The Contribution of Daily Experiences and Acute Exercise to Fluctuations in Daily Feeling States Among Older, Obese Adults with Knee Osteoarthritis

This study examined the contribution of daily experiences and acute exercise to fluctuations in feeling states of older, obese adults with knee osteoarthritis and explored the role of perceived physical function and general health perceptions as moderator variables. Using an experience sampling procedure, a total of 964 feeling state assessments were recorded and coded into samplings that occurred either on a nonexercise day or prior to or following scheduled activity on an exercise day. Multilevel modeling analyses controlling for the influence of subjective stress, contemporaneous pain reports, and diurnal variations revealed that physical exhaustion was higher immediately following exercise. Analyses of the moderator variables demonstrated that general health perceptions and perceived physical function accounted for significant portions of between-subject variance with more positive perceptions of each variable being related to higher levels of pleasant feeling states and lower feelings of physical exhaustion. However, perceived physical function and general health perceptions did not influence feeling states that emerged in conjunction with physical activity. The present findings suggest that whereas daily fluctuations in feeling states are influenced by perceived physical function and general health perceptions, older adults with knee OA do not exhibit the improvements in feeling states that have often been observed following acute exercise in younger, more physically active populations.

[1]  S. Shumaker,et al.  Physical Activity and Health‐related Quality of Life , 1996, Exercise and sport sciences reviews.

[2]  S. Shiffman,et al.  Patient compliance with paper and electronic diaries. , 2003, Controlled clinical trials.

[3]  Rejeski Wj,et al.  Physical Activity and Health‐related Quality of Life , 1996, Exercise and sport sciences reviews.

[4]  Rejeski Wj,et al.  Aging and physical disability: on integrating group and individual counseling with the promotion of physical activity. , 2002 .

[5]  Joshua M. Smyth,et al.  Daily Mood Variability: Form of Diurnal Patterns and Determinants of Diurnal Patterns , 1996 .

[6]  R. Thayer,et al.  Measurement of Activation through Self-Report , 1967, Psychological reports.

[7]  H. Kuhs,et al.  Diurnal mood variation in melancholic patients and healthy controls. , 1996, Psychopathology.

[8]  Obese, older adults with knee osteoarthritis: weight loss, exercise, and quality of life. , 2002 .

[9]  J. Norris,et al.  Effects of baseline responses, in-task feelings, and duration of activity on exercise-induced feeling states in women. , 1995, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[10]  G. Affleck,et al.  Person and contextual features of daily stress reactivity: individual differences in relations of undesirable daily events with mood disturbance and chronic pain intensity. , 1994, Journal of personality and social psychology.

[11]  C. Wood,et al.  Diurnal Changes in Perceptions of Energy and Mood , 1992, Journal of the Royal Society of Medicine.

[12]  Ana V. Diez Roux.  Multilevel analysis in public health research , 2000 .

[13]  A. Stone,et al.  Strategies for analyzing ecological momentary assessment data. , 1998, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[14]  Joshua R. Shua-Haim,et al.  A Randomized Trial Comparing Aerobic Exercise and Resistance Exercise with a Health Education Program in Older Adults With Knee Osteoarthritis: The Fitness Arthritis and Seniors Trial (fast) , 1997 .

[15]  B. Reboussin,et al.  Contributions of acute bouts of vigorous physical activity to explaining diurnal variations in feeling states in active, middle-aged women. , 2000, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[16]  A. Wirz-Justice,et al.  Diurnal variation of mood in depression: Important or irrelevant? , 1993, Biological Psychiatry.

[17]  B. Penninx,et al.  Obese, older adults with knee osteoarthritis: weight loss, exercise, and quality of life. , 2002, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[18]  R. Thayer.  Toward a psychological theory of multidimensional activation (arousal) , 1978 .

[19]  E. Leibenluft,et al.  Diurnal variation in the direction of mood switches in patients with rapid-cycling bipolar disorder. , 1997, The Journal of clinical psychiatry.

[20]  W. Applegate,et al.  A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis. The Fitness Arthritis and Seniors Trial (FAST). , 1997, JAMA.

[21]  A. Bouhuys,et al.  A longitudinal study of diurnal mood variation in depression; characteristics and significance. , 1994, Journal of affective disorders.

[22]  David Watson,et al.  Diurnal variation in the Positive Affects , 1989 .

[23]  Influence of Quiet Rest and Acute Aerobic Exercise Performed in a Naturalistic Environment on Selected Psychological Responses , 2001 .

[24]  W. Jack Rejeski,et al.  The Exercise-Induced Feeling Inventory: Development and Initial Validation , 1993 .

[25]  J. Jaccard,et al.  Statistical analysis of temporal data with many observations: Issues for behavioral medicine data. , 1993 .

[26]  C. Lox,et al.  The Subjective Exercise Experiences Scale (SEES): Factorial Validity and Effects of Acute Exercise , 1994 .

[27]  Daniel W. Russell,et al.  The cognition–emotion process in achievement-related contexts. , 1979 .

[28]  W. Ettinger,et al.  The evaluation of pain in patients with knee osteoarthritis: the knee pain scale. , 1995, The Journal of rheumatology.

[29]  L. Gauvin,et al.  The Curse of Inactivity , 1997, Journal of health psychology.

[30]  G. Borg.  Borg's Perceived Exertion and Pain Scales , 1998 .

[31]  S. Shumaker,et al.  Knee osteoarthritis and health-related quality of life. , 1994, Medicine and science in sports and exercise.

[32]  J. Kellgren,et al.  Osteo-arthrosis and Disk Degeneration in an Urban Population * , 1958, Annals of the rheumatic diseases.

[33]  J. Norris,et al.  A naturalistic study of the impact of acute physical activity on feeling states and affect in women. , 1996, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[34]  E. McAuley,et al.  Physical Activity, Aging, and Psychological Well-Being , 1995 .

[35]  Michael J. Stones,et al.  Age Differences in Mood: Structure, Mean Level, and Diurnal Variation , 1994, Canadian Journal on Aging / La Revue canadienne du vieillissement.

[36]  H. Haug.  Prediction of sleep deprivation outcome by diurnal variation of mood , 1992, Biological Psychiatry.

[37]  Robert E. Thayer,et al.  Problem perception, optimism, and related states as a function of time of day (diurnal rhythm) and moderate exercise: Two arousal systems in interaction , 1987 .

[38]  John E. Ware,et al.  SF-36 physical and mental health summary scales : a user's manual , 1994 .

[39]  W. Rejeski,et al.  Aging and Physical Disability: On Integrating Group and Individual Counseling with the Promotion of Physical Activity , 2002, Exercise and sport sciences reviews.

[40]  J. Gill.  Hierarchical Linear Models , 2005 .

[41]  R. Thayer.  The biopsychology of mood and arousal , 1989 .

[42]  Anthony S. Bryk,et al.  Hierarchical Linear Models: Applications and Data Analysis Methods , 1992 .

[43]  W. Jack Rejeski,et al.  The unique and transient impact of acute exercise on pain perception in older, overweight, or obese adults with knee osteoarthritis , 2002, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[44]  W. Ettinger,et al.  Compliance to exercise therapy in older participants with knee osteoarthritis: implications for treating disability. , 1997, Medicine and science in sports and exercise.

[45]  K. Courneya,et al.  The Subjective Exercise Experiences Scale (SEES): Development and preliminary validation. , 1994 .

[46]  D. Watson,et al.  Development and validation of brief measures of positive and negative affect: the PANAS scales. , 1988, Journal of personality and social psychology.