Vitality and the course of limitations in activities in osteoarthritis of the hip or knee
| Autor: | Cornelia H. M. van den Ende, Cindy Veenhof, G.J. Lankhorst, Gabriella M. van Dijk, Joost Dekker |
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| Přispěvatelé: | Rehabilitation medicine, EMGO - Musculoskeletal health |
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty lcsh:Diseases of the musculoskeletal system medicine.medical_treatment Physical fitness Vitality Osteoarthritis Hip cognitive functioning vitality Social support Rheumatology Risk Factors medicine Humans Psychology Orthopedics and Sports Medicine Cognitive skill Longitudinal Studies Aged Rehabilitation business.industry Social Support Cognition Middle Aged Osteoarthritis Knee medicine.disease Comorbidity Mental health osteoarthritis comorbidity Physical Fitness body functions Physical therapy Female prognosis lcsh:RC925-935 business Attitude to Health Research Article |
| Zdroj: | BMC Musculoskeletal Disorders, Vol 12, Iss 1, p 269 (2011) BMC Musculoskeletal Disorders BMC Musculoskeletal Disorders, 12:269. BioMed Central van Dijk, G M, Veenhof, C, Lankhorst, G J, Ende, C H & Dekker, J 2011, ' Vitality and the course of limitations in activities in osteoarthritis of the hip or knee ', BMC Musculoskeletal Disorders, vol. 12, 269 . https://doi.org/10.1186/1471-2474-12-269 |
| ISSN: | 1471-2474 |
| DOI: | 10.1186/1471-2474-12-269 |
| Popis: | Background The objective of the study was to determine whether psychological and social factors predict the course of limitations in activities in elderly patients with osteoarthritis of the hip or knee, in addition to established somatic and cognitive risk factors. Methods A longitudinal cohort study with a follow-up period of three years was conducted. Patients (N = 237) with hip or knee osteoarthritis were recruited from rehabilitation centers and hospitals. Body functions, comorbidity, cognitive functioning, limitations in activities and psychological and social factors (mental health, vitality, pain coping and perceived social support) were assessed. Statistical analyses included univariate and multivariate regression analyses. Psychological and social factors were added to a previously developed model with body functions, comorbidity and cognitive functioning. Results In knee OA, low vitality has a negative impact on the course of self-reported and performance-based limitations in activities, after controlling for somatic and cognitive factors. In hip OA, psychological and social factors had no additional contribution to the model. Conclusion Low vitality predicts deterioration of limitations in activities in elderly patients with osteoarthritis of the knee, in addition to established somatic and cognitive risk factors. However, the contribution of vitality is relatively small. Results of this study are relevant for the group of patients with knee or hip OA, attending hospitals and rehabilitation centers. |
| Databáze: | OpenAIRE |
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