Relationship between physical activity and health-related utility among knee osteoarthritis patients

Arthritis Care Res (Hoboken). 2012 Jul;64(7):1094-8. doi: 10.1002/acr.21639.

Abstract

Objective: To estimate the relationship between physical activity and health-related utility for people with knee osteoarthritis (OA) and implications for designing cost-effective interventions.

Methods: We used generalized estimating equation regression analysis to estimate partial association of accelerometer-measured physical activity levels with health-related utility after controlling for demographics, health status, knee OA severity level, pain, and functioning.

Results: Moving from the lowest to the middle tertile of physical activity level was associated with a 0.071 (P < 0.01) increase in health-related utility after controlling for demographics and a 0.036 (P < 0.05) increase in utility after controlling for demographics, health status, knee OA severity level, weight, pain, and functional impairments.

Conclusion: Intervention programs that move individuals out of the lowest tertile of physical activity have the potential to be cost effective.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cost-Benefit Analysis
  • Delivery of Health Care / economics*
  • Delivery of Health Care / statistics & numerical data*
  • Early Medical Intervention / economics
  • Early Medical Intervention / statistics & numerical data
  • Female
  • Follow-Up Studies
  • Health Status
  • Humans
  • Male
  • Middle Aged
  • Motor Activity / physiology*
  • Osteoarthritis, Knee / economics
  • Osteoarthritis, Knee / physiopathology*
  • Osteoarthritis, Knee / therapy*
  • Outcome Assessment, Health Care
  • Quality-Adjusted Life Years
  • Regression Analysis
  • Severity of Illness Index