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BMC Public Health
Published in: BMC Public Health 1/2010

Open Access 01-12-2010 | Research article

Physical activity and optimal self-rated health of adults with and without diabetes

Authors: James Tsai, Earl S Ford, Chaoyang Li, Guixiang Zhao, Lina S Balluz

Published in: BMC Public Health | Issue 1/2010

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Abstract

Background

Regular physical activity can improve people's overall health and contribute to both primary and secondary prevention of many chronic diseases and conditions including diabetes. The aim of this study was to examine the association between levels of physical activity and optimal self-rated health (SRH) of U.S. adults with and without diabetes in all 50 states and territories of the Unites States.

Methods

We estimated the prevalence of optimal SRH by diabetes status of 430,912 adults aged 18 years and older who participated in the 2007 state-based survey of the Behavioral Risk Factor Surveillance System (BRFSS). Prevalence ratios were produced with multivariate Cox regression models using levels of physical activity as a predictor and status of optimal SRH as an outcome variable while controlling for sociodemographic and behavioral health risk factors.

Results

The prevalence of reporting optimal SRH was 53.3%, 52.2%, and 86.2% for adults with type 1 diabetes, type 2 diabetes, and without diabetes, respectively. Also in the aforementioned order, adults who reported being active had an increased likelihood of 81%, 32%, and 18% for reporting optimal SRH, when compared with adults who reported being inactive.

