Highlights
- •Health-related quality of life (HRQoL) is an important health indicator in adults with coronary heart disease (CHD).
- •Physical inactivity was associated with both poor physical and mental HRQol in CHD patients.
- •The association is stronger for physical than mental HRQoL.
Abstract
Background
Health-related quality of life (HRQoL) provides an accurate measure of the health
status of patients with coronary heart disease (CHD). However, few studies have examined
the relationship between physical inactivity and HRQoL in CHD survivors. We evaluated
this association in a cross-sectional study of 21,936 CHD participants in the 2015
Behavioral Risk Factor Surveillance System.
Methods
CHD diagnosis, HRQoL and physical activity were self-reported. Physical activity (PA)
was categorized (1) based on intensity, into no PA, light to moderate PA and vigorous
PA; and (2) based on duration and frequency, into no PA, insufficiently active and
active. HRQoL was assessed by the CDC HRQoL questionnaire. Participants with 14+ physical
or mental unhealthy days in a 30-day window were grouped into poor physical or mental
HRQoL. We estimated the odd ratios (AOR) and 95% confidence intervals (CI) of poor
HRQoL associated with PA after adjusting for age, sex, education, income level, social
support, smoking status, ethnicity/race, BMI, chronic conditions, and CHD groups.
Results
Compared with vigorous PA, adults with no PA had higher odds (95% CI) of poor physical
HRQoL [1.82 (1.58, 2.10)] and poor mental HRQoL [1.28 (1.05, 1.55)]. When compared
with active adults, AOR (95% CI) for adults with no PA were 1.80 (1.55, 2.01) and
1.17 (0.97, 1.42) for poor physical and mental HRQoL, respectively.
Conclusions
We found an association between physical inactivity and poor physical and mental HRQoL
among CHD survivors. There is a need for longitudinal studies to determine the temporality
of this association.
Keywords
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Article info
Publication history
Published online: July 11, 2019
Accepted:
July 7,
2019
Received in revised form:
May 24,
2019
Received:
January 30,
2019
Identification
Copyright
© 2019 Elsevier B.V. All rights reserved.
