{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T22:06:40Z","timestamp":1788386800384,"version":"build-2803163510"},"reference-count":30,"publisher":"Elsevier BV","issue":"7","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["arthroplastyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Arthroplasty"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1016\/j.arth.2025.10.071","type":"journal-article","created":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T17:06:07Z","timestamp":1761930367000},"page":"2078-2084.e1","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact of Obesity on Daily Activity Following Total Knee Arthroplasty"],"prefix":"10.1016","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8296-1152","authenticated-orcid":false,"given":"Kevin A.","family":"Wu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David N.","family":"Kugelman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1125-3679","authenticated-orcid":false,"given":"Sharrieff N.","family":"Shah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean P.","family":"Ryan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael P.","family":"Bolognesi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thorsten M.","family":"Seyler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel S.","family":"Wellman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.arth.2025.10.071_bib1","doi-asserted-by":"crossref","first-page":"3601","DOI":"10.1038\/s41598-020-60587-1","article-title":"Level of obesity is directly associated with the clinical and functional consequences of knee osteoarthritis","volume":"10","author":"Raud","year":"2020","journal-title":"Scientific Rep"},{"key":"10.1016\/j.arth.2025.10.071_bib2","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.jot.2020.05.001","article-title":"Pathogenesis and clinical management of obesity-related knee osteoarthritis: impact of mechanical loading","volume":"24","author":"Chen","year":"2020","journal-title":"J Orthop Translat"},{"key":"10.1016\/j.arth.2025.10.071_bib3","article-title":"Addressing meniscal deficiency part 1: an umbrella review of systematic reviews and meta-analyses on meniscal allograft transplantation","volume":"11","author":"Wu","year":"2024","journal-title":"J Exp Orthop"},{"key":"10.1016\/j.arth.2025.10.071_bib4","article-title":"Addressing meniscal deficiency part 2: an umbrella review of systematic reviews and meta-analyses on meniscal scaffold-based approaches","volume":"11","author":"Wu","year":"2024","journal-title":"J Exp Orthop"},{"key":"10.1016\/j.arth.2025.10.071_bib5","doi-asserted-by":"crossref","first-page":"S41","DOI":"10.1016\/j.otsr.2017.04.017","article-title":"Quality of life after total knee arthroplasty","volume":"104","author":"Canovas","year":"2018","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.arth.2025.10.071_bib6","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1007\/s13679-023-00527-y","article-title":"Update on the obesity epidemic: after the sudden rise, is the upward trajectory beginning to flatten?","volume":"12","author":"Koliaki","year":"2023","journal-title":"Curr Obes Rep"},{"key":"10.1016\/j.arth.2025.10.071_bib7","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1186\/s43019-023-00195-1","article-title":"Does body mass index influence improvement in patient reported outcomes following total knee arthroplasty? A retrospective analysis of 3918 cases","volume":"35","author":"Lawrence","year":"2023","journal-title":"Knee Surg Relat Res"},{"key":"10.1016\/j.arth.2025.10.071_bib8","doi-asserted-by":"crossref","first-page":"1812","DOI":"10.2106\/JBJS.17.00022","article-title":"Effect of obesity on pain and functional recovery following total knee arthroplasty","volume":"99","author":"Collins","year":"2017","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2025.10.071_bib9","doi-asserted-by":"crossref","DOI":"10.1002\/jeo2.70048","article-title":"Daily physical activity following unicompartmental knee arthroplasty: a pilot study","volume":"11","author":"Wu","year":"2024","journal-title":"J Exp Orthop"},{"key":"10.1016\/j.arth.2025.10.071_bib10","doi-asserted-by":"crossref","first-page":"3755","DOI":"10.1007\/s00167-022-07301-y","article-title":"Fulfilment of patients' mandatory expectations are crucial for satisfaction: a study amongst 352 patients after total knee arthroplasty (tka)","volume":"31","author":"L\u00fctzner","year":"2023","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.arth.2025.10.071_bib11","series-title":"Endotext","article-title":"Definitions, classification, and epidemiology of obesity","author":"Purnell","year":"2023"},{"key":"10.1016\/j.arth.2025.10.071_bib12","doi-asserted-by":"crossref","first-page":"S253","DOI":"10.1016\/j.arth.2025.04.089","article-title":"The impact of total hip arthroplasty on daily ambulatory function: a prospective study","volume":"40","author":"Wu","year":"2025","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.10.071_bib13","first-page":"8","article-title":"The relationship between radiographic osteoarthritis, step counts, and pain levels in patients undergoing hip and knee arthroplasty","volume":"9","author":"Hilibrand","year":"2025","journal-title":"J Am Acad Orthop Surg Glob Res Rev"},{"key":"10.1016\/j.arth.2025.10.071_bib14","doi-asserted-by":"crossref","first-page":"S84","DOI":"10.1016\/j.arth.2025.03.061","article-title":"Comparing functional recovery between total and unicompartmental knee arthroplasty: a prospective health kit study","volume":"40","author":"Kugelman","year":"2025","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.10.071_bib15","doi-asserted-by":"crossref","first-page":"3218","DOI":"10.1002\/ksa.12675","article-title":"Wearable health technology finds improvements in daily physical activity levels following total knee arthroplasty: a prospective