Physical activity and osteoarthritis: a consensus study to harmonise self-reporting methods of physical activity across international cohorts

doi:10.1007/s00296-017-3672-y

. 2017 Apr;37(4):469-478.

doi: 10.1007/s00296-017-3672-y. Epub 2017 Feb 25.

Physical activity and osteoarthritis: a consensus study to harmonise self-reporting methods of physical activity across international cohorts

L S Gates^{1

2}, K M Leyland¹, S Sheard¹, K Jackson¹, P Kelly³, L F Callahan⁴, R Pate⁵, E M Roos⁶, B Ainsworth⁷, C Cooper^{1

8}, C Foster⁹, J L Newton¹, M E Batt¹⁰, N K Arden^{11

12}

Affiliations

¹ Arthritis Research UK Centre for Sport, Exercise and Osteoarthritis, University of Oxford, Oxford, UK.
² Faculty of Health Sciences, University of Southampton, Southampton, UK.
³ Physical Activity for Health Research Centre, University of Edinburgh, Edinburgh, UK.
⁴ Thurston Arthritis Research Centre, University of North Carolina, Chapel Hill, NC, USA.
⁵ Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
⁶ Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
⁷ School of Nutrition and Health Promotion, Arizona State University, Phoenix, AZ, USA.
⁸ MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
⁹ British Heart Foundation Centre on Population Approaches for Non-Communicable Disease Prevention, University of Oxford, Oxford, UK.
¹⁰ Centre for Sports Medicine, Nottingham University Hospitals and Arthritis Research UK Centre for Sport, Exercise and Osteoarthritis, Nottingham, UK.
¹¹ Arthritis Research UK Centre for Sport, Exercise and Osteoarthritis, University of Oxford, Oxford, UK. nigel.arden@ndorms.ox.ac.uk.
¹² MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK. nigel.arden@ndorms.ox.ac.uk.

PMID: 28238075
PMCID: PMC5357277
DOI: 10.1007/s00296-017-3672-y

Physical activity and osteoarthritis: a consensus study to harmonise self-reporting methods of physical activity across international cohorts

L S Gates et al. Rheumatol Int. 2017 Apr.

. 2017 Apr;37(4):469-478.

doi: 10.1007/s00296-017-3672-y. Epub 2017 Feb 25.

Authors

Affiliations

¹ Arthritis Research UK Centre for Sport, Exercise and Osteoarthritis, University of Oxford, Oxford, UK.
² Faculty of Health Sciences, University of Southampton, Southampton, UK.
³ Physical Activity for Health Research Centre, University of Edinburgh, Edinburgh, UK.
⁴ Thurston Arthritis Research Centre, University of North Carolina, Chapel Hill, NC, USA.
⁵ Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
⁶ Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
⁷ School of Nutrition and Health Promotion, Arizona State University, Phoenix, AZ, USA.
⁸ MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
⁹ British Heart Foundation Centre on Population Approaches for Non-Communicable Disease Prevention, University of Oxford, Oxford, UK.
¹⁰ Centre for Sports Medicine, Nottingham University Hospitals and Arthritis Research UK Centre for Sport, Exercise and Osteoarthritis, Nottingham, UK.
¹¹ Arthritis Research UK Centre for Sport, Exercise and Osteoarthritis, University of Oxford, Oxford, UK. nigel.arden@ndorms.ox.ac.uk.
¹² MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK. nigel.arden@ndorms.ox.ac.uk.

PMID: 28238075
PMCID: PMC5357277
DOI: 10.1007/s00296-017-3672-y

Abstract

Physical activity (PA) is increasingly recognised as an important factor within studies of osteoarthritis (OA). However, subjective methods used to assess PA are highly variable and have not been developed for use within studies of OA, which creates difficulties when comparing and interpreting PA data in OA research. The aim of this study was, therefore, to gain expert agreement on the appropriate methods to harmonise PA data among existing population cohorts to enable the investigation of the association of PA and OA. The definition of PA in an OA context and methods of harmonization were established via an international expert consensus meeting and modified Delphi exercise using a geographically diverse committee selected on the basis of individual expertise in physical activity, exercise medicine, and OA. Agreement was met for all aims of study: (1) The use of Metabolic Equivalent of Task (MET) minutes per week (MET-min/week) as a method for harmonising PA variables among cohorts; (2) The determination of methods for treating missing components of MET-min/week calculation; a value will be produced from comparable activities within a representative cohort; (3) Exclusion of the domain of occupation from total MET-min/week; (4) The need for a specific measure of joint loading of an activity in addition to intensity and time, in studies of diseases, such as OA. This study has developed a systematic method to classify and harmonise PA in existing OA cohorts. It also provides minimum requirements for future studies intending to include subjective PA measures.

Keywords: Consensus; Metabolic equivalent of task; Osteoarthritis; Physical activity; Population cohorts.

