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Cited by 28Physical Activity and HealthSports and Physical Education StudiesMusculoskeletal pain and rehabilitation

Effect of diagnosis with a chronic disease on physical activity behavior in middle-aged women

Dontje, Manon L., Krijnen, Wim P., de Greef, Mathieu H.G., Peeters, Geeske G.M.E.E., Stolk, Ronald P., van der Schans, Cees P., Brown, Wendy J.·2016·Preventive Medicine
DOI 10.1016/j.ypmed.2015.11.030
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Abstract

Objective Although regular physical activity is an effective secondary prevention strategy for patients with a chronic disease, it is unclear whether patients change their daily physical activity after being diagnosed. Therefore, the aims of this study were to (1) describe changes in levels of physical activity in middle-aged women before and after diagnosis with a chronic disease (heart disease, diabetes, asthma, breast cancer, arthritis, depression); and to (2) examine whether diagnosis with a chronic disease affects levels of physical activity in these women.Methods Data from 5 surveys (1998-2010) of the Australian Longitudinal Study on Women's Health (ALSWH) were used. Participants (N=4840, born 1946-1951) completed surveys every three years, with questions about diseases and leisure time physical activity. The main outcome measure was physical activity, categorized as: nil/sedentary, low active, moderately active, highly active.Results At each survey approximately half the middle-aged women did not meet the recommended level of physical activity. Between consecutive surveys, 41%-46% of the women did not change, 24%-30% decreased, and 24%-31% increased their physical activity level. These proportions of change were similar directly after diagnosis with a chronic disease, and in the years before or after diagnosis. Generalized estimating equations showed that there was no statistically significant effect of diagnosis with a chronic disease on levels of physical activity in women.Conclusion Despite the importance of physical activity for the management of chronic diseases, most women did not increase their physical activity after diagnosis. This illustrates a need for tailored interventions to enhance physical activity in newly diagnosed patients.

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Authors
Dontje, M. L., Krijnen, W. P., de Greef, M. H. G., Peeters, G. G. M. E. E., Stolk, R. P., van der Schans, C. P., & Brown, W. J.
Affiliations
  • University Medical Center Groningen (NL)
  • Hanze University of Applied Sciences (NL)
  • The University of Queensland (AU)
Corresponding author
Dontje, Manon L.
ORCID
Venue
Preventive Medicine
Publisher
Elsevier BV
Published
2016-02
Volume
83
Pages
56-62
ISSN
0091-7435 (ISSN-L)
DOI
10.1016/j.ypmed.2015.11.030
OpenAlex
W2193803864
Cited by
28
References
44
Citations by year
2026: 1 · 2025: 4 · 2024: 3 · 2023: 1 · 2022: 2 · 2021: 5 · 2020: 6 · 2019: 1 · 2018: 3 · 2017: 1
FWCI
0.98
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Preventive Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Social Sciences › Life-span and Life-course Studies › Sports and Physical Education Studies
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Keywords
chronic disease diagnosis, physical activity, middle-aged women, leisure-time physical activity, sedentary behavior, heart disease, diabetes mellitus, asthma, breast cancer, arthritis, depression, secondary prevention, Australian Longitudinal Study on Women's Health
MeSH terms
Australia, Chronic Disease, Female, Humans, Longitudinal Studies, Middle Aged, Surveys and Questionnaires, Health Behavior, Exercise, Women's Health

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