Racial and ethnic differences in physical activity guidelines attainment among people at high risk of or having knee osteoarthritis.
Racial and ethnic differences in physical activity guidelines attainment among people at high risk of or having knee osteoarthritis.
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DOI：
10.1002/acr.21803
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发表时间：
2013-02
影响因子：
4.7
通讯作者：
Dunlop, Dorothy D.
中科院分区：
文献类型：
--
作者：
Song, Jing;Hochberg, Marc C.;Chang, Rowland W.;Hootman, Jennifer M.;Manheim, Larry M.;Lee, Jungwha;Semanik, Pamela A.;Sharma, Leena;Dunlop, Dorothy D.
本横断面研究考察了2008年美国卫生与公众服务部体育活动指南中有氧成分（≥150中-高强度（MV）分钟/周，每次≥10分钟）在患有或有放射性膝骨关节炎（RKOA）风险人群中的种族/民族差异。我们评估了非裔美国人和白人在指南实现方面的差异，采用多元逻辑回归调整社会人口统计学（年龄、性别、地点、收入、教育）和健康因素（合并症、抑郁症状、超重/肥胖、膝关节疼痛）。我们的分析包括49-84岁的成年人，他们在骨关节炎倡议48个月的访问中参与加速度计监测（1142人患有RKOA， 747人有RKOA风险）。2.0%的非裔美国人和13.0%的白人达到了标准。对于患有RKOA和有RKOA风险的成年人，非裔美国人与白人相比，指南达成率明显较低，但健康因素的差异，特别是超重/肥胖和膝关节疼痛，部分降低了指南达成率（RKOA：调整优势比[OR] = 0.24, 95%可信区间[CI] = [0.08, 0.72]； RKOA风险：OR = 0.28, 95% CI =[0.07, 1.05]）。尽管已知体育活动有好处，但患有和有患RKOA风险的人遵守体育活动指南的情况很低。非裔美国人达到标准的可能性比白人低72-76%。非裔美国人社区针对超重/肥胖和膝关节疼痛的文化相关干预措施和环境策略可能会减少未来体育活动的种族/民族差异，并改善健康结果。
This cross-sectional study examined racial/ethnic differences in meeting the 2008 U.S. Department of Health and Human Services Physical Activity Guidelines aerobic component (≥ 150 moderate-to-vigorous (MV) minutes/week in bouts ≥ 10 minutes) among persons with or at risk for radiographic knee osteoarthritis (RKOA). We evaluated African American versus White differences in Guideline attainment using multiple logistic regression adjusting for socio-demographic (age, gender, site, income, education) and health factors (comorbidity, depressive symptoms, overweight/obesity, knee pain). Our analyses included adults aged 49–84 who participated in accelerometer monitoring at the Osteoarthritis Initiative 48-month visit (1142 with and 747 at risk for RKOA). 2.0% of African Americans and 13.0% of Whites met Guidelines. For adults with and at risk for RKOA, significantly lower rates of Guideline attainment among African Americans compared to Whites were partially attenuated by health factor differences, particularly overweight/obesity and knee pain (RKOA: adjusted odds ratio [OR] = 0.24, 95% confidence interval [CI] = [0.08, 0.72]; at risk for RKOA: OR = 0.28, 95% CI = [0.07, 1.05]). Despite known benefits from physical activity, attainment of Physical Activity Guidelines among persons with and at risk for RKOA was low. African Americans were 72–76% less likely than Whites to meet Guidelines. Culturally-relevant interventions and environmental strategies in the African American community targeting overweight/obesity and knee pain may reduce future racial/ethnic differences in physical activity and improve health outcomes.
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影响因子：
--
作者：
Hootman, JM;Helmick, CG
通讯作者：
Helmick, CG
影响因子：
--
作者：
Lawrence, Reva C.;Felson, David T.;Wolfe, Frederick
通讯作者：
Wolfe, Frederick
DOI：
10.1002/art.10911
发表时间：
2003-02-15
期刊：
ARTHRITIS & RHEUMATISM-ARTHRITIS CARE & RESEARCH
影响因子：
--
作者：
Hootman, JM;Macera, CA;Sniezek, JE
通讯作者：
Sniezek, JE
影响因子：
3.4
作者：
Fontaine, KR;Heo, M
通讯作者：
Heo, M
DOI：
10.1111/j.1365-2753.2007.00777.x
发表时间：
2008-02-01
影响因子：
2.4
作者：
McHugh, Gretl A.;Luker, Karen A.;Silman, Alan J.
通讯作者：
Silman, Alan J.