Effects of the Swedish physical activity on prescription model on health-related quality of life in overweight older adults: a randomised controlled trial

Olsson, Sven Johan Gustav; Börjesson, Mats; Ekblom-Bak, Elin; Hemmingsson, Erik; Hellénius, Mai-Lis; Kallings, Lena

doi:10.1186/s12889-015-2036-3

Cited by 37 publications

(53 citation statements)

References 40 publications

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“…Moreover, adults with multiple chronic illnesses appeared to receive similar benefit from recommended levels of PA. These results are consistent with randomized controlled trials that have shown increases in PA with simultaneous increases in HRQOL [19,20,21,22]. These findings are further supported by studies that have shown increased HRQOL in physically active participants with chronic diseases [23][24][25][26][27][28][29].…”

Section: Odds Ratios (Ors)supporting

confidence: 80%

Physical Activity and Health-Related Quality of Life in Rural Adults with Chronic Disease

Hart¹

2017

AJMSM

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Purpose: The purpose of this study was to examine the relationship between Physical activity (PA) and health-related quality of life (HRQOL) in a large-scale population of rural adults with chronic disease. Methods: Data for this study came from the CDC's 2015 Behavioral Risk Factor Surveillance System (BRFSS). A total of N=65,492 rural adults 20+ years of age were included in the analysis. The main outcome variable was HRQOL as assessed by the CDC Healthy Days Index. Adults were categorized as "meeting" PA guidelines if they reported 150+ minutes of moderate-intensity PA per week and "not meeting" PA guidelines if they reported less than 150 minutes. Multiple logistic regression was used to compute odds ratios (ORs) and 95% confidence intervals (CIs) while adjusting for age, sex, race, and income. Results: Rural adults with at least one chronic disease and meeting recommended levels of PA were significantly more likely to report good HRQOL (72.5%; 70.7-74.3) than their less active counterparts (58.1%; 56.4-59.7, p<.001). Those meeting recommended levels of PA had greater odds of good HRQOL regardless of reporting diabetes (OR=1.58; 95% CI: 1.31-1.91), COPD (1.49; 1.20-1.85), cancer (1.79; 1.43-2.22), stroke (1.73; 1.30-2.31), heart disease (1.52; 1.18-1.96), or heart attack (1.68; 1.32-2.15). Additionally, the same increased odds were seen across rural adults reporting 1 (1.59; 1.34-1.88), 2 (1.64; 1.28-2.11), and 3+ (1.52; 1.13-2.05) chronic diseases. Conclusions: Results from this study indicate that meeting recommended levels of PA is strongly associated with optimal levels of HRQOL among rural adults with chronic disease.

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Section: Odds Ratios (Ors)supporting

confidence: 80%

Physical Activity and Health-Related Quality of Life in Rural Adults with Chronic Disease

Hart¹

2017

AJMSM

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“…As we know, mental health disorders are major contributors to the global burden of disease and their inverse relationship with physical activity is widely accepted [28] [29]. In Sweden, Olsson et al [30] found a significant effect of physical activity on prescriptions during a 6-month intervention and significantly improved health-related QoL in overweight adults. Even in a study of very elderly (85-year-olds), significant associations were found between QoL and physical fitness [31].…”

Section: Discussionmentioning

confidence: 99%

Evidence of Specific Healthy Behaviors Positively Associated with General Life Satisfaction among Rural Adults

