Self-reported disability and its association with obesity and physical activity in Australian adults: Results from a longitudinal study
Background: A high prevalence of disability has been previously observed in developed countries. Identifying trends in its prevalence and risk, as well as protective factors of disability, are essential to establish effective prevention strategies. Objective: The purposes of this study are to outlin...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-06-01
|
| Series: | SSM: Population Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352827321000409 |
| _version_ | 1819002821152866304 |
|---|---|
| author | Syed Afroz Keramat Khorshed Alam Nusrat Jahan Sathi Jeff Gow Stuart J.H. Biddle Mohammed Khaled Al-Hanawi |
| author_facet | Syed Afroz Keramat Khorshed Alam Nusrat Jahan Sathi Jeff Gow Stuart J.H. Biddle Mohammed Khaled Al-Hanawi |
| author_sort | Syed Afroz Keramat |
| collection | DOAJ |
| description | Background: A high prevalence of disability has been previously observed in developed countries. Identifying trends in its prevalence and risk, as well as protective factors of disability, are essential to establish effective prevention strategies. Objective: The purposes of this study are to outline trends in the prevalence of disability among Australian adults and to analyse the relationship between obesity, and physical activity with disability. Design: A retrospective longitudinal research design. Methods: The study utilized the most recent 14 waves (wave 6 through 19) of the nationally-representative Household, Income and Labour Dynamics in Australia (HILDA) survey (2006–2019). The Generalized Estimating Equation (GEE) with the logistic link function model was employed to estimate the relationships between obesity and physical activity with disability. The final study sample consisted of 189,519 person-year observations from 26,208 participants. Results: The pooled prevalence of disability in adults is 28%. The prevalence of disability among older adults (65 and above years) is more than 50%, irrespective of gender. Further, it identifies obesity and physical activity as risk and protective factors of disability for adults, respectively. The odds of acquisition of a disability was 1.33 times (Odds Ratios [OR]: 1.33, 95% Confidence Interval [CI]: 1.28–1.39) higher among obese adults than healthy weight counterparts. However, adults undertaking recommended level of physical activity (more than thrice a week to everyday) per week have 17% (OR: 0.83, 95% CI: 0.81–0.85) lower chances of disability acquisition. Conclusions: Obesity imposes a significant toll on adult Australians' health. This risk factor of disability can be reduced through public health interventions. |
| first_indexed | 2024-12-20T23:11:11Z |
| format | Article |
| id | doaj.art-6554e7c6720b4d8b9be8ea1316ec7555 |
| institution | Directory Open Access Journal |
| issn | 2352-8273 |
| language | English |
| last_indexed | 2024-12-20T23:11:11Z |
| publishDate | 2021-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | SSM: Population Health |
| spelling | doaj.art-6554e7c6720b4d8b9be8ea1316ec75552022-12-21T19:23:44ZengElsevierSSM: Population Health2352-82732021-06-0114100765Self-reported disability and its association with obesity and physical activity in Australian adults: Results from a longitudinal studySyed Afroz Keramat0Khorshed Alam1Nusrat Jahan Sathi2Jeff Gow3Stuart J.H. Biddle4Mohammed Khaled Al-Hanawi5Economics Discipline, Social Science School, Khulna University, Khulna, 9208, Bangladesh; School of Business, University of Southern Queensland, Toowoomba, QLD, 4350, Australia; Centre for Health Research, University of Southern Queensland, QLD, 4350, Australia; Corresponding author. Economics Discipline, Social Science School, Khulna University, Khulna, 9208, Bangladesh.School of Business, University of Southern Queensland, Toowoomba, QLD, 4350, Australia; Centre for Health Research, University of Southern Queensland, QLD, 4350, AustraliaStatistics Discipline, Khulna University, Khulna, 9208, BangladeshSchool of Business, University of Southern Queensland, Toowoomba, QLD, 4350, Australia; School of Accounting, Economics, and Finance, University of KwaZulu-Natal, Durban, 4000, South AfricaCentre for Health Research, University of Southern Queensland, QLD, 4350, AustraliaDepartment