The Cut-off Value of Physical Activity for Undergoing Total Knee Arthroplasty in Patients with Knee Osteoarthritis.
The Cut-off Value of Physical Activity for Undergoing Total Knee Arthroplasty in Patients with Knee Osteoarthritis.
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膝骨关节炎患者接受全膝关节置换术时体力活动的截止值。
DOI：
10.3390/healthcare9081063
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发表时间：
2021-08-19
期刊：
影响因子：
--
通讯作者：
Deie M
中科院分区：
文献类型：
--
作者：
Okamoto T;Ikemoto T;Miyagawa H;Ishida T;Akao M;Takata T;Kobayakawa K;Yamanashi Y;Inoue M;Nakaso Y;Ushida T;Deie M
背景：我们的目的是在决定接受全膝关节置换术（TKA）的膝关节骨性关节炎（OA）患者和继续保守治疗的患者之间，确定使用加速度计测量的身体活动（PA）的临界值。方法：42名受试者被分为TKA组和非TKA组（每组21人）。他们被要求全天佩戴加速度计。测量平均每日步数（steps/day）、平均每日轻度PA时间（LPA） （min/day）和平均每日中重度PA时间（MVPA） （min/day） 7天。采用单变量分析比较两组之间的变量，然后进行逐步逻辑回归以确定哪些变量与接受TKA最相关。利用接收机工作特性曲线分析了扩声截止点。结果：组间疼痛严重程度（p = 0.002）、KL分级（p = 0.001）、MVPA （p = 0.012）差异有统计学意义。MVPA最有用的临界值为5.84（分钟/天）（AUC = 0.773），尽管只有疼痛严重程度和KL分级被发现是接受TKA的重要因素。结论：我们的研究结果显示，与非TKA组相比，TKA组PA水平显著降低（MVPA截止值，5-6分钟/天）。
Background: We aimed to determine a cut-off value for physical activity (PA), measured using an accelerometer, between patients with knee osteoarthritis (OA) who decided to undergo total knee arthroplasty (TKA) and those who continued conservative treatment. Methods: Forty-two participants were assigned to either a TKA group or a non-TKA group (21 per group). They were instructed to wear an accelerometer throughout the day. Average daily steps (steps/day), average daily time of light PA (LPA) (min/day), and average daily time of moderate-to-vigorous PA (MVPA) (min/day) were measured for seven days. Variables between the two groups were compared using univariate analyses, and then a stepwise logistic regression was conducted to determine which variables best correlated with undergoing TKA. The PA cut-offs were analysed using the receiver operating characteristic curve. Results: Pain severity (p = 0.002), KL grade (p = 0.001), and MVPA (p = 0.012) differed significantly between the groups. The most useful cut-off value was 5.84 (min/day) for MVPA (AUC = 0.773), although only pain severity and KL grade were found to be significant contributors to undergoing TKA. Conclusions: Our results revealed there was a significant decrease in PA levels (MVPA cut-off, 5–6 min/day) in the TKA group compared with the non-TKA group.
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影响因子：
4.8
作者：
Kanda Y
通讯作者：
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影响因子：
7
作者：
Allen, K. D.;Coffman, C. J.;Keefe, F. J.
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DOI：
10.1590/s0102-311x2012000300006
发表时间：
2012-03-01
期刊：
Cadernos de Saúde Pública
影响因子：
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作者：
Silva, Leonardo José da;Azevedo, Mario Renato;Lopes, Guiomar Silva
通讯作者：
Lopes, Guiomar Silva
影响因子：
2.3
作者：
Bedson, John;Croft, Peter R.
通讯作者：
Croft, Peter R.