Physical activity behaviour up to 1 year post-rehabilitation among adults with physical disabilities and/or chronic diseases: Results of the prospective cohort study ReSpAct

Pim Brandenbarg; Femke Hoekstra; Leonie A. Krops; Bregje L. Seves; Florentina J. Hettinga; Trynke Hoekstra; Rienk Dekker; Lucas H.V. Van Der Woude

doi:10.1136/bmjopen-2021-056832

Physical activity behaviour up to 1 year post-rehabilitation among adults with physical disabilities and/or chronic diseases: Results of the prospective cohort study ReSpAct

Pim Brandenbarg^*, Femke Hoekstra, Leonie A. Krops, Bregje L. Seves, Florentina J. Hettinga, Trynke Hoekstra, Rienk Dekker, Lucas H.V. Van Der Woude

^*Corresponding author for this work

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

BACKGROUND: Little is known of physical activity behaviour among adults with a disability and/or chronic disease during and up to 1 year post-rehabilitation. We aimed to explore (1) dose characteristics of physical activity behaviour among adults with physical disabilities and/or chronic diseases during that period, and (2) the effects of personal characteristics and diagnosis on the development of physical activity over time.

METHODS: Adults with physical disabilities and/or chronic diseases (N=1256), enrolled in the Rehabilitation, Sports and Active lifestyle study, were followed with questionnaires: 3-6 weeks before (T0) and 14 (T1), 33 (T2) and 52 (T3) weeks after discharge from rehabilitation. Physical activity was assessed with the adapted version of the Short Questionnaire to ASsess Health enhancing physical activity. Dose characteristics of physical activity were descriptively analysed. Multilevel regression models were performed to assess physical activity over time and the effect of personal and diagnosis characteristics on physical activity over time.

RESULTS: Median total physical activity ranged from 1545 (IQR: 853-2453) at T0 to 1710 (IQR: 960-2730) at T3 min/week. Household (495-600 min/week) and light-intensity (900-998 min/week) activities accrued the most minutes. Analyses showed a significant increase in total physical activity moderate-intensity to vigorous-intensity physical activity and work/commuting physical activity for all time points (T1-T3) compared with baseline (T0). Diagnosis, age, sex and body mass index had a significant effect on baseline total physical activity.

CONCLUSION: Physical activity is highly diverse among adults with physical disabilities and/or chronic diseases. Understanding this diversity in physical activity can help improve physical activity promotion activities.

Original language	English
Article number	e056832
Pages (from-to)	1-13
Number of pages	13
Journal	BMJ Open
Volume	12
Issue number	6
DOIs	https://doi.org/10.1136/bmjopen-2021-056832
Publication status	Published - 15 Jun 2022

Bibliographical note

Funding Information:
Funding This study was funded by the Dutch Ministry of Health, Welfare and Sports (grant no. 319758), Stichting Beatrixoord Noord-Nederland (ReSpAct 2.0; grant date 19 February 2018) and a personal grant received from the University Medical Center Groningen (BLS), and supported by the Knowledge Center of Sport Netherlands and Stichting Special Heroes Nederland (before January 2016: Stichting Onbeperkt Sportief). FH is supported by the Canadian Institutes of Health Research Postdoctoral Fellowship (#430566), Craig H Neilsen Foundation Postdoctoral Fellowship (#719049) and Michael Smith Foundation for Health Research (MSFHR) Trainee Award (#RT-2020-0489).

Publisher Copyright:
© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Funding

Funding This study was funded by the Dutch Ministry of Health, Welfare and Sports (grant no. 319758), Stichting Beatrixoord Noord-Nederland (ReSpAct 2.0; grant date 19 February 2018) and a personal grant received from the University Medical Center Groningen (BLS), and supported by the Knowledge Center of Sport Netherlands and Stichting Special Heroes Nederland (before January 2016: Stichting Onbeperkt Sportief). FH is supported by the Canadian Institutes of Health Research Postdoctoral Fellowship (#430566), Craig H Neilsen Foundation Postdoctoral Fellowship (#719049) and Michael Smith Foundation for Health Research (MSFHR) Trainee Award (#RT-2020-0489).

