학술논문

Does the intensity of daily walking matter for protecting against the development of a slow gait speed in people with or at high risk of knee osteoarthritis? An observational study
Document Type
article
Source
Osteoarthritis and Cartilage. 26(9)
Subject
Allied Health and Rehabilitation Science
Public Health
Health Sciences
Osteoarthritis
Rehabilitation
Aging
Clinical Research
Prevention
Arthritis
Pain Research
Musculoskeletal
Acceleration
Age Factors
Aged
Cohort Studies
Female
Follow-Up Studies
Gait
Humans
Longitudinal Studies
Male
Middle Aged
Osteoarthritis
Knee
Primary Prevention
Risk Assessment
Severity of Illness Index
Sex Factors
Time Factors
Walking Speed
Knee osteoarthritis
Walking
Physical function
Gait speed
Accelerometry
Isotemporal substitution
Multicenter Osteoarthritis Group
Biomedical Engineering
Clinical Sciences
Human Movement and Sports Sciences
Arthritis & Rheumatology
Clinical sciences
Sports science and exercise
Language
Abstract
OBJECTIVE:Knee osteoarthritis (OA) is a risk factor for a decline in gait speed. Daily walking reduces the risk of developing slow gait speed and future persistent functional limitation. However, the protective role of walking intensity is unclear. We investigated the association of substituting time spent not walking, with walking at light and moderate-to-vigorous intensities for incident slow gait over 2-years, among people with or at high risk of knee OA. METHOD:We used baseline and 2-year follow-up data from the Multicenter Osteoarthritis (MOST) study (n = 1731) and the Osteoarthritis Initiative (OAI, n = 1925). Daily walking intensity was objectively assessed using accelerometer-enabled devices, and classified as; not walking (100 steps/min). We defined slow gait during a 20-m walk, as 100 steps/min) may be best recommended in order to reduce the risk of developing critical slow gait speed among people with, or at high risk of knee OA.