depressive symptomatology.
The Journals of Gerontology Series BGender and Health: A Study of Older Unlike-Sex Twins
331 Citations2002Caitlyn Gold, Bo Malmberg +3 more
Important gender differences and similarities in health were found using an unlike-sex twin design that reduced variability due to background characteristics and minimized problems caused by gender differences in survival.
Archives of Internal MedicinePhysical Exercise and the Prevention of Disability in Activities of Daily Living in Older Persons With Osteoarthritis
324 Citations2001Brenda W.J.H. Penninx, Stephen P. Messier +6 more
Aerobic and resistance exercise may reduce the incidence of ADL disability in older persons with knee osteoarthritis and, consequently, may prolong older persons' autonomy.
Archives of Physical Medicine and RehabilitationThe effects of a physical training program on patients with osteoarthritis of the knees
272 Citations1998Henrik Røgind, Birgitte Bibow-Nielsen +4 more
General physical training appears to be beneficial to patients with OA of the knee, as shown by the high compliance and low dropout frequency, and such a program is feasible even in patients with severe OAof the knee.
PubMedPhysical therapy is effective for patients with osteoarthritis of the knee: a randomized controlled clinical trial.
262 Citations2001Marlene Fransen, J. Crosbie +1 more
Physical therapy, either as an individually delivered treatment or in a small group format, is an effective intervention for patients with knee OA.
PubMedDepression in rheumatoid arthritis.
262 Citations1988Robert G. Frank, Niels C. Beck +8 more
It is suggested that depression is a frequent disorder among persons with rheumatoid arthritis and attention to specific interventions for depression in conjunction with the treatment of the RA is suggested.
Arthritis Care & ResearchPhysical activity levels among the general US adult population and in adults with and without arthritis
251 Citations2003Jennifer M. Hootman, Caroline A. Macera +3 more
The sources of data used for surveillance and special studies of PA among persons with arthritis, and the prevalence of PA levels among the general US adult population and among adults with and without self-reported arthritis are described are described to identify areas for future research regarding physical activity and arthritis.
The American Journal of MedicineGender, quality of life, and mental disorders in primary care: Results from the PRIME-MD 1000 study
243 Citations1996Mark Linzer, Robert Spitzer +5 more
It is suggested that one of the most important aspects of a primary care physician's care of female patients is to screen for and treat common mental disorders, and the HRQL scores were poorer in women than men, although most of this difference was accounted for by the difference in prevalence of mental disorders.
Arthritis & RheumatismA randomized two-year study of the effects of dynamic strength training on muscle strength, disease activity, functional capacity, and bone mineral density in early rheumatoid arthritis
241 Citations2001Arja H�kkinen, Tuulikki Sokka +2 more
Regular dynamic strength training combined with endurance-type physical activities improves muscle strength and physical function, but not BMD, in patients with early RA, without detrimental effects on disease activity.
Arthritis & RheumatismRisk factors for functional decline in older adults with arthritis
226 Citations2005Dorothy D. Dunlop, Pamela A. Semanik +4 more
It was found that if all subjects engaged in regular vigorous physical activity, the expected functional decline could be reduced as much as 32%.
Cochrane Database of Systematic ReviewsAntibiotic prophylaxis for patients undergoing transurethral resection of prostate who have preoperative containing <100,000 bacteria/mL
221 Citations2002Wei Qin, Jing Wu +3 more
Land-based therapeutic exercise was shown to reduce pain and improve physical function for people with OA of the knee and insufficient data to provide useful guidelines on optimal exercise type or dosage.
Annals of the Rheumatic DiseasesEffect of intensive exercise on patients with active rheumatoid arthritis: a randomised clinical trial
217 Citations2000C.H.M. van den Ende, F C Breedveld +4 more
A short term intensive exercise programme in active RA is more effective in improving muscle strength than a conservative exercise programme and does not have deleterious effects on disease activity.
Archives of Physical Medicine and RehabilitationOsteoarthritis of the knee: Isokinetic quadriceps exercise versus an educational intervention
216 Citations1999Brian T. Maurer, A.G. Stern +3 more
Isokinetic exercise is an effective and well-tolerated treatment for knee osteoarthritis, but a much less costly education program also showed some benefits.
Arthritis Care & ResearchEffects of exercise adherence on physical function among overweight older adults with knee osteoarthritis
208 Citations2005Coen H. van Gool, Brenda W.J.H. Penninx +6 more
Higher exercise adherence is associated with improved physical function in overweight and obese older adults with knee OA, indicating that promoting adherence is clinically relevant when prescribing exercise regimens that also focus on decreasing pain and BMI.
The Journals of Gerontology Series AThe Effects of High-Intensity and Low-Intensity Cycle Ergometry in Older Adults With Knee Osteoarthritis
204 Citations1999Kathleen K Mangione, Kevin K. McCully +4 more
Low-intensity cycling was as effective as high- intensity cycling in improving function and gait, decreasing pain, and increasing aerobic capacity and may be considered as an alternative exercise modality for patients with knee OA.
PubMedThe effects of a health educational and exercise program for older adults with osteoarthritis for the hip or knee.
