Lifetime trajectory of physical activity according to energy expenditure and joint force
Article first published online: 27 APR 2010
Copyright © 2010 by the American College of Rheumatology
Arthritis Care & Research
Volume 62, Issue 10, pages 1452–1459, October 2010
How to Cite
Ratzlaff, C. R., Doerfling, P., Steininger, G., Koehoorn, M., Cibere, J., Liang, M., Wilson, D. R., Esdaile, J. and Kopec, J. (2010), Lifetime trajectory of physical activity according to energy expenditure and joint force. Arthritis Care Res, 62: 1452–1459. doi: 10.1002/acr.20243
- Issue published online: 27 APR 2010
- Article first published online: 27 APR 2010
- Accepted manuscript online: 27 APR 2010 12:00AM EST
- Manuscript Accepted: 21 APR 2010
- Manuscript Received: 19 NOV 2008
- Canadian Institutes of Health Research. Grant Number: 67008
- Canadian Institutes of Health Research Fellowship
- Michael Smith Foundation for Health Research award
- Michael Smith Foundation for Health Research Senior Scholar award
To develop and demonstrate the feasibility of a method for estimating lifetime hip and knee cumulative joint force using survey data on physical activity, and to construct and describe lifetime trajectories of energy expenditure and hip and knee joint force.
Exposure data on lifetime physical activity, including type (occupational, household, and recreation) and dose (frequency, intensity, and duration), were collected from a Canada-wide population study of adults ages ≥45 years. Subjects were ranked in 2 ways: in terms of physical activity–related energy expenditure and in terms of a cumulative peak force index (CPFI) for the hip and knee, which is a measure of lifetime exposure and is a time/joint force product involving years of force and subject bodyweight. A relative joint loading index was calculated as the ratio of joint force (CPFI score) to energy expenditure.
A total of 4,269 subjects completed the baseline measurements. Lifetime energy expenditure and hip and knee CPFI scores were higher for occupational and household activity than sport. The mean lifetime energy expenditure from total physical activity in the study sample was 119.1 metabolic equivalent-hours/week. Women had slightly higher total lifetime energy expenditure and CPFI scores than men. The relative joint loading index was highest for male household and sport activity and lowest for female occupational activity.
Lifetime cumulative hip/knee joint force trajectories were successfully constructed from survey data and followed expected trends. Comparing energy expenditure with joint force revealed variation by age, sex, and activity type, indicating these measures may help distinguish the numerous benefits of physical activity from possible risks.