Quality of Life Research

, Volume 13, Issue 3, pp 667–677

Leisure time physical activity and health-related quality of life: Cross-sectional and longitudinal associations

  • G.C.W. Wendel-Vos
  • A.J. Schuit
  • M.A.R. Tijhuis
  • D. Kromhout
Article

Abstract

Studies that relate change in physical activity to change in health-related quality of life in the general population are needed to confirm associations suggested by cross-sectional studies. In the present study, cross-sectional as well as longitudinal associations between leisure time physical activity and health-related quality of life were studied in an apparently healthy population. The present study showed cross-sectional associations between at least moderately intense leisure time physical activity and general health perceptions, vitality, physical functioning and role limitations due to physical health problems. No associations were present for total leisure time physical activity. Change in leisure time physical activity was associated with change in social functioning in men as well as in women, irrespective of the intensity of physical activity. Only in men, change in total leisure time physical activity was associated with change in vitality and general mental health. In our study, cross-sectional associations were not confirmed by longitudinal analyses. Cross-sectional associations were mainly found for physical components of health-related quality of life, whereas longitudinal associations were predominantly observed for mental components of health-related quality of life. Confirmation of our results by those of other studies is needed in order to quantify health promotion messages.

Cross-sectional Gender Health-related Quality of life Longitudinal Physical activity 

