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The Role of Cohabitating Partner and Relationship Characteristics on Physical Activity among Individuals with Osteoarthritis

  • Sandra H. SotoEmail author
  • Leigh F. Callahan
  • Stephanie Bahorski
  • Mary Altpeter
  • Derek P. Hales
  • Ashley Phillips
  • Dana Carthron
  • Christine Rini
Article

Abstract

Background

Most individuals with knee or hip osteoarthritis do not meet recommendations for physical activity. The Social Cognitive Theory suggests that the social environment (e.g., spouses/partners) may influence the physical activity of individuals with osteoarthritis. The purpose of this study was to examine whether the physical activity of insufficiently active, coupled adults with osteoarthritis was associated with received partner support for physical activity, partner’s engagement in physical activity, and relationship satisfaction.

Methods

Cross-sectional data from 169 couples were collected. Accelerometers estimated moderate-to-vigorous physical activity and daily steps for participants with osteoarthritis and their partners. Participants with osteoarthritis reported total received partner support for physical activity and relationship satisfaction.

Results

Participants with osteoarthritis were on average 65 years old, 65% female, 86% non-Hispanic white, and 47% retired. Receiving total partner support more frequently was associated with more minutes of moderate-to-vigorous physical activity but not with steps. Relationship satisfaction moderated the association of partner’s physical activity on the daily steps of individuals with osteoarthritis such that having a partner who accomplished more daily steps was associated with participants with osteoarthritis accomplishing more daily steps themselves when they reported greater relationship satisfaction.

Conclusions

Partners and relationship satisfaction may play an important role in the physical activity of individuals with osteoarthritis. Interventions seeking to increase physical activity in this population may be enhanced by promoting partner support. Additional research is needed to further explain these associations within the context of relationship satisfaction.

Keywords

Exercise Osteoarthritis Spouses Social support 

Notes

Acknowledgements

This study was funded by the National Institute of Arthritis and Musculoskeletal and Skin Diseases under award P60AR062760 and the National Institute of Nursing Research of the National Institutes of Health under Award T32NR007091. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

