{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T02:19:22Z","timestamp":1760235562318,"version":"build-2065373602"},"reference-count":55,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2021,8,27]],"date-time":"2021-08-27T00:00:00Z","timestamp":1630022400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: The degenerative pathology of the hip joint appears in young age groups, related to fem-oroacetabular impingement, and in advanced age, due to other inflammatory causes, with greater potential for severity in the presence of comorbidities. Objectives: To evaluate the participation of the main causes of osteoarthritis in relation to physical activities, s Body Mass Index (BMI) and television time (TV). Materials and Methods: 54 patients with surgical indication treated at an orthopedic referral university hospital were stratified into groups (Impact: I, Osteonecrosis\/rheumatic: II, Infectious\/traumatic: III), and the influence of comorbidities on physical activity performance, relative to BMI and TV time. Results: It was observed that the impact group was the most frequent (51.8%), with 79.6% under the age of 60 years. This group followed the general mean (p &lt; 0.05), using the variables of comorbidity and the level of physical activity. Pain intensity, TV time, BMI showed no correlation with physical activity. Conclusion: Morphostructural changes (group I) represented the most frequent etiological group, and severe pain was common in almost the entire sample. Unlike BMI, comorbidity showed a significant relationship with the level of physical activity.<\/jats:p>","DOI":"10.3390\/medicina57090890","type":"journal-article","created":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T22:49:51Z","timestamp":1630363791000},"page":"890","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The Management between Comorbidities and Pain Level with Physical Activity in Individuals with Hip Osteoarthritis with Surgical Indication: A Cross-Sectional Study"],"prefix":"10.3390","volume":"57","author":[{"given":"Michael Silveira","family":"Santiago","sequence":"first","affiliation":[{"name":"Program of Physical Education, University Hospital of Sergipe (UFS), S\u00e3o Cristov\u00e3o 49100-000, SE, Brazil"},{"name":"Department of Physical Therapy, University Hospital of Sergipe (UFS), S\u00e3o Cristov\u00e3o 49060-025, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7378-4529","authenticated-orcid":false,"given":"Felipe J.","family":"Aidar","sequence":"additional","affiliation":[{"name":"Program of Physical Education, University Hospital of Sergipe (UFS), S\u00e3o Cristov\u00e3o 49100-000, SE, Brazil"},{"name":"Group of Studies and Research of Performance, Sport, Health and Paralympic Sports (GEPEPS), Federal University of Sergipe (UFS), S\u00e3o Cristov\u00e3o 49100-000, SE, Brazil"},{"name":"Department of Physical Education, Federal University of Sergipe (UFS), S\u00e3o Cristov\u00e3o 49100-000, SE, Brazil"},{"name":"Program of Physiological Science, Federal University of Sergipe (UFS), S\u00e3o Cristov\u00e3o 49100-000, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Talita Leite","family":"dos Santos Moraes","sequence":"additional","affiliation":[{"name":"Program of Physical Education, University Hospital of Sergipe (UFS), S\u00e3o Cristov\u00e3o 49100-000, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jader Pereira","family":"de Farias Neto","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, University Hospital of Sergipe (UFS), S\u00e3o Cristov\u00e3o 49060-025, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1rio Costa","family":"Vieira Filho","sequence":"additional","affiliation":[{"name":"Department of Medicine, Federal University of Sergipe (UFS), S\u00e3o Cristov\u00e3o 49100-000, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diego Prot\u00e1sio","family":"de Vasconcelos","sequence":"additional","affiliation":[{"name":"Program of Physical Education, University Hospital of Sergipe (UFS), S\u00e3o Cristov\u00e3o 49100-000, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor Siqueira","family":"Leite","sequence":"additional","affiliation":[{"name":"Group of Studies and Research of Performance, Sport, Health and Paralympic Sports (GEPEPS), Federal University of Sergipe (UFS), S\u00e3o Cristov\u00e3o 49100-000, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe Meireles","family":"Doria","sequence":"additional","affiliation":[{"name":"Group of Studies and Research of Performance, Sport, Health and Paralympic Sports (GEPEPS), Federal University of Sergipe (UFS), S\u00e3o Cristov\u00e3o 49100-000, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erick","family":"Sobral