study","volume":"33","author":"Wu","year":"2025","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.arth.2025.10.071_bib16","doi-asserted-by":"crossref","DOI":"10.1016\/j.artd.2025.101802","article-title":"Improved walking steadiness following total hip arthroplasty compared to total knee arthroplasty","volume":"35","author":"Wu","year":"2025","journal-title":"Arthroplasty Today"},{"key":"10.1016\/j.arth.2025.10.071_bib17","first-page":"12","article-title":"Stepping beyond counts in recovery of total knee arthroplasty: a prospective study on passively collected gait metrics","volume":"23","author":"Fary","year":"2023","journal-title":"Sensors (Basel)"},{"key":"10.1016\/j.arth.2025.10.071_bib18","doi-asserted-by":"crossref","first-page":"2004","DOI":"10.1080\/09638288.2017.1323026","article-title":"Understanding barriers and facilitators to healthy eating and physical activity from patients either before and after knee arthroplasty","volume":"40","author":"Pellegrini","year":"2018","journal-title":"Disabil Rehabil"},{"key":"10.1016\/j.arth.2025.10.071_bib19","doi-asserted-by":"crossref","first-page":"1183","DOI":"10.2106\/JBJS.16.00960","article-title":"Functional gain and pain relief after total joint replacement according to obesity status","volume":"99","author":"Li","year":"2017","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2025.10.071_bib20","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0261850","article-title":"Risk factors associated with poor pain outcomes following primary knee replacement surgery: analysis of data from the clinical practice research datalink, hospital episode statistics and patient reported outcomes as part of the star research programme","volume":"16","author":"Mohammad","year":"2021","journal-title":"PLoS One"},{"key":"10.1016\/j.arth.2025.10.071_bib21","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.ocl.2024.05.003","article-title":"Fall prevention after hip and knee arthroplasty","volume":"56","author":"Wu","year":"2024","journal-title":"Orthop Clin North Am"},{"key":"10.1016\/j.arth.2025.10.071_bib22","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1016\/j.arth.2022.10.011","article-title":"Are 20% of patients actually dissatisfied following total knee arthroplasty? A systematic review of the literature","volume":"38","author":"DeFrance","year":"2023","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.10.071_bib23","doi-asserted-by":"crossref","first-page":"707","DOI":"10.5435\/JAAOS-D-14-00049","article-title":"Establishing realistic patient expectations following total knee arthroplasty","volume":"23","author":"Husain","year":"2015","journal-title":"J Am Acad Orthop Surg"},{"key":"10.1016\/j.arth.2025.10.071_bib24","doi-asserted-by":"crossref","DOI":"10.1016\/j.rehab.2022.101710","article-title":"Functional recovery after total hip\/knee replacement in obese people: a systematic review","volume":"66","author":"Courtine","year":"2023","journal-title":"Ann Phys Rehabil Med"},{"key":"10.1016\/j.arth.2025.10.071_bib25","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1111\/j.1467-789X.2011.00916.x","article-title":"A systematic review on changed biomechanics of lower extremities in obese individuals: a possible role in development of osteoarthritis","volume":"12","author":"Runhaar","year":"2011","journal-title":"Obes Rev"},{"key":"10.1016\/j.arth.2025.10.071_bib26","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1016\/j.pmrj.2010.04.027","article-title":"Morbid obesity is associated with fear of movement and lower quality of life in patients with knee pain-related diagnoses","volume":"2","author":"Vincent","year":"2010","journal-title":"PM R"},{"key":"10.1016\/j.arth.2025.10.071_bib27","doi-asserted-by":"crossref","first-page":"3993","DOI":"10.2147\/JPR.S432106","article-title":"Pain catastrophizing, kinesiophobia and exercise adherence in patients after total knee arthroplasty: the mediating role of exercise self-efficacy","volume":"16","author":"Zhou","year":"2023","journal-title":"J Pain Res"},{"key":"10.1016\/j.arth.2025.10.071_bib28","doi-asserted-by":"crossref","first-page":"1603","DOI":"10.1093\/ptj\/pzaa099","article-title":"Physical therapist management of total knee arthroplasty","volume":"100","author":"Jette","year":"2020","journal-title":"Phys Ther"},{"key":"10.1016\/j.arth.2025.10.071_bib29","doi-asserted-by":"crossref","first-page":"1711","DOI":"10.1016\/j.arth.2024.12.007","article-title":"How do patient-reported outcomes correlate with real-time objective measures of function after total knee arthroplasty? A prospective study using daily gait metrics","volume":"40","author":"Wu","year":"2024","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.10.071_bib30","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1177\/1457496919883812","article-title":"Weight loss intervention before total knee replacement: a 12-month randomized controlled trial","volume":"110","author":"Liljens\u00f8e","year":"2021","journal-title":"Scand J Surg"}],"container-title":["The Journal of Arthroplasty"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540325013749?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540325013749?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T20:27:33Z","timestamp":1779827253000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0883540325013749"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":30,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["S0883540325013749"],"URL":"https:\/\/doi.org\/10.1016\/j.arth.2025.10.071","relation":{},"ISSN":["0883-5403"],"issn-type":[{"value":"0883-5403","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Impact of Obesity on Daily Activity Following Total Knee Arthroplasty","name":"articletitle","label":"Article Title"},{"value":"The Journal of Arthroplasty","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arth.2025.10.071","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}