Funders	Funder number
Knowledge Center of Sport Netherlands and Stichting Special Heroes Nederland
Stichting Onbeperkt Sportief
Craig H. Neilsen Foundation	719049
British Lichen Society
Stichting Beatrixoord Noord-Nederland
Canadian Institutes of Health Research	430566
Michael Smith Foundation for Health Research	-2020-0489
Ministerie van Volksgezondheid, Welzijn en Sport	319758
Universitair Medisch Centrum Groningen

Keywords

epidemiology
public health
rehabilitation medicine
sports medicine

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10.1136/bmjopen-2021-056832

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Brandenbarg, P., Hoekstra, F., Krops, L. A., Seves, B. L., Hettinga, F. J., Hoekstra, T., Dekker, R., & Van Der Woude, L. H. V. (2022). Physical activity behaviour up to 1 year post-rehabilitation among adults with physical disabilities and/or chronic diseases: Results of the prospective cohort study ReSpAct. BMJ Open, 12(6), 1-13. Article e056832. https://doi.org/10.1136/bmjopen-2021-056832

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abstract = "BACKGROUND: Little is known of physical activity behaviour among adults with a disability and/or chronic disease during and up to 1 year post-rehabilitation. We aimed to explore (1) dose characteristics of physical activity behaviour among adults with physical disabilities and/or chronic diseases during that period, and (2) the effects of personal characteristics and diagnosis on the development of physical activity over time.METHODS: Adults with physical disabilities and/or chronic diseases (N=1256), enrolled in the Rehabilitation, Sports and Active lifestyle study, were followed with questionnaires: 3-6 weeks before (T0) and 14 (T1), 33 (T2) and 52 (T3) weeks after discharge from rehabilitation. Physical activity was assessed with the adapted version of the Short Questionnaire to ASsess Health enhancing physical activity. Dose characteristics of physical activity were descriptively analysed. Multilevel regression models were performed to assess physical activity over time and the effect of personal and diagnosis characteristics on physical activity over time.RESULTS: Median total physical activity ranged from 1545 (IQR: 853-2453) at T0 to 1710 (IQR: 960-2730) at T3 min/week. Household (495-600 min/week) and light-intensity (900-998 min/week) activities accrued the most minutes. Analyses showed a significant increase in total physical activity moderate-intensity to vigorous-intensity physical activity and work/commuting physical activity for all time points (T1-T3) compared with baseline (T0). Diagnosis, age, sex and body mass index had a significant effect on baseline total physical activity.CONCLUSION: Physical activity is highly diverse among adults with physical disabilities and/or chronic diseases. Understanding this diversity in physical activity can help improve physical activity promotion activities.",

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author = "Pim Brandenbarg and Femke Hoekstra and Krops, {Leonie A.} and Seves, {Bregje L.} and Hettinga, {Florentina J.} and Trynke Hoekstra and Rienk Dekker and {Van Der Woude}, {Lucas H.V.}",

note = "Funding Information: Funding This study was funded by the Dutch Ministry of Health, Welfare and Sports (grant no. 319758), Stichting Beatrixoord Noord-Nederland (ReSpAct 2.0; grant date 19 February 2018) and a personal grant received from the University Medical Center Groningen (BLS), and supported by the Knowledge Center of Sport Netherlands and Stichting Special Heroes Nederland (before January 2016: Stichting Onbeperkt Sportief). FH is supported by the Canadian Institutes of Health Research Postdoctoral Fellowship (#430566), Craig H Neilsen Foundation Postdoctoral Fellowship (#719049) and Michael Smith Foundation for Health Research (MSFHR) Trainee Award (#RT-2020-0489). Publisher Copyright: {\textcopyright} Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.",

year = "2022",

month = jun,

day = "15",

doi = "10.1136/bmjopen-2021-056832",

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Brandenbarg, P, Hoekstra, F, Krops, LA, Seves, BL, Hettinga, FJ , Hoekstra, T, Dekker, R & Van Der Woude, LHV 2022, 'Physical activity behaviour up to 1 year post-rehabilitation among adults with physical disabilities and/or chronic diseases: Results of the prospective cohort study ReSpAct', BMJ Open, vol. 12, no. 6, e056832, pp. 1-13. https://doi.org/10.1136/bmjopen-2021-056832

Physical activity behaviour up to 1 year post-rehabilitation among adults with physical disabilities and/or chronic diseases: Results of the prospective cohort study ReSpAct. / Brandenbarg, Pim; Hoekstra, Femke; Krops, Leonie A. et al.
In: BMJ Open, Vol. 12, No. 6, e056832, 15.06.2022, p. 1-13.

Research output: Contribution to Journal › Article › Academic › peer-review

TY - JOUR

T1 - Physical activity behaviour up to 1 year post-rehabilitation among adults with physical disabilities and/or chronic diseases

T2 - Results of the prospective cohort study ReSpAct

AU - Brandenbarg, Pim

AU - Hoekstra, Femke

AU - Krops, Leonie A.

