Behavioral Conformity of Physical Activity and Sedentary Behavior in Older Couples with One Partner Suffering from End-Stage Osteoarthritis

Burkhard Moellenbeck, 1 Tobias Kalisch, 1 Georg Gosheger, 1 Frank Horst, 2 Leonie Seeber, 1 Christoph Theil, 1 Tom Schmidt-Braekling, 1 Ralf Dieckmann 1 1Department of General Orthopedics and Tumor Orthopedics, Muenster University Hospital, Muenster, Germany; 2Department of Orthopedics and Traumat...

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Autores principales:	Moellenbeck B, Kalisch T, Gosheger G, Horst F, Seeber L, Theil C, Schmidt-Braekling T, Dieckmann R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	older couples osteoarthritis inactivity synchrony accelerometer Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/a9c06c6dbf4743a69abd6e31ab412c89
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spelling	oai:doaj.org-article:a9c06c6dbf4743a69abd6e31ab412c892021-12-02T04:35:42ZBehavioral Conformity of Physical Activity and Sedentary Behavior in Older Couples with One Partner Suffering from End-Stage Osteoarthritis1178-1998https://doaj.org/article/a9c06c6dbf4743a69abd6e31ab412c892020-01-01T00:00:00Zhttps://www.dovepress.com/behavioral-conformity-of-physical-activity-and-sedentary-behavior-in-o-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Burkhard Moellenbeck, 1 Tobias Kalisch, 1 Georg Gosheger, 1 Frank Horst, 2 Leonie Seeber, 1 Christoph Theil, 1 Tom Schmidt-Braekling, 1 Ralf Dieckmann 1 1Department of General Orthopedics and Tumor Orthopedics, Muenster University Hospital, Muenster, Germany; 2Department of Orthopedics and Traumatology, St. Josef-Stift Sendenhorst, Sendenhorst, GermanyCorrespondence: Burkhard MoellenbeckDepartment of General Orthopedics and Tumor Orthopedics, Münster University Hospital, Albert-Schweitzer-Campus 1, Building A1, Münster 48149, GermanyTel +49 251 83-45539Fax +49 251 83-47989Email Burkhard.Moellenbeck@ukmuenster.dePurpose: The present study investigates behavioral conformity regarding physical activity (PA) and sedentary behavior (SB) in older couples where one partner suffers from osteoarthritis (OA). Hereby the question is addressed whether and to what extent the typical physical limitations of OA patients have negative effects on their partners.Patients and Methods: The habitual PA and SB of end-stage osteoarthritis patients (n = 32, 52– 81 years \| n = 14 gonarthrosis, n = 18 coxarthrosis), their spouses (n = 32, 50– 83 years) and control couples (n = 26 subjects, 52– 78 years) were assessed by accelerometry. Besides individual results of accelerometry hourly couple-specific performance ratios were calculated for four parameters of PA (number of steps, vector magnitude (VM), metabolic rate (MET), and total time in moderate-to-vigorous PA (MVPA)) and two parameters of SB (number of sedentary bouts and total time of sedentary bouts per hour). Analyses of covariance were used to explore differences in hourly couple-specific performance ratios between couples affected by osteoarthritis and control couples.Results: Significant differences in PA were observed between the three groups, whereby the patients showed the lowest PA and the subjects of the control group the highest PA. In contrast to this, SB did not differ between the three groups. The hourly analyses of couple-specific performance ratios revealed significant differences between the target couples (patients and spouses) and the control couples for all parameters of PA. Thereby, the deviance in PA between the patients and their spouses was always smaller than in control couples and also decreased with age. The investigation of SB, on the other hand, revealed larger deviations between the patients and their spouses as compared to control couples and no changes with age.Conclusion: This study confirmed the known negative impact of osteoarthritis on the PA and SB of elderly patients. More important, however, was the finding that the patients’ spouses adapt to this poor health behavior and show reduced PA as well. Consequentially, spouses of OA patients should be considered as a risk group for inactivity-related diseases in old age. This should be considered in interventions that aim to use the individual support of spouses to increase the PA of OA patients.Keywords: older couples, osteoarthritis, inactivity, synchrony, accelerometerMoellenbeck BKalisch TGosheger GHorst FSeeber LTheil CSchmidt-Braekling TDieckmann RDove Medical Pressarticleolder couplesosteoarthritisinactivitysynchronyaccelerometerGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 15, Pp 61-74 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	older couples osteoarthritis inactivity synchrony accelerometer Geriatrics RC952-954.6
