Health-related quality of life and intensity-specific physical activity in high-risk adults attending a behavior change service within primary care


Autoři: Ellen Eimhjellen Blom aff001;  Eivind Aadland aff001;  Guri Kaurstad Skrove aff003;  Ane Kristiansen Solbraa aff001;  Line Merethe Oldervoll aff002
Působiště autorů: Department of Sport, Food and Natural Sciences, Faculty of Education, Arts and Sports, Western Norway University of Applied Sciences, Sogndal, Norway aff001;  Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway aff002;  Department of Social Research, Møreforsking Molde AS, Molde, Norway aff003
Vyšlo v časopise: PLoS ONE 14(12)
Kategorie: Research Article
doi: 10.1371/journal.pone.0226613

Souhrn

Objectives

Health-related quality of life (HRQoL) is an important outcome for health interventions, such as physical activity (PA) promotion among high-risk populations. The aim of this study was to investigate levels of PA and HRQoL, and associations between PA and HRQoL, in participants attending a behavior change service within primary care in Norway.

Methods

Adult participants (≥ 18 years) from 32 Healthy Life Centers (HLCs) in four regions of Norway, who provided valid data on HRQoL (SF-36) and PA (ActiGraph accelerometer) were included (N = 835). HRQoL scores were compared to normative data by independent sample t-tests. Associations between eight dimensions of HRQoL and time spent sedentary (SED), in light PA (LPA) or in moderate to vigorous PA (MVPA) were determined using general linear models adjusted for relevant confounders.

Results

Nineteen percent of the participants (mean age 50; body mass index 32) met PA recommendations of > 150 min MVPA per week. SF-36 scores were 10 to 28 points lower than the norm (all p < 0.001). Positive associations were found between MVPA and the SF-36 dimensions physical functioning, role physical, general health and vitality, (all p < 0.045). LPA was positively associated with physical functioning, role physical, general health, vitality and role emotional (all p < 0.046). Time spent SED was negatively associated with physical functioning, general health, vitality, social functioning and mental health (all p < 0.030).

Conclusions

Individuals attending a Norwegian behavior change service within primary care had low PA level and low HRQoL compared to the general population. Our study suggest there is a positive dose-response relationship between PA and HRQoL, and a negative relationship between SED and HRQoL. Furthermore, that specific PA intensities and SED are related to different dimensions of HRQoL.

Klíčová slova:

Accelerometers – Body Mass Index – Elderly – Emotions – Mental health and psychiatry – Norwegian people – Physical activity – Quality of life


Zdroje

1. GBD 2017 Mortality Collaborators. Global, regional, and national age-sex-specific mortality and life expectancy, 1950–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392(10159):1684–735. doi: 10.1016/S0140-6736(18)31891-9 30496102

2. GBD 2017 Disease and injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392(10159):1789–858. doi: 10.1016/S0140-6736(18)32279-7 30496104

3. Fayers PM, Machin D. Quality of life: the assessment, analysis, and reporting of patient-reported outcomes. 3rd ed. Chichester, West Sussex, England: Wiley Blackwell; 2016. 651 p.

4. GBD Risk Factor Collaborators. Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392(10159):1923–94. doi: 10.1016/S0140-6736(18)32225-6 30496105

5. Pedersen BK, Saltin B. Exercise as medicine—evidence for prescribing exercise as therapy in 26 different chronic diseases. Scand J Med Sci Sports. 2015;25 Suppl 3:1–72.

6. Physical Activity Guidelines Advisory Committee. 2018 Physical Activity Guidelines Advisory Committee Scientific Report. Washington, DC: U.S. Department of Health and Human Services; 2018

7. Bize R, Johnson JA, Plotnikoff RC. Physical activity level and health-related quality of life in the general adult population: A systematic review. Prev Med. 2007;45(6):401–15. doi: 10.1016/j.ypmed.2007.07.017 17707498

8. Rejeski WJ, Mihalko SL. Physical activity and quality of life in older adults. J Gerontol A Biol Sci Med Sci. 2001;56 Spec No 2:23–35.

