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. 2015 Mar;54(3):413-23.
doi: 10.1093/rheumatology/keu333. Epub 2014 Sep 3.

Exercise and physical activity in older adults with knee pain: a mixed methods study

Melanie A Holden  1 , Elaine E Nicholls  2 , Julie Young  2 , Elaine M Hay  2 , Nadine E Foster  2
Affiliations

Exercise and physical activity in older adults with knee pain: a mixed methods study

Melanie A Holden et al. Rheumatology (Oxford). 2015 Mar.

Abstract

Objectives: To describe and explore current exercise and physical activity behaviour in older adults with knee pain in the UK.

Methods: A survey was mailed to 2234 adults ≥50 years of age registered with one general practice within the UK to determine the presence and severity of knee pain and levels of physical activity. Semi-structured interviews were conducted with 22 questionnaire responders with knee pain.

Results: The questionnaire response rate was 59% (n = 1276) and 611 respondents reported knee pain. Only ∼40% of individuals with knee pain were sufficiently active to meet physical activity recommendations. Interviews revealed individual differences in the type and setting of physical activity completed and some self-monitored their symptoms in response to physical activity in order to guide future behaviour.

Conclusion: Innovative interventions that can be adapted to suit individual needs and preferences are required to help older adults with knee pain become more physically active.

Keywords: exercise; knee pain; mixed methods; older adults; physical activity; qualitative; quantitative.

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Figures

F<sc>ig</sc>. 1
Fig. 1
Physical activity patterns in older adults with and without knee pain (A) Percentage of responders who were inactive or sufficiently active or not to meet the 2007 American College of Sports Medicine physical activity recommendations [2]. (B) Of those who were sufficiently active, percentage of responders who met the 2007 ACSM physical activity recommendations by completing moderate activities, vigorous activities or both [2].
F<sc>ig</sc>. 2
Fig. 2
Physical activity patterns of individuals within CPG I and CPG II–IV (A) Percentage of responders who were inactive or sufficiently active or not to meet the 2007 ACSM physical activity recommendations [2]. (B) Of those who were sufficiently active, the percentage of responders who met the 2007 ACSM physical activity recommendations by completing moderate activities, vigorous activities or both [2]. ACSM: American College of Sports Medicine; CPG: Chronic Pain Grade.
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