spellingShingle	older couples osteoarthritis inactivity synchrony accelerometer Geriatrics RC952-954.6 Moellenbeck B Kalisch T Gosheger G Horst F Seeber L Theil C Schmidt-Braekling T Dieckmann R Behavioral Conformity of Physical Activity and Sedentary Behavior in Older Couples with One Partner Suffering from End-Stage Osteoarthritis
description	Burkhard Moellenbeck, 1 Tobias Kalisch, 1 Georg Gosheger, 1 Frank Horst, 2 Leonie Seeber, 1 Christoph Theil, 1 Tom Schmidt-Braekling, 1 Ralf Dieckmann 1 1Department of General Orthopedics and Tumor Orthopedics, Muenster University Hospital, Muenster, Germany; 2Department of Orthopedics and Traumatology, St. Josef-Stift Sendenhorst, Sendenhorst, GermanyCorrespondence: Burkhard MoellenbeckDepartment of General Orthopedics and Tumor Orthopedics, Münster University Hospital, Albert-Schweitzer-Campus 1, Building A1, Münster 48149, GermanyTel +49 251 83-45539Fax +49 251 83-47989Email Burkhard.Moellenbeck@ukmuenster.dePurpose: The present study investigates behavioral conformity regarding physical activity (PA) and sedentary behavior (SB) in older couples where one partner suffers from osteoarthritis (OA). Hereby the question is addressed whether and to what extent the typical physical limitations of OA patients have negative effects on their partners.Patients and Methods: The habitual PA and SB of end-stage osteoarthritis patients (n = 32, 52– 81 years \| n = 14 gonarthrosis, n = 18 coxarthrosis), their spouses (n = 32, 50– 83 years) and control couples (n = 26 subjects, 52– 78 years) were assessed by accelerometry. Besides individual results of accelerometry hourly couple-specific performance ratios were calculated for four parameters of PA (number of steps, vector magnitude (VM), metabolic rate (MET), and total time in moderate-to-vigorous PA (MVPA)) and two parameters of SB (number of sedentary bouts and total time of sedentary bouts per hour). Analyses of covariance were used to explore differences in hourly couple-specific performance ratios between couples affected by osteoarthritis and control couples.Results: Significant differences in PA were observed between the three groups, whereby the patients showed the lowest PA and the subjects of the control group the highest PA. In contrast to this, SB did not differ between the three groups. The hourly analyses of couple-specific performance ratios revealed significant differences between the target couples (patients and spouses) and the control couples for all parameters of PA. Thereby, the deviance in PA between the patients and their spouses was always smaller than in control couples and also decreased with age. The investigation of SB, on the other hand, revealed larger deviations between the patients and their spouses as compared to control couples and no changes with age.Conclusion: This study confirmed the known negative impact of osteoarthritis on the PA and SB of elderly patients. More important, however, was the finding that the patients’ spouses adapt to this poor health behavior and show reduced PA as well. Consequentially, spouses of OA patients should be considered as a risk group for inactivity-related diseases in old age. This should be considered in interventions that aim to use the individual support of spouses to increase the PA of OA patients.Keywords: older couples, osteoarthritis, inactivity, synchrony, accelerometer
format	article
author	Moellenbeck B Kalisch T Gosheger G Horst F Seeber L Theil C Schmidt-Braekling T Dieckmann R
author_facet	Moellenbeck B Kalisch T Gosheger G Horst F Seeber L Theil C Schmidt-Braekling T Dieckmann R
author_sort	Moellenbeck B
title	Behavioral Conformity of Physical Activity and Sedentary Behavior in Older Couples with One Partner Suffering from End-Stage Osteoarthritis
title_short	Behavioral Conformity of Physical Activity and Sedentary Behavior in Older Couples with One Partner Suffering from End-Stage Osteoarthritis
title_full	Behavioral Conformity of Physical Activity and Sedentary Behavior in Older Couples with One Partner Suffering from End-Stage Osteoarthritis
title_fullStr	Behavioral Conformity of Physical Activity and Sedentary Behavior in Older Couples with One Partner Suffering from End-Stage Osteoarthritis
title_full_unstemmed	Behavioral Conformity of Physical Activity and Sedentary Behavior in Older Couples with One Partner Suffering from End-Stage Osteoarthritis
title_sort	behavioral conformity of physical activity and sedentary behavior in older couples with one partner suffering from end-stage osteoarthritis
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/a9c06c6dbf4743a69abd6e31ab412c89
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Behavioral Conformity of Physical Activity and Sedentary Behavior in Older Couples with One Partner Suffering from End-Stage Osteoarthritis

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