Age, physical inactivity, obesity, health conditions, and health-related quality of life among patients receiving conservative management for musculoskeletal disorders

Steven M McPhail,1,2 Mandy Schippers,1,2 Alison L Marshall2 1Centre for Functioning and Health Research, Metro South Health, Brisbane, QLD, Australia; 2Institute of Health and Biomedical Innovation, and School of Public Health and Social Work, Queensland University of Technology,...

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Autores principales:	McPhail SM, Schippers M, Marshall AL
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Aging physical activity musculoskeletal comorbidity quality of life obesity Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/a93eab4cec9045819f7ac2d305aa8c68
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spelling	oai:doaj.org-article:a93eab4cec9045819f7ac2d305aa8c682021-12-02T03:25:47ZAge, physical inactivity, obesity, health conditions, and health-related quality of life among patients receiving conservative management for musculoskeletal disorders1178-1998https://doaj.org/article/a93eab4cec9045819f7ac2d305aa8c682014-07-01T00:00:00Zhttps://www.dovepress.com/age-physical-inactivity-obesity-health-conditions-and-health-related-q-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Steven M McPhail,1,2 Mandy Schippers,1,2 Alison L Marshall2 1Centre for Functioning and Health Research, Metro South Health, Brisbane, QLD, Australia; 2Institute of Health and Biomedical Innovation, and School of Public Health and Social Work, Queensland University of Technology, Brisbane, QLD, Australia Background: Musculoskeletal conditions and insufficient physical activity have substantial personal and economic costs among contemporary aging societies. This study examined the age distribution, comorbid health conditions, body mass index (BMI), self-reported physical activity levels, and health-related quality of life of patients accessing ambulatory hospital clinics for musculoskeletal disorders. The study also investigated whether comorbidity, BMI, and self-reported physical activity were associated with patients’ health-related quality of life after adjusting for age as a potential confounder. Methods: A cross-sectional survey was undertaken in three ambulatory hospital clinics for musculoskeletal disorders. Participants (n=224) reported their reason for referral, age, comorbid health conditions, BMI, physical activity levels (Active Australia Survey), and health-related quality of life (EQ-5D). Descriptive statistics and linear modeling were used to examine the associations between age, comorbidity, BMI, intensity and duration of physical activity, and health-related quality of life.Results: The majority of patients (n=115, 51.3%) reported two or more comorbidities. In addition to other musculoskeletal conditions, common comorbidities included depression (n=41, 18.3%), hypertension (n=40, 17.9%), and diabetes (n=39, 17.4%). Approximately one-half of participants (n=110, 49.1%) self-reported insufficient physical activity to meet minimum recommended guidelines and 150 (67.0%) were overweight (n=56, 23.2%), obese (n=64, 28.6%), severely obese (n=16, 7.1%), or very severely obese (n=14, 6.3%), with a higher proportion of older patients affected. A generalized linear model indicated that, after adjusting for age, self-reported physical activity was positively associated (z=4.22, P<0.001), and comorbidities were negatively associated (z=–2.67, P<0.01) with patients’ health-related quality of life. Conclusion: Older patients were more frequently affected by undesirable clinical attributes of comorbidity, obesity, and physical inactivity. However, findings from this investigation are compelling for the care of patients of all ages. Potential integration of physical activity behavior change or other effective lifestyle interventions into models of care for patients with musculoskeletal disorders is worthy of further investigation. Keywords: aging, comorbidity, physical activity, orthopedic, sedentary, overweightMcPhail SMSchippers MMarshall ALDove Medical PressarticleAgingphysical activitymusculoskeletalcomorbidityquality of lifeobesityGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 1069-1080 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Aging physical activity musculoskeletal comorbidity quality of life obesity Geriatrics RC952-954.6
spellingShingle	Aging physical activity musculoskeletal comorbidity quality of life obesity Geriatrics RC952-954.6 McPhail SM Schippers M Marshall AL Age, physical inactivity, obesity, health conditions, and health-related quality of life among patients receiving conservative management for musculoskeletal disorders
description	Steven M McPhail,1,2 Mandy Schippers,1,2 Alison L Marshall2 1Centre for Functioning and Health Research, Metro South Health, Brisbane, QLD, Australia; 2Institute of Health and Biomedical Innovation, and School of Public Health and Social Work, Queensland University of Technology, Brisbane, QLD, Australia Background: Musculoskeletal conditions and insufficient physical activity have substantial personal and economic costs among contemporary aging societies. This study examined the age distribution, comorbid health conditions, body mass index (BMI), self-reported physical activity levels, and health-related quality of life of patients accessing ambulatory hospital clinics for musculoskeletal disorders. The study also investigated whether comorbidity, BMI, and self-reported physical activity were associated with patients’ health-related quality of life after adjusting for age as a potential confounder. Methods: A cross-sectional survey was undertaken in three ambulatory hospital clinics for musculoskeletal disorders. Participants (n=224) reported their reason for referral, age, comorbid health conditions, BMI, physical activity levels (Active Australia Survey), and health-related quality of life (EQ-5D). Descriptive statistics and linear modeling were used to examine the associations between age, comorbidity, BMI, intensity and duration of physical activity, and health-related quality of life.Results: The majority of patients (n=115, 51.3%) reported two or more comorbidities. In addition to other musculoskeletal conditions, common comorbidities included depression (n=41, 18.3%), hypertension (n=40, 17.9%), and diabetes (n=39, 17.4%). Approximately one-half of participants (n=110, 49.1%) self-reported insufficient physical activity to meet minimum recommended guidelines and 150 (67.0%) were overweight (n=56, 23.2%), obese (n=64, 28.6%), severely obese (n=16, 7.1%), or very severely obese (n=14, 6.3%), with a higher proportion of older patients affected. A generalized linear model indicated that, after adjusting for age, self-reported physical activity was positively associated (z=4.22, P<0.001), and comorbidities were negatively associated (z=–2.67, P<0.01) with patients’ health-related quality of life. Conclusion: Older patients were more frequently affected by undesirable clinical attributes of comorbidity, obesity, and physical inactivity. However, findings from this investigation are compelling for the care of patients of all ages. Potential integration of physical activity behavior change or other effective lifestyle interventions into models of care for patients with musculoskeletal disorders is worthy of further investigation. Keywords: aging, comorbidity, physical activity, orthopedic, sedentary, overweight
format	article
author	McPhail SM Schippers M Marshall AL
author_facet	McPhail SM Schippers M Marshall AL
author_sort	McPhail SM
title	Age, physical inactivity, obesity, health conditions, and health-related quality of life among patients receiving conservative management for musculoskeletal disorders
title_short	Age, physical inactivity, obesity, health conditions, and health-related quality of life among patients receiving conservative management for musculoskeletal disorders
title_full	Age, physical inactivity, obesity, health conditions, and health-related quality of life among patients receiving conservative management for musculoskeletal disorders
title_fullStr	Age, physical inactivity, obesity, health conditions, and health-related quality of life among patients receiving conservative management for musculoskeletal disorders
title_full_unstemmed	Age, physical inactivity, obesity, health conditions, and health-related quality of life among patients receiving conservative management for musculoskeletal disorders
title_sort	age, physical inactivity, obesity, health conditions, and health-related quality of life among patients receiving conservative management for musculoskeletal disorders
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/a93eab4cec9045819f7ac2d305aa8c68
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Age, physical inactivity, obesity, health conditions, and health-related quality of life among patients receiving conservative management for musculoskeletal disorders

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