Immediate effects of exercise snacking on physical fatigue, mood, and pain in elderly adults with knee osteoarthritis

Abstract Background Exercise has been reported to be beneficial in reducing pain and fatigue, as well as improving mood, in patients with knee osteoarthritis (KOA). However, long bouts of exercise have been linked to an increase in fatigue and pain level in elderly adults. Currently, there are very...

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Main Authors: Ayoola Ibifubara Aiyegbusi, Francis Oluwatosin Kolawole, Israel Kayode Oke, Henrietta O. Fawole
Format: Article
Language:English
Published: SpringerOpen 2024-12-01
Series:Bulletin of Faculty of Physical Therapy
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Online Access:https://doi.org/10.1186/s43161-024-00254-y
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author Ayoola Ibifubara Aiyegbusi
Francis Oluwatosin Kolawole
Israel Kayode Oke
Henrietta O. Fawole
author_facet Ayoola Ibifubara Aiyegbusi
Francis Oluwatosin Kolawole
Israel Kayode Oke
Henrietta O. Fawole
author_sort Ayoola Ibifubara Aiyegbusi
collection DOAJ
description Abstract Background Exercise has been reported to be beneficial in reducing pain and fatigue, as well as improving mood, in patients with knee osteoarthritis (KOA). However, long bouts of exercise have been linked to an increase in fatigue and pain level in elderly adults. Currently, there are very few investigations into the immediate effects of breaking exercise into shorter and frequent bouts, otherwise known as exercise snacking on physical fatigue, mood, and pain in elderly adults with KOA. The aim of this study was to investigate the immediate impact of exercise snacking versus continuous exercise on physical fatigue, mood, and pain level in elderly adults with KOA. Methods This was a randomized experimental study, with 37 participants aged 60 years and above with KOA. Participants were recruited and randomly assigned into a five bouts of 2-min exercise snacking and 10-min continuous exercise groups, with the bicycle ergometer as the exercise mode. Physical fatigue, mood, and pain of participants were assessed at baseline and immediately after the exercise using Numerical Fatigue Rating Scale (NFRS), Visual Analog Mood Scale (VAMS), and Numerical Pain Rating Scale (NPRS) respectively. Descriptive statistics and inferential statistics of Wilcoxon Rank test, Mann–Whitney U, and ANCOVA were used to analyze the data with p value set at 0.05. Results There were significant differences (p < 0.001) in physical fatigue, mood, and pain between baseline and post-intervention values within groups. Between-group comparisons revealed significant reductions in physical fatigue (p < 0.001) and pain levels (p = 0.048) in the exercise snacking group compared to the continuous exercise group. However, no significant between-group differences were found for mood. Conclusion Exercise snacking yielded significant improvements in physical fatigue and pain in elderly with KOA. However, both exercise snacking and continuous aerobic exercise were comparable in their immediate effects on mood in elderly adults with KOA. Trial registration PACTR202308724795310 Registered 28th September 2023, https://www.edctp.org/pan-african-clinical-trials-registry/ .
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spelling doaj-art-1d68fc835ae64d94bf147498022778b92024-12-29T12:10:45ZengSpringerOpenBulletin of Faculty of Physical Therapy2536-96602024-12-0129111010.1186/s43161-024-00254-yImmediate effects of exercise snacking on physical fatigue, mood, and pain in elderly adults with knee osteoarthritisAyoola Ibifubara Aiyegbusi0Francis Oluwatosin Kolawole1Israel Kayode Oke2Henrietta O. Fawole3Department of Physiotherapy, College of Medicine, University of LagosDepartment of Physiotherapy, College of Medical Sciences, University of BeninDepartment of Physiotherapy, College of Medical Sciences, University of BeninDepartment of Physiotherapy, College of Medical Sciences, University of BeninAbstract Background Exercise has been reported to be beneficial in reducing pain and fatigue, as well as improving mood, in patients with knee osteoarthritis (KOA). However, long bouts of exercise have been linked to an increase in fatigue and pain level in elderly adults. Currently, there are very few investigations into the immediate effects of breaking exercise into shorter and frequent bouts, otherwise known as exercise snacking on physical fatigue, mood, and pain in elderly adults with KOA. The aim of this study was to investigate the immediate impact of exercise snacking versus continuous exercise on physical fatigue, mood, and pain level in elderly adults with KOA. Methods This was a randomized experimental study, with 37 participants aged 60 years and above with KOA. Participants were recruited and randomly assigned into a five bouts of 2-min exercise snacking and 10-min continuous exercise groups, with the bicycle ergometer as the exercise mode. Physical fatigue, mood, and pain of participants were assessed at baseline and immediately after the exercise using Numerical Fatigue Rating Scale (NFRS), Visual Analog Mood Scale (VAMS), and Numerical Pain Rating Scale (NPRS) respectively. Descriptive statistics and inferential statistics of Wilcoxon Rank test, Mann–Whitney U, and ANCOVA were used to analyze the data with p value set at 0.05. Results There were significant differences (p < 0.001) in physical fatigue, mood, and pain between baseline and post-intervention values within groups. Between-group comparisons revealed significant reductions in physical fatigue (p < 0.001) and pain levels (p = 0.048) in the exercise snacking group compared to the continuous exercise group. However, no significant between-group differences were found for mood. Conclusion Exercise snacking yielded significant improvements in physical fatigue and pain in elderly with KOA. However, both exercise snacking and continuous aerobic exercise were comparable in their immediate effects on mood in elderly adults with KOA. Trial registration PACTR202308724795310 Registered 28th September 2023, https://www.edctp.org/pan-african-clinical-trials-registry/ .https://doi.org/10.1186/s43161-024-00254-yExercise snackingPhysical fatigueElderly adultsKnee osteoarthritisPain
spellingShingle Ayoola Ibifubara Aiyegbusi
Francis Oluwatosin Kolawole
Israel Kayode Oke
Henrietta O. Fawole
Immediate effects of exercise snacking on physical fatigue, mood, and pain in elderly adults with knee osteoarthritis
Bulletin of Faculty of Physical Therapy
Exercise snacking
Physical fatigue
Elderly adults
Knee osteoarthritis
Pain
title Immediate effects of exercise snacking on physical fatigue, mood, and pain in elderly adults with knee osteoarthritis
title_full Immediate effects of exercise snacking on physical fatigue, mood, and pain in elderly adults with knee osteoarthritis
title_fullStr Immediate effects of exercise snacking on physical fatigue, mood, and pain in elderly adults with knee osteoarthritis
title_full_unstemmed Immediate effects of exercise snacking on physical fatigue, mood, and pain in elderly adults with knee osteoarthritis
title_short Immediate effects of exercise snacking on physical fatigue, mood, and pain in elderly adults with knee osteoarthritis
title_sort immediate effects of exercise snacking on physical fatigue mood and pain in elderly adults with knee osteoarthritis
topic Exercise snacking
Physical fatigue
Elderly adults
Knee osteoarthritis
Pain
url https://doi.org/10.1186/s43161-024-00254-y
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