References

  1. 1.
    Hootman JM, Helmick CG, Barbour KE, Theis KA, Boring MA. Updated Projected Prevalence of Self-Reported Doctor-Diagnosed Arthritis and Arthritis-Attributable Activity Limitation Among US Adults, 2015–2040. Arthritis Rheum. 2016;68(7):1582–7.CrossRefGoogle Scholar
  2. 2.
    Guccione AA, Felson DT, Anderson JJ, Anthony JM, Zhang Y, Wilson PW, et al. The effects of specific medical conditions on the functional limitations of elders in the Framingham Study. Am J Public Health. 1994;84(3):351–8.CrossRefGoogle Scholar
  3. 3.
    Nelson AE, Kelli KD, Golightly YM, Goode AP, Jordan JM. A systematic review of recommendations and guidelines for the management of osteoarthritis: The Chronic Osteoarthritis Management Initiative of the US Bone and Joint Initiative. Semin Arthritis Rheum. 2014;43(6):701–12.CrossRefGoogle Scholar
  4. 4.
    U.S. Department of Health and Human Services. Physical Activity Guidelines for Americans. 2008 ODPHP Publication No U0036. Washington: Office of Disease Prevention and Health Promotion. -https://health.gov/paguidelines/2008/pdf/paguide.pdf
  5. 5.
    Dunlop DD, Song J, Lee J, Gilbert AL, Semanik PA, Ehrlich-Jones L, et al. Physical Activity Minimum Threshold Predicting Improved Function in Adults With Lower-Extremity Symptoms. Arthritis Care Res. 2017;69(4):475–83.CrossRefGoogle Scholar
  6. 6.
    White DK, Tudor-Locke C, Zhang Y, Fielding R, LaValley M, Felson DT, et al. Daily walking and the risk of incident functional limitation in knee osteoarthritis: an observational study. Arthritis Care Res. 2014;66(9):1328–36.CrossRefGoogle Scholar
  7. 7.
    Master H, Thoma LM, Christiansen MB, Polakowski E, Schmitt LA, White DK. Minimum Performance on Clinical Tests of Physical Function to Predict Walking 6,000 Steps/Day in Knee Osteoarthritis: An Observational Study. Arthritis Care Res. 2018;70(7):1005–11.CrossRefGoogle Scholar
  8. 8.
    Wallis J, Webster K, Levinger P, Taylor N. What proportion of people with hip and knee osteoarthritis meet physical activity guidelines? A systematic review and meta-analysis. Osteoarthr Cartil. 2013;21(11):1648–59.CrossRefGoogle Scholar
  9. 9.
    Bandura A. Health promotion from the perspective of social cognitive theory. Psychol Health. 1998;13(4):623–49.CrossRefGoogle Scholar
  10. 10.
    Gyurcsik NC, Brawley LR, Spink KS, Brittain DR, Fuller DL, Chad K. Physical activity in women with arthritis: Examining perceived barriers and self-regulatory efficacy to cope. Arthritis Care Res. 2009;61(8):1087–94.CrossRefGoogle Scholar
  11. 11.
    Zhaoyang R, Martire LM, Sliwinski MJ. Morning Self-Efficacy Predicts Physical Activity Throughout the Day in Knee Osteoarthritis. Health Psychol. 2017;36(6):568.CrossRefGoogle Scholar
  12. 12.
    Murphy SL, Smith DM, Clauw DJ, Alexander NB. The impact of momentary pain and fatigue on physical activity in women with osteoarthritis. Arthritis Care Res. 2008;59(6):849–56.CrossRefGoogle Scholar
  13. 13.
    Stubbs B, Hurley M, Smith T. What are the factors that influence physical activity participation in adults with knee and hip osteoarthritis? A systematic review of physical activity correlates. Clin Rehabil. 2015;29(1):80–94.CrossRefGoogle Scholar
  14. 14.
    Newsom JT, Shaw BA, August KJ, Strath SJ. Physical activity–related social control and social support in older adults: Cognitive and emotional pathways to physical activity. J Health Psychol. 2016;23(11):1389–404.CrossRefGoogle Scholar
  15. 15.
    Shores KA, West ST, Theriault DS, Davison EA. Extra-individual correlates of physical activity attainment in rural older adults. J Rural Health. 2009;25(2):211–8.CrossRefGoogle Scholar
  16. 16.
    Trost SG, Owen N, Bauman AE, Sallis JF, Brown W. Correlates of adults' participation in physical activity: review and update. Med Sci Sports Exerc. 2002;34(12):1996–2001.CrossRefGoogle Scholar
  17. 17.