9. Pucci GC, Rech CR, Fermino RC, Reis RS. Association between physical activity and quality of life in adults. Rev Saude Publica. 2012;46(1):166–79. doi: 10.1590/s0034-89102012000100021 22249758

10. Warren JM, Ekelund U, Besson H, Mezzani A, Geladas N, Vanhees L. Assessment of physical activity—a review of methodologies with reference to epidemiological research: a report of the exercise physiology section of the European Association of Cardiovascular Prevention and Rehabilitation. Eur J Cardiovasc Prev Rehabil. 2010;17(2):127–39. doi: 10.1097/HJR.0b013e32832ed875 20215971

11. Sallis JF, Saelens BE. Assessment of physical activity by self-report: status, limitations, and future directions. Res Q Exerc Sport. 2000;71 Suppl 2:1–14.

12. Prince SA, Adamo KB, Hamel ME, Hardt J, Connor Gorber S, Tremblay M. A comparison of direct versus self-report measures for assessing physical activity in adults: a systematic review. Int J Behav Nutr Phys Act. 2008;5:56. doi: 10.1186/1479-5868-5-56 18990237

13. World Health Organization. Global recommendations on physical activity for health. Geneva, Switzerland; 2010

14. Bertheussen GF, Romundstad PR, Landmark T, Kaasa S, Dale O, Helbostad JL. Associations between physical activity and physical and mental health -a HUNT 3 study. Med Sci Sports Exerc. 2011;43(7):1220–8. doi: 10.1249/MSS.0b013e318206c66e 21131869

15. Ashe MC, Miller WC, Eng JJ, Noreau L. Older adults, chronic disease and leisure-time physical activity. Gerontology. 2009;55(1):64–72. doi: 10.1159/000141518 18566534

16. Keats MR, Cui Y, DeClercq V, Dummer TJB, Forbes C, Grandy SA, et al. Multimorbidity in Atlantic Canada and association with low levels of physical activity. Prev Med. 2017;105:326–31. doi: 10.1016/j.ypmed.2017.10.013 28987335

17. Buman MP, Hekler EB, Haskell WL, Pruitt L, Conway TL, Cain KL, et al. Objective light-intensity physical activity associations with rated health in older adults. Am J Epidemiol. 2010;172(10):1155–65. doi: 10.1093/aje/kwq249 20843864

18. Kim J, Im JS, Choi YH. Objectively measured sedentary behavior and moderate-to-vigorous physical activity on the health-related quality of life in US adults: The National Health and Nutrition Examination Survey 2003–2006. Qual Life Res. 2017;26(5):1315–26. doi: 10.1007/s11136-016-1451-y 27837382

19. Fox KR, Stathi A, McKenna J, Davis MG. Physical activity and mental well-being in older people participating in the Better Ageing Project. Eur J Appl Physiol. 2007;100(5):591–602. doi: 10.1007/s00421-007-0392-0 17285318

20. Ku PW, Fox KR, Liao Y, Sun WJ, Chen LJ. Prospective associations of objectively assessed physical activity at different intensities with subjective well-being in older adults. Qual Life Res. 2016;25(11):2909–19. doi: 10.1007/s11136-016-1309-3 27153854

21. Loprinzi PD. Joint associations of objectively-measured sedentary behavior and physical activity with health-related quality of life. Prev Med Rep. 2015;2:959–61. doi: 10.1016/j.pmedr.2015.11.004 26844174

22. Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet Glob Health. 2018;6(10):e1077–e86. doi: 10.1016/S2214-109X(18)30357-7 30193830

23. Tucker JM, Welk GJ, Beyler NK. Physical Activity in U.S. Adults: Compliance with the Physical Activity Guidelines for Americans. Am J Prev Med. 2011;40(4):454–61. doi: 10.1016/j.amepre.2010.12.016 21406280

24. Hansen BH, Kolle E, Steene-Johannessen J, Dalene KE, Ekelund U, Anderssen SA. Monitoring population levels of physical activity and sedentary time in Norway across the lifespan. Scand J Med Sci Sports. 2019;29(1):105–12. doi: 10.1111/sms.13314 30276928

25. World Health Organization. Global action plan for the prevention and control of noncommunicable diseases 2013–2020. Geneva: WHO; 2013

26. Helse- og omsorgsdepartementet. NCD-strategi 2013–2017. For forebygging, diagnostisering, behandling og rehabilitering av fire ikke-smittsomme folkesykdommer; hjerte- og karsykdommer, diabetes, kols og kreft [NCD-Strategy 2013–2017. For the prevention, diagnosis, treatment and rehabilitation of four noncommunicable diseases: cardiovascular disease, diabetes, COPD and cancer]. Oslo: Helse- og omsorgsdepartementet [Norwegian Ministery of Health and Care Services]; 2013–2017.

