Sedentary Behavior in Older Patients before and after Total Hip Arthroplasty: A Prospective Cohort Study

OBJECTIVE: To compare the habitual sedentary behavior (SB) and physical activity (PA) of older hip osteoarthritis patients before and after elective arthroplasty. METHODS: SB, PA and joint-specific disability of 16 patients (68.9 ± 6.8 years) were assessed by accelerometry and questionnaires before...

Authors: Moellenbeck, Burkhard
Horst, Frank
Gosheger, Georg
Theil, Christoph
Seeber, Leonie
Kalisch, Tobias
Division/Institute:FB 05: Medizinische Fakultät
Document types:Article
Media types:Text
Publication date:2020
Date of publication on miami:06.10.2020
Modification date:06.10.2020
Edition statement:[Electronic ed.]
Source:Healthcare 8 (2020) 3, 346, 1-12
Subjects:hip osteoarthritis; arthroplasty; physical activity; sedentary behavior
DDC Subject:610: Medizin und Gesundheit
License:CC BY 4.0
Language:English
Funding:Finanziert durch den Open-Access-Publikationsfonds der Westfälischen Wilhelms-Universität Münster (WWU Münster).
Format:PDF document
URN:urn:nbn:de:hbz:6-89089454139
Permalink:http://nbn-resolving.de/urn:nbn:de:hbz:6-89089454139
Other Identifiers:DOI: 10.3390/healthcare8030346
Digital documents:10.3390_healthcare8030346.pdf

OBJECTIVE: To compare the habitual sedentary behavior (SB) and physical activity (PA) of older hip osteoarthritis patients before and after elective arthroplasty. METHODS: SB, PA and joint-specific disability of 16 patients (68.9 ± 6.8 years) were assessed by accelerometry and questionnaires before and 9 months after arthroplasty. RESULTS: All patients reported substantial postoperative improvements of their joint-related complaints (p ≤ 0.001). Accelerometry showed changes in neither daily SB (10–60 min sedentary bouts, p ≥ 0.569) nor in PA (steps, time in mild-to-vigorous activity and energy expenditure, p ≥ 0.255). Correlation analyses revealed that patients with severe preoperative disability showed a decrease in sedentary time, which was the opposite in patients with mild preoperative disability. CONCLUSION: SB and PA do not necessarily change after arthroplasty in older orthopedic patients. Even longer bouts of uninterrupted sitting, which are detrimental to health, do not decrease. Preoperative patient education is recommended to foster behavioral changes following elective arthroplasty.