Device-Assessed Physical Activity and Sedentary Behaviors in Canadians with Chronic Disease(s): Findings from the Canadian Health Measures Survey

Abstract

Physical activity and sedentary behaviors (SB) are major determinants of quality of life in adults with one or more chronic disease(s). The aim of this study is to compare objectively measured physical activity and SB in a representative sample of Canadian adults with and without chronic disease(s). The Canadian Health Measures Survey (CHMS) (2007–2013) was used in this study. Daily time spent in physical activities and sedentary behaviors were assessed by an accelerometer in Canadians aged 35–79 years. Data are characterized as daily mean time spent in moderate-to-vigorous physical activity (MVPA), light physical activity (LPA), steps accumulated per day and SB. Chronic diseases (chronic obstructive pulmonary disease, diabetes, heart diseases, cancer) were assessed via self-report diagnostic or laboratory data. Weighted multivariable analyses of covariance comparing physical activity and SB variables among adults without and with chronic disease(s) were conducted; 6270 participants were included. Analyses indicated that 23.9%, 4.9% and 0.5% had one, two, and three or more chronic diseases. Adults with two and more chronic diseases had significantly lower daily duration of MVPA and LPA, daily step counts, and higher daily duration of SB compared to adults without chronic diseases. Interventions targeting physical activity improvement and SB reduction might be beneficial for Canadian multimorbid adults.

Active With Whom? Examining the Social Context of Physical Activity in Individuals After Stroke and Their Partners

“…As a strength, the current study collected self-report data on physical activity companions and objectively measured movement intensity in the daily lives of individuals after stroke and their partners over 14 days. Walking capacity (gait speed) and average MVPA per day in individuals after stroke who participated in our study were comparable to population averages ( 51 , 71 ). Furthermore, the sample was relatively diverse with respect to education and living environments (rural vs. metropolitan).…”

“… 1 This number compares to average MVPA per day as measured by accelerometer for Canadian adults living with a chronic disease [15.6 min/day; ( 51 )]. …”

Objectively measured physical activity levels and adherence to physical activity guidelines in people with multimorbidity—A systematic review and meta-analysis

“…Although challenged by the lack of available evidence, higher levels of daily MVPA and LPA and lower levels of SB were found than previously reported in people with multimorbidity. In a Canadian cohort study, Hains-Monfette et al [ 57 ] reported that people with two chronic conditions performed a daily average of 10 minutes of MVPA, 171 minutes of LPA and 580 minutes of SB. These results were based on an adult population with somewhat similar chronic conditions (heart disease, diabetes, and cancer and/or COPD) to the ones included in this review.…”

Antidepressant medication use and objectively measured physical activity and sedentary behaviors in adults: A cross-sectional analysis of a nationally representative sample of Canadian adults

“…Moreover, it has been demonstrated that physical diseases were associated to less daily time spent in PA Hains-Monfette et al, 2019).…”