Impact of COVID-19 Pandemic on Physical Activity, Pain, Mood, and Sleep in Adults with Knee Osteoarthritis.

Impact of COVID-19 Pandemic on Physical Activity, Pain, Mood, and Sleep in Adults with Knee Osteoarthritis.
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COVID-19 大流行对膝骨关节炎成人的体力活动、疼痛、情绪和睡眠的影响。

DOI:
10.1123/jmpb.2022-0019
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发表时间:
2022
期刊:
Journal for the measurement of physical behaviour
影响因子:
--
通讯作者:
Kumar,Deepak
Kumar,Deepak
中科院分区:
--
文献类型:
--
作者:
Rose,MichaelJ;LaValley,MichaelP;Jafarzadeh,SReza;Costello,KerryE;Shah,Nirali;Lee,Soyoung;Borrelli,Belinda;Messier,StephenP;Neogi,Tuhina;Kumar,Deepak

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目的:通过一项正在进行的随机临床试验,研究正在进行的COVID-19大流行期间膝关节骨关节炎患者的身体活动、睡眠、疼痛和情绪的变化。方法:参加一项被COVID-19大流行中断的为期12个月的平行双臂随机临床试验(NCT03064139)的参与者佩戴活动监测器(Fitbit Charge 3),并填写定制的每周调查问卷,评估膝关节疼痛、情绪和睡眠,作为研究的一部分。本研究使用了30周的父母研究数据。每日步数和睡眠时间从活动监测数据中提取,参与者通过调查自我报告膝盖疼痛、积极情绪和消极情绪。在流行病前、呆在家里和重新开放期间,对每个参与者的指标进行平均,然后对所有参与者的指标进行平均,以反映马萨诸塞州的分阶段重新开放。结果:来自28名参与者的数据显示,与大流行前相比,所有结果在居家和重新开放期间都发生了微小变化,但没有确定的临床意义。总结统计数据表明,在观察期间,一些参与者的身体活动持续下降,参与者之间存在很大差异。结论:COVID-19大流行对骨关节炎患者的身体活动、睡眠、疼痛和情绪的影响是不同的。这种差异的具体原因无法确定。确定可能影响在重大生活方式改变(如正在进行的大流行)期间可能表现出体力活动减少和/或症状加重的膝骨关节炎患者的因素,对于向可能从中受益最多的人提供有针对性的医疗保健服务和管理建议非常重要。
Objective:To examine changes in physical activity, sleep, pain, and mood in people with knee osteoarthritis during the ongoing COVID-19 pandemic by leveraging an ongoing randomized clinical trial.Methods:Participants enrolled in a 12-month parallel two-arm randomized clinical trial (NCT03064139) interrupted by the COVID-19 pandemic wore an activity monitor (Fitbit Charge 3) and filled out custom weekly surveys rating knee pain, mood, and sleep as part of the study. Data from 30 weeks of the parent study were used for this analysis. Daily step count and sleep duration were extracted from activity monitor data, and participants self-reported knee pain, positive mood, and negative mood via surveys. Metrics were averaged within each participant and then across all participants for prepandemic, stay-at-home, and reopening periods, reflecting the phased reopening in the state of Massachusetts.Results:Data from 28 participants showed small changes with inconclusive clinical significance during the stay-at-home and reopening periods compared with prepandemic for all outcomes. Summary statistics suggested substantial variability across participants with some participants showing persistent declines in physical activity during the observation period.Conclusion:Effects of the COVID-19 pandemic on physical activity, sleep, pain, and mood were variable across individuals with osteoarthritis. Specific reasons for this variability could not be determined. Identifying factors that could affect individuals with knee osteoarthritis who may exhibit reduced physical activity and/or worse symptoms during major lifestyle changes (such as the ongoing pandemic) is important for providing targeted health-care services and management advice toward those that could benefit from it the most.
膝骨关节炎中的正念行走:一项可行性随机对照试验
DOI: 10.1016/j.joca.2022.02.087
发表时间: 2022
影响因子: 7
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发表时间: 2020-11
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影响因子: 4.8
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DOI: 10.2105/ajph.84.3.351
发表时间: 1994-03-01
影响因子: 12.7
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