Abstract
Objective:
To examine the association between health-related quality of life (HRQOL) and physical activity (PA).
Methods:
Cross-sectional data were obtained via a national telephone survey from 9173 respondents (30.9% response rate; 51.4% cooperation rate). Four indicators of HRQOL were measured: self-rated health, physically unhealthy days, mentally unhealthy days and activity limitation days. Prevalence estimates were calculated by body mass index (BMI) category and PA level. Logistic regression evaluated BMI as an effect modifier of the relationship between HRQOL and PA.
Results:
Inactive adults reported more fair to poor HRQOL than active adults, regardless of BMI category (P<0.001). BMI did not modify the association between PA and any of the four HRQOL indicators.
Conclusion:
Prevalence of low HRQOL is inversely related to PA participation, and the relationship is not altered by BMI status. Regardless of their weight status, adults should be encouraged to engage in PA.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Centers for Disease Control and Prevention. Measuring Healthy Days. CDC: Atlanta, GA, 2000. Available at http://www.cdc.gov/hrqol/monograph.htm.
Brown DW, Brown DR, Heath GW, Balluz L, Giles WH, Ford ES et al. Associations between physical activity dose and health-related quality of life. Med Sci Sports Exerc 2004; 36/5: 890–896.
Spirduso WW, Cronin DL . Exercise dose–response effects on quality of life and independent living in older adults. Med Sci Sports Exerc 2001; 33: S598–S608.
Kushi LH, Fee RM, Folsom AF, Mink PJ, Anderson KE, Sellers TA . Physical activity and mortality in postmenopausal women. JAMA 1997; 277: 1287–1292.
US Department of Health and Human Services. The Surgeon General's Call to Action to Prevent and Decrease Overweight and Obesity (2001) US Department of Health and Human Services, Centers for Disease Control and Prevention: Atlanta, GA, 2001.
Dishman RK . The impact of behavior on quality of life. Qual Life Res 2003; 12 (Suppl 1): 43–49.
US Department of Health and Human Services. Physical Activity and Health: A Report of the Surgeon General. US Department of Health and Human Services, Centers for Disease Control and Prevention: Atlanta, GA, 1996.
Centers for Disease Control and Prevention. Prevalence of physical activity, including lifestyle activities among adults – United States, 2000–2001. Morb Mortal Wkly Rep 2003; 52/32: 764–769.
Goins RT, Spencer SM, Krummel DA . Effect of obesity on health-related quality of life among Appalachian elderly. South Med J 2003; 96/6: 552–557.
Hassan MK, Joshi AV, Madhavan SS, Amonkar MM . Obesity and health-related quality of life: a cross-sectional analysis of the US population. Int J Obes Relat Metab Disord 2003; 27: 1227–1232.
Coakley EH, Kawachi I, Manson JE, Speizer FE, Willet WC, Colditz GA . Lower levels of physical functioning are associated with higher body weight among middle-aged and older women. Int J Obes Relat Metab Disord 1998; 22: 958–965.
Hill AJ, Williams J . Psychological health in a non-clinical sample of obese women. Int J Obes Relat Metab Disord 1998; 22: 578–583.
Lean ME, Han TS, Seiell JC . Impairment of health and quality of life using new US federal guidelines for the identification of obesity. Arch Intern Med 1999; 159: 837–843.
Wolf AM, Colditz GA . Current estimates of the economic cost of obesity in the United States. Obes Res 1998; 6: 97–106.
Kolotkin RL, Head S, Hamilton M, Tse Chiu-Kit J . Assessing impact of weight on quality of life. Obes Res 1995; 3: 49–56.
Mathias SD, Williamson CL, Colwell HH, Cisernas MG, Pasta DJ, Stolshek BS et al. Assessing health-related quality-of-life and health state preference in persons with obesity: a validation study. Qual Life Res 1997; 6: 311–322.
Frankel LR . The report of the CASRO task force on response rates. In: Wiseman F (eds). Improving Data Quality in a Sample Survey. Marketing Science Institute: Cambridge, MA, 1983.
Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C et al. Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA 1995; 273/5: 402–407.
World Health Organization. Obesity: Preventing and Managing The Global Epidemic WHO Technical Report Series, No. 894. WHO: Geneva, Switzerland, 2000.
Sullivan MBE, Sullivan LGM, Kral JG . Quality of life assessment in obesity: physical, psychological, and social function. Gatroenterol Clin N Am 1987; 16/3: 433–442.
Ball K, Crawford D, Owen N . Too fat to exercise? Obesity as a barrier to physical activity. Aust N Z J Public Health 2000; 24/3: 331–333.
Rippe JM, Hess S . The role of physical activity in the prevention and management of obesity. J Am Diet Assoc 1998; 98 (Suppl 2): S31–S38.
Rowland ML . Self-reported weight and height. Am J Clin Nutr 1990; 52: 1125–1133.
Acknowledgements
Rosemarie Kobau and David Moriarty, Division of Adult and Community Health, NCCDPHP, CDC provided comments on earlier versions of the manuscript. This research was funded by a cooperative agreement from the Centers for Disease Control and Prevention (U48/CCU409664).
Author information
Authors and Affiliations
Corresponding author
Additional information
The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention, USDHHS or the US Government.
Rights and permissions
About this article
Cite this article
Kruger, J., Bowles, H., Jones, D. et al. Health-related quality of life, BMI and physical activity among US adults (⩾18 years): National Physical Activity and Weight Loss Survey, 2002. Int J Obes 31, 321–327 (2007). https://doi.org/10.1038/sj.ijo.0803386
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/sj.ijo.0803386
Keywords
This article is cited by
-
Health-related physical fitness, physical activity and its correlates among school going adolescents in hilly state in north India: a cross sectional survey
BMC Public Health (2024)
-
Food craving and consumption evolution in patients starting treatment with clozapine
Psychopharmacology (2019)
-
Mortality risk and perceived quality of life as a function of waking time in discretionary movement-based behaviors: isotemporal substitution effects
Quality of Life Research (2017)
-
The impact of health literacy and life style risk factors on health-related quality of life of Australian patients
Health and Quality of Life Outcomes (2016)
-
The Influence of Body Mass Index on the Perceived Quality of Life during Pregnancy
Applied Research in Quality of Life (2014)