Abstract
Osteoarthritis (OA) is the most common chronic joint disorder. Relationships between knee OA and physical performance have been examined, but mainly in patients with knee OA. Clarifying the relationship between knee OA and physical performance among community-dwelling individuals is thus important. Subjects comprised 563 community-dwelling Japanese women. Radiographic knee OA was defined as Kellgren–Lawrence criteria grade 2 or higher. Painful knee OA was defined as radiographic OA combined with knee pain. We evaluated performance-based measures of physical functioning. Student’s t tests were used to compare continuous variables. Adjusted means of performance-based measures were compared between groups using general linear modeling methods. Mean age was 64.3 years. Women with radiographic OA were older than those without OA (P < 0.0001). BMI was greater in women with radiographic OA than in women without OA (P < 0.0001). In univariate analysis, women with radiographic OA displayed worse physical functioning than women without OA, with longer chair stand time, longer walking time, and shorter functional reach. Performance-based measurements with painful OA resembled those with radiographic OA. Age- and BMI-adjusted means of chair stand time and walking time were longer in women with radiographic or painful knee OA than in women without OA (P < 0.0001 each). Furthermore, chair stand and walking took longer for women with painful knee OA than for women with radiographic knee OA. Women with knee OA showed deteriorated performance of chair stand and walking. Painful knee OA was associated with poorer performance than radiographic knee OA.
Similar content being viewed by others
References
Felson DT, Naimark A, Anderson J, Kazis L, Castelli W, Meenan RF (1987) The prevalence of knee osteoarthritis in the elderly. The Framingham Osteoarthritis Study. Arthritis Rheum 30(8):914–918
Creamer P, Lethbridge-Cejku M, Hochberg MC (2000) Factors associated with functional impairment in symptomatic knee osteoarthritis. Rheumatology (Oxford) 39(5):490–496
Yoshimura N, Muraki S, Oka H, Mabuchi A, En-Yo Y, Yoshida M, Saika A, Yoshida H, Suzuki T, Yamamoto S, Ishibashi H, Kawaguchi H, Nakamura K, Akune T (2009) Prevalence of knee osteoarthritis, lumbar spondylosis, and osteoporosis in Japanese men and women: the research on osteoarthritis/osteoporosis against disability study. J Bone Miner Metab 27(5):620–628
Tinetti ME, Ginter SF (1988) Identifying mobility dysfunctions in elderly patients. Standard neuromuscular examination or direct assessment? Jama 259(8):1190–1193
Perkowski LC, Stroup-Benham CA, Markides KS, Lichtenstein MJ, Angel RJ, Guralnik JM, Goodwin JS (1998) Lower-extremity functioning in older Mexican Americans and its association with medical problems. J Am Geriatr Soc 46(4):411–418
Pai YC, Chang HJ, Chang RW, Sinacore JM, Lewis JL (1994) Alteration in multijoint dynamics in patients with bilateral knee osteoarthritis. Arthritis Rheum 37(9):1297–1304
Newcomer KL, Krug HE, Mahowald ML (1993) Validity and reliability of the timed-stands test for patients with rheumatoid arthritis and other chronic diseases. J Rheumatol 20(1):21–27
McCarthy CJ, Oldham JA (2004) The reliability, validity and responsiveness of an aggregated locomotor function (ALF) score in patients with osteoarthritis of the knee. Rheumatology (Oxford) 43(4):514–517
Lin YC, Davey RC, Cochrane T (2001) Tests for physical function of the elderly with knee and hip osteoarthritis. Scand J Med Sci Sports 11(5):280–286
Kauppila AM, Kyllonen E, Mikkonen P, Ohtonen P, Laine V, Siira P, Niinimaki J, Arokoski JP (2009) Disability in end-stage knee osteoarthritis. Disabil Rehabil 31(5):370–380
Hurley MV, Scott DL (1998) Improvements in quadriceps sensorimotor function and disability of patients with knee osteoarthritis following a clinically practicable exercise regime. Br J Rheumatol 37(11):1181–1187
Sowers M, Jannausch ML, Gross M, Karvonen-Gutierrez CA, Palmieri RM, Crutchfield M, Richards-McCullough K (2006) Performance-based physical functioning in African-American and Caucasian women at midlife: considering body composition, quadriceps strength, and knee osteoarthritis. Am J Epidemiol 163(10):950–958
