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Association Between Sedentary Time and Quality of Life From the Osteoarthritis Initiative: Who Might Benefit Most From Treatment?

      Abstract

      Objective

      To investigate the relationship between sedentary behavior and quality-adjusted life years (QALYs) among participants in the Osteoarthritis Initiative.

      Design

      Longitudinal, observational design.

      Setting

      Osteoarthritis Initiative cohort.

      Participants

      Individuals (N=1794) from a prospective, multicenter longitudinal cohort were classified into quantile groups based on average daily sedentary time (most sedentary, quartile 1 [Q1] ≥11.6h; 10.7h≤ Q2 <11.6h; 9.7h≤ Q3 <10.7h; least sedentary, Q4 <9.7h).

      Interventions

      Not applicable.

      Main Outcome Measures

      Individual QALYs were estimated over 2 years from the area under the curve of health-related utility scores derived from the Medical Outcomes Study 12-Item Short-Form Health Survey versus time. The relationship between baseline sedentary behavior and median 2-year QALYs was estimated using quantile regression adjusted for socioeconomic factors and body mass index.

      Results

      Lower QALYs over 2 years were more frequently found among the most sedentary (Q1, median 1.59), and QALYs increased as time spent in baseline sedentary behavior decreased (median QALYs for Q2, 1.64; Q3, 1.65; Q4, 1.65). The relationship of sedentary time and median QALY change was only significant for the most sedentary Q1 group, where an additional hour of sedentary behavior significantly reduced QALYs by −.072 (95% confidence interval, −.121 to −.020).

      Conclusions

      Our findings suggest that individuals with the most extreme sedentary profiles may be vulnerable to additional losses of quality of life if they become more sedentary. Targeting these individuals to decrease sedentary behavior has the potential to be cost-effective.

      Keywords

      List of abbreviations:

      BMI (body mass index), MVPA (moderate-vigorous physical activity), OA (osteoarthritis), OAI (Osteoarthritis Initiative), PA (physical activity), Q (quartile), QALY (quality-adjusted life year), SF-6D (Short Form–6 Dimensions), SF-12v2 (Medical Outcomes Study 12-Item Short-Form Health Survey, version 2)
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