Objectively and subjectively measured physical activity levels in individuals with whiplash associated disorder and aged-matched healthy controls.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2023
2023
Historique:
received:
07
05
2023
accepted:
25
09
2023
medline:
9
10
2023
pubmed:
5
10
2023
entrez:
5
10
2023
Statut:
epublish
Résumé
Whiplash associated disorders (WAD) are the most common non-hospitalised injuries resulting from a motor vehicle crash. Half of individuals with WAD experience ongoing pain and disability. Furthermore, individuals with persistent WAD have lower levels of aerobic capacity and isometric strength compared with age-matched controls. It is not known whether these differences are associated with increased levels of pain and disability, or with reduced physical activity (PA) participation. Our primary aim was to compare PA levels in individuals with persistent WAD with healthy controls. Secondary aims were to: compare objective and subjective measurements of PA; explore factors that may influence PA; and describe proportions of these populations meeting World Health Organisation PA guidelines. Objective (ActiGraph accelerometer; seven days) and subjective (International Physical Activity Questionnaire (IPAQ)) PA data were collected for n = 53 age-matched participants (WAD n = 28; controls n = 25). Independent sample t-tests showed no significant difference in objectively measured PA (p>0.05) between WAD and controls. For the subjective measure (IPAQ), controls reported more overall weekly PA (t = 0.219, p<0.05), while WAD participants reported more weekly walking minutes (t = -0.712, p<0.05). Linear regression showed mental health quality-of-life predicted objectively measured moderate intensity PA (R2 = 0.225, F (2, 44) = 6.379, p<0.004) and subjectively reported overall PA (R2 = 0.132, F (1, 41) = 6.226, p<0.017). Bland-Altman analyses indicated that subjects over-reported MVPA and under-reported sedentary time using the IPAQ. Individuals with WAD had levels of physical and mental health quality-of-life significantly lower than controls and below population norms yet participated in similar levels of PA. Given that increased perceptions of mental health quality-of-life were positively associated with objectively measured MVPA and subjectively reported overall PA, strategies to help people with WAD achieve adequate doses of MVPA may be beneficial. ActiGraph-measured and IPAQ-reported PA were discordant. Hence, IPAQ may not be a reliable measure of habitual PA in WAD.
Sections du résumé
BACKGROUND
Whiplash associated disorders (WAD) are the most common non-hospitalised injuries resulting from a motor vehicle crash. Half of individuals with WAD experience ongoing pain and disability. Furthermore, individuals with persistent WAD have lower levels of aerobic capacity and isometric strength compared with age-matched controls. It is not known whether these differences are associated with increased levels of pain and disability, or with reduced physical activity (PA) participation.
OBJECTIVE
Our primary aim was to compare PA levels in individuals with persistent WAD with healthy controls. Secondary aims were to: compare objective and subjective measurements of PA; explore factors that may influence PA; and describe proportions of these populations meeting World Health Organisation PA guidelines.
METHODS
Objective (ActiGraph accelerometer; seven days) and subjective (International Physical Activity Questionnaire (IPAQ)) PA data were collected for n = 53 age-matched participants (WAD n = 28; controls n = 25).
RESULTS
Independent sample t-tests showed no significant difference in objectively measured PA (p>0.05) between WAD and controls. For the subjective measure (IPAQ), controls reported more overall weekly PA (t = 0.219, p<0.05), while WAD participants reported more weekly walking minutes (t = -0.712, p<0.05). Linear regression showed mental health quality-of-life predicted objectively measured moderate intensity PA (R2 = 0.225, F (2, 44) = 6.379, p<0.004) and subjectively reported overall PA (R2 = 0.132, F (1, 41) = 6.226, p<0.017). Bland-Altman analyses indicated that subjects over-reported MVPA and under-reported sedentary time using the IPAQ.
CONCLUSIONS
Individuals with WAD had levels of physical and mental health quality-of-life significantly lower than controls and below population norms yet participated in similar levels of PA. Given that increased perceptions of mental health quality-of-life were positively associated with objectively measured MVPA and subjectively reported overall PA, strategies to help people with WAD achieve adequate doses of MVPA may be beneficial. ActiGraph-measured and IPAQ-reported PA were discordant. Hence, IPAQ may not be a reliable measure of habitual PA in WAD.
