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Physical activity and quality of life in subjects with chronic disease: chronic obstructive pulmonary disease compared with rheumatoid arthritis and diabetes mellitus.

OBJECTIVE: Chronic diseases interfere with the life situation of the affected person in different ways. The aim was to compare the burden of disease in three chronic diseases - chronic obstructive pulmonary disease (COPD), rheumatoid arthritis (RA), diabetes mellitus (DM) - and in healthy subjects,...

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Publicado en:Scandinavian Journal of Primary Health Care Vol. 27; no. 3; pp. 141 - 148
Autores principales: Arne M, Janson C, Janson S, Boman G, Lindqvist U, Berne C, Emtner M
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Sep2009
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Scandinavian Journal of Primary Health Care
      issn: 02813432
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    pubinfo:
      dt: Sep2009
      vid: 27
      iid: 3
      pid: 377
      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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      tig:
        atl: Physical activity and quality of life in subjects with chronic disease: chronic obstructive pulmonary disease compared with rheumatoid arthritis and diabetes mellitus.
      aug:
        au:
          Arne M
          Janson C
          Janson S
          Boman G
          Lindqvist U
          Berne C
          Emtner M
        affil: Primary Care Research Unit, County Council of Varmland, Karlstad, Department of Medical Sciences, Respiratory Medicine and Allergology, Uppsala University, Uppsala, Sweden
      sug:
        subj:
          Arthritis, Rheumatoid Psychosocial Factors
          Diabetes Mellitus Psychosocial Factors
          Pulmonary Disease, Chronic Obstructive Psychosocial Factors
          Physical Activity Evaluation
          Quality of Life Evaluation
          Adult
          Aged
          Aged, 80 and Over
          Chi Square Test
          Confidence Intervals
          Cross Sectional Studies
          Data Analysis Software
          Data Analysis, Statistical
          Descriptive Statistics
          Female
          Funding Source
          Logistic Regression
          Male
          Middle Age
          Nonexperimental Studies
          Odds Ratio
          P-Value
          Questionnaires
          Self Report
          Sex Factors
          Stratified Random Sample
          Surveys
          Sweden
          Human
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
          Male
      ab: OBJECTIVE: Chronic diseases interfere with the life situation of the affected person in different ways. The aim was to compare the burden of disease in three chronic diseases - chronic obstructive pulmonary disease (COPD), rheumatoid arthritis (RA), diabetes mellitus (DM) - and in healthy subjects, with a particular interest in physical activity, quality of life, and psychological health. DESIGN: Cross-sectional, observational study. SETTING AND SUBJECTS: Postal survey questionnaire to a stratified, random population of 68 460 subjects aged 18-84 years in Sweden. The subjects included were 40-84 years old (n = 43 589) and data were analysed for COPD (n = 526), RA (n = 1120), DM (n = 2149) and healthy subjects (n = 6960). RESULT: Some 84% of subjects with COPD, 74% (RA), 72% (DM), and 60% in healthy subjects (p < 0.001, COPD versus RA, DM, and healthy subjects) had a physical activity level considered too low to maintain good health according to guidelines. Quality of life (EuroQol five-dimension questionnaire, EQ-5D) was lower in COPD and RA than in DM. Anxiety/depression was more common in subjects with COPD (53%) than in those with RA (48%) and DM (35%) (p < 0.001, COPD versus RA and DM), whereas mobility problems were more common in RA (55%) than COPD (48%) and DM (36%) (p < 0.001, RA versus COPD and DM). All differences between groups remained significant after adjusting for age, sex, and socioeconomic background factors. CONCLUSION: Subjects with chronic diseases had a low level of physical activity, most evident in subjects with COPD. COPD and RA had a higher negative impact on quality of life than DM. Our results indicate that increased attention regarding physical inactivity in subjects with chronic diseases is needed to minimize the burden of disease.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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