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- W2005021382 abstract "SAN DIEGO – Elderly osteoarthritis patients who meet federal guidelines for regular exercise have more healthy days per year than do their sedentary counterparts, a novel study suggests. “Our findings support interventions that help older adults to increase their physical activity level, even if guidelines are not fully met,” Kai Sun, MD, said during a press briefing at the latest annual meeting of the American College of Rheumatology. “Increased physical activity could essentially translate into better quality of life and increased time spent in good health [and] lower overall health care costs.” The study used data from the National Institutes of Health–funded Osteoarthritis Initiative (OAI) to gather information on the physical activity levels of more than 4,700 adults, most of whom were older than 65 years and more than 40% of whom had a body mass index over 30 kg/m. All had knee osteoarthritis or were at risk. The researchers set out to determine whether meeting the 2008 physical activity guidelines from the Department of Health and Human Services would translate into better overall quality of life and whether interventions to improve physical activity would correlate with better quality-adjusted life years (QALYs). The HHS guidelines recommend 150 minutes of moderate to vigorous activity per week performed in sessions lasting at least 10 minutes each. “An example of moderate activity would be walking briskly as if you were late to an appointment,” said Dr. Sun, a medical resident and research trainee at Northwestern Feinberg School of Medicine, Chicago. The researchers used accelerometers to measure the physical activity level in 1,794 OAI study participants over the course of 1 week and placed them into one of three groups: 235 who met the HHS exercise guidelines, 763 who were “insufficiently active” (engaging in fewer than 150 minutes of moderate to vigorous exercise per week), and 796 who were inactive (engaging in no moderate to vigorous exercise per week). Health-related utility scores used to calculate QALYs were measured at the beginning of the study and 2 years later. Overall, QALYs were significantly better with increasing physical activity, Dr. Sun reported. “This was a graded relationship, meaning that [people] in the middle group who had some [level of exercise] but not enough to meet guidelines had significantly better overall quality of life compared with the inactive group,” she said. Specifically, after adjustment for socioeconomic and health factors over the 2-year period, people who met the HHS exercise guidelines had QALYs that were 0.11 higher compared with those who were inactive. At the same time, those in the insufficiently active group had QALYs that were 0.058 higher compared with those who were inactive. “The most active group experienced the most benefit,” Dr. Sun said. “The improvement was meaningful and translated into roughly an additional 10-20 days of perfect health in a year. We estimate that if an intervention could move someone out of the inactive group and cost less than $1,450 per person per year, that intervention would be considered cost-effective.” “While 150 minutes a week of moderate to vigorous physical activity might be appropriate for community-dwelling older adults, this is not a realistic starting place for our residents,” said Barbara Resnick, PhD, CRNP, FAAN, FAANP, professor of nursing at the University of Maryland School of Nursing, Baltimore. However, she noted that this study “is a great opportunity” to focus on exercise in the postacute and long-term care population. “It serves as an excellent reminder of how important and beneficial physical activity is, particularly for residents with osteoarthritis. …Contrary to what many older adults and their caregivers believe, it is not dangerous to move when an individual has arthritis and even arthritis-associated pain. In fact, it will greatly benefit the resident in terms of decreasing pain, maintaining and improving function, and optimizing quality of life.” The researchers reported no relevant financial conflict of interest." @default.
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- W2005021382 date "2014-06-01" @default.
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- W2005021382 title "Exercise Increases ‘Perfect Health’ Days in Elderly" @default.
- W2005021382 doi "https://doi.org/10.1016/j.carage.2014.05.025" @default.
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