27. Helsedirektoratet. Veileder for kommunale frisklivssentraler. Etablering, organisering og tilbud [Recommendations for municipal healthy life centres]. Oslo: Helsedirektoratet [The Norwegian Directorate of Health]; 2016

28. Ekornrud T, Thonstad M. Frisklivssentralar i kommunane. Ei kartlegging og analyse av førebyggande og helsefremjande arbeid og tilbod i norske kommunar i perioden 2013–2016 [Healthy Life centres in the municipalities. A survey and analysis of health-promoting work and offers in Norwegian municipalities during the period 2013–2016]. Oslo—Kongsvinger: Statistics Norway; 2018

29. Samdal GB, Meland E, Eide GE, Berntsen S, Abildsnes E, Stea TH, et al. Participants at Norwegian Healthy Life Centres: Who are they, why do they attend and how are they motivated? A cross-sectional study. Scand J Public Health. 2018:1403494818756081.

30. Lerdal A, Celius EH, Pedersen G. Prescribed exercise: a prospective study of health-related quality of life and physical fitness among participants in an officially sponsored municipal physical training program. Journal Of Physical Activity & Health. 2013;10(7):1016–23.

31. Følling IS, Kulseng B, Midthjell K, Rangul V, Helvik A-S. Individuals at high risk for type 2 diabetes invited to a lifestyle program: characteristics of participants versus non-participants (the HUNT Study) and 24-month follow-up of participants (the VEND-RISK Study). BMJ Open Diabetes Res Care. 2017;5(1).

32. Blom EE, Oldervoll L, Aadland E, Solbraa AK, Skrove GK. Impact and implementation of Healthy Life Centres, a primary-care service intervention for behaviour change in Norway: Study design. Scand J Public Health. 2019:1403494819856832. doi: 10.1177/1403494819856832 31213167

33. Jacobsen EL, Bye A, Aass N, Fossa SD, Grotmol KS, Kaasa S, et al. Norwegian reference values for the Short-Form Health Survey 36: development over time. Qual Life Res. 2018;27(5):1201–12. doi: 10.1007/s11136-017-1684-4 28808829

34. Ware JE Jr. SF-36 health survey update. Spine (Phila Pa 1976). 2000;25(24):3130–9.

35. Ware JE, Snow KK, Kosinski M, Gandek B. SF-36 health survey. Manual and interpretation guide. Boston, Massachusets: The Health Institute, New England Medical Center Hospital; 1993.

36. Jacobsen EL, Bye A, Aass N, Fossa SD, Grotmol KS, Kaasa S, et al. Correction to: Norwegian reference values for the Short-Form Health Survey 36: development over time. Qual Life Res. 2018;27(5):1213–5. doi: 10.1007/s11136-017-1708-0 29168123

37. Plasqui G, Westerterp KR. Physical activity assessment with accelerometers: an evaluation against doubly labeled water. Obesity (Silver Spring). 2007;15(10):2371–9.

38. Aadland E, Ylvisåker E. Reliability of the Actigraph GT3X+ Accelerometer in Adults under Free-Living Conditions. PLOS ONE. 2015;10(8):e0134606. doi: 10.1371/journal.pone.0134606 26274586

39. Migueles JH, Cadenas-Sanchez C, Ekelund U, Delisle Nystrom C, Mora-Gonzalez J, Lof M, et al. Accelerometer Data Collection and Processing Criteria to Assess Physical Activity and Other Outcomes: A Systematic Review and Practical Considerations. Sports Med. 2017;47(9):1821–45. doi: 10.1007/s40279-017-0716-0 28303543

40. Hansen BH, Kolle E, Dyrstad SM, Holme I, Anderssen SA. Accelerometer-determined physical activity in adults and older people. Med Sci Sports Exerc. 2012;44(2):266–72. doi: 10.1249/MSS.0b013e31822cb354 21796052

41. Troiano RP, Berrigan D, Dodd KW, Masse LC, Tilert T, McDowell M. Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc. 2008;40(1):181–8. doi: 10.1249/mss.0b013e31815a51b3 18091006

42. Helsedirektoratet. Anbefalinger om kosthold, ernæring og fysisk aktivitet [Recommendations on diet, nutrition and physical activity]. Oslo: Helsedirektoratet [The Norwegian Directorate of Health]; 2014

43. Riise T, Moen BE, Nortvedt MW. Occupation, lifestyle factors and health-related quality of life: the Hordaland Health Study. J Occup Environ Med. 2003;45(3):324–32. doi: 10.1097/01.jom.0000052965.43131.c3 12661190

