{"id":3680,"date":"2017-05-17T00:00:00","date_gmt":"2017-05-17T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/the-impact-of-osteoarthritis-on-difficulty-walking-a-population-based-study\/"},"modified":"2023-06-14T19:37:28","modified_gmt":"2023-06-14T23:37:28","slug":"the-impact-of-osteoarthritis-on-difficulty-walking-a-population-based-study","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/the-impact-of-osteoarthritis-on-difficulty-walking-a-population-based-study\/","title":{"rendered":"The impact of osteoarthritis on difficulty walking: a population-based study"},"content":{"rendered":"<p><strong>Objective<\/strong> &#x2014; To assess the relationship of hip and knee osteoarthritis (OA) to walking difficulty.<\/p>\n<p><strong>Methods<\/strong> &#x2014; A population cohort aged &#x2265;55 years recruited from 1996-98 (n=28,451) completed a standardized questionnaire assessing demographics, health conditions, joint complaints and functional limitations, including difficulty walking in the past 3 months. Survey data were linked to health administrative databases; self-report and administrative data were used to identify health conditions. Hip\/knee OA was defined as self-reported swelling, pain, or stiffness in a hip or knee lasting &#x2265;6 weeks in the past 3 months without an inflammatory arthritis diagnosis. Using multivariable logistic regression, we examined the determinants of walking difficulty and constructed a clinical nomogram.<\/p>\n<p><strong>Results<\/strong> &#x2014; 18,490 cohort participants were eligible (mean age 68 years, 60% female). 25% reported difficulty walking. Difficulty walking was significantly and independently associated with older age, female sex, body mass index, and several health conditions; of the conditions examined, the likelihood of walking difficulty was greatest with hip and knee OA and increased with number of hips\/knees joints affected. The predicted probability of difficulty walking for a 60-year-old middle-income, normal-weight woman was 5-10% with no health conditions, 10-20% with diabetes and CV disease, 40% with OA in two hips\/knees, 60-70% with diabetes, CV disease and OA in two hips\/knees, and 80% with diabetes, CV disease and OA in all hips\/knees.<\/p>\n<p><strong>Conclusion <\/strong>&#x2014; In a population cohort, symptomatic hip\/knee OA was the strongest contributor to walking difficulty. Given the importance of walking to engagement in physical activity for chronic disease management, greater attention to OA is warranted. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objective &#x2014; To assess the relationship of hip and knee osteoarthritis (OA) to walking difficulty. Methods &#x2014; A population cohort aged &#x2265;55 years recruited from 1996-98 (n=28,451) completed a standardized questionnaire assessing demographics, health conditions, joint complaints and functional limitations, including difficulty walking in the past 3 months. Survey data were linked to health administrative [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[51],"migration-helper-qa-sample-set":[],"class_list":["post-3680","journal_article","type-journal_article","status-publish","hentry","topic-musculoskeletal-diseases-and-disorders"],"acf":{"citation":"King LK, Kendzerska T, Waugh EJ, Hawker GA. <em>Arthritis Care Res (Hoboken)<\/em>. 2018; 70(1):71-9. Epub 2017 May 17.","source_url":"http:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/acr.23250\/abstract","ices_scientist":[1267,1155],"site":[6733],"research_program":[6746],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"90484174-DD41-4A83-9EEB-575B1AC789D2","sitecore_item_name":"The-impact-of-osteoarthritis-on-difficulty-walking-a-population-based-study","sitecore_field_values":"{\n  \"Title\": \"The impact of osteoarthritis on difficulty walking: a population-based study\",\n  \"Short title\": \"The impact of osteoarthritis\",\n  \"Summary\": \"This study assessed the relationship of hip and knee osteoarthritis to walking difficulty.\",\n  \"Citation\": \"<p>King LK, Kendzerska T, Waugh EJ, Hawker GA. <em>Arthritis Care Res (Hoboken)<\/em>. 2018; 70(1):71-9. Epub 2017 May 17.<\/p>\",\n  \"Abstract\": \"<p><strong>Objective<\/strong> &mdash; To assess the relationship of hip and knee osteoarthritis (OA) to walking difficulty.<\/p>n<p><strong>Methods<\/strong> &mdash; A population cohort aged &ge;55 years recruited from 1996-98 (n=28,451) completed a standardized questionnaire assessing demographics, health conditions, joint complaints and functional limitations, including difficulty walking in the past 3 months. Survey data were linked to health administrative databases; self-report and administrative data were used to identify health conditions. Hip\/knee OA was defined as self-reported swelling, pain, or stiffness in a hip or knee lasting &ge;6 weeks in the past 3 months without an inflammatory arthritis diagnosis. Using multivariable logistic regression, we examined the determinants of walking difficulty and constructed a clinical nomogram.<\/p>n<p><strong>Results<\/strong> &mdash; 18,490 cohort participants were eligible (mean age 68 years, 60% female). 25% reported difficulty walking. Difficulty walking was significantly and independently associated with older age, female sex, body mass index, and several health conditions; of the conditions examined, the likelihood of walking difficulty was greatest with hip and knee OA and increased with number of hips\/knees joints affected. The predicted probability of difficulty walking for a 60-year-old middle-income, normal-weight woman was 5-10% with no health conditions, 10-20% with diabetes and CV disease, 40% with OA in two hips\/knees, 60-70% with diabetes, CV disease and OA in two hips\/knees, and 80% with diabetes, CV disease and OA in all hips\/knees.<\/p>n<p><strong>Conclusion <\/strong>&mdash; In a population cohort, symptomatic hip\/knee OA was the strongest contributor to walking difficulty. Given the importance of walking to engagement in physical activity for chronic disease management, greater attention to OA is warranted. <\/p>n<p><a href=\"http:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/acr.23250\/abstract\" title=\"Opens to HTML with link to full text pdf on external site\">View full text<\/a><\/p>\",\n  \"Keywords\": \"{6FC6E662-A9E2-4DF4-889D-A498AEB412AC}|{95AD7854-1C81-49D8-810C-7ED80FAFBFCB}\",\n  \"Research Programs\": \"{CFE36C89-C969-4C23-B5E4-1BA9E5BDC273}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"ICES Scientists\": \"{4D93CE4E-174C-4555-9897-9FAE06C5C9CE}|{0C963FE1-9F8D-4E99-9582-FC80D511B7C5}\",\n  \"Posted Date\": \"20170517T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2017\/May\/The-impact-of-osteoarthritis-on-difficulty-walking-a-population-based-study"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | The impact of osteoarthritis on difficulty walking: a population-based study<\/title>\n<meta name=\"description\" content=\"Objective &#x2014; To assess the relationship of hip and knee osteoarthritis (OA) to walking difficulty. 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