Lin¹,

Chen²,

Chiu³

et al. 2016

OJPM

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Background: Chronic diseases are the leading causes of death worldwide. Evidence suggests that infrequent adopting healthy behaviors correlated with many chronic diseases. Healthy behaviors can lead to a marked reduction of morbidity and mortality. Life satisfaction is an important parameter of well-being. Few studies have focused on the association between healthy behaviors and life satisfaction among adults in rural areas. Aim: To establish the determinant and modifiable lifestyle factors associated with life satisfaction among rural adults. Methods: We analyzed our previous health promotion program in a rural area in 2013 obtained from 27 villages (n = 8024) in Yunlin County, Taiwan. The assessment comprised one question assessing self-reported life satisfaction on a 5-point scale (dichotomous: low satisfaction/high satisfaction) and four domainspecific items of health-related behaviors (smoking, oral hygiene, exercise, healthy diet). Logistic regression was used to examine the association between health-related behaviors and life satisfaction adjusted for age, sex, and education. Findings: The mean age was 47.6 years (SD = 16.2), and 56.7% (n = 4551) of the participants were female. Participants with lower life satisfaction reported frequently perceived dissatisfaction with sleep quality (p < 0.001) and health status (p < 0.001). After adjusting for potential confounding variables, the associated risk factors for lower life satisfaction were smoking (OR = 1.20, p = 0.006), less frequently adopted healthy behaviors including dental check (OR = 1.23, p < 0.001), infrequent teeth brushing (OR = 1.12, p = 0.022), infrequent use of dental floss (OR = 1.12, p = 0.028), infrequent consumption of a balanced diet (OR = 1.64, p < 0.001), insufficient vegetable intake (OR = 1.19, p = 0.001), insufficient water intake (OR = 1.14, p = 0.009), and infrequent regular exercise (OR = 1.26, p < 0.001). Conclusions: The * Corresponding author. M.-S. Lin et al. 162 findings showed that many adults did not adopt healthy habits in their life. This study identified significant unhealthy behaviors associated with lower life satisfaction, including cigarette smoking, unhealthy diet, poor oral hygiene, and physical inactivity. The enhancement of health promotion programs to improve life satisfaction through decreasing unhealthy habits is necessary for rural adults.

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“…listening to the patient's perspective, offering specific encouragement) were well aligned with those advocated for fostering autonomous motivation in exercise settings 46,51 . Such communication strategies share similarities with motivational interviewing 52 , which has been shown to be effective when implemented as part of an ERS 53 . Therefore upskilling referring HPs and family members in MI techniques (e.g.…”

Section: Interpersonal Levelmentioning

confidence: 99%

Factors influencing patient uptake of an exercise referral scheme: a qualitative study

Birtwistle

Ashcroft

Murphy

et al. 2018

Health Education Research

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Exercise referral schemes aim to increase physical activity amongst inactive individuals with or at risk of long-term health conditions. Yet many patients referred to these schemes (by health professionals) fail to take up the exercise opportunities on offer. Understanding factors influencing uptake to exercise referral schemes may help improve future attendance. Using the Socio-Ecological Model as a framework, this qualitative study aimed to explore factors influencing uptake to an exercise referral scheme based in the North West of England. Semi-structured interviews were conducted with referred patients (n=38) about their reasons for referral, interactions with referring health professionals, events following referral and ideas to improve future uptake. Data were analysed thematically and mapped onto the constructs of the Socio-Ecological Model. Factors reported to influence uptake included intrapersonal (past PA experiences, motivation, competing priorities), interpersonal (scheme explanations, support) and organisational influences (scheme promotion, communication between service, cost). Whilst several intrapersonal-level factors influenced patient decisions to uptake the exercise referral scheme, modifiable interpersonal and organisational factors were identified as potential targets for intervention. Recommendations are made for improving awareness of exercise referral schemes and for enhancing communication between referring practitioners, patients and referral scheme staff.

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Effects of the Swedish physical activity on prescription model on health-related quality of life in overweight older adults: a randomised controlled trial

Cited by 37 publications

References 40 publications

Physical Activity and Health-Related Quality of Life in Rural Adults with Chronic Disease

Physical Activity and Health-Related Quality of Life in Rural Adults with Chronic Disease

Evidence of Specific Healthy Behaviors Positively Associated with General Life Satisfaction among Rural Adults

Factors influencing patient uptake of an exercise referral scheme: a qualitative study

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