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Patients in Dominican Republic less active than recommended after TJR
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Patients in the Dominican Republic who received total joint replacement participated in less physical activity than recommended by the Centers for Disease Control and World Health Organization, according to study results.
Using the Yale Physical Activity Survey, researchers assessed participation in postoperative physical activity 1 to 4 years following total knee or hip replacement in low-income patients in the Dominican Republic. The researchers compared the amount of aerobic physical activity reported by postoperative total joint replacement (TJR) patients with the levels of physical activity recommended by the Centers for Disease Control (CDC) and the World Health Organization (WHO). Bivariate and multivariate analyses were used to analyze preoperative determinants of postoperative participation in aerobic physical activity.
Of the 170 eligible patients who underwent TJR between 2009 and 2012, 64 returned for an annual follow-up visit in 2013; patients’ mean treatment-to-follow-up time was 2.1 years. The researchers found 43.3% of patients met CDC/WHO criteria for sufficient participation in aerobic physical activity.
According to multivariate analyses, adjusted mean activity dimensions summary index was 22.9 points higher for patients who were younger than 65 and at least 2 years postoperative compared with patients who were 65 or older and 1 year postoperative.
Adjusted mean activity dimensions summary index was also 17.2 points higher for patients who lived with friends and family compared with patients who lived alone, and 19.8 points higher among patients who had the most optimistic preoperative expectations of outcome compared with those who were less optimistic.
Disclosure: The authors have no relevant financial disclosures.
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