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Comparison of self-report and objective measures of physical activity in US adults with osteoarthritis

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Abstract

To describe levels of daily physical activity and examine the extent of agreement between self-reported and objectively measured indices of physical activity, and characteristics associated with under or overestimated physical activity among persons with osteoarthritis (OA). Using cross-sectional data from the 2003–2006 National Health and Nutrition Examination Survey, we identified 533 adults ≥45 years of age with self-reported OA who completed physical activity questionnaires and had accelerometry data collected using Actigraph AM-7164. Average daily minutes of moderate to vigorous activity and 95 % confidence intervals (95 % CIs) using self-reported and objective measures were compared across sociodemographic and clinical subgroups and Spearman’s rank correlations were calculated. Differences between self-reported and objectively measured moderate to vigorous activity across various personal characteristics were also estimated. Most persons with OA were non-Hispanic white (87.9 %) and women (68.9 %) with an average age of 65 years old. Self-reported measure of daily moderate to vigorous activity was on average 7 min higher compared to objective measure (17.9 vs. 10.8 min/day). Correlations between self-reported and objective measures across sociodemographic groups were mostly weak to moderate ranging from 0.01 to 0.48. Participants with higher education and better self-reported health status were more likely to over-estimate their moderate to vigorous activity using self-reported measures. Measurement methods and sociodemographic and health factors are associated with differences in reporting physical activity among persons with OA. Future research examining relationships between physical activity and health outcomes in OA should be aware of measurement issues and differences of reporting in subgroups.

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Acknowledgments

The OAI is a public–private partnership comprised of five contracts (N01-AR-2-2258; N01-AR-2-2259; N01-AR-2-2260; N01-AR-2-2261; N01-AR-2-2262) funded by the National Institutes of Health, a branch of the Department of Health and Human Services, and conducted by the OAI Study Investigators. Private funding partners include Merck Research Laboratories; Novartis Pharmaceuticals Corporation, GlaxoSmithKline; and Pfizer, Inc. Private sector funding for the OAI is managed by the Foundation for the National Institutes of Health. This manuscript was prepared using an OAI public use data set and does not necessarily reflect the opinions or views of the OAI investigators, the NIH, or the private funding partners. This study was supported by the National Institute of Arthritis and Musculoskeletal and Skin Disease (Project Number 268201000020C-1-0-1 entitled TAS::75 0888::TAS to Charles Eaton).

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Authors and Affiliations

  1. Clinical and Population Health Research Program, Graduate School of Biomedical Sciences, University of Massachusetts Medical School, 368 Plantation Street, Worcester, MA, 01605, USA

    Shao-Hsien Liu

  2. Center for Primary Care and Prevention, Memorial Hospital of Rhode Island, Pawtucket, RI, 02860, USA

    Charles B. Eaton

  3. Departments of Family Medicine and Epidemiology, Warren Alpert Medical School, School of Public Health, Brown University, Providence, RI, 02912, USA

    Charles B. Eaton

  4. Division of Rheumatology, Tufts Medical Center, Boston, MA, 02111, USA

    Jeffrey B. Driban & Timothy E. McAlindon

  5. Division of Epidemiology of Chronic Diseases and Vulnerable Populations, Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, 01605, USA

    Kate L. Lapane

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  1. Shao-Hsien Liu
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  2. Charles B. Eaton
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  4. Timothy E. McAlindon
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  5. Kate L. Lapane
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Correspondence to Shao-Hsien Liu.

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Conflict of interest

Authors have no competing interests directly related to this study. Dr. Driban served as a paid consultant to Axsome Therapeutics Inc. on work unrelated to this study. Dr. McAlindon served as a paid consultant to Sanofi Aventis, Samumed, Flexion, Fidia, Regeneron, Plexxikon Inc., Federal Trade Commission, Orthogen, AbbVie, and Pfizer: Joint Safety Endpoint Adjudication Committee on work unrelated to this research. All authors declare no conflict of interest.

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This article does not contain any studies with human participants or animals performed by any of the authors.

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Liu, SH., Eaton, C.B., Driban, J.B. et al. Comparison of self-report and objective measures of physical activity in US adults with osteoarthritis. Rheumatol Int 36, 1355–1364 (2016). https://doi.org/10.1007/s00296-016-3537-9

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  • DOI: https://doi.org/10.1007/s00296-016-3537-9

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