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

Melanie R. Keats, Yunsong Cui, Vanessa DeClercq, Trevor J.B. Dummer, Cynthia Forbes, Scott A. Grandy, Jason Hicks, Ellen Sweeney, Zhijie Michael Yu, Louise Parker

Résultat de recherche: Articleexamen par les pairs

32 Citations (Scopus)

Résumé

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.

Langue d'origineEnglish
Pages (de-à)326-331
Nombre de pages6
JournalPreventive Medicine
Volume105
DOI
Statut de publicationPublished - déc. 2017

Note bibliographique

Funding Information:
This study was made possible through the financial support of the Canadian Partnership Against Cancer and Health Canada . Funding sources did not have any involvement in study design, analysis or interpretation, nor in the writing of the report or decision to submit this article for publication. The views expressed herein represent the views of the authors and do not necessarily represent the views of Health Canada. We would like to thank the Atlantic PATH participants who donated their time, personal health history and biological samples to this study. We would also like to thank the Atlantic PATH team members for data collection and management.

Publisher Copyright:
© 2017 Elsevier Inc.

ASJC Scopus Subject Areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

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