Exercise, self‐efficacy, and mobility performance in overweight and obese older adults with knee osteoarthritis
Objective To examine changes in mobility‐related self efficacy following exercise and dietary weight loss interventions in overweight and obese older adults with knee osteoarthritis (OA), and to determine if self efficacy and pain mediate the effects of the interventions on mobility task performance...
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Published in | Arthritis and rheumatism Vol. 53; no. 5; pp. 659 - 665 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Hoboken
Wiley Subscription Services, Inc., A Wiley Company
15.10.2005
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Subjects | |
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Abstract | Objective
To examine changes in mobility‐related self efficacy following exercise and dietary weight loss interventions in overweight and obese older adults with knee osteoarthritis (OA), and to determine if self efficacy and pain mediate the effects of the interventions on mobility task performance.
Methods
The Arthritis, Diet, and Activity Promotion Trial was an 18‐month, single‐blind, randomized, controlled trial comparing the effects of exercise alone, dietary weight loss alone, a combination of exercise plus dietary weight loss, and a healthy lifestyle control intervention in the treatment of 316 overweight or obese older adults with symptomatic knee OA. Participants completed measures of stair‐climb time and 6‐minute walk distance, self efficacy for completing each mobility task, and self‐reported pain at baseline, 6 months, and 18 months during the trial.
Results
Mixed model analyses of covariance of baseline adjusted change in the outcomes demonstrated that the exercise + dietary weight loss intervention produced greater improvements in mobility‐related self efficacy (P = 0.0035), stair climb (P = 0.0249) and 6‐minute walk performance (P = 0.00031), and pain (P = 0.09) when compared with the healthy lifestyle control intervention. Mediation analyses revealed that self efficacy and pain served as partial mediators of the beneficial effect of exercise + dietary weight loss on stair‐climb time.
Conclusion
Exercise + dietary weight loss results in improved mobility‐related self efficacy; changes in these task‐specific control beliefs and self‐reported pain serve as independent partial mediators of the beneficial effect of exercise + dietary weight loss on stair‐climb performance. |
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AbstractList | OBJECTIVETo examine changes in mobility-related self efficacy following exercise and dietary weight loss interventions in overweight and obese older adults with knee osteoarthritis (OA), and to determine if self efficacy and pain mediate the effects of the interventions on mobility task performance.METHODSThe Arthritis, Diet, and Activity Promotion Trial was an 18-month, single-blind, randomized, controlled trial comparing the effects of exercise alone, dietary weight loss alone, a combination of exercise plus dietary weight loss, and a healthy lifestyle control intervention in the treatment of 316 overweight or obese older adults with symptomatic knee OA. Participants completed measures of stair-climb time and 6-minute walk distance, self efficacy for completing each mobility task, and self-reported pain at baseline, 6 months, and 18 months during the trial.RESULTSMixed model analyses of covariance of baseline adjusted change in the outcomes demonstrated that the exercise + dietary weight loss intervention produced greater improvements in mobility-related self efficacy (P = 0.0035), stair climb (P = 0.0249) and 6-minute walk performance (P = 0.00031), and pain (P = 0.09) when compared with the healthy lifestyle control intervention. Mediation analyses revealed that self efficacy and pain served as partial mediators of the beneficial effect of exercise + dietary weight loss on stair-climb time.CONCLUSIONExercise + dietary weight loss results in improved mobility-related self efficacy; changes in these task-specific control beliefs and self-reported pain serve as independent partial mediators of the beneficial effect of exercise + dietary weight loss on stair-climb performance. Objective To examine changes in mobility‐related self efficacy following exercise and dietary weight loss interventions in overweight and obese older adults with knee osteoarthritis (OA), and to determine if self efficacy and pain mediate the effects of the interventions on mobility task performance. Methods The Arthritis, Diet, and Activity Promotion Trial was an 18‐month, single‐blind, randomized, controlled trial comparing the effects of exercise alone, dietary weight loss alone, a combination of exercise plus dietary weight loss, and a healthy lifestyle control intervention in the treatment of 316 overweight or obese older adults with symptomatic knee OA. Participants completed measures of stair‐climb time and 6‐minute walk distance, self efficacy for completing each mobility task, and self‐reported pain at baseline, 6 months, and 18 months during the trial. Results Mixed model analyses of covariance of baseline adjusted change in the outcomes demonstrated that the exercise + dietary weight loss intervention produced greater improvements in mobility‐related self efficacy (P = 0.0035), stair climb (P = 0.0249) and 6‐minute walk performance (P = 0.00031), and pain (P = 0.09) when compared with the healthy lifestyle control intervention. Mediation analyses revealed that self efficacy and pain served as partial mediators of the beneficial effect of exercise + dietary weight loss on stair‐climb time. Conclusion Exercise + dietary weight loss results in improved mobility‐related self efficacy; changes in these task‐specific control beliefs and self‐reported pain serve as independent partial mediators of the beneficial effect of exercise + dietary weight loss on stair‐climb performance. To examine changes in mobility-related self efficacy following exercise and dietary weight loss interventions in overweight and obese older adults with knee osteoarthritis (OA), and to determine if self efficacy and pain mediate the effects of the interventions on mobility task performance. The Arthritis, Diet, and Activity Promotion Trial was an 18-month, single-blind, randomized, controlled trial comparing the effects of exercise alone, dietary weight loss alone, a combination of exercise plus dietary weight loss, and a healthy lifestyle control intervention in the treatment of 316 overweight or obese older adults with symptomatic knee OA. Participants completed measures of stair-climb time and 6-minute walk distance, self efficacy for completing each mobility task, and self-reported pain at baseline, 6 months, and 18 months during the trial. Mixed model analyses of covariance of baseline adjusted change in the outcomes demonstrated that the exercise + dietary weight loss intervention produced greater improvements in mobility-related self efficacy (P = 0.0035), stair climb (P = 0.0249) and 6-minute walk performance (P = 0.00031), and pain (P = 0.09) when compared with the healthy lifestyle control intervention. Mediation analyses revealed that self efficacy and pain served as partial mediators of the beneficial effect of exercise + dietary weight loss on stair-climb time. Exercise + dietary weight loss results in improved mobility-related self efficacy; changes in these task-specific control beliefs and self-reported pain serve as independent partial mediators of the beneficial effect of exercise + dietary weight loss on stair-climb performance. |
Author | Rejeski, W. Jack Messier, Stephen P. Ambrosius, Walter T. Katula, Jeffrey A. Focht, Brian C. |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/16208674$$D View this record in MEDLINE/PubMed |
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To examine changes in mobility‐related self efficacy following exercise and dietary weight loss interventions in overweight and obese older adults... To examine changes in mobility-related self efficacy following exercise and dietary weight loss interventions in overweight and obese older adults with knee... OBJECTIVETo examine changes in mobility-related self efficacy following exercise and dietary weight loss interventions in overweight and obese older adults... |
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SubjectTerms | Activities of Daily Living Arthritis Diet, Reducing Efficacy beliefs Exercise Therapy Humans Knee - physiopathology Life Style Middle Aged Movement - physiology Obesity - complications Obesity - diet therapy Osteoarthritis, Knee - complications Osteoarthritis, Knee - diet therapy Pain - physiopathology Pain Measurement Physical activity Physical function Single-Blind Method Treatment Outcome Weight Loss |
Title | Exercise, self‐efficacy, and mobility performance in overweight and obese older adults with knee osteoarthritis |
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