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Prospective study of physical activity and quality of life in Japanese women undergoing total hip arthroplasty

  • Original Article
  • Published:
Journal of Orthopaedic Science

Abstract

Background

Improvement in quality of life (QoL) in patients who went through total hip arthroplasty (THA) is well studied, while the number of studies on improvement in actual daily activity in THA patients is limited. The purpose of the study was (1) to describe the pre- to postoperative changes in physical activity (PA) levels, (2) compare PA levels with healthy controls, and (3) examine the association between PA levels and QoL in Japanese women undergoing THA.

Methods

PA was measured by pedometers, and QoL was assessed by the Short-Form 8 and the Oxford Hip Scale questionnaires. Consecutive patients undergoing primary THA at Saga University Hospital, Japan, in 2008 were eligible for the study. QoL and pedometers with accelerometers were mailed to THA patients 1 month pre-THA and 6 and 12 months post-THA. The control group completed a single assessment of questionnaires and pedometers.

Results

Thirty-eight THA patients completed the study. Preoperatively, the patient group had significantly lower QoL scores than the comparison group. However, these differences disappeared by 12 months post-THA. When improvement of PA function in THA patients was compared with healthy controls, light PA was already 78 % of the healthy controls at the pre-THA period and improved to 90 % at 12 months. In contrast, moderate PA was 27 % of the controls and rose to 77 % by 12 months, and vigorous PA remained low throughout the study period. PA was correlated with QoL scores.

Conclusion

The study shows the relative recovery process of PA indicators in THA patients and the contribution of PA to the improvement of QoL.

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Acknowledgments

The authors would like to express their appreciation for the cooperation extended by the study participants and the staff at the Department of Orthopedic Surgery at Saga University Hospital.

Conflict of interest

The authors have no conflicts of interest to declare with respect to employment, consultancies, stock ownership, honoraria, paid expert testimony, patent applications/registrations, and research grants or other funding.

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Authors and Affiliations

  1. Department of Nursing, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga, 849-8501, Japan

    Kimie Fujita

  2. Department of Nursing, Osaka University, 1-7, Yamadaoka, Suita, 565-0871, Japan

    Kiyoko Makimoto

  3. Department of Orthopedic, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga, 849-8501, Japan

    Riki Tanaka, Masaaki Mawatari & Takao Hotokebuchi

Authors
  1. Kimie Fujita
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  2. Kiyoko Makimoto
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  3. Riki Tanaka
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  4. Masaaki Mawatari
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  5. Takao Hotokebuchi
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Corresponding author

Correspondence to Kimie Fujita.

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Fujita, K., Makimoto, K., Tanaka, R. et al. Prospective study of physical activity and quality of life in Japanese women undergoing total hip arthroplasty. J Orthop Sci 18, 45–53 (2013). https://doi.org/10.1007/s00776-012-0318-5

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  • DOI: https://doi.org/10.1007/s00776-012-0318-5

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