Porto","sequence":"additional","affiliation":[{"name":"Department of Medicine, Tiradentes University (UNIT), Aracaju 49032-490, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reuthemann Esequias Teixeira Ten\u00f3rio","family":"Albuquerque Madruga","sequence":"additional","affiliation":[{"name":"Department of Medicine, Federal University of Sergipe (UFS), S\u00e3o Cristov\u00e3o 49100-000, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David Edson Ramos","family":"de Azevedo","sequence":"additional","affiliation":[{"name":"Program of Physical Education, University Hospital of Sergipe (UFS), S\u00e3o Cristov\u00e3o 49100-000, SE, Brazil"},{"name":"Group of Studies and Research of Performance, Sport, Health and Paralympic Sports (GEPEPS), Federal University of Sergipe (UFS), S\u00e3o Cristov\u00e3o 49100-000, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adonai Pinheiro","family":"Barreto","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University Hospital, Federal University of Sergipe (UFS), Aracaju 49060-025, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcel Vieira","family":"Gomes","sequence":"additional","affiliation":[{"name":"Program of Traumatology and Orthopaedics, Federal University of Sergipe (UFS), S\u00e3o Cristov\u00e3o 49100-000, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2860-2260","authenticated-orcid":false,"given":"Paulo Francisco","family":"de Almeida-Neto","sequence":"additional","affiliation":[{"name":"Health Sciences Center, Federal University of Rio Grande do Norte, CCS-UFRN, Natal 59012-570, RN, Brazil"},{"name":"Department of Physical Education, Federal University of Rio Grande do Norte, DEF-UFRN, Natal 59078-970, RN, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Breno Guilherme","family":"de Ara\u00fajo Tin\u00f4co Cabral","sequence":"additional","affiliation":[{"name":"Health Sciences Center, Federal University of Rio Grande do Norte, CCS-UFRN, Natal 59012-570, RN, Brazil"},{"name":"Department of Physical Education, Federal University of Rio Grande do Norte, DEF-UFRN, Natal 59078-970, RN, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6815-4386","authenticated-orcid":false,"given":"Walderi Monteiro","family":"da Silva J\u00fanior","sequence":"additional","affiliation":[{"name":"Program of Physical Education, University Hospital of Sergipe (UFS), S\u00e3o Cristov\u00e3o 49100-000, SE, Brazil"},{"name":"Department of Physical Therapy, University Hospital of Sergipe (UFS), S\u00e3o Cristov\u00e3o 49060-025, SE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,8,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1097\/01.blo.0000131233.83640.91","article-title":"The role of biomechanics and inflammation in cartilage injury and repair","volume":"423","author":"Guilak","year":"2004","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1921","DOI":"10.1007\/s12325-016-0409-3","article-title":"Hip osteoarthritis: Etiopathogenesis and Implications for Management","volume":"33","author":"Murphy","year":"2016","journal-title":"Adv. Ther."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1091","DOI":"10.1177\/0733464815602114","article-title":"Painful Choices: A Qualitative Exploration of Facilitators and Barriers to Active Lifestyles among Adults with Osteoarthritis","volume":"36","author":"Stone","year":"2017","journal-title":"J. Appl. Gerontol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"A1","DOI":"10.2519\/jospt.2017.0301","article-title":"Hip Pain and Mobility Deficits\u2014Hip Osteoarthritis: Revision 2017","volume":"47","author":"Cibulka","year":"2017","journal-title":"J. Orthop. Sports Phys Ther."},{"key":"ref_5","first-page":"95","article-title":"Osteoarthritis of the hip: An overview","volume":"117","author":"Jotanovic","year":"2015","journal-title":"Period. Biol. UDC"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/j.rdc.2012.10.007","article-title":"Diagnosis and clinical presentation of osteoarthritis","volume":"39","author":"Abhishek","year":"2013","journal-title":"Rheum. Dis. Clin."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"515","DOI":"10.2519\/jospt.2013.4796","article-title":"Are joint injury, sport activity, physical activity, obesity, or occupational activities predictors for osteoarthritis? A systematic review","volume":"43","author":"Richmond","year":"2013","journal-title":"J. Orthop. Sports Phys. Ther."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1007\/s11657-017-0325-4","article-title":"Osteoarthritis of the hip joint in elderly patients is most commonly atrophic, with low parameters of acetabular dysplasia and possible involvement of osteoporosis","volume":"12","author":"Ishidou","year":"2017","journal-title":"Arch. Osteoporos."