Patients with total hip arthroplasty were more physically active 9.6 years after surgery: a case-control study of 429 hip arthroplasty cases and 29,272 participants from a population-based health study.
Jakob Vangen Nordb��, Truls M Straume-N��sheim, Geir Hallan, Anne Marie Fenstad, Einar Andreas Sivertsen, Asbj��rn ��r��en
Author Information
Jakob Vangen Nordb��: Department of Orthopedic Surgery, Akershus University Hospital, L��renskog; Institute of Clinical Medicine, Campus Ahus, University of Oslo, Oslo. jakob.nordbo@gmail.com.
Truls M Straume-N��sheim: Department of Orthopedic Surgery, Akershus University Hospital, L��renskog; Institute of Clinical Medicine, Campus Ahus, University of Oslo, Oslo.
Geir Hallan: Department of Orthopedic Surgery, Haukeland University Hospital, Bergen; Department of Clinical Medicine (K1), University of Bergen, Bergen; The Norwegian Arthroplasty Register, Department of Orthopedic Surgery, Haukeland University Hospital, Bergen.
Anne Marie Fenstad: The Norwegian Arthroplasty Register, Department of Orthopedic Surgery, Haukeland University Hospital, Bergen.
Einar Andreas Sivertsen: Department of Orthopedic Surgery, Lovisenberg Diaconal Hospital, Norway.
Asbj��rn ��r��en: Department of Orthopedic Surgery, Akershus University Hospital, L��renskog; Institute of Clinical Medicine, Campus Ahus, University of Oslo, Oslo.
BACKGROUND AND PURPOSE: Few studies report on long-term levels of physical activity after THA compared with a control population. This case-control study aimed to find the long-term habitual level of leisure-time physical activity after THA and compare it with a large control group. PATIENTS AND METHODS: A randomized sample of 856 patients, treated with primary THA, were identified from the Norwegian Arthroplasty Register. 429 (50%) responded to a questionnaire with a mean follow-up time of 9.6 years. We compared them with a control group of 29,272 (64%) from a population-based health study. Physical activity was measured with a questionnaire and categorized into groups according to the general recommendations for physical activity. RESULTS: 245 (63%) of the THA cases reported a level of leisure-time physical activity meeting the general recommendations, compared with 10,803 (39%) in the control group. The difference persisted at all ages (50-90 years). In sex, age, and BMI-adjusted regression models the chance of meeting the physical activity recommendations was higher in the THA group than in the control group (OR 2.9, 95% confidence interval 2.4-3.6). CONCLUSION: The majority of the patients with THA reported a level of leisure-time physical activity meeting the general recommendations for physical activity. THA patients were more physically active in their leisure time than a control group representing a normal population.
References
Int J Epidemiol. 2013 Aug;42(4):968-77
[PMID: 22879362]
