Differences between leisure-time physical activity, health-related quality of life and life satisfaction: Al Ritmo de las Comunidades, a natural experiment from Colombia.

Abstract

Physical inactivity is one of the major public health problems worldwide. Community-based interventions have been pointed out as a promising strategy to increase physical activity (PA) levels and impact population health. Recreovía is a community program with a potential to promote PA. There is growing evidence for two benefits derived from the practice of PA: an increased perception of health-related quality of life (HRQoL) and life satisfaction (LS). The purpose of this study was to assess differences between leisure-time PA and perceptions of both HRQoL and LS, as well as to assess differences between perceptions of both HRQoL and LS for Recreovía and non-Recreovía participants. Data were obtained using the baseline cross-sectional survey of 1533 participants (501 belonged to the intervention group) as part of the natural experiment Al Ritmo de las Comunidades. HRQoL was measured with the European Organization for Research and Treatment of Cancer 30-item questionnaire, LS was measured with Questions on Life Satisfaction Scale, and self-reported minutes of leisure-time PA were measured with the long version of the International Physical Activity Questionnaire. The mean age of participants was 41.7 years (standard deviation (SD) = 16.3). The participants had a good overall HRQoL and LS. The mean minutes of leisure-time PA were 158.1 min (SD = 230.2) a week. Results showed that those participants who reported higher leisure-time PA levels also reported a significantly higher LS (M = 41.9, SD = 35.0) relative to participants with lower levels (M = 37.6, SD = 34.2, t(1532) = -2.36, p < 0.01). There were no statistical differences in the perception of HRQoL and leisure-time PA (t(1532) = -1.03, p = 0.30), although active people had higher scores. Both HRQoL and LS scores were higher in individuals who were participating in Recreovía (p < 0.001). Higher LS scores were found in the group with higher leisure-time PA, while HRQoL showed no differences. Better psychological well-being indices were found in the Recreovía group.