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1162","DOI":"10.2106\/JBJS.H.01674","article-title":"Pre-valence of malformations of the hip joint and their relationship to sex, groin pain, and risk of osteoarthritis: A population-based survey","volume":"92","author":"Gosvig","year":"2010","journal-title":"J. Bone Joint. Surg. Am."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"3955","DOI":"10.1002\/art.34670","article-title":"Difference in Subchondral Cancellous Bone between Postmenopausal Women with Hip Osteoarthritis and Osteoporotic Fracture","volume":"64","author":"Li","year":"2012","journal-title":"Arthritis Rheum."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"809","DOI":"10.3899\/jrheum.080677","article-title":"Prevalence of hip symptoms and radiographic and symptomatic hip osteoarthritis in African Americans and Caucasians: The Johnston County Osteoarthritis Project","volume":"36","author":"Jordan","year":"2009","journal-title":"J. Rheumatol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"307","DOI":"10.3109\/09638288.2013.790491","article-title":"Strength and Functional Deficits in Individuals with Hip Osteoarthritis Compared to Healthy, Older Adults","volume":"36","author":"Judd","year":"2014","journal-title":"Disabil. Rehabil."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1372","DOI":"10.1016\/j.joca.2010.08.005","article-title":"One in four people may develop symptomatic hip osteoarthritis in his or her lifetime","volume":"18","author":"Murphy","year":"2010","journal-title":"Osteoarthr. Cartil."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1136\/ard.16.4.494","article-title":"Radiological assessment of osteo-arthrosis","volume":"16","author":"Kellgren","year":"1957","journal-title":"Ann. Rheum. Dis."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1324","DOI":"10.1249\/MSS.0000000000001944","article-title":"Effects of Physical Activity in Knee and Hip Osteoarthritis: A Systematic Umbrella Review","volume":"51","author":"Kraus","year":"2019","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1016\/j.jsams.2010.08.002","article-title":"A review of the clinical evidence for exercise in osteoarthritis of the hip and knee","volume":"14","year":"2011","journal-title":"J. Sci. Med. Sport."},{"key":"ref_17","first-page":"164","article-title":"Recommendations for physical activity and health: Consensus, controversies, and ambiguities","volume":"36","author":"Lima","year":"2014","journal-title":"Rev. Panam. Salud Publica"},{"key":"ref_18","first-page":"125","article-title":"Motivation to practicing physical activities: A study with non-athletes","volume":"15","author":"Alchieri","year":"2010","journal-title":"Psico-USF"},{"key":"ref_19","first-page":"482","article-title":"Total mortality after changes in leisure time physical activity in 50 year old men: 35 year follow-up of population based cohort","volume":"43","author":"Byberg","year":"2009","journal-title":"BMJ"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1111\/j.1469-7580.2008.01013.x","article-title":"Exercise and osteoarthritis","volume":"214","author":"Hunter","year":"2009","journal-title":"J. Anat."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1034\/j.1600-0838.2000.010004186.x","article-title":"Normal and pathological adaptations of articular cartilage to joint loading","volume":"10","author":"Arokoski","year":"2000","journal-title":"Scand. J. Med. Sci. Sports"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Johnsen, M.B., Helevik, A.I., Valborg, B., Furnes Ove Langhammer, A., Flugsrud, G., Nordsletten, L., and Storheim, J.A.Z.K. (2016). Leisure time physical activity and the risk of hip or knee replacement due to primary osteoarthritis: A population based cohort study (The HUNT Study). BMC Musculoskelet Disord., 17.","DOI":"10.1186\/s12891-016-0937-7"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1097\/00003677-200510000-00008","article-title":"The role of mechanical loading in the onset and progression of osteoarthritis","volume":"33","author":"Griffin","year":"2005","journal-title":"Exerc. Sport Sci. Rev."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"309","DOI":"10.3233\/BMR-160524","article-title":"Walking speed affects instrumental activities of daily living in patients with hip osteoarthritis","volume":"30","author":"Tanaka","year":"2017","journal-title":"J. Back Musculoskelet Rehabil."