Multimorbidity in Atlantic Canada and association with low levels of physical activity

Owing to an aging population and medical advances, the anticipated growth and prevalence of multimorbidity has been recognized as a significant challenge and priority in health care settings. Although physical activity has been shown to play a vital role in the primary and secondary prevention of ch...

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Veröffentlicht in:Preventive medicine 2017-12, Vol.105, p.326-331
Hauptverfasser: Keats, Melanie R., Cui, Yunsong, DeClercq, Vanessa, Dummer, Trevor J.B., Forbes, Cynthia, Grandy, Scott A., Hicks, Jason, Sweeney, Ellen, Yu, Zhijie Michael, Parker, Louise
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container_end_page 331
container_issue
container_start_page 326
container_title Preventive medicine
container_volume 105
creator Keats, Melanie R.
Cui, Yunsong
DeClercq, Vanessa
Dummer, Trevor J.B.
Forbes, Cynthia
Grandy, Scott A.
Hicks, Jason
Sweeney, Ellen
Yu, Zhijie Michael
Parker, Louise
description Owing to an aging population and medical advances, the anticipated growth and prevalence of multimorbidity has been recognized as a significant challenge and priority in health care settings. Although physical activity has been shown to play a vital role in the primary and secondary prevention of chronic disease, much less is known about the relationship between physical activity and multimorbidity. The objective of the present study was to examine the relationship between physical activity levels and multimorbidity in male and female adults after adjusting for key demographic, geographical, and lifestyle factors. The study drew data from a prospective cohort in Atlantic Canada (2009–2015). The sample included 18,709 participants between the ages of 35–69. Eighteen chronic diseases were identified. Physical activity levels were estimated based on the long form of the International Physical Activity Questionnaire. Using logistic regression analysis, we found that multimorbid individuals were significantly more likely to be physically inactive (OR=1.26; 95% CI 1.10, 1.44) after adjusting for key sociodemographic and lifestyle characteristics. Additional stratified analyses suggest that the magnitude of the effect between multimorbidity and physical activity was stronger for men (OR=1.41; 95% CI 1.12, 1.79) than women (OR=1.18; CI 1.00, 1.39) and those living in rural (OR=1.43; CI 1.10, 1.85) versus urban (OR=1.20; CI 1.02, 141) areas. Given the generally low levels of physical activity across populations and a growing prevalence of multimorbidity, there is a need for a prospective study to explore causal associations between physical activity, multimorbidity, and health outcomes. •Thirty-eight percent of participants reported having two or more chronic diseases.•Women were more likely to report multimordibity.•Multimorbid individuals were more likely to be physically inactive.•Importance of physical activity for multimorbid individuals highlighted.•Optimal physical activity prescription and intervention strategies are needed.
doi_str_mv 10.1016/j.ypmed.2017.10.013
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Additional stratified analyses suggest that the magnitude of the effect between multimorbidity and physical activity was stronger for men (OR=1.41; 95% CI 1.12, 1.79) than women (OR=1.18; CI 1.00, 1.39) and those living in rural (OR=1.43; CI 1.10, 1.85) versus urban (OR=1.20; CI 1.02, 141) areas. 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Additional stratified analyses suggest that the magnitude of the effect between multimorbidity and physical activity was stronger for men (OR=1.41; 95% CI 1.12, 1.79) than women (OR=1.18; CI 1.00, 1.39) and those living in rural (OR=1.43; CI 1.10, 1.85) versus urban (OR=1.20; CI 1.02, 141) areas. 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Additional stratified analyses suggest that the magnitude of the effect between multimorbidity and physical activity was stronger for men (OR=1.41; 95% CI 1.12, 1.79) than women (OR=1.18; CI 1.00, 1.39) and those living in rural (OR=1.43; CI 1.10, 1.85) versus urban (OR=1.20; CI 1.02, 141) areas. 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subjects Adult
Aged
Canada
Chronic disease
Chronic Disease - prevention & control
Cohort study
Exercise - physiology
Female
Geography
Health Behavior
Health Surveys
Humans
Life Style
Male
Middle Aged
Multimorbidity
Multimorbidity - trends
Physical activity
title Multimorbidity in Atlantic Canada and association with low levels of physical activity
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