203 Citations2000M. Hopman-Rock, Marlon Westhoff
The self-management program for patients with osteoarthritis of the hip or knee was reasonably effective, but more attention should be paid to proactive followup interventions and to the selection of participants.
British journal of rheumatologyFatigue in systemic lupus erythematosus: a randomized controlled trial of exercise
194 Citations2003C. M. Tench
These findings support the use of appropriately prescribed graded aerobic exercise in the management of patients with fatigue and systemic lupus erythematosus.
Archives of Physical Medicine and RehabilitationConcentric versus combined concentric-eccentric isokinetic training: Effects on functional capacity and symptoms in patients with osteoarthrosis of the knee
193 Citations2002Hakan Gür, Nilgün Çakın +3 more
The results suggest that with the isokinetic resistance training used in this study, it is possible to improve functional capacity and decrease pain in patients with OA of the knee.
Nursing ResearchEffects of Muscle-Strength Training on the Functional Status of Patients with Osteoarthritis of the Knee Joint
191 Citations1996Joyce M. Schilke, Glen O. Johnson +2 more
There was a significant decrease in pain and stiffness, and a significant increase in mobility in the experimental group, while the control group increased in only right leg flexion and left leg extension across the training period.
PubMedHome based exercise therapy for older patients with knee osteoarthritis: a randomized clinical trial.
170 Citations2000Robert J. Petrella, C Bartha
Addition of a progressive exercise program to nonsteroidal antiinflammatory therapy in patients with knee OA can improve measures of activity and activity related pain more than medication alone.
Annals of the Rheumatic DiseasesComparison of high and low intensity training in well controlled rheumatoid arthritis. Results of a randomised clinical trial.
153 Citations1996C.H.M. van den Ende, J. M. W. Hazes +5 more
Intensive dynamic training is more effective in increasing aerobic capacity, joint mobility, and muscle strength than ROM exercises and isometric training in rheumatoid arthritis patients with well controlled disease.
Arthritis & RheumatismThe effect of progressive resistance training in rheumatoid arthritis. Increased strength without changes in energy balance or body composition
141 Citations1996Laura C. Rall, Simin Nikbin Meydani +3 more
High-intensity strength training is feasible and safe in selected patients with well-controlled RA and leads to significant improvements in strength, pain, and fatigue without exacerbating disease activity or joint pain.
PubMedValidation of a surveillance case definition for arthritis.
137 Citations2005Jeffrey J. Sacks, Leslie R. Harrold +4 more
The case definition based on self-reported CJS and/or DDx appeared to be sensitive in identifying arthritis, but specificity was lower than desirable for those under age 65 years.
Exercise for treating fibromyalgia syndrome
134 Citations2002AJ Busch, KAR Barber +3 more
There is moderate quality evidence that aerobic-only exercise training at recommended intensity levels has positive effects global well-being and physical function in individuals with FMS and 'gold' level evidence that supervised aerobic exercise training has beneficial effects on physical capacity and FMS symptoms.
PhysiotherapyExercise for osteoarthritis of the hip or knee
134 Citations2003Marlene Fransen, Sara McConnell +1 more
Land-based therapeutic exercise was shown to reduce pain and improve physical function for people with OA of the knee and there were insufficient data to provide useful guidelines on optimal exercise type or dosage.
Arthritis & RheumatismAre US adults with arthritis meeting public health recommendations for physical activity?
124 Citations2004Kevin R. Fontaine, Moonseong Heo +1 more
Efforts should be made to ensure that adults with arthritis are made aware of the benefits of physical activity, and that interventions are prescribed to assist these individuals in becoming more physically active.
Health Education & BehaviorIntervention Programs for Arthritis and Other Rheumatic Diseases
122 Citations2003Teresa J. Brady, Judy Kruger +3 more
Several of the packaged arthritis interventions reviewed help people with arthritis and other rheumatic conditions maximize their abilities and reduce pain, functional limitations, and other arthritis-related problems.
Medicine & Science in Sports & ExerciseCurrent injury or disability as a barrier to being more physically active
114 Citations2001Caroline F. Finch, Neville Owen +1 more
Current injury or disability as a barrier to increased physical activity was independently, and significantly, associated with both age and body mass index, after adjusting for other variables.
Scandinavian Journal of RheumatologyDynamic versus Static Training in Patients with Rheumatoid Arthritis
111 Citations1990C. Ekdahl, Sven Ingmar Andersson +2 more
In RA patients, dynamic training gives a greater increase in physical capacity than does static training.
Research in Nursing & HealthEffects of exercise on fatigue, aerobic fitness, and disease activity measures in persons with rheumatoid arthritis
109 Citations1997Geri Neuberger, Allan N. Press +7 more
It is indicated that persons with RA who participate in appropriate exercises may lessen fatigue levels and experience other positive effects without worsening their arthritis.
American Journal of Preventive MedicineValidity and reliability of self-reported arthritis
107 Citations2005Jennifer M. Bombard, Kenneth E. Powell +3 more
Self-reported arthritis in the 1996-2001 BRFSS was highly reliable, and moderately sensitive and specific among these senior center participants.
