Physical activity behaviour up to 1 year post-rehabilitation among adults with physical disabilities and/or chronic diseases: results of the prospective cohort study ReSpAct

Background Little is known of physical activity behaviour among adults with a disability and/or chronic disease during and up to 1 year post-rehabilitation. We aimed to explore (1) dose characteristics of physical activity behaviour among adults with physical disabilities and/or chronic diseases dur...

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Main Authors: Lucas H V van der Woude, Rienk Dekker, Trynke Hoekstra, Leonie A Krops, Femke Hoekstra, Florentina J Hettinga, Pim Brandenbarg, Bregje L Seves
Format: Article
Language:English
Published: BMJ Publishing Group 2022-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/6/e056832.full
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author Lucas H V van der Woude
Rienk Dekker
Trynke Hoekstra
Leonie A Krops
Femke Hoekstra
Florentina J Hettinga
Pim Brandenbarg
Bregje L Seves
author_facet Lucas H V van der Woude
Rienk Dekker
Trynke Hoekstra
Leonie A Krops
Femke Hoekstra
Florentina J Hettinga
Pim Brandenbarg
Bregje L Seves
author_sort Lucas H V van der Woude
collection DOAJ
description Background Little is known of physical activity behaviour among adults with a disability and/or chronic disease during and up to 1 year post-rehabilitation. We aimed to explore (1) dose characteristics of physical activity behaviour among adults with physical disabilities and/or chronic diseases during that period, and (2) the effects of personal characteristics and diagnosis on the development of physical activity over time.Methods Adults with physical disabilities and/or chronic diseases (N=1256), enrolled in the Rehabilitation, Sports and Active lifestyle study, were followed with questionnaires: 3–6 weeks before (T0) and 14 (T1), 33 (T2) and 52 (T3) weeks after discharge from rehabilitation. Physical activity was assessed with the adapted version of the Short Questionnaire to ASsess Health enhancing physical activity. Dose characteristics of physical activity were descriptively analysed. Multilevel regression models were performed to assess physical activity over time and the effect of personal and diagnosis characteristics on physical activity over time.Results Median total physical activity ranged from 1545 (IQR: 853–2453) at T0 to 1710 (IQR: 960–2730) at T3 min/week. Household (495–600 min/week) and light-intensity (900–998 min/week) activities accrued the most minutes. Analyses showed a significant increase in total physical activity moderate-intensity to vigorous-intensity physical activity and work/commuting physical activity for all time points (T1–T3) compared with baseline (T0). Diagnosis, age, sex and body mass index had a significant effect on baseline total physical activity.Conclusion Physical activity is highly diverse among adults with physical disabilities and/or chronic diseases. Understanding this diversity in physical activity can help improve physical activity promotion activities.
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spelling doaj-art-2d65c351b9d145c99311c91b74359e3a2025-01-24T08:40:14ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-056832Physical activity behaviour up to 1 year post-rehabilitation among adults with physical disabilities and/or chronic diseases: results of the prospective cohort study ReSpActLucas H V van der Woude0Rienk Dekker1Trynke Hoekstra2Leonie A Krops3Femke Hoekstra4Florentina J Hettinga5Pim Brandenbarg6Bregje L Seves7Center for Human Movement Sciences, University Medical Center Groningen, Center for Human Movement Sciences, University of Groningen, Groningen, The NetherlandsDepartment for Rehabilitation Medicine, University of Groningen, University Medical Center Groningen, Groningen, The NetherlandsDepartment of Epidemiology and Data Science, Amsterdam UMC, Amsterdam, The NetherlandsDepartment of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, Groningen, The NetherlandsDepartment of Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, The NetherlandsDepartment of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle upon Tyne, UKDepartment of Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, The NetherlandsDepartment of Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, The NetherlandsBackground Little is known of physical activity behaviour among adults with a disability and/or chronic disease during and up to 1 year post-rehabilitation. We aimed to explore (1) dose characteristics of physical activity behaviour among adults with physical disabilities and/or chronic diseases during that period, and (2) the effects of personal characteristics and diagnosis on the development of physical activity over time.Methods Adults with physical disabilities and/or chronic diseases (N=1256), enrolled in the Rehabilitation, Sports and Active lifestyle study, were followed with questionnaires: 3–6 weeks before (T0) and 14 (T1), 33 (T2) and 52 (T3) weeks after discharge from rehabilitation. Physical activity was assessed with the adapted version of the Short Questionnaire to ASsess Health enhancing physical activity. Dose characteristics of physical activity were descriptively analysed. Multilevel regression models were performed to assess physical activity over time and the effect of personal and diagnosis characteristics on physical activity over time.Results Median total physical activity ranged from 1545 (IQR: 853–2453) at T0 to 1710 (IQR: 960–2730) at T3 min/week. Household (495–600 min/week) and light-intensity (900–998 min/week) activities accrued the most minutes. Analyses showed a significant increase in total physical activity moderate-intensity to vigorous-intensity physical activity and work/commuting physical activity for all time points (T1–T3) compared with baseline (T0). Diagnosis, age, sex and body mass index had a significant effect on baseline total physical activity.Conclusion Physical activity is highly diverse among adults with physical disabilities and/or chronic diseases. Understanding this diversity in physical activity can help improve physical activity promotion activities.https://bmjopen.bmj.com/content/12/6/e056832.full
spellingShingle Lucas H V van der Woude
Rienk Dekker
Trynke Hoekstra
Leonie A Krops
Femke Hoekstra
Florentina J Hettinga
Pim Brandenbarg
Bregje L Seves
Physical activity behaviour up to 1 year post-rehabilitation among adults with physical disabilities and/or chronic diseases: results of the prospective cohort study ReSpAct
BMJ Open
title Physical activity behaviour up to 1 year post-rehabilitation among adults with physical disabilities and/or chronic diseases: results of the prospective cohort study ReSpAct
title_full Physical activity behaviour up to 1 year post-rehabilitation among adults with physical disabilities and/or chronic diseases: results of the prospective cohort study ReSpAct
title_fullStr Physical activity behaviour up to 1 year post-rehabilitation among adults with physical disabilities and/or chronic diseases: results of the prospective cohort study ReSpAct
title_full_unstemmed Physical activity behaviour up to 1 year post-rehabilitation among adults with physical disabilities and/or chronic diseases: results of the prospective cohort study ReSpAct
title_short Physical activity behaviour up to 1 year post-rehabilitation among adults with physical disabilities and/or chronic diseases: results of the prospective cohort study ReSpAct
title_sort physical activity behaviour up to 1 year post rehabilitation among adults with physical disabilities and or chronic diseases results of the prospective cohort study respact
url https://bmjopen.bmj.com/content/12/6/e056832.full
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