256504 Arthritis and barriers to physical activity throughout the lifespan: A systematic review of the literature

Monday, October 29, 2012 : 10:30 AM - 10:42 AM

Claire Johnson, MSEd, DC , Editor, Professor, National University of Health Sciences, Oceanside, CA
Bart Green, MSEd, DC , Branch Medical Clinic MCAS Miramar, Naval Medical Center San Diego, San Diego, CA
Anupama Kizhakkeveettil, BAMS (Ayu), MAOM , Research, Southern California University of Health Sciences, Whittier, CA
Kevin Rose, DC, MPH , Office of Academic Affairs, Southern California University of Health Sciences, Whittier, CA
Background: Musculoskeletal conditions cause a substantial public health burden on the US population. Arthritis affects 20 per cent of the population and an estimated 60 million Americans will be affected by arthritis by 2020. Arthritis is a potential cause of physical inactivity, which is associated with chronic diseases (obesity, cardiovascular diseases). The purpose of this study is to systematically review the literature on arthritis as a barrier to physical activity throughout the lifespan. Methods: A search of PubMed for all subject ages and all languages from 1960- January 2012 was performed using the terms: arthritis and (“physical activity" or exercise) and (barrier or limitation), in addition to the terms “arthritis-attributable activity limitation.” Papers were selected using inclusion criteria (arthritis as a barrier to exercise/activity) and exclusion criteria (treatment of conditions, commentaries, case reports, and correspondence), evaluated for quality and summarized. Results: The search resulted in 130 potential articles and 38 were selected as relevant. Physical activity appears to be limited in those with arthritis and more limited in those with comorbidities such as obesity, cardiovascular disease, and diabetes. There are multiple factors associated with arthritis and physical activity limitations, such as amount of pain, number of joints involved, proprioception, psychosocial factors, sex, race/ethnicity, and community/environment. Conclusion: There is a growing body of evidence that identifies arthritis as a barrier to physical activity throughout the lifespan. Arthritis may contribute to reduced physical activity and therefore may influence other chronic diseases associated with physical inactivity such as obesity and cardiovascular disease.

Learning Areas:
Chronic disease management and prevention

Learning Objectives:
1. Describe the recent literature on the topic of the association of arthritis with physical activity as this relates to prevention. 2. Compare the ways in which arthritis may be a barrier to physical activity throughout different stages of life. 3. Discuss ways to address barriers to physical activity that are potentially posed by arthritis for stages throughout the lifespan.

Keywords: Arthritis, Physical Activity

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have met all 3 of the criteria for authorship: 1) substantial contributions to conception and design, acquisition of data, and analysis and interpretation of data; 2) drafting the article and revising it critically for important intellectual content; and 3) final approval of the version to be submitted. I have a doctoral degree from a health sciences university and have participated in clinical/educational programs that are healthcare related.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.