Conclusions

Regular physical activity of adults, particularly adults with diabetes, is associated with optimal SRH. The findings of this study underscore the importance of advising and motivating adults with diabetes so that physical activity can be integrated into their lifestyle for diabetes care. Additionally, a population-based effort to promote physical activity in communities may benefit adults in general by improving their overall health and well-being.
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Literature
1.
2.
Bize R, Johnson JA, Plotnikoff RC: Physical activity level and health-related quality of life in the general adult population: a systematic review. Prev Med. 2007, 45 (6): 401-415. 10.1016/j.ypmed.2007.07.017.CrossRefPubMed
3.
4.
Colberg SR, Grieco CR: Exercise in the treatment and prevention of diabetes. Curr Sports Med Rep. 2009, 8 (4): 169-175.CrossRefPubMed
5.
Diabetes Prevention Program Research Group: Reduction in the Incidence of Type 2 Diabetes with Lifestyle Intervention or Metformin. N Engl J Med. 2002, 346 (6): 393-403. 10.1056/NEJMoa012512.CrossRefPubMedCentral
6.
Blumenthal J, Babyak M, Doraiswamy P, Watkins L, Hoffman B, Barbour K, Herman S, Craighead W, Brosse A, Waugh R, et al: Exercise and pharmacotherapy in the treatment of major depressive disorder. Psychosom Med. 2007, 69 (7): 587-596. 10.1097/PSY.0b013e318148c19a.CrossRefPubMedPubMedCentral
7.
LaMonte MJ, Blair SN, Church TS: Physical activity and diabetes prevention. J Appl Physiol. 2005, 99 (3): 1205-1213. 10.1152/japplphysiol.00193.2005.CrossRefPubMed
8.
Ford ES, Kohl HW, Mokdad AH, Ajani UA: Sedentary behavior, physical activity, and the metabolic syndrome among U.S. adults. Obes Res. 2005, 13 (3): 608-614. 10.1038/oby.2005.65.CrossRefPubMed
9.
Vogel T, Brechat PH, Lepretre PM, Kaltenbach G, Berthel M, Lonsdorfer J: Health benefits of physical activity in older patients: a review. Int J Clin Pract. 2009, 63 (2): 303-320. 10.1111/j.1742-1241.2008.01957.x.CrossRefPubMed
10.
Hayes C, Kriska A: Role of physical activity in diabetes management and prevention. J Am Diet Assoc. 2008, 108 (4 Suppl 1): S19-23. 10.1016/j.jada.2008.01.016.CrossRefPubMed
11.
Idler EL, Benyamini Y: Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav. 1997, 38 (1): 21-37. 10.2307/2955359.CrossRefPubMed
12.
Idler EL, Russell LB, Davis D: Survival, functional limitations, and self-rated health in the NHANES I Epidemiologic Follow-up Study, 1992. First National Health and Nutrition Examination Survey. Am J Epidemiol. 2000, 152 (9): 874-883. 10.1093/aje/152.9.874.CrossRefPubMed
13.
Jylha M: What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Soc Sci Med. 2009, 69: 307-316. 10.1016/j.socscimed.2009.05.013.CrossRefPubMed
14.
DeSalvo KB, Bloser N, Reynolds K, He J, Muntner P: Mortality prediction with a single general self-rated health question. A meta-analysis. J Gen Intern Med. 2006, 21 (3): 267-275. 10.1111/j.1525-1497.2005.00291.x.CrossRefPubMedPubMedCentral
15.
Cesari M, Onder G, Zamboni V, Manini T, Shorr RI, Russo A, Bernabei R, Pahor M, Landi F: Physical function and self-rated health status as predictors of mortality: results from longitudinal analysis in the ilSIRENTE study. BMC Geriatr. 2008, 8: 34-10.1186/1471-2318-8-34.CrossRefPubMedPubMedCentral
16.
DeSalvo KB, Fan VS, McDonell MB, Fihn SD: Predicting mortality and healthcare utilization with a single question. Health Serv Res. 2005, 40 (4): 1234-1246. 10.1111/j.1475-6773.2005.00404.x.CrossRefPubMedPubMedCentral
17.
CDC: Self-Rated Fair or Poor Health Among Adults with Diabetes - United States, 1996-2005. MMWR Morb Mortal Wkly Rep. 2006, 55: 1224-1227.
18.
Rohrer JE, Young R, Sicola V, Houston M: Overall self-rated health: a new quality indicator for primary care. J Eval Clin Pract. 2007, 13 (1): 150-153. 10.1111/j.1365-2753.2006.00692.x.CrossRefPubMed
19.
20.
21.
Li C, Ford ES, Strine TW, Mokdad AH: Prevalence of depression among U.S. adults with diabetes: findings from the 2006 behavioral risk factor surveillance system. Diabetes Care. 2008, 31 (1): 105-107. 10.2337/dc07-1154.CrossRefPubMed
22.
Beckles GL, Engelgau MM, Narayan KM, Herman WH, Aubert RE, Williamson DF: Population-based assessment of the level of care among adults with diabetes in the U.S. Diabetes Care. 1998, 21 (9): 1432-1438. 10.2337/diacare.21.9.1432.CrossRefPubMed
23.
Suh D-C, Kim C-M, Choi I-S, Plauschinat C, Barone J: Trends in blood pressure control and treatment among type 2 diabetes with comorbid hypertension in the United States: 1988-2004. Journal of hypertension. 2009, 27 (9): 1908-1916. 10.1097/HJH.0b013e32832d4aee.CrossRefPubMed
24.
Schenker N, Gentleman JF: On Judging the Significance of Differences by Examining the Overlap Between Confidence Intervals. The American Statistician. 2001, 55 (3): 182-186. 10.1198/000313001317097960.CrossRef
25.