    Heath GW, Parra DC, Sarmiento OL, Andersen LB, Owen N, Goenka S, et al. Evidence-based intervention in physical activity: lessons from around the world. Lancet. 2012;380(9838):272–81.CrossRefGoogle Scholar
  18. 18.
    Ranby KW, Aiken LS. Incorporating husband influences into a model of physical activity among older women. Br J Health Psychol. 2016;21(3):677–93. - https://doi.org/10.1007/s12529-019-09806-2.CrossRefGoogle Scholar
  19. 19.
    Tay L, Tan K, Diener E, Gonzalez E. Social relations, health behaviors, and health outcomes: A survey and synthesis. Appl Psychol Health Well Being. 2013;5(1):28–78.CrossRefGoogle Scholar
  20. 20.
    Berli C, Bolger N, Shrout PE, Stadler G, Scholz U. Interpersonal processes of couples’ daily support for goal pursuit: The example of physical activity. Personal Soc Psychol Bull. 2018;44(3):332–44.CrossRefGoogle Scholar
  21. 21.
    Li K, Cardinal BJ, Acock AC. Concordance of physical activity trajectories among middle-aged and older married couples: Impact of diseases and functional difficulties. J Gerontol B Psychol Sci Soc Sci. 2013;68(5):794–806.CrossRefGoogle Scholar
  22. 22.
    Martire LM, Stephens MAP, Mogle J, Schulz R, Brach J, Keefe FJ. Daily spousal influence on physical activity in knee osteoarthritis. Ann Behav Med. 2013;45(2):213–23.CrossRefGoogle Scholar
  23. 23.
    Mesquita R, Nakken N, Janssen DJA, van den Bogaart EHA, Delbressine JML, Essers JMN, et al. Activity Levels and Exercise Motivation in Patients With COPD and Their Resident Loved Ones. Chest. 2017;151(5):1028–38.CrossRefGoogle Scholar
  24. 24.
    Cobb LK, Godino JG, Selvin E, Kucharska-Newton A, Coresh J, Koton S. Spousal influence on physical activity in middle-aged and older adults: The ARIC study. Am J Epidemiol. 2015;183(5):444–51.CrossRefGoogle Scholar
  25. 25.
    Knoll N, Burkert S, Scholz U, Roigas J, Gralla O. The dual-effects model of social control revisited: Relationship satisfaction as a moderator. Anxiety Stress Coping. 2012;25(3):291–307.CrossRefGoogle Scholar
  26. 26.
    Tucker JS. Health-related social control within older adults' relationships. J Gerontol Ser B Psychol Sci Soc Sci. 2002;57(5):P387–95.CrossRefGoogle Scholar
  27. 27.
    Jordan JM. An Ongoing Assessment of Osteoarthritis in African Americans and Caucasians in North Carolina: The Johnston County Osteoarthritis Project. Trans Am Clin Climatol Assoc. 2015;126:77–86.Google Scholar
  28. 28.
    Carthron DL, Phillips AJ, Cuthbertson CC, Ellis K, Altpeter M, Callahan LF, et al. Four Methods of Recruiting Couples into a Longitudinal Study of Physical Activity in People with Osteoarthritis: Recruitment, Retention, and Lessons Learned. Front Public Health. 2018;6:197.CrossRefGoogle Scholar
  29. 29.
    Gardner MJ, Altman DG. Confidence intervals rather than P values: estimation rather than hypothesis testing. Br Med J (Clin Res Ed). 1986;292(6522):746–50.CrossRefGoogle Scholar
  30. 30.
    Altman RD. Classification of disease: osteoarthritis. Semin Arthritis Rheum. 1991;20(6):40–7.CrossRefGoogle Scholar
  31. 31.
    Choi L, Liu Z, Matthews CE, Buchowski MS. Validation of accelerometer wear and nonwear time classification algorithm. Med Sci Sports Exerc. 2011;43(2):357–64.CrossRefGoogle Scholar
  32. 32.
    Troiano RP, Berrigan D, Dodd KW, Mâsse LC, Tilert T, McDowell M. Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc. 2008;40(1):181–8.CrossRefGoogle Scholar
  33. 33.
    Sallis JF, Grossman RM, Pinski RB, Patterson TL, Nader PR. The development of scales to measure social support for diet and exercise behaviors. Prev Med. 1987;16(6):825–36.CrossRefGoogle Scholar
  34. 34.
    Chogahara M. A multidimensional scale for assessing positive and negative social influences on physical activity in older adults. J Gerontol Ser B Psychol Sci Soc Sci. 1999;54(6):S356–67.CrossRefGoogle Scholar
  35. 35.
    Hendrick SS. A generic measure of relationship satisfaction. J Marriage Fam. 1988:93–8.Google Scholar
  36. 36.
    Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol. 1988;15(12):1833–40.Google Scholar
  37. 37.
    Gardner W, Mulvey EP, Shaw EC. Regression analyses of counts and rates: Poisson, overdispersed Poisson, and negative binomial models. Psychol Bull. 1995;118(3):392.CrossRefGoogle Scholar
  38. 38.
    Coxe S, West SG, Aiken LS. The analysis of count data: A gentle introduction to Poisson regression and its alternatives. J Pers Assess. 2009;91(2):121–36.CrossRefGoogle Scholar
  39. 39.
    Aiken LS, West SG, Reno RR. Multiple regression: Testing and interpreting interactions: Sage; 1991.Google Scholar
  40. 40.
    Molloy GJ, Dixon D, Hamer M, Sniehotta FF. Social support and regular physical activity: Does planning mediate this link? Br J Health Psychol. 2010;15(4):859–70.CrossRefGoogle Scholar
  41. 41.
    Eyler AA, Brownson RC, Bacak SJ, Housemann RA. The epidemiology of walking for physical activity in the United States. Med Sci Sports Exerc. 2003;35(9):1529–36.CrossRefGoogle Scholar
  42. 42.
    Eyler AA, Brownson RC, Donatelle RJ, King AC, Brown D, Sallis JF. Physical activity social support and middle- and older-aged minority women: results from a US survey. Soc Sci Med. 1999;49(6):781–9.CrossRefGoogle Scholar
  43. 43.
    Anderson-Bill ES, Winett RA, Wojcik JR. Social cognitive determinants of nutrition and physical activity among web-health users enrolling in an online intervention: The influence of social support, self efficacy, outcomes expectations, and self-regulation. J Med Internet Res. 2011.Google Scholar
  44. 44.
    Brown DR, Carroll DD, Workman LM, Carlson SA, Brown DW. Physical activity and health-related quality of life: US adults with and without limitations. Qual Life Res. 2014;23(10):2673–80.CrossRefGoogle Scholar
  45. 45.
    Gallo LC, Troxel WM, Matthews KA, Kuller LH. Marital status and quality in middle-aged women: Associations with levels and trajectories of cardiovascular risk factors. Health Psychol. 2003;22(5):453.CrossRefGoogle Scholar
  46. 46.
    Yorgason JB, Johnson LN, Hill MS, Selland B. Marital Benefits of Daily Individual and Conjoint Exercise Among Older Couples. Fam Relat. 2018;67(2):227–39.CrossRefGoogle Scholar
  47. 47.
    Lewis MA, McBride CM, Pollak KI, Puleo E, Butterfield RM, Emmons KM. Understanding health behavior change among couples: An interdependence and communal coping approach. Soc Sci Med. 2006;62(6):1369–80.CrossRefGoogle Scholar
  48. 48.
    Lyons RF, Mickelson KD, Sullivan MJ, Coyne JC. Coping as a communal process. J Soc Pers Relat. 1998;15(5):579–605.CrossRefGoogle Scholar
  49. 49.
    Kelley HH, Thibaut JW. Interpersonal relations: A theory of interdependence. New York: Wiley; 1978.Google Scholar
  50. 50.
    Myers Virtue S, Manne SL, Kashy D, Heckman CJ, Zaider T, Kissane DW, et al. Correspondence of physical activity and fruit/vegetable consumption among prostate cancer survivors and their spouses. Eur J Cancer Care (Engl). 2015;24(6):827–39.CrossRefGoogle Scholar
  51. 51.
    Brown DW, Balluz LS, Heath GW, Moriarty DG, Ford ES, Giles WH, et al. Associations between recommended levels of physical activity and healthrelated quality of life Findings from the 2001 Behavioral Risk Factor Surveillance System (BRFSS) survey. Prev Med. 2003;37(5):520–8.CrossRefGoogle Scholar

Copyright information

© International Society of Behavioral Medicine 2019

Authors and Affiliations

  1. 1.Chapel Hill, School of NursingUNCChapel HillUSA
  2. 2.Thurston Arthritis Research CenterChapel HillUSA
  3. 3.Department of MedicineUNCChapel HillUSA
  4. 4.Gillings School of Public Health, Department of NutritionUNCChapel HillUSA
  5. 5.Division of Emergency MedicineDuke University School of MedicineDurhamUSA
  6. 6.College of NursingMichigan State UniversityEast LansingUSA
  7. 7.John Theurer Cancer CenterHackensack University Medical CenterHackensackUSA
  8. 8.Georgetown University School of MedicineWashingtonUSA

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