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Among older adults, osteoarthritis (OA) is a key cause of disability, pain, and diminished quality of life.
Regular vigorous physical activity is strongly linked to better quality of life in adults aged 50 years and older with osteoarthritis and hip and/or knee pain, while smoking and being underweight are associated with poorer well-being.
Among older adults, osteoarthritis (OA) is a key cause of disability, pain, and diminished quality of life. Lifestyle factors like smoking, exercise, and body mass index (BMI) may influence long-term health outcomes. In this longitudinal cohort study, researchers aimed to check how these factors impact quality of life over time in middle-aged and older adults battling OA and hip and/or knee pain.
Data was used from waves 5 to 9 of the Survey of Health, Aging, and Retirement in Europe (SHARE). The analysis included 4,955 adults aged 50 years or older with self-reported OA and hip and/or knee pain from 15 countries. Quality of life was measured via the Control, Autonomy, Self-realization, and Pleasure (CASP-12) scale.
Lifestyle factors assessed over time included vigorous physical activity, BMI category, and smoking status. Linear mixed-effects models with random participant intercepts were used, adjusting for age, sex, country, education level, number of chronic diseases, and living arrangements.
Among the volunteers, 70.8% were women, and the mean age was 69.6 years. Vigorous physical activity exhibited the strongest and most consistent positive link with quality of life. Compared with those who hardly ever performed vigorous physical activity, higher CASP-12 quality-of-life scores were noted in those engaging in vigorous activity:
Current smoking and being underweight were linked with a lower quality of life. However, overweight and obesity were not related to differences in CASP-12 scores.
Vigorous physical activity illustrated the most robust and consistent positive link with quality of life among adults with OA and hip and/or knee pain. The findings emphasize the importance of lifestyle assessment and counseling in clinical care, particularly promoting physical activity as a key strategy for healthy aging and improved well-being.
Musculoskeletal Science and Practice
Vigorous physical activity shows the most consistent association with quality of life compared with smoking and body mass in adults with osteoarthritis and hip and/or knee pain: A longitudinal cohort study
Rodrigo Núñez-Cortés et al.
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