Physical activity and health-related quality of life in men and women with hip and/or knee osteoarthritis before and after a supported self-management programme – a prospective observational study. Issue 16 (31st July 2022)

• Record Type: Journal Article
• Authors: Sturesdotter Åkesson, Karin; Beckman, Anders; Stigmar, Kjerstin; Sundén, Anne; Ekvall Hansson, Eva
• Is Part Of: Disability and rehabilitation. Volume 44:Issue 16(2022)
• Page Start: 4275
• Page End: 4283
• Publication Date: 2022-07-31
• Subjects: Osteoarthritis -- hip -- knee -- patient education -- physical activity -- exercise -- quality of life; People with disabilities -- Periodicals; Rehabilitation -- Periodicals; 617.03
• DOI: 10.1080/09638288.2021.1900417
• Languages: English
• ISSNs: 0963-8288

Abstract

Abstract: Purpose: To study differences between men and women in physical activity (PA) and health-related quality of life (HRQoL) before and after participating in a supported osteoarthritis (OA) self-management programme. Materials and methods: A prospective observational study using data from a Swedish National Quality Register. Patients recorded between 2008 and 2013 with hip and/or knee OA with data at baseline, at 3 and 12 months follow-up ( n = 7628) were included. Outcome measures were patient-reported PA and HRQoL (EQ-5D-3L). Results: A greater proportion of men ( p = 0.002) changed to being physically active ≥150 min/week at 3 months follow-up. The proportion of women being physically active ≥150 min/week was larger than for men at baseline ( p = 0.003) and at follow-up at 12 months ( p = 0.035). Women reported lower HRQoL than men at baseline ( p < 0.001), at follow-up at 3 ( p < 0.001) and 12 months ( p = 0.010). There were no differences between men and women in change in HRQoL at 3 ( p = 0.629) and 12 months ( p = 0.577) follow-up. Conclusions: This study showed differences between men and women in PA and HRQoL before and after participating in a supported OA self-management programme. These differences should be considered when supporting PA and HRQoL. Implications for rehabilitation: Men with hip and/or knee osteoarthritis (OA) might need more support during rehabilitation in order to maintain or even increase physical activity (PA) in the long run. Women with hip and/or knee OA might need more support during rehabilitation in order to maintain or even increase health-related quality of life (HRQoL) in the long run. Booster sessions might be suggested in order to enable both men and women with hip and/or knee OA to sustain improvements in PA and HRQoL after participating in a supported OA self-management programme.