Orthopaedic Surgeons' Attitude Toward Physical Activity for People after Total Hip or Knee replacement: Northern vs Southern European country

Author:

Zinno Raffaele1,Akker-Scheek Inge2,Pinelli Erika1,Bragonzoni Laura1,Stevens Martin2,Mazzotta Alessandro3,Iliescu Alina4,Manunta Andrea Fabio5,Marin Andreea4,Dimitrova Ani6,Stensdotter Ann-Katrin7,Paggetti Cristiano8,Dallari Dante3,Tamburini Elena8,Benvenuti Francesco1,Pegreffi Francesco9,Barone Giuseppe1,Østerås Havard7,Ciobanu Ileana4,Dimitrov Ivo6,Helbostad Jorunn Laegdheim7,Yoncheva Lora6,Massini Maria Scoppolini1,Teodorescu Matei4,Tsvetanova Maya6,Berteanu Mihai4,Unsgaard-Tøndel Monica7,Shalamanova Natalya6,Todorov Nicolay6,Hals Odd Magne7,Shalamanova Rumyana6,Geli Simona8,Cardinale Umberto5,Mooiweer Yvet2

Affiliation:

1. University of Bologna

2. University of Groningen, University Medical Center Groningen

3. IRCCS Rizzoli Orthopaedic Institute

4. Carol Davila University of Medicine and Pharmacy

5. Università degli Studi di Sassari

6. Know and Can association

7. Norwegian University of Science and Technology

8. Medea

9. University Kore of Enna

Abstract

Abstract

Background: Regular physical activity (PA) is a key factor of lifestyle behavior enhancing general health and fitness, especially in people after total hip or knee replacement (THR and TKR). Orthopedic surgeons can play a primary role in advocating the benefits of an active lifestyle. Aim of the study was 1) to assess the attitude of orthopaedic surgeons towards PA for people after THR/TKR and 2) to compare the attitude between a Northern European (the Netherlands) and a Southern European (Italy) country and analyze which factors influence the attitude towards PA. Methods: A cross-cultural study. An (online) survey was distributed among orthopaedic surgeons in Italy and the Netherlands. Exploratory factor analysis was employed to determine the underlying factor structure of the questionnaire. Chi-square and Mann-Whitney tests were used to compare surgeons’ and clinics’ characteristics, and questionnaires’ factors score, respectively. A linear regression analysis was conducted to assess which surgeon characteristics influence attitude towards PA. Results: A cohort of 159 surgeons (103 Italians and 56 Dutch) were analyzed. The median score of overall orthopaedic surgeons’ attitude towards PA was 57 (out of 72). Dutch surgeons showed a more positive attitude compared to Italian surgeons (p < 0.01). Main difference was found in the “Physical activity concern” factor, where Italian surgeons showed more concern about the negative effects of PA on the survival of the prosthesis. The regression analyses showed that “Country” and “Type of clinic” were associated with the surgeons’ attitude. Conclusions: Overall, the orthopaedic surgeons’ attitude towards PA for people with THR and TKR was positive. However, Dutch surgeons seem to be more positive compared to the Italian. The country of residence was the item that most influenced attitude. Further investigations are needed to untangle specific factors, such as cultural, socioeconomic, or contextual differences within the variable “country” that may influence orthopaedic surgeons' attitudes towards PA. Educational pathways of orthopaedic surgeons should involve the more recent knowledge about the benefits of PA and sport, since they have the potential to promote physically active lifestyle in people after THR and TKR and as such, enhancing the health of their patients.

Publisher

Research Square Platform LLC

Reference34 articles.

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