Barros AJ, Hirakata VN: Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol. 2003, 3: 21-10.1186/1471-2288-3-21.CrossRefPubMedPubMedCentral
26.
Nijem K, Kristensen P, Al-Khatib A, Bjertness E: Application of different statistical methods to estimate relative risk for self-reported health complaints among shoe factory workers exposed to organic solvents and plastic compounds. Norsk Epidemiologi. 2005, 15 (1): 111-116.
27.
Korn E, Graubard B: Analysis of health surveys. 1999, New York: John Wiley and Sons, Inc.CrossRef
28.
Brogan D: Software for Sample Survey Data, Misuse of Standard Packages. Encyclopedia of Biostatistics. 2005, 8-Set: 5057-5064.
29.
DHHS: U.S. Department of Health and Human Services. Healthy People 2010: Understanding and Improving Health. 2000, Washington, DC: U.S. Government Printing Office, November 2000, 2
30.
Molarius A, Janson S: Self-rated health, chronic diseases, and symptoms among middle-aged and elderly men and women. J Clin Epidemiol. 2002, 55 (4): 364-370. 10.1016/S0895-4356(01)00491-7.CrossRefPubMed
31.
Jylha M, Volpato S, Guralnik JM: Self-rated health showed a graded association with frequently used biomarkers in a large population sample. J Clin Epidemiol. 2006, 59 (5): 465-471. 10.1016/j.jclinepi.2005.12.004.CrossRefPubMed
32.
Eriksson I, Unden AL, Elofsson S: Self-rated health. Comparisons between three different measures. Results from a population study. Int J Epidemiol. 2001, 30 (2): 326-333. 10.1093/ije/30.2.326.CrossRefPubMed
33.
Weltman N, Saliba S, Barrett E, Weltman A: The Use of Exercise in the Management of Type 1 and Type 2 Diabetes. Clinics in sports medicine. 2009, 28 (3): 423-439. 10.1016/j.csm.2009.02.006.CrossRefPubMed
34.
Kirk AF, Barnett J, Mutrie N: Physical activity consultation for people with Type 2 diabetes: evidence and guidelines. Diabet Med. 2007, 24 (8): 809-816. 10.1111/j.1464-5491.2007.02190.x.CrossRefPubMed
35.
Deshpande AD, Harris-Hayes M, Schootman M: Epidemiology of diabetes and diabetes-related complications. Phys Ther. 2008, 88 (11): 1254-1264. 10.2522/ptj.20080020.CrossRefPubMedPubMedCentral
36.
Zhao G, Ford ES, Li C, Mokdad AH: Compliance with physical activity recommendations in US adults with diabetes. Diabet Med. 2008, 25 (2): 221-227. 10.1111/j.1464-5491.2007.02332.x.CrossRefPubMed
37.
Sigal RJ, Kenny GP, Wasserman DH, Castaneda-Sceppa C, White RD: Physical activity/exercise and type 2 diabetes: a consensus statement from the American Diabetes Association. Diabetes Care. 2006, 29 (6): 1433-1438. 10.2337/dc06-9910.CrossRefPubMed
38.
ADA: Diabetes Mellitus and Exercise. American Diabetes Association (ADA). Diabetes Care. 2002, 25 (suppl 1): s64-s68.
39.
Diabetes and Exercise. The Diabetes Educator. 2008, 34 (1): 37-40. 10.1177/0145721707312404.
40.
Sodergren M, Sundquist J, Johansson SE, Sundquist K: Physical activity, exercise and self-rated health: a population-based study from Sweden. BMC Public Health. 2008, 8: 352-10.1186/1471-2458-8-352.CrossRefPubMedPubMedCentral
41.
Abu-Omar K, Rutten A, Robine JM: Self-rated health and physical activity in the European Union. Soz Praventivmed. 2004, 49 (4): 235-242.CrossRefPubMed
42.
Kaleta D, Makowiec-Dabrowska T, Dziankowska-Zaborszczyk E, Jegier A: Physical activity and self-perceived health status. Int J Occup Med Environ Health. 2006, 19 (1): 61-69. 10.2478/v10001-006-0005-x.CrossRefPubMed
43.
Okano G, Miyake H, Mori M: Leisure time physical activity as a determinant of self-perceived health and fitness in middle-aged male employees. J Occup Health. 2003, 45 (5): 286-292. 10.1539/joh.45.286.CrossRefPubMed
44.
Rohrer JE, Stroebel RJ: Exercise and self-rated health in adult primary care patients. Qual Manag Health Care. 2009, 18 (2): 135-140.CrossRefPubMed
45.
Nelson DE, Powell-Griner E, Town M, Kovar MG: A comparison of national estimates from the National Health Interview Survey and the Behavioral Risk Factor Surveillance System. Am J Public Health. 2003, 93 (8): 1335-1341. 10.2105/AJPH.93.8.1335.CrossRefPubMedPubMedCentral
46.
Nelson DE, Holtzman D, Bolen J, Stanwyck CA, Mack KA: Reliability and validity of measures from the Behavioral Risk Factor Surveillance System (BRFSS). Soz Praventivmed. 2001, S3-42. 46 Suppl 1
47.
48.
Troiano RP, Berrigan D, Dodd KW, Masse LC, Tilert T, McDowell M: Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc. 2008, 40 (1): 181-188.CrossRefPubMed
49.
Valanou E, Bamia C, Trichopoulou A: Methodology of physical-activity and energy-expenditure assessment: a review. J of Public Health. 2006, 14 (2): 58-65. 10.1007/s10389-006-0021-0.CrossRef
50.
Metadata
Title
Physical activity and optimal self-rated health of adults with and without diabetes
Authors
James Tsai
Earl S Ford
Chaoyang Li
Guixiang Zhao
Lina S Balluz
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2010
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-10-365

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