44. Wolin KY, Glynn RJ, Colditz GA, Lee IM, Kawachi I. Long-term physical activity patterns and health-related quality of life in U.S. women. Am J Prev Med. 2007;32(6):490–9. doi: 10.1016/j.amepre.2007.02.014 17533064

45. World Health Organization. Obesity: preventing and managing the global epidemic: report of a WHO Counsultation. Geneva, Switzerland: WHO; 2000

46. Sloan J, Symonds T, Vargas-Chanes D, Fridley B. Practical Guidelines for Assessing the Clinical Significance of Health-Related Quality of Life Changes within Clinical Trials. Drug Information Journal. 2003;37(1):23–31.

47. Norman GR, Sloan JA, Wyrwich KW. The truly remarkable universality of half a standard deviation: confirmation through another look. Expert Rev Pharmacoecon Outcomes Res. 2004;4(5):581–5. doi: 10.1586/14737167.4.5.581 19807551

48. LeFevre ML. Behavioral counseling to promote a healthful diet and physical activity for cardiovascular disease prevention in adults with cardiovascular risk factors: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med. 2014;161(8):587–93. doi: 10.7326/M14-1796 25155419

49. Campbell F, Holmes M, Everson-Hock E, Davis S, Buckley Woods H, Anokye N, et al. A systematic review and economic evaluation of exercise referral schemes in primary care: a short report. Health Technol Assess. 2015;19(60):1–110. doi: 10.3310/hta19600 26222987

50. Grossman DC, Bibbins-Domingo K, Curry SJ, Barry MJ, Davidson KW, Doubeni CA, et al. Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Cardiovascular Risk Factors: US Preventive Services Task Force Recommendation Statement. JAMA. 2017;318(2):167–74. doi: 10.1001/jama.2017.7171 28697260

51. Hansen BH, Anderssen SA, Steene-Johannessen J, Ekelund U, Nilsen AK, Andersen ID, et al. Fysisk aktivitet og sedat tid blant voksne og eldre i Norge—Nasjonal kartlegging 2014–2015 [Physical activity and sedentary time among adults and the elderly in Norway—National survey 2014–2015]. Oslo: Helsedirektoratet [The Norwegian Directorate of Health]; 2015

52. Norman GR, Sloan JA, Wyrwich KW. Interpretation of changes in health-related quality of life: the remarkable universality of half a standard deviation. Med Care. 2003;41(5):582–92. doi: 10.1097/01.MLR.0000062554.74615.4C 12719681

53. Alonso J, Ferrer M, Gandek B, Ware JE Jr., Aaronson NK, Mosconi P, et al. Health-related quality of life associated with chronic conditions in eight countries: results from the International Quality of Life Assessment (IQOLA) Project. Qual Life Res. 2004;13(2):283–98. doi: 10.1023/b:qure.0000018472.46236.05 15085901

54. Wang HM, Beyer M, Gensichen J, Gerlach FM. Health-related quality of life among general practice patients with differing chronic diseases in Germany: cross sectional survey. BMC Public Health. 2008;8:246. doi: 10.1186/1471-2458-8-246 18638419

55. Vuillemin A, Boini S, Bertrais S, Tessier S, Oppert J-M, Hercberg S, et al. Leisure time physical activity and health-related quality of life. Prev Med. 2005;41(2):562–9. doi: 10.1016/j.ypmed.2005.01.006 15917053

56. Wendel-Vos GCW, Schuit AJ, Tijhuis MAR, Kromhout D. Leisure Time Physical Activity and Health-Related Quality of Life: Cross-Sectional and Longitudinal Associations. Qual Life Res. 2004;13(3):667–77. doi: 10.1023/B:QURE.0000021313.51397.33 15130029

57. Brown DW, Brown DR, Heath GW, Balluz L, Giles WH, Ford ES, et al. Associations between physical activity dose and health-related quality of life. Med Sci Sports Exerc. 2004;36(5):890–6. doi: 10.1249/01.mss.0000126778.77049.76 15126726

58. Balboa-Castillo T, Leon-Munoz LM, Graciani A, Rodriguez-Artalejo F, Guallar-Castillon P. Longitudinal association of physical activity and sedentary behavior during leisure time with health-related quality of life in community-dwelling older adults. Health Qual Life Outcomes. 2011;9:47. doi: 10.1186/1477-7525-9-47 21708011


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2019 Číslo 12