Impact of COVID-19 Pandemic on Physical Activity, Pain, Mood, and Sleep in Adults With Knee Osteoarthritis

in Journal for the Measurement of Physical Behaviour

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Michael J. RoseDepartment of Physical Therapy & Athletic Training, Boston University, Boston, MA, USA

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Michael P. LaValleyDepartment of Biostatistics, Boston University School of Public Health, Boston, MA, USA
Section of Rheumatology, Department of Medicine, Boston University School of Medicine, Boston, MA, USA

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S. Reza JafarzadehSection of Rheumatology, Department of Medicine, Boston University School of Medicine, Boston, MA, USA

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Kerry E. CostelloDepartment of Physical Therapy & Athletic Training, Boston University, Boston, MA, USA

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Nirali ShahDepartment of Physical Therapy & Athletic Training, Boston University, Boston, MA, USA

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Soyoung LeeDepartment of Physical Therapy & Athletic Training, Boston University, Boston, MA, USA

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Belinda BorrelliDepartment of Health Policy and Health Services Research, Center for Behavioral Science Research, Boston University Henry M. Goldman School of Dental Medicine, Boston, MA, USA

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Stephen P. MessierWake Forest University, Winston-Salem, NC, USA

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Tuhina NeogiSection of Rheumatology, Department of Medicine, Boston University School of Medicine, Boston, MA, USA

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Deepak KumarDepartment of Physical Therapy & Athletic Training, Boston University, Boston, MA, USA
Section of Rheumatology, Department of Medicine, Boston University School of Medicine, Boston, MA, USA

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DOI:
https://doi.org/10.1123/jmpb.2022-0019
Keywords:
wearable sensor; activities of daily living; surveillance; monitoring
First Published Online:
28 Sep 2022
In Print:
Volume 5: Issue 4
Page Range:
294–298
Restricted access

Objective: To examine changes in physical activity, sleep, pain, and mood in people with knee osteoarthritis during the ongoing COVID-19 pandemic by leveraging an ongoing randomized clinical trial. Methods: Participants enrolled in a 12-month parallel two-arm randomized clinical trial (NCT03064139) interrupted by the COVID-19 pandemic wore an activity monitor (Fitbit Charge 3) and filled out custom weekly surveys rating knee pain, mood, and sleep as part of the study. Data from 30 weeks of the parent study were used for this analysis. Daily step count and sleep duration were extracted from activity monitor data, and participants self-reported knee pain, positive mood, and negative mood via surveys. Metrics were averaged within each participant and then across all participants for prepandemic, stay-at-home, and reopening periods, reflecting the phased reopening in the state of Massachusetts. Results: Data from 28 participants showed small changes with inconclusive clinical significance during the stay-at-home and reopening periods compared with prepandemic for all outcomes. Summary statistics suggested substantial variability across participants with some participants showing persistent declines in physical activity during the observation period. Conclusion: Effects of the COVID-19 pandemic on physical activity, sleep, pain, and mood were variable across individuals with osteoarthritis. Specific reasons for this variability could not be determined. Identifying factors that could affect individuals with knee osteoarthritis who may exhibit reduced physical activity and/or worse symptoms during major lifestyle changes (such as the ongoing pandemic) is important for providing targeted health-care services and management advice toward those that could benefit from it the most.

Supplementary Materials

    • Supplementary Figure S1 (PDF 415 KB)
    • Supplementary Table S1 (PDF 182 KB)
    • Supplementary Table S2 (PDF 181 KB)
    • Supplementary Table S3 (PDF 8 KB)
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