Manon L Dontje1, Wim P Krijnen2, Mathieu H G de Greef3, Geeske G M E E Peeters4, Ronald P Stolk5, Cees P van der Schans6, Wendy J Brown7. 1. Hanze University of Applied Sciences, Healthy Ageing, Allied Health Care and Nursing, Groningen, The Netherlands; University of Groningen, University Medical Center Groningen, Department of Epidemiology, Groningen, The Netherlands. Electronic address: m.l.dontje@alumnus.rug.nl. 2. Hanze University of Applied Sciences, Healthy Ageing, Allied Health Care and Nursing, Groningen, The Netherlands. Electronic address: w.p.krijnen@pl.hanze.nl. 3. Hanze University of Applied Sciences, Healthy Ageing, Allied Health Care and Nursing, Groningen, The Netherlands; University of Groningen, University Medical Center Groningen, Center for Human Movement Sciences, Groningen, The Netherlands. Electronic address: m.h.g.de.greef@pl.hanze.nl. 4. The University of Queensland, School of Population Health, Brisbane, Australia; The University of Queensland, School of Human Movement Studies, Brisbane, Australia. Electronic address: g.peeters@uq.edu.au. 5. University of Groningen, University Medical Center Groningen, Department of Epidemiology, Groningen, The Netherlands. Electronic address: r.p.stolk@umcg.nl. 6. Hanze University of Applied Sciences, Healthy Ageing, Allied Health Care and Nursing, Groningen, The Netherlands; University of Groningen, University Medical Center Groningen, Department of Rehabilitation, Groningen, The Netherlands. Electronic address: c.p.van.der.schans@pl.hanze.nl. 7. The University of Queensland, School of Human Movement Studies, Brisbane, Australia. Electronic address: wbrown@uq.edu.au.
Abstract
OBJECTIVE: Although regular physical activity is an effective secondary prevention strategy for patients with a chronic disease, it is unclear whether patients change their daily physical activity after being diagnosed. Therefore, the aims of this study were to (1) describe changes in levels of physical activity in middle-aged women before and after diagnosis with a chronic disease (heart disease, diabetes, asthma, breast cancer, arthritis, depression); and to (2) examine whether diagnosis with a chronic disease affects levels of physical activity in these women. METHODS: Data from 5 surveys (1998-2010) of the Australian Longitudinal Study on Women's Health (ALSWH) were used. Participants (N=4840, born 1946-1951) completed surveys every three years, with questions about diseases and leisure time physical activity. The main outcome measure was physical activity, categorized as: nil/sedentary, low active, moderately active, highly active. RESULTS: At each survey approximately half the middle-aged women did not meet the recommended level of physical activity. Between consecutive surveys, 41%-46% of the women did not change, 24%-30% decreased, and 24%-31% increased their physical activity level. These proportions of change were similar directly after diagnosis with a chronic disease, and in the years before or after diagnosis. Generalized estimating equations showed that there was no statistically significant effect of diagnosis with a chronic disease on levels of physical activity in women. CONCLUSION: Despite the importance of physical activity for the management of chronic diseases, most women did not increase their physical activity after diagnosis. This illustrates a need for tailored interventions to enhance physical activity in newly diagnosed patients.
OBJECTIVE: Although regular physical activity is an effective secondary prevention strategy for patients with a chronic disease, it is unclear whether patients change their daily physical activity after being diagnosed. Therefore, the aims of this study were to (1) describe changes in levels of physical activity in middle-aged women before and after diagnosis with a chronic disease (heart disease, diabetes, asthma, breast cancer, arthritis, depression); and to (2) examine whether diagnosis with a chronic disease affects levels of physical activity in these women. METHODS: Data from 5 surveys (1998-2010) of the Australian Longitudinal Study on Women's Health (ALSWH) were used. Participants (N=4840, born 1946-1951) completed surveys every three years, with questions about diseases and leisure time physical activity. The main outcome measure was physical activity, categorized as: nil/sedentary, low active, moderately active, highly active. RESULTS: At each survey approximately half the middle-aged women did not meet the recommended level of physical activity. Between consecutive surveys, 41%-46% of the women did not change, 24%-30% decreased, and 24%-31% increased their physical activity level. These proportions of change were similar directly after diagnosis with a chronic disease, and in the years before or after diagnosis. Generalized estimating equations showed that there was no statistically significant effect of diagnosis with a chronic disease on levels of physical activity in women. CONCLUSION: Despite the importance of physical activity for the management of chronic diseases, most women did not increase their physical activity after diagnosis. This illustrates a need for tailored interventions to enhance physical activity in newly diagnosed patients.
Authors: Daniel Collado-Mateo; Ana Myriam Lavín-Pérez; Cecilia Peñacoba; Juan Del Coso; Marta Leyton-Román; Antonio Luque-Casado; Pablo Gasque; Miguel Ángel Fernández-Del-Olmo; Diana Amado-Alonso Journal: Int J Environ Res Public Health Date: 2021-02-19 Impact factor: 3.390
Authors: Ludimila Forechi; José Geraldo Mill; Rosane Härter Griep; Itamar Santos; Francisco Pitanga; Maria Del Carmen Bisi Molina Journal: Rev Saude Publica Date: 2018-04-09 Impact factor: 2.106