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References

  1. 1.
    US Department of Health and Human Services. Physical activity and Health; a report of the Surgeon General. Atlanta, GA, US: Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, 1996.Google Scholar
  2. 2.
    Hildebrandt VH, Ooijendijk WTM, Stiggelbout M. Trend Report on Physical Activity and Health 1998/1999. Lelystad, NL: Koninklijke vermande, 1999; 109-117.Google Scholar
  3. 3.
    Health Education Authority. Moving on: International Perspectives on Promoting Physical Activity. London, UK: Health Education Authority, 1994; pp. 13-15.Google Scholar
  4. 4.
    Kemper HCG, Ooijendijk WTM, Stiggelbout M. Consensus about the Dutch physical activity guideline. Tijdschrift Voor Sociale Geneeskunde 2000; 78: 180-183.Google Scholar
  5. 5.
    Paffenbarger RS Jr, Hyde RT, Wing AL, Steinmetz CH. A natural history of athleticism and cardiovascular health. JAMA 1984; 252(4): 491-495.Google Scholar
  6. 6.
    Blair SN, Kohl HW 3rd, Barlow CE, Paffenbarger RS Jr, Gibbons LW, Macera CA. Changes in physical fitness and all-cause mortality. A prospective study of healthy and unhealthy men. JAMA 1995; 273(14): 1093-1098.Google Scholar
  7. 7.
    Morris JN, Clayton DG, Everitt MG, Semmence AM, Burgess EH. Exercise in leisure time: Coronary attack and death rates. Br Heart J 1990; 63(6): 325-334.Google Scholar
  8. 8.
    Kiely DK, Wolf PA, Cupples LA, Beiser AS, Kannel WB. Physical activity and stroke risk: The Framingham Study. Am J Epidemiol 1994; 140(7): 608-620.Google Scholar
  9. 9.
    Paffenbarger RS Jr, Jung DL, Leung RW, Hyde RT. Physical activity and hypertension: An epidemiological view. Ann Med 1991; 23(3): 319-327.Google Scholar
  10. 10.
    Giovannucci E, Ascherio A, Rimm EB, Colditz GA, Stampfer MJ, Willett WC. Physical activity, obesity, and risk for colon cancer and adenoma in men. Ann Intern Med 1995; 122(5): 327-334.Google Scholar
  11. 11.
    Bernstein L, Henderson BE, Hanisch R, Sullivan-Halley J, Ross RK. Physical exercise and reduced risk of breast cancer in young women. J Natl Cancer Inst 1994; 86(18): 1403-1408.Google Scholar
  12. 12.
    Albanes D, Blair A, Taylor PR. Physical activity and risk of cancer in the NHANES I population. Am J Public Health 1989; 79(6): 744-750.Google Scholar
  13. 13.
    Ellingson T, Conn VS. Exercise and quality of life in elderly individuals. J Gerontol Nurs 2000; 26(3): 17-25.Google Scholar
  14. 14.
    Rejeski WJ, Brawley LR, Shumaker SA. Physical activity and health-related quality of life. Exerc Sport Sci Rev 1996; 24: 71-108.Google Scholar
  15. 15.
    Weyerer S, Kupfer B. Physical exercise and psychological health. Sports Med 1994; 17(2): 108-116.Google Scholar
  16. 16.
    Damush TM, Damush JG Jr. The effects of strength training on strength and health-related quality of life in older adult women. Gerontologist 1999; 39(6): 705-710.Google Scholar
  17. 17.
    Berkhuysen MA, Nieuwland W, Buunk BP, Sanderman R, Viersma JW, Rispens P. Effect of high-vs. low-frequency exercise training in multidisciplinary cardiac rehabilitation on health-related quality of life. J Cardiopulm Rehabil 1999; 19(1): 22-28.Google Scholar
  18. 18.
    Fontaine KR, Barofsky I, Andersen RE, et al. Impact of weight loss on health-related quality of life. Qual Life Res 1999; 8(3): 275-277.Google Scholar
  19. 19.
    King AC, Pruitt LA, Phillips W, Oka R, Rodenburg A, Haskell WL. Comparative effects of two physical activity programs on measured and perceived physical functioning and other health-related quality of life outcomes in older adults. J Gerontol A Biol Sci Med Sci 2000; 55(2): M74-M83.Google Scholar
  20. 20.
    Painter P, Carlson L, Carey S, Paul SM, Myll J. Physical functioning and health-related quality-of-life changes with exercise training in hemodialysis patients. Am J Kidney Dis 2000; 35(3): 482-492.Google Scholar
  21. 21.
    Ruhland JL, Shields RK. The effects of a home exercise program on impairment and health-related quality of life in persons with chronic peripheral neuropathies. Phys Ther 1997; 77(10): 1026-1039.Google Scholar
  22. 22.
    Stewart AL, King AC, Haskell WL. Endurance exercise and health-related quality of life in 50-65 year-old adults. Gerontologist 1993; 33(6): 782-789.Google Scholar
  23. 23.
    Woodruff SI, Conway TL. A longitudinal assessment of the impact of health/fitness status and health behavior on perceived quality of life. Percept Mot Skills 1992; 75(1): 3-14.Google Scholar
  24. 24.
    Smit HA, Verschuren WMM, Bueno de Mesquita HB, et al. The monitoring project on risk factors for chronic diseases in the Netherlands (MORGEN-project). Aim and method. Bilthoven, the Netherlands: National Institute of Public Health and the Environment, 1994. Report No.: 263200001.Google Scholar
  25. 25.
    Verschuren WMM, van Leer EM, Blokstra A, et al. Cardiovascular disease risk factors in the Netherlands. Neth J Cardiol 1993; 6: 205-210.Google Scholar
  26. 26.
    Pols MA, Peeters PH, Ocke MC, Slimani N, Bueno de Mesquita HB, Collette HJ. Estimation of reproducibility and relative validity of the questions included in the EPIC Physical Activity Questionnaire. Int J Epidemiol 1997; 26(Suppl 1): S181-S189.Google Scholar
  27. 27.
    Powell KE, Thompson PD, Caspersen CJ, Kendrick JS. Physical activity and the incidence of coronary heart disease. Annu Rev Public Health 1987; 8: 253-287.Google Scholar
  28. 28.
    Ainsworth BE, Haskell WL, Leon AS, et al. Compendium of physical activities: Classification of energy costs of human physical activities. Med Sci Sports Exerc 1993; 25(1): 71-80.Google Scholar
  29. 29.
    Zee van der KI, Sanderman R. Het meten van de algemene gezondheidstoestand met de RAND-36: een handleiding. Groningen (The Netherlands): Noordelijk Centrum voor Gezondheidsvraagstukken, Rijksuniversiteit Groningen, 1993.Google Scholar
  30. 30.
    Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992; 30(6): 473-483.Google Scholar
  31. 31.
    Ware JE, Kosinski M, Keller SD. SF-36 Physical and Mental Health Summary Scales: A User's Manual. Boston: Health Assessment Lab, New England Medical Center, 1994.Google Scholar
  32. 32.
    Pate RR, Pratt M, Blair SN, et al. Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA 1995; 273(5): 402-407.Google Scholar
  33. 33.
    Heederik D, Brunekreef B. Meaning and analysis of associations between level and change of dependent variables in epidemiology. Tijdschrift Voor Sociale Gezondheidszorg 1985; 63(6): 229-232.Google Scholar
  34. 34.
    Leidy NK, Revicki DA, Geneste B. Recommendations for evaluating the validity of quality of life claims for labeling and promotion. Value Health 1999; 2(2): 113-127.Google Scholar
  35. 35.
    Revicki DA, Osoba D, Fairclough D, et al. Recommendations on health-related quality of life research to support labeling and promotional claims in the United States. Qual Life Res 2000; 9(8): 887-900.Google Scholar
  36. 36.
    Rose G. The Strategy of Preventive Medicine. Oxford, USA: Oxford University Press, 1992.Google Scholar
  37. 37.
    Brown WJ, Mishra G, Lee C, Bauman A. Leisure time physical activity in Australian women: Relationship with well being and symptoms. Res Q Exerc Sport 2000; 71(3): 206-216.Google Scholar
  38. 38.
    Laforge RG, Rossi JS, Prochaska JO, Velicer WF, Levesque DA, McHorney CA. Stage of regular exercise and health-related quality of life. Prev Med 1999; 28(4): 349-360.Google Scholar
  39. 39.
    Grufferman S. Complexity and the Hawthorne Effect in community trials. Epidemiology 1999; 10(3): 209-210.Google Scholar
  40. 40.
    Lied TR, Kazandjian VA. A Hawthorne strategy: Implications for performance measurement and improvement. Clin Perform Qual Health Care 1998; 6(4): 201-204.Google Scholar

Copyright information

© Kluwer Academic Publishers 2004

Authors and Affiliations

  • G.C.W. Wendel-Vos
    • 1
    • 2
  • A.J. Schuit
    • 1
  • M.A.R. Tijhuis
    • 1
  • D. Kromhout
    • 1
    • 2
  1. 1.Centre for Prevention and Health Services ResearchNational Institute of Public Health and the EnvironmentBilthovenThe Netherlands;
  2. 2.Division of Human Nutrition and EpidemiologyWageningen University1WageningenThe Netherlands

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