@article{ajmsm2017535,
author={Hart, Peter D.},
title={Physical Activity and Health-Related Quality of Life in Rural Adults with Chronic Disease},
journal={American Journal of Medical Sciences and Medicine},
volume={5},
number={3},
pages={62--66},
year={2017},
url={http://pubs.sciepub.com/ajmsm/5/3/5},
issn={2327-6657},
abstract={<b>Purpose</b>: 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. <b>Methods</b>: 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. <b>Results</b>: 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&lt;.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. <b>Conclusions</b>: 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.},
doi={10.12691/ajmsm-5-3-5}
publisher={Science and Education Publishing}
}