A cluster analysis of device-measured physical activity behaviours and the association with chronic conditions, multi-morbidity and healthcare utilisation in adults aged 45 years and older

Most adults do not meet physical activity guidelines with negative implications for health. The aim of this study was to profile adults using multiple physical activity behaviours and to investigate associations with chronic conditions, multi-morbidity and healthcare utilisation. The study used data...

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Autores principales: Andrew O'Regan, Ailish Hannigan, Liam Glynn, Enrique Garcia Bengoechea, Alan Donnelly, Grainne Hayes, Andrew W. Murphy, Amanda M. Clifford, Stephen Gallagher, Catherine B. Woods
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Publicado: Elsevier 2021
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spelling oai:doaj.org-article:5ff5367c3b6b40128fdb15feab6231e32021-11-18T04:48:11ZA cluster analysis of device-measured physical activity behaviours and the association with chronic conditions, multi-morbidity and healthcare utilisation in adults aged 45 years and older2211-335510.1016/j.pmedr.2021.101641https://doaj.org/article/5ff5367c3b6b40128fdb15feab6231e32021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2211335521003326https://doaj.org/toc/2211-3355Most adults do not meet physical activity guidelines with negative implications for health. The aim of this study was to profile adults using multiple physical activity behaviours and to investigate associations with chronic conditions, multi-morbidity and healthcare utilisation. The study used data generated from a sample of adults aged 45 years and older (N = 485), recruited to the Move for Life randomised control trial. Participants wore an accelerometer for eight consecutive days. Hierarchical cluster analysis was conducted using the variables: moderate to vigorous intensity physical activity, light intensity physical activity, step count, waking sedentary time, standing time and bed hours. Descriptive statistics were used to investigate associations with self-reported number of chronic illnesses, multi-morbidity and healthcare utilisation. Four distinct physical activity behaviour profiles were identified: inactive-sedentary (n = 50, 10.3%), low activity (n = 295, 60.8%), active (n = 111, 22.9%) and very active (n = 29, 6%). The inactive-sedentary cluster had the highest prevalence of chronic illnesses, in particular, mental illness (p = 0.006) and chronic lung disease (p = 0.032), as well as multi-morbidity, complex multi-morbidity and healthcare utilisation. The prevalence of any practice nurse visit (p = 0.033), outpatient attendances (p = 0.04) and hospital admission (p = 0.034) were higher in less active clusters. The results have provided an insight into how physical activity behaviour is associated with chronic illness and healthcare utilisation. A group within the group has been identified that is more likely to be unwell. Provisions need to be made to reduce barriers for participation in physical activity for adults with complex multi-morbidity and very low physical activity.Andrew O'ReganAilish HanniganLiam GlynnEnrique Garcia BengoecheaAlan DonnellyGrainne HayesAndrew W. MurphyAmanda M. CliffordStephen GallagherCatherine B. WoodsElsevierarticlePhysical activitySedentary behaviourMulti-morbidityHealthcare utilisationCluster analysisChronic illnessMedicineRENPreventive Medicine Reports, Vol 24, Iss , Pp 101641- (2021)
institution DOAJ
collection DOAJ
language EN
topic Physical activity
Sedentary behaviour
Multi-morbidity
Healthcare utilisation
Cluster analysis
Chronic illness
Medicine
R
spellingShingle Physical activity
Sedentary behaviour
Multi-morbidity
Healthcare utilisation
Cluster analysis
Chronic illness
Medicine
R
Andrew O'Regan
Ailish Hannigan
Liam Glynn
Enrique Garcia Bengoechea
Alan Donnelly
Grainne Hayes
Andrew W. Murphy
Amanda M. Clifford
Stephen Gallagher
Catherine B. Woods
A cluster analysis of device-measured physical activity behaviours and the association with chronic conditions, multi-morbidity and healthcare utilisation in adults aged 45 years and older
description Most adults do not meet physical activity guidelines with negative implications for health. The aim of this study was to profile adults using multiple physical activity behaviours and to investigate associations with chronic conditions, multi-morbidity and healthcare utilisation. The study used data generated from a sample of adults aged 45 years and older (N = 485), recruited to the Move for Life randomised control trial. Participants wore an accelerometer for eight consecutive days. Hierarchical cluster analysis was conducted using the variables: moderate to vigorous intensity physical activity, light intensity physical activity, step count, waking sedentary time, standing time and bed hours. Descriptive statistics were used to investigate associations with self-reported number of chronic illnesses, multi-morbidity and healthcare utilisation. Four distinct physical activity behaviour profiles were identified: inactive-sedentary (n = 50, 10.3%), low activity (n = 295, 60.8%), active (n = 111, 22.9%) and very active (n = 29, 6%). The inactive-sedentary cluster had the highest prevalence of chronic illnesses, in particular, mental illness (p = 0.006) and chronic lung disease (p = 0.032), as well as multi-morbidity, complex multi-morbidity and healthcare utilisation. The prevalence of any practice nurse visit (p = 0.033), outpatient attendances (p = 0.04) and hospital admission (p = 0.034) were higher in less active clusters. The results have provided an insight into how physical activity behaviour is associated with chronic illness and healthcare utilisation. A group within the group has been identified that is more likely to be unwell. Provisions need to be made to reduce barriers for participation in physical activity for adults with complex multi-morbidity and very low physical activity.
format article
author Andrew O'Regan
Ailish Hannigan
Liam Glynn
Enrique Garcia Bengoechea
Alan Donnelly
Grainne Hayes
Andrew W. Murphy
Amanda M. Clifford
Stephen Gallagher
Catherine B. Woods
author_facet Andrew O'Regan
Ailish Hannigan
Liam Glynn
Enrique Garcia Bengoechea
Alan Donnelly
Grainne Hayes
Andrew W. Murphy
Amanda M. Clifford
Stephen Gallagher
Catherine B. Woods
author_sort Andrew O'Regan
title A cluster analysis of device-measured physical activity behaviours and the association with chronic conditions, multi-morbidity and healthcare utilisation in adults aged 45 years and older
title_short A cluster analysis of device-measured physical activity behaviours and the association with chronic conditions, multi-morbidity and healthcare utilisation in adults aged 45 years and older
title_full A cluster analysis of device-measured physical activity behaviours and the association with chronic conditions, multi-morbidity and healthcare utilisation in adults aged 45 years and older
title_fullStr A cluster analysis of device-measured physical activity behaviours and the association with chronic conditions, multi-morbidity and healthcare utilisation in adults aged 45 years and older
title_full_unstemmed A cluster analysis of device-measured physical activity behaviours and the association with chronic conditions, multi-morbidity and healthcare utilisation in adults aged 45 years and older
title_sort cluster analysis of device-measured physical activity behaviours and the association with chronic conditions, multi-morbidity and healthcare utilisation in adults aged 45 years and older
publisher Elsevier
publishDate 2021
url https://doaj.org/article/5ff5367c3b6b40128fdb15feab6231e3
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