Chronic physical conditions, multimorbidity and physical activity across 46 low- and middle-income countries.

BACKGROUND: There are no nationally representative population-based studies investigating the relationship between physical activity, chronic conditions and multimorbidity (i.e., two or more chronic conditions) in low- and middle-income countries (LMICs), and studies on a multi-national level are la...

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Autores: Vancampfort D, Koyanagi A, Ward PB, Rosenbaum S, Schuch FB, Mugisha J, Richards J, Firth J, Stubbs B
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:España
Institución:Fundació Sant Joan de Déu
Repositorio:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
OAI Identifier:oai:fsjd.fundanetsuite.com:p10715
Acceso en línea:https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=10715
Access Level:acceso abierto
Palabra clave:*Angina pectoris
*Arthritis
*Depression
*Diabetes mellitus
*Mobility limitation
*Multimorbidity
*Pain
*Physical activity
*Sleep
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spelling Chronic physical conditions, multimorbidity and physical activity across 46 low- and middle-income countries.Vancampfort DKoyanagi AWard PBRosenbaum SSchuch FBMugisha JRichards JFirth JStubbs B*Angina pectoris*Arthritis*Depression*Diabetes mellitus*Mobility limitation*Multimorbidity*Pain*Physical activity*SleepBACKGROUND: There are no nationally representative population-based studies investigating the relationship between physical activity, chronic conditions and multimorbidity (i.e., two or more chronic conditions) in low- and middle-income countries (LMICs), and studies on a multi-national level are lacking. This is an important research gap, given the rapid increase in the prevalence of chronic diseases associated with lifestyle changes in these countries. This cross-sectional study aimed to assess the association between chronic conditions, multimorbidity and low physical activity (PA) among community-dwelling adults in 46 LMICs, and explore the mediators of these relationships. METHODS: World Health Survey data included 228,024 adults aged =18 years from 46 LMICs. PA was assessed by the International Physical Activity Questionnaire (IPAQ). Nine chronic physical conditions (chronic back pain, angina, arthritis, asthma, diabetes, hearing problems, tuberculosis, visual impairment and edentulism) were assessed. Multivariable logistic regression and mediation analyses were used to assess the association between chronic conditions or multimorbidity and low PA. RESULTS: Overall, in the multivariable analysis, arthritis (OR = 1.12), asthma (1.19), diabetes (OR = 1.33), edentulism (OR = 1.46), hearing problems (OR = 1.90), tuberculosis (OR = 1.24), visual impairment (OR = 2.29), multimorbidity (OR = 1.31; 95% CI = 1.21-1.42) were significantly associated with low PA. More significant associations were observed in individuals aged =50 years. In older adults, depression mediated between 5.1% (visual impairment) to 23.5% (angina) of the association between a chronic condition and low PA. Mobility difficulties explained more than 25% of the association for seven of the eight chronic conditions. Pain was a strong mediator for angina (65.9%) and arthritis (64.9%), while sleep problems mediated up to 43.7% (angina) of the association. CONCLUSIONS: In LMICs, those with chronic conditions and multimorbidity are significantly less physically active (especially older adults). Research on the efficacy and effectiveness of PA in the management of chronic diseases in LMICs is urgently needed. Targeted promotion of physical activity to populations in LMICs experiencing chronic conditions may ameliorate associated depression, mobility difficulties and pain that are themselves important barriers for initiating or adopting an active lifestyle.BMC2017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=10715International Journal of Behavioral Nutrition and Physical ActivityISSN: 14795868reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déuinstname:Fundació Sant Joan de DéuInglésinfo:eu-repo/semantics/openAccessoai:fsjd.fundanetsuite.com:p107152026-05-27T12:37:41Z
dc.title.none.fl_str_mv Chronic physical conditions, multimorbidity and physical activity across 46 low- and middle-income countries.
title Chronic physical conditions, multimorbidity and physical activity across 46 low- and middle-income countries.
spellingShingle Chronic physical conditions, multimorbidity and physical activity across 46 low- and middle-income countries.