The Journal of Strength and Conditioning ResearchThe Effects of Aquatic and Traditional Exercise Programs on Persons With Knee Osteoarthritis
99 Citations2001FRANK B. WYATT, STACIE MILAM +2 more
Both aquatic and land-based exercise programs are beneficial to patients with osteoarthritis and subjective pain levels were significantly less in the aquatic group when compared with the land- based group.
Current Opinion in RheumatologySafety of exercise in patients with rheumatoid arthritis
98 Citations2005Zuzana de Jong, T. P. M. Vliet Vlieland
Patients with rheumatoid arthritis benefit from long-term moderate or high-intensity exercises, which improve aerobic capacity, muscle strength, functional ability, and psychological well-being.
Joint Bone SpineIs anxiety a more common disorder than depression in rheumatoid arthritis?
98 Citations2002Yasser El Miedany, Amany Haroun El Rasheed
Investigating whether anxiety disorder is as common as depressive disorder in patients with rheumatoid arthritis found anxiety is a more common disorder than depression, with a frequency higher than that of other general medical conditions.
Arthritis & RheumatismA health professional's guide to exercise prescription for people with arthritis: A review of aerobic fitness activities
94 Citations2001Marie Westby
Regular, aerobic exercise provides both short-term and long-term benefits for people with arthritis and related musculoskeletal conditions, including improved cardiovascular function, increased muscular strength and flexibility, and reduced fatigue.
Preventive MedicineInfluence of physical activity-related joint stress on the risk of self-reported hip/knee osteoarthritis: a new method to quantify physical activity
94 Citations2003Jennifer M. Hootman, Carol A. Macera +2 more
Participation in PA as an adult does not increase the risk of hip/knee OA and there does not seem to be a threshold of increasing risk with increased training among walkers and runners.
PubMedHealth related quality of life among adults reporting arthritis: analysis of data from the Behavioral Risk Factor Surveillance System, US, 1996-99.
91 Citations2003Fatima Mili, Charles G. Helmick +1 more
HRQOL measures like those in the BRFSS may be useful in monitoring the burden of arthritis and in tracking the success of population interventions for arthritis.
PubMedRacial/ethnic differences in the prevalence and impact of doctor-diagnosed arthritis--United States, 2002.
89 Citations2005
This report summarizes the results of analysis of data from the 2002 National Health Interview Survey, which indicated that, when compared with whites, a higher proportion of blacks had arthritis-attributable activity limitations, work limitations, and severe joint pain, and aHigher proportion of Hispanics hadthritis-attributionable work limitations and severe Joint pain.
Pesquisa Agropecuária BrasileiraEfficacy of low load resistive muscle training in patients with rheumatoid arthritis functional class II and III.
84 Citations1997Geetha R. Komatireddy, Rose Leitch +3 more
Low load resistive muscle training increased functional capacity as reported by patients and is a clinically safe form of exercise in functional class II and III RA.
Arthritis & RheumatismMedical care expenditures and earnings losses of persons with arthritis and other rheumatic conditions in the United States in 1997: Total and incremental estimates
81 Citations2004Edward H. Yelin, Miriam G. Cisternas +4 more
To provide estimates of the total medical care expenditures and earnings losses associated with arthritis and other rheumatic conditions (AORC), as well as the increment in such costs specifically attributable to these conditions, in the US in 1997, estimates were derived from the 1997 Medical Expenditures Panel Survey.
Medicine & Science in Sports & ExerciseAssessment of Physical Activity by Telephone Interview versus Objective Monitoring
62 Citations2003Scott J. Strath, David R. Bassett +2 more
The BRFSS and HR+M methods yielded similar group estimates of PA, but individual assessments of moderate activity differed more than those of vigorous activity.
Preventive MedicineCharacteristics of physically inactive older adults with arthritis: results of a population-based study
62 Citations2003Mark S. Kaplan, Nathalie Huguet +2 more
The profile presented in this study should be fully considered by health care providers when educating patients with arthritis about the adverse health effects of sedentary behavior.
Effectiveness of exercise therapy in patients with osteoarthritis of the hip or knee.
56 Citations1999Margriet E. van Baar, Willem JJ Assendelft +3 more
Arthritis & RheumatismInactivity‐associated medical costs among US adults with arthritis
50 Citations2001Guijing Wang, Charles G. Helmick +3 more
Inactivity-associated medical costs among persons with arthritis are considerable and physical activity interventions may be a cost-effective strategy for reducing the burden of arthritis.
PubMedGender differences in outpatient research subjects with affective disorders: a comparison of descriptive variables.
29 Citations1995Mark Hyman Rapaport, Paul M. Thompson +4 more
Male and female research subjects were remarkably similar with respect to most characteristics assessed but, as postulated, differed in terms of their comorbid diagnoses and prior treatment history.
JCR Journal of Clinical RheumatologyChanges in the Prevalence of US Adults With Arthritis Who Meet Physical Activity Recommendations, 2001–2003
23 Citations2005Kevin R. Fontaine, Moonseong Heo
Prevalence estimates of the 3 levels of physical activity among adults with arthritis changed very little, indicating that public health efforts to promote increased activity should continue to be developed and refined.
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