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1177\/0269215514538069","article-title":"What are the factors that influence physical activity participation in adults with kneeand hip osteoarthritis? A sistematic review of physical activity correlates","volume":"29","author":"Stubbs","year":"2015","journal-title":"Clin. Rehabil."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"925","DOI":"10.1002\/art.24641","article-title":"Variables Associated With the Progression of Hip Osteoarthritis: A Systematic Review","volume":"61","author":"Wright","year":"2009","journal-title":"Arthritis Rheum."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1016\/j.joca.2012.10.015","article-title":"The hereditary predisposition to hip osteoarthritis and its association with abnormal joint morphology","volume":"21","author":"Pollard","year":"2013","journal-title":"Osteoarthr. Cartil."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1530","DOI":"10.1016\/j.joca.2013.06.012","article-title":"The contribution of hip geometry to the prediction of hip osteoarthritis","volume":"21","author":"Rivadeneira","year":"2013","journal-title":"Osteoarthr. Cartil."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1080\/17453674.2017.1407055","article-title":"Early osteoarthritis after slipped capital femoral epiphysis","volume":"89","author":"Helgesson","year":"2018","journal-title":"Acta Orthop."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1097\/01.blo.0000096804.78689.c2","article-title":"Femoroacetabular Impingement. A cause for Osteoarthritis of the Hip","volume":"417","author":"Ganz","year":"2003","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.berh.2019.02.006","article-title":"Current trends in sport and exercise hip conditions: Intra-articular and extra-articular hip pain, with detailed focus on femoroacetabular impingement (FAI)syndrome","volume":"33","author":"Kemp","year":"2019","journal-title":"Best Pracr. Res. Rheumatol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1177\/2151458514522262","article-title":"The Prevalence of Radiographic Criteria of Femoral Acetabular Impingement in Patients Undergomig Hip Arthropalsty Surgery","volume":"5","author":"LaFrance","year":"2014","journal-title":"Geriatr. Orthop. Surg. Reabil."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1268","DOI":"10.1136\/bjsports-2014-094015","article-title":"Older people\u2019s perspectives on participation in physical activity:a systematic review and thematic synthesis of qualitative literature","volume":"49","author":"Franco","year":"2015","journal-title":"Br. J. Sports Med."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1186\/s13075-019-1969-9","article-title":"Prognostic factors for progression of osteoarthritis of the hip: A systematic review","volume":"21","author":"Teirlinck","year":"2019","journal-title":"Arthritis Res. Ther."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1016\/j.jbspin.2010.04.011","article-title":"The relationship between body mass index and hip osteoarthritis: A systematic review and meta-analysis","volume":"78","author":"Jiang","year":"2011","journal-title":"Jt. Bone Spine"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"245","DOI":"10.2340\/16501977-2057","article-title":"Course and predictors of pain and physical functioning in patients with hip osteoarthritis: Systematic review and meta-analysis","volume":"48","author":"Rooji","year":"2016","journal-title":"J. Rehabil. Med."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1177\/0269215512453060","article-title":"Determinants of pain and functioning in hip osteoarthritis\u2014A two-year prospective study","volume":"27","author":"Juhakoski","year":"2013","journal-title":"Clin. Rehabil."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1359","DOI":"10.1177\/0363546514526361","article-title":"The Effect of NSAID Prophylaxis and Operative Variables on Heterotopic Ossification After Hip Arthroscopy","volume":"42","author":"Beckmann","year":"2014","journal-title":"Am. J. Sports Med."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1016\/j.jor.2019.11.049","article-title":"Correlation between hip osteoarthritis and the level of physical activity as measured by wearable technology and patient-reported questionnaires","volume":"20","author":"Morcos","year":"2019","journal-title":"J. Orthop."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"1811","DOI":"10.1007\/s10067-007-0579-0","article-title":"Osteoarthritis of the knee and hip: A comparison of factors associated with physical activity","volume":"26","author":"Rosemann","year":"2007","journal-title":"Clin. Rheumatol."