Effect of diagnosis with a chronic disease on physical activity behavior in middle-aged women

Manon L. Dontje, Wim Krijnen, Mathieu de Greef, Geeske Peeters, Ronald P. Stolk, Cees van der Schans, Wendy Brown

Research output: Contribution to journalArticleAcademicpeer-review

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.
Original languageEnglish
Pages (from-to)56-62
JournalPreventive medicine
Volume83
Issue numberFebruary
DOIs
Publication statusPublished - Feb 2016

Keywords

  • physical activity
  • chronic diseases
  • longitudinal research
  • older adults
  • women

Cite this

Dontje, Manon L. ; Krijnen, Wim ; de Greef, Mathieu ; Peeters, Geeske ; Stolk, Ronald P. ; van der Schans, Cees ; Brown, Wendy. / Effect of diagnosis with a chronic disease on physical activity behavior in middle-aged women. In: Preventive medicine. 2016 ; Vol. 83, No. February. pp. 56-62.
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title = "Effect of diagnosis with a chronic disease on physical activity behavior in middle-aged women",
abstract = "ObjectiveAlthough 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.MethodsData 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.ResultsAt 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.ConclusionDespite 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.",
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Effect of diagnosis with a chronic disease on physical activity behavior in middle-aged women. / Dontje, Manon L.; Krijnen, Wim; de Greef, Mathieu; Peeters, Geeske; Stolk, Ronald P.; van der Schans, Cees; Brown, Wendy.

In: Preventive medicine, Vol. 83, No. February, 02.2016, p. 56-62.

Research output: Contribution to journalArticleAcademicpeer-review

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AU - Krijnen, Wim

AU - de Greef, Mathieu

AU - Peeters, Geeske

AU - Stolk, Ronald P.

AU - van der Schans, Cees

AU - Brown, Wendy

N1 - Copyright © 2015 Elsevier Inc. All rights reserved.

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N2 - ObjectiveAlthough 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.MethodsData 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.ResultsAt 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.ConclusionDespite 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.

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KW - oudere volwassenen

KW - vrouwen

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KW - chronic diseases

KW - longitudinal research

KW - older adults

KW - women

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JO - Preventive medicine

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SN - 1096-0260

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