Abstract
Background Previous studies on physical activity after total knee arthroplasty (TKA) concentrated mainly on a return to sports activities.
Objective The objectives of this study were to determine the habitual physical activity behavior of people who had undergone TKA (TKA group) 1 to 5 years after surgery and to examine to what extent they adhered to international guidelines for health-enhancing physical activity. Additional aims were to compare younger (<65 years old) and older (≥65 years old) people as well as men and women in the TKA group and to compare the results for the TKA group with those for a sex- and age-matched normative population (normative group).
Design This investigation was a cohort study.
Methods All people who had a primary TKA at 1 of 2 participating hospitals between 2002 and 2006 were sent the Short Questionnaire to Assess Health-Enhancing Physical Activity at least 1 year after surgery.
Results The TKA group spent, on average, 1,347 minutes per week on physical activity, most of which was light-intensity activity (780 minutes per week). Participants younger than 65 years of age spent significantly more time on physical activity than participants 65 years of age or older. There was no significant difference between male and female participants. Compared with the sex- and age-matched normative group, the TKA group spent significantly less time on the total amount of physical activity per week and met the guidelines for health-enhancing physical activity less often (55% versus 64%).
Limitations A self-administered questionnaire was used to assess habitual physical activity, and presurgery data on physical activity were not available.
Conclusions Almost half of the TKA group did not meet the health-enhancing physical activity guidelines, and the TKA group was not as physically active as the normative group. People who have undergone TKA should be encouraged to be more physically active.
Footnotes
Dr Stevens and Dr van den Akker-Scheek provided concept/idea/research design and project management. Dr Kersten and Dr van den Akker-Scheek provided writing, data collection, and data analysis. Dr van Raay and Dr Bulstra provided participants. Dr Stevens, Dr van Raay, and Dr Bulstra provided facilities/equipment and consultation (including review of manuscript before submission).
The authors thank the Municipal Public Health Service Groningen, Groningen, the Netherlands, for providing data for the normative population and Roy Stewart for his help with the matching.
This study was approved by the Medical Ethics Committee of the University Medical Center Groningen.
Data from this study were given as an oral presentation at the EFORT Conference; May 23–25, 2012; Berlin, Germany.
- Received August 29, 2011.
- Accepted May 15, 2012.