AU - Seves, Bregje L.

AU - Hettinga, Florentina J.

AU - Hoekstra, Trynke

AU - Dekker, Rienk

AU - Van Der Woude, Lucas H.V.

N1 - Funding Information: Funding This study was funded by the Dutch Ministry of Health, Welfare and Sports (grant no. 319758), Stichting Beatrixoord Noord-Nederland (ReSpAct 2.0; grant date 19 February 2018) and a personal grant received from the University Medical Center Groningen (BLS), and supported by the Knowledge Center of Sport Netherlands and Stichting Special Heroes Nederland (before January 2016: Stichting Onbeperkt Sportief). FH is supported by the Canadian Institutes of Health Research Postdoctoral Fellowship (#430566), Craig H Neilsen Foundation Postdoctoral Fellowship (#719049) and Michael Smith Foundation for Health Research (MSFHR) Trainee Award (#RT-2020-0489). Publisher Copyright: © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

PY - 2022/6/15

Y1 - 2022/6/15

N2 - BACKGROUND: Little is known of physical activity behaviour among adults with a disability and/or chronic disease during and up to 1 year post-rehabilitation. We aimed to explore (1) dose characteristics of physical activity behaviour among adults with physical disabilities and/or chronic diseases during that period, and (2) the effects of personal characteristics and diagnosis on the development of physical activity over time.METHODS: Adults with physical disabilities and/or chronic diseases (N=1256), enrolled in the Rehabilitation, Sports and Active lifestyle study, were followed with questionnaires: 3-6 weeks before (T0) and 14 (T1), 33 (T2) and 52 (T3) weeks after discharge from rehabilitation. Physical activity was assessed with the adapted version of the Short Questionnaire to ASsess Health enhancing physical activity. Dose characteristics of physical activity were descriptively analysed. Multilevel regression models were performed to assess physical activity over time and the effect of personal and diagnosis characteristics on physical activity over time.RESULTS: Median total physical activity ranged from 1545 (IQR: 853-2453) at T0 to 1710 (IQR: 960-2730) at T3 min/week. Household (495-600 min/week) and light-intensity (900-998 min/week) activities accrued the most minutes. Analyses showed a significant increase in total physical activity moderate-intensity to vigorous-intensity physical activity and work/commuting physical activity for all time points (T1-T3) compared with baseline (T0). Diagnosis, age, sex and body mass index had a significant effect on baseline total physical activity.CONCLUSION: Physical activity is highly diverse among adults with physical disabilities and/or chronic diseases. Understanding this diversity in physical activity can help improve physical activity promotion activities.

AB - BACKGROUND: Little is known of physical activity behaviour among adults with a disability and/or chronic disease during and up to 1 year post-rehabilitation. We aimed to explore (1) dose characteristics of physical activity behaviour among adults with physical disabilities and/or chronic diseases during that period, and (2) the effects of personal characteristics and diagnosis on the development of physical activity over time.METHODS: Adults with physical disabilities and/or chronic diseases (N=1256), enrolled in the Rehabilitation, Sports and Active lifestyle study, were followed with questionnaires: 3-6 weeks before (T0) and 14 (T1), 33 (T2) and 52 (T3) weeks after discharge from rehabilitation. Physical activity was assessed with the adapted version of the Short Questionnaire to ASsess Health enhancing physical activity. Dose characteristics of physical activity were descriptively analysed. Multilevel regression models were performed to assess physical activity over time and the effect of personal and diagnosis characteristics on physical activity over time.RESULTS: Median total physical activity ranged from 1545 (IQR: 853-2453) at T0 to 1710 (IQR: 960-2730) at T3 min/week. Household (495-600 min/week) and light-intensity (900-998 min/week) activities accrued the most minutes. Analyses showed a significant increase in total physical activity moderate-intensity to vigorous-intensity physical activity and work/commuting physical activity for all time points (T1-T3) compared with baseline (T0). Diagnosis, age, sex and body mass index had a significant effect on baseline total physical activity.CONCLUSION: Physical activity is highly diverse among adults with physical disabilities and/or chronic diseases. Understanding this diversity in physical activity can help improve physical activity promotion activities.

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KW - rehabilitation medicine

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Physical activity behaviour up to 1 year post-rehabilitation among adults with physical disabilities and/or chronic diseases: Results of the prospective cohort study ReSpAct

Abstract

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