Physical Activity in Adults with Hemophilic Arthropathy

Adult patients with hemophilia on prophylaxis in Spain were able to walk about 10,000 steps a day without risk of bleeding

WFH 2016 (Orlando, July 24-28): Physical activity is known to impact functional limitations that are caused by worsening joints due in conditions like osteoarthritis and hemophilic arthropathy. In a poster presented at the World Federation of Hemophilia, results were presented of a study to quantify the amount of daily physical activity performed by adults with hemophilic arthropathy receiving secondary prophylaxis under supervision of the treatment center (hematologist and physical therapist). In this study, daily level of physical activity was measured in 20 adult patients with severe hemophilia A from an HTC in Spain using a Fitbit Charge HR activity wristband. The wristband was to be worn all day to monitor distance, heart rate and calories burned from walking. The study showed that patients selected to participate in the study (based upon inclusion criteria and HTC evaluation) were able to walk about 10,000 steps a day and perform 424 minutes of moderate-intensity activity a week on prophylaxis without risk of breakthrough bleeding. This appropriately aligns with the World Health Organization (WHO) guidelines, which suggest that adults aged 18 to 64 should accumulate at least 150 minutes a week of moderate-intensity aerobic physical activity to remain healthy and to mitigate decreased functional limitations. Any plans for physical activity in patients with bleeding disorders should be individualized based upon discussions with the hemophilia treatment center team.