Ling SM, Fried LP, Garrett ES, Fan MY, Rantanen T, Bathon JM (2003) Knee osteoarthritis compromises early mobility function: the Women’s Health and Aging Study II. J Rheumatol 30(1):114–120
Harrison AL (2004) The influence of pathology, pain, balance, and self-efficacy on function in women with osteoarthritis of the knee. Phys Ther 84(9):822–831
Dunlop DD, Semanik P, Song J, Sharma L, Nevitt M, Jackson R, Mysiw J, Chang RW (2010) Moving to maintain function in knee osteoarthritis: evidence from the osteoarthritis initiative. Arch Phys Med Rehabil 91(5):714–721
Yoshida S, Aoyagi K, Felson DT, Aliabadi P, Shindo H, Takemoto T (2002) Comparison of the prevalence of radiographic osteoarthritis of the knee and hand between Japan and the United States. J Rheumatol 29(7):1454–1458
Jinbayashi H, Aoyagi K, Ross PD, Ito M, Shindo H, Takemoto T (2002) Prevalence of vertebral deformity and its associations with physical impairment among Japanese women: the Hizen-Oshima Study. Osteoporos Int 13(9):723–730
Kellgren J, Lawrence J (1963) Atlas of standard radiographs. The epidemiology of chronic rheumatism. Blackwell Scientific Publications, Oxford
Morita M, Takamura N, Kusano Y, Abe Y, Moji K, Takemoto T, Aoyagi K (2005) Relationship between falls and physical performance measures among community-dwelling elderly women in Japan. Aging Clin Exp Res 17(3):211–216
Csuka M, McCarty DJ (1985) Simple method for measurement of lower extremity muscle strength. Am J Med 78(1):77–81
Jordan JM, Luta G, Renner JB, Linder GF, Dragomir A, Hochberg MC, Fryer JG (1996) Self-reported functional status in osteoarthritis of the knee in a rural southern community: the role of sociodemographic factors, obesity, and knee pain. Arthritis Care Res 9(4):273–278
Slemenda C, Brandt KD, Heilman DK, Mazzuca S, Braunstein EM, Katz BP, Wolinsky FD (1997) Quadriceps weakness and osteoarthritis of the knee. Ann Intern Med 127(2):97–104
O’Reilly SC, Jones A, Muir KR, Doherty M (1998) Quadriceps weakness in knee osteoarthritis: the effect on pain and disability. Ann Rheum Dis 57(10):588–594
Davis MA, Ettinger WH, Neuhaus JM, Mallon KP (1991) Knee osteoarthritis and physical functioning: evidence from the NHANES I Epidemiologic Followup Study. J Rheumatol 18(4):591–598
Wegener L, Kisner C, Nichols D (1997) Static and dynamic balance responses in persons with bilateral knee osteoarthritis. J Orthop Sports Phys Ther 25(1):13–18
Hinman RS, Bennell KL, Metcalf BR, Crossley KM (2002) Balance impairments in individuals with symptomatic knee osteoarthritis: a comparison with matched controls using clinical tests. Rheumatology (Oxford) 41(12):1388–1394
Hassan BS, Mockett S, Doherty M (2001) Static postural sway, proprioception, and maximal voluntary quadriceps contraction in patients with knee osteoarthritis and normal control subjects. Ann Rheum Dis 60(6):612–618
Lin MR, Wolf SL, Hwang HF, Gong SY, Chen CY (2007) A randomized, controlled trial of fall prevention programs and quality of life in older fallers. J Am Geriatr Soc 55(4):499–506
Duncan PW, Weiner DK, Chandler J, Studenski S (1990) Functional reach: a new clinical measure of balance. J Gerontol 45(6):M192–M197
Takahashi T, Ishida K, Hirose D, Nagano Y, Okumiya K, Nishinaga M, Doi Y, Yamamoto H (2004) Vertical ground reaction force shape is associated with gait parameters, timed up and go, and functional reach in elderly females. J Rehabil Med 36(1):42–45
Steultjens MP, Dekker J, Bijlsma JW (2002) Avoidance of activity and disability in patients with osteoarthritis of the knee: the mediating role of muscle strength. Arthritis Rheum 46(7):1784–1788
Acknowledgments
This study was supported in part by the Japan Society for the Promotion of Science.
Conflict of interests
The authors declare that they have no conflict of interests.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Osaki, M., Tomita, M., Abe, Y. et al. Physical performance and knee osteoarthritis among community-dwelling women in Japan: the Hizen-Oshima Study, cross-sectional study. Rheumatol Int 32, 2245–2249 (2012). https://doi.org/10.1007/s00296-011-1949-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00296-011-1949-0