Vancampfort D
*Angina pectoris
*Arthritis
*Depression
*Diabetes mellitus
*Mobility limitation
*Multimorbidity
*Pain
*Physical activity
*Sleep
title_short Chronic physical conditions, multimorbidity and physical activity across 46 low- and middle-income countries.
title_full Chronic physical conditions, multimorbidity and physical activity across 46 low- and middle-income countries.
title_fullStr Chronic physical conditions, multimorbidity and physical activity across 46 low- and middle-income countries.
title_full_unstemmed Chronic physical conditions, multimorbidity and physical activity across 46 low- and middle-income countries.
title_sort Chronic physical conditions, multimorbidity and physical activity across 46 low- and middle-income countries.
dc.creator.none.fl_str_mv Vancampfort D
Koyanagi A
Ward PB
Rosenbaum S
Schuch FB
Mugisha J
Richards J
Firth J
Stubbs B
author Vancampfort D
author_facet Vancampfort D
Koyanagi A
Ward PB
Rosenbaum S
Schuch FB
Mugisha J
Richards J
Firth J
Stubbs B
author_role author
author2 Koyanagi A
Ward PB
Rosenbaum S
Schuch FB
Mugisha J
Richards J
Firth J
Stubbs B
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv *Angina pectoris
*Arthritis
*Depression
*Diabetes mellitus
*Mobility limitation
*Multimorbidity
*Pain
*Physical activity
*Sleep
topic *Angina pectoris
*Arthritis
*Depression
*Diabetes mellitus
*Mobility limitation
*Multimorbidity
*Pain
*Physical activity
*Sleep
description BACKGROUND: There are no nationally representative population-based studies investigating the relationship between physical activity, chronic conditions and multimorbidity (i.e., two or more chronic conditions) in low- and middle-income countries (LMICs), and studies on a multi-national level are lacking. This is an important research gap, given the rapid increase in the prevalence of chronic diseases associated with lifestyle changes in these countries. This cross-sectional study aimed to assess the association between chronic conditions, multimorbidity and low physical activity (PA) among community-dwelling adults in 46 LMICs, and explore the mediators of these relationships. METHODS: World Health Survey data included 228,024 adults aged =18 years from 46 LMICs. PA was assessed by the International Physical Activity Questionnaire (IPAQ). Nine chronic physical conditions (chronic back pain, angina, arthritis, asthma, diabetes, hearing problems, tuberculosis, visual impairment and edentulism) were assessed. Multivariable logistic regression and mediation analyses were used to assess the association between chronic conditions or multimorbidity and low PA. RESULTS: Overall, in the multivariable analysis, arthritis (OR = 1.12), asthma (1.19), diabetes (OR = 1.33), edentulism (OR = 1.46), hearing problems (OR = 1.90), tuberculosis (OR = 1.24), visual impairment (OR = 2.29), multimorbidity (OR = 1.31; 95% CI = 1.21-1.42) were significantly associated with low PA. More significant associations were observed in individuals aged =50 years. In older adults, depression mediated between 5.1% (visual impairment) to 23.5% (angina) of the association between a chronic condition and low PA. Mobility difficulties explained more than 25% of the association for seven of the eight chronic conditions. Pain was a strong mediator for angina (65.9%) and arthritis (64.9%), while sleep problems mediated up to 43.7% (angina) of the association. CONCLUSIONS: In LMICs, those with chronic conditions and multimorbidity are significantly less physically active (especially older adults). Research on the efficacy and effectiveness of PA in the management of chronic diseases in LMICs is urgently needed. Targeted promotion of physical activity to populations in LMICs experiencing chronic conditions may ameliorate associated depression, mobility difficulties and pain that are themselves important barriers for initiating or adopting an active lifestyle.
publishDate 2017
dc.date.none.fl_str_mv 2017
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=10715
url https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=10715
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BMC
publisher.none.fl_str_mv BMC
dc.source.none.fl_str_mv International Journal of Behavioral Nutrition and Physical Activity
ISSN: 14795868
reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
instname:Fundació Sant Joan de Déu
instname_str Fundació Sant Joan de Déu
reponame_str r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
collection r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
repository.name.fl_str_mv
repository.mail.fl_str_mv
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