Physical Activity Levels, Correlates, and All-Cause Mortality Risk in People Living With Different Health Conditions.

Marks-Vieveen, Jenny M.; Uijtdewilligen, Léonie; Motazedi, Ehsan; Stijnman, Dominique P.M.; van den Akker-Scheek, Inge; Bouma, Adrie J.; Buffart, Laurien M.; de Groot, Vincent; de Hollander, Ellen; Jelsma, Judith G.M.; de Jong, Johan; van Keeken, Helco G.; Krops, Leonie A.; van der Leeden, Marike; Loer, Stephan A.; van Mechelen, Willem; van Nassau, Femke; Nauta, Joske; Verhagen, Evert; Wendel-Vos, Wanda

Background: To better understand physical activity behavior and its health benefits in people living with health conditions, we studied people with and without 20 different self-reported health conditions with regard to (1) their physical activity levels, (2) factors correlated with these physical activity levels, and (3) the association between physical activity and all-cause mortality. Methods: We used a subsample (n = 88,659) of the Lifelines cohort study from the Netherlands. For people living with and without 20 different self-reported health conditions, we studied the aforementioned factors in relation to physical activity. Physical activity was assessed with the Short Questionnaire to Assess Health-Enhancing Physical Activity Questionnaire, and mortality data were obtained from the Dutch death register. Results: People with a reported health condition were less likely to meet physical activity guidelines than people without a reported health condition (odds ratios ranging from 0.55 to 0.89). Higher body mass index and sitting time, and lower self-rated health, physical functioning, and education levels were associated with lower odds of meeting physical activity guidelines across most health conditions. Finally, we found a protective association between physical activity and all-cause mortality in both people living with and without different health conditions. Conclusion: People living with different health conditions are generally less physically active compared with people living without a health condition. Both people living with and without self-reported health conditions share a number of key factors associated with physical activity levels. We also observed the expected protective association between physical activity and all-cause mortality.

NETHERLANDS; PHYSICAL activity; MORTALITY; PHYSICAL mobility; HEALTH behavior; AT-risk people

Journal of Physical Activity & Health, 2024, Vol 21, Issue 4, p394

1543-3080

Academic Journal

10.1123/jpah.2023-0387