Physical activity and health-related quality of life: US adults with and without limitations
- 755 Downloads
The purpose of this study was to examine the dose–response relationship between physical activity (PA) and health-related quality of life (HRQOL) among adults with and without limitations.
We dichotomized HRQOL as ≥14 unhealthy (physical or mental) days (past 30 days), or <14 unhealthy days. By using a moderate-intensity minute equivalent, PA categories were as follows: inactive, 10–60, 61–149, 150–300, and >300 min/week. Persons with limitations reported having problems that limited their activities or required use of special equipment. Age-adjusted prevalence estimates and logistic regression analyses were performed with 2009 Behavioral Risk Factor Surveillance System data (n = 357,665), controlling for demographics, BMI, smoking, and heavy alcohol use.
For adults without limitations, the odds of ≥14 unhealthy days were lower among adults obtaining any PA (10–60 min/week, AOR = 0.79, 95 % CI 0.70, 0.88), compared with those inactive. A quadratic trend (P < 0.001) indicated enhanced HRQOL with each PA level, but improvements were less marked between lower and upper sufficient PA categories (150-300 and >300 min/week). Because of a significant age interaction, persons with limitations were stratified by age (18–34, 35–64, and 65+ years). Findings for persons aged 35 years or older with limitations were similar to those without limitations. Lower odds of poor HRQOL for persons aged 18–34 years with limitations were associated with recommended levels of PA (150–300 min/week; AOR = 0.61, 95 % CI 0.43, 0.88 and >300 min/week; AOR = 0.58, 95 % CI 0.43, 0.80).
PA is positively associated with HRQOL among persons with and without limitations.
KeywordsExercise Well-being Unhealthy days Disability status
The authors have no funding sources to declare that may bias reporting of the findings and conclusion of the study. The authors do not have any professional relationships with companies or manufacturers that would benefit from the results of the present study. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention (CDC).
- 2.Centers for Disease Control and Prevention. (2000). Measuring healthy days: Population assessment of health-related quality of life. Centers for Disease Control and Prevention. http://www.cdc.gov/hrqol/pdfs/mhd.pdf. Accessed 28 Jan 2014.
- 4.Brown, D. W., Balluz, L. S., Heath, G. W., Moriarty, D. G., Ford, E. S., Giles, W. H., et al. (2003). Associations between recommended levels of physical activity and health-related quality of life: Findings from the 2001 Behavioral Risk Factor Surveillance System (BRFSS) survey. Preventive Medicine, 37, 520–528.PubMedCrossRefGoogle Scholar
- 6.Brown, D. W., Brown, D. R., Heath, G. W., Moriarty, D. G., Balluz, L. S., & Giles, W. H. (2006). Relationships between engaging in recommended level of physical activity and health-related quality of life among hypertensive adults. Journal of Physical Activity and Health, 3, 137–147.Google Scholar
- 11.Balboa-Castillo, T., Leon-Munoz, L., Graciani, A., Rodriquez-Artalrjo, F., & Guallar-Castillon, P. (2011). Longitudinal association of physical activity and sedentary behavior during leisure time with health-related quality of life in community dwelling older adults. Health and Quality of Life Outcomes, 9, 47.PubMedCentralPubMedCrossRefGoogle Scholar
- 14.U.S. Department of Health and Human Services. (2008). 2008 Physical Activity Guidelines for Americans. US Department of Health and Human Services, Hyattsville, (MD): p. vii, 7, and 22. http://www.health.gov/PAGuidelines. Accessed 28 Jan 2014.
- 16.Centers for Disease Control and Prevention. (2008). Prevalence of self-reported physically active adults—United States 2007. MMWR., 57(48), 1297–1300.Google Scholar
- 17.Loustalot, F., Carlson, S. A., Fulton, J. E., Kruger, J., Galuska, D. A., & Lobelo, F. (2009). Prevalence of self-reported aerobic physical activity among US states and territories: Behavioral Risk Factor Surveillance System, 2007. Journal of Physical Activity and Health, 6(S1), S9–S17.PubMedGoogle Scholar
- 18.Centers for Disease Control and Prevention. (2007). Physical activity among adults with a disability—United States 2005. MMWR, 56(39), 1021–1024.Google Scholar
- 19.National Institutes of Health. (1998). Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. Bethesda, MD: National Heart, Lung, and Blood Institute.Google Scholar
- 20.Research Triangle Institute. (2009). Research Triangle Park, (NC) SUDAAN Statistical Software. Release 10.0. http://www.rti.org/sudaan. Accessed 28 Jan 2014.
- 22.US Department of Health and Human Services. (2000). Healthy people 2010. 2nd ed. with understanding and improving health and objectives for improving health. 2 vols. U.S. Government Printing Office, Washington, (DC): p. 22-9 and 22-11; http://www.healthypeople.gov. Accessed 28 Jan 2014.
- 23.Centers for Disease Control and Prevention. (2007). Comparability of data: BRFSS 2007. US Department of Health and Human Services, CDC. http://www.cdc.gov/brfss/technical_infodata/surveydata/2007/compare_07.rtf. Accessed 28 Jan 2014.
- 24.Fahimi, M., Link, M., Schwartz, D., Levy, P., & Mokdad, A. (2008). Tracking chronic disease and risk behavior prevalence as survey participation declines: statistics from the Behavioral Risk Factor Surveillance System and other national surveys. Preventing Chronic Disease, 5(3), A80. http://www.cdc.gov/pcd/issues/2008/jul/07_0097.htm. Accessed 28 Jan 2014.