Physical Activity Levels, Correlates, and All-Cause Mortality Risk in People Living With Different Health Conditions

Jenny M Marks-Vieveen*, Léonie Uijtdewilligen, Ehsan Motazedi, Dominique P M Stijnman, Inge van den Akker-Scheek, Adrie J Bouma, Laurien M Buffart, Vincent de Groot, Ellen de Hollander, Judith G M Jelsma, Johan de Jong, Helco G van Keeken, Leonie A Krops, Marike van der Leeden, Stephan A Loer, Willem van Mechelen, Femke van Nassau, Joske Nauta, Evert Verhagen, Wanda Wendel-VosLucas H V van der Woude, Johannes Zwerver, Rienk Dekker, Hidde P van der Ploeg

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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BACKGROUND: To better understand physical activity behavior and its health benefits in people living with health conditions, we studied people with and without 20 different self-reported health conditions with regard to (1) their physical activity levels, (2) factors correlated with these physical activity levels, and (3) the association between physical activity and all-cause mortality.

METHODS: We used a subsample (n = 88,659) of the Lifelines cohort study from the Netherlands. For people living with and without 20 different self-reported health conditions, we studied the aforementioned factors in relation to physical activity. Physical activity was assessed with the Short Questionnaire to Assess Health-Enhancing Physical Activity Questionnaire, and mortality data were obtained from the Dutch death register.

RESULTS: People with a reported health condition were less likely to meet physical activity guidelines than people without a reported health condition (odds ratios ranging from 0.55 to 0.89). Higher body mass index and sitting time, and lower self-rated health, physical functioning, and education levels were associated with lower odds of meeting physical activity guidelines across most health conditions. Finally, we found a protective association between physical activity and all-cause mortality in both people living with and without different health conditions.

CONCLUSION: People living with different health conditions are generally less physically active compared with people living without a health condition. Both people living with and without self-reported health conditions share a number of key factors associated with physical activity levels. We also observed the expected protective association between physical activity and all-cause mortality.

Original languageEnglish
Pages (from-to)394–404
Number of pages11
JournalJournal of Physical Activity and Health
Issue number4
Early online date24-Feb-2024
Publication statusPublished - Apr-2024

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