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Dropout From Exercise Interventions in Adults With Knee or Hip Osteoarthritis: A Systematic Review and Meta-analysis
dc.contributor.author | Vancampfort, Davy | |
dc.contributor.author | Van Damme, Tine | |
dc.contributor.author | McGrath, Ryan L. | |
dc.contributor.author | Hemmings, Laura | |
dc.contributor.author | Gillis, Veerle | |
dc.contributor.author | Bernar, Koen | |
dc.contributor.author | Bitencourt, Eduarda | |
dc.contributor.author | Schuch, Felipe | |
dc.date.accessioned | 2024-06-19T05:00:24Z | |
dc.date.available | 2024-06-19T05:00:24Z | |
dc.date.issued | 2024 | |
dc.identifier | 10.1016/j.apmr.2024.02.735 | |
dc.identifier.issn | 00039993 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12728/11425 | |
dc.description.abstract | Objective: To investigate the prevalence and moderators of dropout rates among adults with knee or hip osteoarthritis participating in exercise randomized controlled trials (RCTs). Data Sources: Two authors searched Embase, CINAHL, PsycARTICLES, and PubMed up to 01/09/2023. Study Selection: We included RCTs of exercise interventions in people with knee or hip osteoarthritis that reported dropout rates. Data Extraction: Dropout rates from exercise and control conditions and exerciser/participant, provider, and design/implementation related moderators. Data Synthesis: In total, 209 RCTs involving 277 exercise arms in 13,102 participants were included (mean age at study level=64 years; median prevalence of men participants=26.8%). The trim-and-fill-adjusted prevalence of dropout across all RCTs was 17.5% (95% CI=16.7%-18.2%), which is comparable with dropout observed in control conditions (trim-and-fill-adjusted odds ratio=0.89; 95% CI=0.71-1.12, P=.37). Higher prevalence of antidepressant use at study-level predicted higher dropout (R2=0.75, P=.002, N RCTs=6, n exercisers=412). Supervision by an exercise professional was associated with lower dropout rates, with a trim-and-fill-adjusted rate of 13.2% (95% CI=11.7%-14.9%) compared with 20.8% without supervision (95% CI=18.3%-23.5%) (P<.001). Conclusions: Dropout rates for exercise in RCTs are comparable with control conditions, suggesting that exercise is a generally well-accepted intervention. However, interventions should be supervised by an exercise professional, such as a physiotherapist or exercise physiologist, to further minimize the risk of dropout. Health professionals should consider participants’ use of antidepressants as a risk factor for dropout from exercise. © 2024 American Congress of Rehabilitation Medicine | es_ES |
dc.language.iso | en | es_ES |
dc.publisher | W.B. Saunders | es_ES |
dc.subject | Dropout | es_ES |
dc.subject | Exercise | es_ES |
dc.subject | Osteoarthritis | es_ES |
dc.subject | Physical activity | es_ES |
dc.title | Dropout From Exercise Interventions in Adults With Knee or Hip Osteoarthritis: A Systematic Review and Meta-analysis | es_ES |
dc.type | Article | es_ES |