Relationships among changes in physical activity, quality of life, and obesity-Status following a behavioral intervention for rural Appalachian adults
Improved health-related quality of life (HRQoL) is one benefit of physical activity. Yet, there is limited intervention research exploring (1) whether changes in physical activity influence changes in HRQoL among community-based populations and (2) if baseline obesity status influences the relations...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-10-01
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| Series: | Preventive Medicine Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S221133552200256X |
| _version_ | 1811267078406012928 |
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| author | Kathleen J. Porter Wen You Paul A. Estabrooks Jamie M. Zoellner |
| author_facet | Kathleen J. Porter Wen You Paul A. Estabrooks Jamie M. Zoellner |
| author_sort | Kathleen J. Porter |
| collection | DOAJ |
| description | Improved health-related quality of life (HRQoL) is one benefit of physical activity. Yet, there is limited intervention research exploring (1) whether changes in physical activity influence changes in HRQoL among community-based populations and (2) if baseline obesity status influences the relationships. This exploratory analysis used secondary data from rural Appalachian adults who completed the MoveMore arm of a larger randomized control trial (n = 105, Mage = 41.8, 82 % female, 96 % White, Mincome= $25,911). Specifically, this study examined associations among changes in physical activity and HRQOL and whether baseline obesity status moderated changes. Three HRQoL variables (self-rated health status, total unhealthy days, days poor health impacted activities) and two physical activity variables [weekly moderate-vigorous physical activity (MVPA) minutes, weekly strength training minutes] were collected at baseline and 6-months. Regression models, adjusted for age, gender, race, income, education, assessed associations between physical activity and HRQoL change variables. Moderation analyses explored the influence of baseline obesity status on these relationships. Participants reported significant improvements in self-rated health status (P = 0.001), weekly MVPA minutes (P = 0.008), and weekly strength training minutes (P < 0.001). Increasing weekly strength training minutes was associated with fewer days poor health impacted activities (B = -0.040, P = 0.013). Weekly minutes of MVPA was not associated with HRQoL variables. Baseline obesity status did not moderate relationships. Findings suggest increasing weekly strength training may reduce days poor health impacted activities and that relationships among changes in physical activity and HRQoL were not impacted by baseline obesity. Findings have implications for promoting strength activities in community-based physical activity interventions for rural populations. |
| first_indexed | 2024-04-12T20:54:44Z |
| format | Article |
| id | doaj.art-74106b7907cf415e90dc6cae39d5ce8b |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-04-12T20:54:44Z |
| publishDate | 2022-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-74106b7907cf415e90dc6cae39d5ce8b2022-12-22T03:17:01ZengElsevierPreventive Medicine Reports2211-33552022-10-0129101949Relationships among changes in physical activity, quality of life, and obesity-Status following a behavioral intervention for rural Appalachian adultsKathleen J. Porter0Wen You1Paul A. Estabrooks2Jamie M. Zoellner3University of Virginia, School of Medicine, Department of Public Health Sciences, 16 East Main Street Suite 101 Christiansburg, VA 24073, United States; Corresponding author.University of Virginia, School of Medicine, Department of Public Health Sciences, Charlottesville, VA 22903, United StatesUniversity of Utah, College of Health, Department of Health & Kinesiology, Salt Lake City, UT 84112, United StatesUniversity of Virginia, School of Medicine, Department of Public Health Sciences, 16 East Main Street Suite 101 Christiansburg, VA 24073, United StatesImproved health-related quality of life (HRQoL) is one benefit of physical activity. Yet, there is limited intervention research exploring (1) whether changes in physical activity influence changes in HRQoL among community-based populations and (2) if baseline obesity status influences the relationships. This exploratory analysis used secondary data from rural Appalachian adults who completed the MoveMore arm of a larger randomized control trial (n = 105, Mage = 41.8, 82 % female, 96 % White, Mincome= $25,911). Specifically, this study examined associations among changes in physical activity and HRQOL and whether baseline obesity status moderated changes. Three HRQoL variables (self-rated health status, total unhealthy days, days poor health impacted activities) and two physical activity variables [weekly moderate-vigorous physical activity (MVPA) minutes, weekly strength training minutes] were collected at baseline and 6-months. Regression models, adjusted for age, gender, race, income, education, assessed associations between physical activity and HRQoL change variables. Moderation analyses explored the influence of baseline obesity status on these relationships. Participants reported significant improvements in self-rated health status (P = 0.001), weekly MVPA minutes (P = 0.008), and weekly strength training minutes (P < 0.001). Increasing weekly strength training minutes was associated with fewer days poor health impacted activities (B = -0.040, P = 0.013). Weekly minutes of MVPA was not associated with HRQoL variables. Baseline obesity status did not moderate relationships. Findings suggest increasing weekly strength training may reduce days poor health impacted activities and that relationships among changes in physical activity and HRQoL were not impacted by baseline obesity. Findings have implications for promoting strength activities in community-based physical activity interventions for rural populations.http://www.sciencedirect.com/science/article/pii/S221133552200256XLeisure activitiesExerciseModerationSelf-rated health |
| spellingShingle | Kathleen J. Porter Wen You Paul A. Estabrooks Jamie M. Zoellner Relationships among changes in physical activity, quality of life, and obesity-Status following a behavioral intervention for rural Appalachian adults Preventive Medicine Reports Leisure activities Exercise Moderation Self-rated health |
| title | Relationships among changes in physical activity, quality of life, and obesity-Status following a behavioral intervention for rural Appalachian adults |
| title_full | Relationships among changes in physical activity, quality of life, and obesity-Status following a behavioral intervention for rural Appalachian adults |
| title_fullStr | Relationships among changes in physical activity, quality of life, and obesity-Status following a behavioral intervention for rural Appalachian adults |
| title_full_unstemmed | Relationships among changes in physical activity, quality of life, and obesity-Status following a behavioral intervention for rural Appalachian adults |
| title_short | Relationships among changes in physical activity, quality of life, and obesity-Status following a behavioral intervention for rural Appalachian adults |
| title_sort | relationships among changes in physical activity quality of life and obesity status following a behavioral intervention for rural appalachian adults |
| topic | Leisure activities Exercise Moderation Self-rated health |
| url | http://www.sciencedirect.com/science/article/pii/S221133552200256X |
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