Active lifestyles related to excellent self-rated health and quality of life: cross sectional findings from 194,545 participants in The 45 and Up Study

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dc.contributor.author Rosenkranz, Richard R.
dc.contributor.author Rosenkranz, Sara K.
dc.contributor.author Kolt, Gregory S.
dc.date.accessioned 2014-03-19T19:38:00Z
dc.date.available 2014-03-19T19:38:00Z
dc.date.issued 2013-11-11
dc.identifier.uri http://hdl.handle.net/2097/17236
dc.description.abstract Background: Physical activity and sitting time independently contribute to chronic disease risk, though little work has focused on aspirational health outcomes. The purpose of this study was to examine associations between physical activity, sitting time, and excellent overall health (ExH) and quality of life (ExQoL) in Australian adults. Methods: The 45 and Up Study is a large Australian prospective cohort study (n = 267,153). Present analyses are from 194,545 participants (48% male; mean age = 61.6 ± 10.7 yrs) with complete baseline questionnaire data on exposures, outcomes, and potential confounders (age, income, education, smoking, marital status, weight status, sex, residential remoteness and economic advantage, functional limitation and chronic disease). The Active Australia survey was used to assess walking, moderate, and vigorous physical activity. Sitting time was determined by asking participants to indicate number of hours per day usually spent sitting. Participants reported overall health and quality of life, using a five-point scale (excellent—poor). Binary logistic regression models were used to analyze associations, controlling for potential confounders. Results: Approximately 16.5% of participants reported ExH, and 25.7% reported ExQoL. In fully adjusted models, physical activity was positively associated with ExH (AOR = adjusted odds ratio for most versus least active = 2.22, 95% CI = 2.20, 2.47; P[subscript trend] < 0.001) and ExQoL (AOR for most versus least active = 2.30, 95% CI = 2.12, 2.49; P[subscript trend]  < 0.001). In fully adjusted models, sitting time was inversely associated with ExH (AOR for least versus most sitting group = 1.13, 95% CI = 1.09, 1.18; P[subscript trend]  < 0.001) and ExQoL (AOR for least versus most sitting group = 1.13, 95% CI = 1.10, 1.17; P[subscript trend]  < 0.001). In fully adjusted models, interactions between physical activity and sitting time were not significant for ExH (P = 0.118) or ExQoL (P = 0.296). Conclusions: Physical activity and sitting time are independently associated with excellent health and quality of life in this large diverse sample of Australian middle-aged and older adults. These findings bolster evidence informing health promotion efforts to increase PA and decrease sitting time toward the achievement of better population health and the pursuit of successful aging. en_US
dc.language.iso en_US en_US
dc.relation.uri http://doi.org/10.1186/1471-2458-13-1071 en_US
dc.rights This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s).
dc.rights.uri https://rightsstatements.org/page/InC/1.0/?language=en
dc.subject Physical activity en_US
dc.subject Sedentary behavior en_US
dc.subject Sedentary lifestyle en_US
dc.subject Salutogenic en_US
dc.subject Health promotion en_US
dc.subject Successful aging en_US
dc.subject Quality of life en_US
dc.subject Sitting time en_US
dc.title Active lifestyles related to excellent self-rated health and quality of life: cross sectional findings from 194,545 participants in The 45 and Up Study en_US
dc.type Text en_US
dc.date.published 2013 en_US
dc.citation.doi 10.1186/1471-2458-13-1071 en_US
dc.citation.jtitle BMC Public Health en_US
dc.citation.spage 1071 en_US
dc.citation.volume 13 en_US
dc.contributor.authoreid ricardo en_US
dc.contributor.authoreid sararose en_US
dc.description.version Article: Version of Record


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