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Title: Association between physical activity, multimorbidity, self-rated health and functional limitation in the Spanish population
Authors: Cimarras-Otal, Cristina ORCID SCOPUSID
Calderón-Larrañaga, Amaia ORCID SCOPUSID
Poblador-Plou, Beatriz ORCID SCOPUSID
González-Rubio, Francisca ORCID SCOPUSID
Arjol-Serrano, José Luis SCOPUSID
Keywords: Limitaciones de la actividad; Encuesta europea de entrevista sanitaria; Multimorbilidad; Actividad física; Salud autoevaluada
Issue Date: 17-Nov-2014
Publisher: Springer Nature
Citation: Cimarras-Otal, C., Calderón-Larrañaga, A., Poblador-Plou, B. et al. Association between physical activity, multimorbidity, self-rated health and functional limitation in the Spanish population. BMC Public Health 14, 1170 (2014) doi:10.1186/1471-2458-14-1170
Description: Background:Physical activity (PA) has been shown to improve the general health of patients with chronic diseasesand to prevent the onset of such conditions. However, the association between multimorbidity and PA has notbeen investigated in detail, and recent studies of this topic yield dissenting results. The objective of this study wasto examine whether PA levels were associated with multimorbidity, self-rated health and functional limitation.Methods:This was a cross-sectional study based on data from the 2009 European Health Interview Survey for Spain.The sample population included 22,190 adults over 15 years of age. The independent variables were multimorbidity(measured as the number of chronic diseases), activity limitations, and self-rated health status. The dependent variablewas PA level, measured as a) a continuous variable in metabolic equivalents (METs) and b) a dichotomous variablebased on international recommendations (</≥500 MET-minutes per week). The associations between the dependentand independent variables were evaluated across sex and age groups (16–24, 25–44, 45–64, 65–74, >74 years), usingmultivariate linear and logistic regression models that were adjusted for age, educational level and employment status.Results:An inverse association was found between PA and multimorbidity among older males and young femalesbetween 16–24 years. This negative association was also observed among males aged 25–44 years when analysing PAas a dichotomous variable. Self-rated health status was directly related to the achievement of minimum PA levelsamong middle-aged and older individuals, but the opposite happened among the youngest group of females.Significant associations between the existence of activity limitations and the performance of lower volumes of PAwere consistently observed among subjects over 44 years.Conclusions:There is an inverse association between multimorbidity and PA in the youngest and oldest agegroups. In addition, both low self-rated health status and the presence of functional limitations were related to lower PAin most of the examined population groups. These features should be considered in the design and implementation ofcommunity-based approaches to promoting PA, iffurther corroborated in longitudinal studies.
ISSN: 1471-2458
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