},{"key":"ref_41","first-page":"37","article-title":"Osteoarthritis: Clinical and Radiological Correlation","volume":"66","author":"Karande","year":"2018","journal-title":"J. Assoc. Physicians India"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"1451","DOI":"10.1136\/bjsports-2020-102955","article-title":"World Health Organization 2020 guidelines on physical activity ans sedentary behavior","volume":"54","author":"Bull","year":"2020","journal-title":"Br. J. Sports Med."},{"key":"ref_43","first-page":"5","article-title":"Question\u00e1rio Internacional de atividade f\u00edsica (IPAQ): Estudo de Validade e Reprodutibilidade no Brasil","volume":"6","author":"Matsudo","year":"2001","journal-title":"Rer. Bras Ativ. F\u00eds Sa\u00fade"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"e747","DOI":"10.1016\/j.jogc.2018.08.015","article-title":"No. 164-Consensus Guidelines for the Management of Chronic Pelvic Pain","volume":"40","author":"Jarrell","year":"2018","journal-title":"J. Obstet. Gynaecol. Can."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"S259","DOI":"10.1123\/jpah.7.s2.s259","article-title":"Lessons learned after 10 years of IPAQ use in Brazil and Colombia","volume":"7","author":"Hallal","year":"2010","journal-title":"J. Phys. Act. Health"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1037\/0033-2909.112.1.155","article-title":"Statistics a power primer","volume":"112","author":"Cohen","year":"1992","journal-title":"Psychol. Bull."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"1055","DOI":"10.1016\/j.joca.2017.02.795","article-title":"Relationship between physical activity and hip pain in persons with and without cam or pincer morphology: A population-based case-control study","volume":"25","author":"Kopec","year":"2017","journal-title":"Osteoarthr. Cartil."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1093\/ageing\/afu068","article-title":"Relationships between physical performance and knee and hip osteoarthritis: Findings from the European Project on osteoarthritis (EPOSA)","volume":"43","author":"Edwards","year":"2014","journal-title":"Age Ageing"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1136\/ard.2007.074591","article-title":"Individualizing the WOMAC function subscale: Incorporating patients\u2019 priorities for improvement to measure functional impairment in hip or knee osteoarthritis","volume":"67","author":"Seror","year":"2008","journal-title":"Ann. Rheum. Dis."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1080\/0963828031000090551","article-title":"Factors affecting medical decision-making in patients with osteoarthritis of the hip: Allocation of surgical priority","volume":"25","author":"Dolin","year":"2003","journal-title":"Disabil. Rehabil."},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"Gademan, M.G.J., Hofstede, S.N., Vliet Vlieland, T.P.M., Nelissen, R.G.H.H., and Marang-van de Mheen, P.J. (2016). Indication criteria for total hip or knee arthroplasty in osteoarthritis: A state-of-the-science overview. BMC Musculoskelet Disord., 17.","DOI":"10.1186\/s12891-016-1325-z"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1007\/s11999-016-4815-2","article-title":"The John Charnley Award: Redefining the Natural History of Osteoarthritis in Patients with Hip Dysplasia and Impingement","volume":"475","author":"Wyles","year":"2017","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"Ku, P.W., Steptoe, A., Liao, Y., Hsueh, M.C., and Chen, L.J. (2018). A cut-off daily sedentary time and all-cause mortality in adults: A meta-regression analysis involving more than 1 million participants. BMC Med., 16.","DOI":"10.1186\/s12916-018-1062-2"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1038\/nrrheum.2012.119","article-title":"Long-term effects of sports: Preventing and managing OA in the Athlete","volume":"12","author":"Bennel","year":"2012","journal-title":"Nat. Rev. Rheumatol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1016\/j.joca.2011.10.006","article-title":"Factors associated with physical activity in patients with osteoarthritis of the hip or knee: A systematic review","volume":"20","author":"Veenhof","year":"2012","journal-title":"Osteoarthr. Cartil."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/57\/9\/890\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T06:53:56Z","timestamp":1760165636000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/57\/9\/890"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,27]]},"references-count":55,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2021,9]]}},"alternative-id":["medicina57090890"],"URL":"https:\/\/doi.org\/10.3390\/medicina57090890","relation":{},"ISSN":["1648-9144"],"issn-type":[{"type":"electronic","value":"1648-9144"}],"subject":[],"published":{"date-parts":[[2021,8,27]]}}}