Identifiants
pubmed: 37796865
doi: 10.1371/journal.pone.0292629
pii: PONE-D-23-11007
pmc: PMC10553333
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0292629Informations de copyright
Copyright: © 2023 Ritchie et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Med Care. 1996 Mar;34(3):220-33
pubmed: 8628042
Int J Behav Nutr Phys Act. 2008 Nov 06;5:56
pubmed: 18990237
Physiother Theory Pract. 2022 Nov;38(13):2592-2602
pubmed: 34465257
Stat Methods Med Res. 1999 Jun;8(2):135-60
pubmed: 10501650
Clin J Pain. 2020 Aug;36(8):601-611
pubmed: 32433074
Med Sci Sports Exerc. 2003 Aug;35(8):1381-95
pubmed: 12900694
J Sports Sci. 2020 Mar;38(5):503-510
pubmed: 31865845
J Pain Res. 2021 Oct 28;14:3387-3399
pubmed: 34737633
Accid Anal Prev. 2006 Nov;38(6):1087-93
pubmed: 16797462
Open Orthop J. 2013 Sep 20;7:521-9
pubmed: 24133553
Scand J Pain. 2017 Apr;15:14-21
pubmed: 28850338
J Sci Med Sport. 2019 Apr;22(4):444-449
pubmed: 30448322
PLoS One. 2020 Mar 3;15(3):e0229228
pubmed: 32126108
Accid Anal Prev. 2020 Jul;142:105571
pubmed: 32413544
Phys Ther. 2017 Mar 1;97(3):338-353
pubmed: 28403431
J Manipulative Physiol Ther. 2009 Feb;32(2 Suppl):S97-S107
pubmed: 19251080
Pain. 2010 Jul;150(1):22-28
pubmed: 20307934
J Sports Sci. 2020 Nov;38(22):2569-2578
pubmed: 32677510
BMJ Open. 2015 Sep 15;5(9):e008430
pubmed: 26373402
J Orthop Sports Phys Ther. 2017 Jul;47(7):A1-A83
pubmed: 28666405
J Phys Act Health. 2010 Jul;7(4):541-50
pubmed: 20683097
Physiother Theory Pract. 2019 Dec;35(12):1328-1335
pubmed: 29856244
Spine (Phila Pa 1976). 2017 Dec 15;42(24):1908-1916
pubmed: 28658040
Sports Med. 2017 Sep;47(9):1821-1845
pubmed: 28303543
Healthcare (Basel). 2022 Aug 03;10(8):
pubmed: 36011117
Pain. 2001 Oct;94(1):85-100
pubmed: 11576748
Spine (Phila Pa 1976). 1995 Apr 15;20(8 Suppl):1S-73S
pubmed: 7604354
J Manipulative Physiol Ther. 1991 Sep;14(7):409-15
pubmed: 1834753
BMC Public Health. 2016 Jun 16;16:515
pubmed: 27306667
Int Arch Occup Environ Health. 2014;87(7):735-44
pubmed: 24162088
Qual Life Res. 2017 May;26(5):1315-1326
pubmed: 27837382
Br J Sports Med. 2020 Dec;54(24):1451-1462
pubmed: 33239350
Physiotherapy. 2018 Mar;104(1):54-60
pubmed: 28822600
Disabil Rehabil. 2022 Nov;44(23):7255-7268
pubmed: 34651525
BMJ Open. 2016 Sep 08;6(9):e011993
pubmed: 27609849
Int J Environ Res Public Health. 2021 Dec 16;18(24):
pubmed: 34948861
J Spinal Cord Med. 2010;33(3):232-42
pubmed: 20737796
J Orthop Sports Phys Ther. 2017 Jul;47(7):472-480
pubmed: 28622749
Scand J Pain. 2017 Jan;14:1-8
pubmed: 28850421