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Conflict of interest statement

Informed consent

Informed consent was obtained from all individual participants included in the study.

Funding source

This study was funded by Arthritis Research UK Centre for Sport, Exercise and Osteoarthritis (Grant Ref. 20194).

Conflict of interest

B Ainsworth receives royalties from Taylor & Francis. C Cooper has received consultancy from Servier, Amgen, Novartis, Eli Lilly, Medtronic. N. Arden has received consultancy from Bioventus, Flexion, Freshfields, Merck, Nicox and Smith & Nephew and honoraria from Flexion and Merck. E Roos reports on and is deputy editor of Osteoarthritis and Cartilage, is the developer of Knee injury and Osteoarthritis Outcome Score (KOOS), and is the founder of the Good Life with Osteoarthritis in Denmark (GLA:D) initiative to implement clinical guidelines in primary care. M. Batt, N. Arden, J Newton, K Jackson, L Gates, K Leylands institution has received a Centre of Excellence grant from Arthritis Research UK. L. Callahan, P. Kelly, R. Pate, S. Sheard, and C. Foster declare that they have no conflict of interest.

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References

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[1] Brandt KD, Radin EL, Dieppe PA, van de Putte L. Yet more evidence that osteoarthritis is not a cartilage disease. Ann Rheum Dis. 2006;65(10):1261–1264. doi: 10.1136/ard.2006.058347. - DOI - PMC - PubMed

[2] Brandt KD, Radin EL, Dieppe PA, van de Putte L. Yet more evidence that osteoarthritis is not a cartilage disease. Ann Rheum Dis. 2006;65(10):1261–1264. doi: 10.1136/ard.2006.058347. - DOI - PMC - PubMed

[3] Jordan JM, Helmick CG, Renner JB, Luta G, Dragomir AD, Woodard J, et al. Prevalence of knee symptoms and radiographic and symptomatic knee osteoarthritis in African Americans and Caucasians: the Johnston County Osteoarthritis Project. J Rheumatol. 2007;34(1):172–180. - PubMed

[4] Jordan JM, Helmick CG, Renner JB, Luta G, Dragomir AD, Woodard J, et al. Prevalence of knee symptoms and radiographic and symptomatic knee osteoarthritis in African Americans and Caucasians: the Johnston County Osteoarthritis Project. J Rheumatol. 2007;34(1):172–180. - PubMed

[5] Pereira D, Peleteiro B, Araújo J, Branco J, Santos RA, Ramos E. The effect of osteoarthritis definition on prevalence and incidence estimates: a systematic review. Osteoarthr Cartil. 2011;19(11):1270–1285. doi: 10.1016/j.joca.2011.08.009. - DOI - PubMed

[6] Pereira D, Peleteiro B, Araújo J, Branco J, Santos RA, Ramos E. The effect of osteoarthritis definition on prevalence and incidence estimates: a systematic review. Osteoarthr Cartil. 2011;19(11):1270–1285. doi: 10.1016/j.joca.2011.08.009. - DOI - PubMed

[7] Turkiewicz A, Gerhardsson de Verdier M, Engström G, Nilsson PM, Mellström C, Lohmander LS, et al. Prevalence of knee pain and knee OA in southern Sweden and the proportion that seeks medical care. Rheumatology. 2015;54(5):827–835. doi: 10.1093/rheumatology/keu409. - DOI - PubMed

[8] Turkiewicz A, Gerhardsson de Verdier M, Engström G, Nilsson PM, Mellström C, Lohmander LS, et al. Prevalence of knee pain and knee OA in southern Sweden and the proportion that seeks medical care. Rheumatology. 2015;54(5):827–835. doi: 10.1093/rheumatology/keu409. - DOI - PubMed

[9] Jordan JM, Helmick CG, Renner JB, Luta G, Dragomir AD, Woodard J, et al. Prevalence of hip symptoms and radiographic and symptomatic hip osteoarthritis in African Americans and caucasians: the Johnston county osteoarthritis project. J Rheumatol. 2009;36(4):809–815. doi: 10.3899/jrheum.080677. - DOI - PMC - PubMed

[10] Jordan JM, Helmick CG, Renner JB, Luta G, Dragomir AD, Woodard J, et al. Prevalence of hip symptoms and radiographic and symptomatic hip osteoarthritis in African Americans and caucasians: the Johnston county osteoarthritis project. J Rheumatol. 2009;36(4):809–815. doi: 10.3899/jrheum.080677. - DOI - PMC - PubMed

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Physical activity and osteoarthritis: a consensus study to harmonise self-reporting methods of physical activity across international cohorts

Affiliations

Physical activity and osteoarthritis: a consensus study to harmonise self-reporting methods of physical activity across international cohorts

Authors

Affiliations

Abstract

Conflict of interest statement

Informed consent

Funding source

Conflict of interest

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Cited by

References

MeSH terms

Grants and funding

LinkOut - more resources

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Medical

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