of Health Services and Hospital Administration, Faculty of Economics and Administration, King Abdul Aziz University, Jeddah, Saudi ArabiaBackground: A high prevalence of disability has been previously observed in developed countries. Identifying trends in its prevalence and risk, as well as protective factors of disability, are essential to establish effective prevention strategies. Objective: The purposes of this study are to outline trends in the prevalence of disability among Australian adults and to analyse the relationship between obesity, and physical activity with disability. Design: A retrospective longitudinal research design. Methods: The study utilized the most recent 14 waves (wave 6 through 19) of the nationally-representative Household, Income and Labour Dynamics in Australia (HILDA) survey (2006–2019). The Generalized Estimating Equation (GEE) with the logistic link function model was employed to estimate the relationships between obesity and physical activity with disability. The final study sample consisted of 189,519 person-year observations from 26,208 participants. Results: The pooled prevalence of disability in adults is 28%. The prevalence of disability among older adults (65 and above years) is more than 50%, irrespective of gender. Further, it identifies obesity and physical activity as risk and protective factors of disability for adults, respectively. The odds of acquisition of a disability was 1.33 times (Odds Ratios [OR]: 1.33, 95% Confidence Interval [CI]: 1.28–1.39) higher among obese adults than healthy weight counterparts. However, adults undertaking recommended level of physical activity (more than thrice a week to everyday) per week have 17% (OR: 0.83, 95% CI: 0.81–0.85) lower chances of disability acquisition. Conclusions: Obesity imposes a significant toll on adult Australians' health. This risk factor of disability can be reduced through public health interventions.http://www.sciencedirect.com/science/article/pii/S2352827321000409DisabilityObesityPhysical activityAustraliaGeneralized estimating equation |
| spellingShingle | Syed Afroz Keramat Khorshed Alam Nusrat Jahan Sathi Jeff Gow Stuart J.H. Biddle Mohammed Khaled Al-Hanawi Self-reported disability and its association with obesity and physical activity in Australian adults: Results from a longitudinal study SSM: Population Health Disability Obesity Physical activity Australia Generalized estimating equation |
| title | Self-reported disability and its association with obesity and physical activity in Australian adults: Results from a longitudinal study |
| title_full | Self-reported disability and its association with obesity and physical activity in Australian adults: Results from a longitudinal study |
| title_fullStr | Self-reported disability and its association with obesity and physical activity in Australian adults: Results from a longitudinal study |
| title_full_unstemmed | Self-reported disability and its association with obesity and physical activity in Australian adults: Results from a longitudinal study |
| title_short | Self-reported disability and its association with obesity and physical activity in Australian adults: Results from a longitudinal study |
| title_sort | self reported disability and its association with obesity and physical activity in australian adults results from a longitudinal study |
| topic | Disability Obesity Physical activity Australia Generalized estimating equation |
| url | http://www.sciencedirect.com/science/article/pii/S2352827321000409 |
| work_keys_str_mv | AT syedafrozkeramat selfreporteddisabilityanditsassociationwithobesityandphysicalactivityinaustralianadultsresultsfromalongitudinalstudy AT khorshedalam selfreporteddisabilityanditsassociationwithobesityandphysicalactivityinaustralianadultsresultsfromalongitudinalstudy AT nusratjahansathi selfreporteddisabilityanditsassociationwithobesityandphysicalactivityinaustralianadultsresultsfromalongitudinalstudy AT jeffgow selfreporteddisabilityanditsassociationwithobesityandphysicalactivityinaustralianadultsresultsfromalongitudinalstudy AT stuartjhbiddle selfreporteddisabilityanditsassociationwithobesityandphysicalactivityinaustralianadultsresultsfromalongitudinalstudy AT mohammedkhaledalhanawi selfreporteddisabilityanditsassociationwithobesityandphysicalactivityinaustralianadultsresultsfromalongitudinalstudy |