The Association of Health-Related Factors with Leisure-Time Physical Activity among Adults with COPD: A Cross-Sectional Analysis.

Mei-Lan Chen,Douglas S Gardenhire,Li-Sheng Chen,Yen Tzu Chen

doi:10.3390/healthcare10020249

Mei-Lan Chen, Douglas S Gardenhire + Show 2 more

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https://doi.org/10.3390/healthcare10020249

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Abstract

This study aimed to examine the association of health attitudes, health appraisals and affective experience to leisure-time physical activity in adults with chronic obstructive pulmonary disease (COPD). Cross-sectional analyses were conducted with a sample of 274 adults with COPD drawn from the second wave of the Midlife in the United States (MIDUS 2) Study. Chi-square analyses and independent t-tests were used to test the differences between physically active and inactive COPD patients (active group versus inactive group) for all study variables. Multiple logistic regression was used to examine the association of each study variable with leisure-time physical activity. The results showed that there were significant differences between the active and inactive groups in terms of age, education, functional limitations, health attitudes, health appraisals and affective experience. After controlling for socio-demographic variables and functional limitations, beliefs about the importance of physical fitness and strength for a good life and comparative health appraisals were significantly related to physical activity. However, neither negative nor positive affect was associated with physical activity status. Modifiable factors, such as health attitudes toward physical fitness and strength, as well as health appraisals, should be considered for developing effective physical activity promotion interventions among COPD patients.

Highlights

Published: 28 January 2022Chronic lower respiratory disease, primarily chronic obstructive pulmonary disease (COPD), was the 4th leading cause of death in the United States [1]
Consistent with previous research [5,12,13,14,26,27], results from this study indicated that COPD patients with younger age, higher education and fewer functional limitations were more likely than their counterparts to meet physical activity recommendations
Despite evidence showing that physical activity is a vital intervention in maintaining health, many COPD patients do not participate in physical activity

Summary

Introduction

Published: 28 January 2022Chronic lower respiratory disease, primarily chronic obstructive pulmonary disease (COPD), was the 4th leading cause of death in the United States [1]. 15.5 million adults in the United States had been diagnosed with COPD [2]. COPD is characterized by a progressive deterioration in pulmonary function, and is associated with various symptoms such as dyspnea, fatigue, sputum production, wheezing and chest tightness. The burden of COPD on patients with the disease includes high healthcare cost, decreased quality of life, impaired daily functioning, poor quality of sleep, and reduced level of physical activity [3,4]. Compared to healthy adults, engaging in regular physical activity is more difficult for patients with COPD due to their symptoms (e.g., fatigue, feeling of breathlessness, muscle deconditioning) [3,5,6]. Evidence shows that COPD patients are more likely to have activity limitations and mobility impairment compared to people without COPD [7]

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