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Exercise and quality of life among people with multiple sclerosis: looking beyond physical functioning to mental health and participation in life.
Arch Phys Med Rehabil. 2009 Mar; 90(3):420-8.AP

Abstract

OBJECTIVE

To describe the prevalence of exercise in a national sample of veterans with multiple sclerosis (MS) and the association of exercise with quality of life, including physical health, mental health, and participation restriction.

DESIGN

Cross-sectional cohort study linking computerized medical records to mailed survey data from 1999.

SETTING

Veterans Health Administration.

PARTICIPANTS

Veterans with MS (N=2995; 86.5% men) who received services in the Veterans Health Administration and returned survey questionnaires.

INTERVENTIONS

Not applicable.

MAIN OUTCOME MEASURES

Demographic information, Veteran RAND 36-Item Health Survey (VR-36), self-reported exercise frequency.

RESULTS

Among all survey respondents with MS, only 28.6% (95% confidence interval, 26.9-30.2) endorsed any exercise. In adjusted logistic regression, exercise was associated with younger age, more education, living alone, lower levels of bodily pain, and higher body mass index. After adjusting for demographic variables and medical comorbidities, exercise was associated with better physical and mental health. People who exercised reported they had better social functioning and better role functioning (participation in life despite physical and emotional difficulties).

CONCLUSIONS

Exercise in veterans with MS is uncommon. In the context of chronic illness care, the identification of exercise patterns and promotion of physical activity may represent an important opportunity to improve mental health and quality of life among people with MS. Intervention should address factors associated with lower rates of exercise including age, education, and pain.

Authors+Show Affiliations

Veterans Affairs Puget Sound Health Care System, Rehabilitation Care Services, University of Washington, Seattle, WA 98108, USA. Aaron.Turner@va.govNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

19254606

Citation

Turner, Aaron P., et al. "Exercise and Quality of Life Among People With Multiple Sclerosis: Looking Beyond Physical Functioning to Mental Health and Participation in Life." Archives of Physical Medicine and Rehabilitation, vol. 90, no. 3, 2009, pp. 420-8.
Turner AP, Kivlahan DR, Haselkorn JK. Exercise and quality of life among people with multiple sclerosis: looking beyond physical functioning to mental health and participation in life. Arch Phys Med Rehabil. 2009;90(3):420-8.
Turner, A. P., Kivlahan, D. R., & Haselkorn, J. K. (2009). Exercise and quality of life among people with multiple sclerosis: looking beyond physical functioning to mental health and participation in life. Archives of Physical Medicine and Rehabilitation, 90(3), 420-8. https://doi.org/10.1016/j.apmr.2008.09.558
Turner AP, Kivlahan DR, Haselkorn JK. Exercise and Quality of Life Among People With Multiple Sclerosis: Looking Beyond Physical Functioning to Mental Health and Participation in Life. Arch Phys Med Rehabil. 2009;90(3):420-8. PubMed PMID: 19254606.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Exercise and quality of life among people with multiple sclerosis: looking beyond physical functioning to mental health and participation in life. AU - Turner,Aaron P, AU - Kivlahan,Daniel R, AU - Haselkorn,Jodie K, PY - 2008/02/21/received PY - 2008/06/24/revised PY - 2008/09/04/accepted PY - 2009/3/4/entrez PY - 2009/3/4/pubmed PY - 2009/3/17/medline SP - 420 EP - 8 JF - Archives of physical medicine and rehabilitation JO - Arch Phys Med Rehabil VL - 90 IS - 3 N2 - OBJECTIVE: To describe the prevalence of exercise in a national sample of veterans with multiple sclerosis (MS) and the association of exercise with quality of life, including physical health, mental health, and participation restriction. DESIGN: Cross-sectional cohort study linking computerized medical records to mailed survey data from 1999. SETTING: Veterans Health Administration. PARTICIPANTS: Veterans with MS (N=2995; 86.5% men) who received services in the Veterans Health Administration and returned survey questionnaires. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Demographic information, Veteran RAND 36-Item Health Survey (VR-36), self-reported exercise frequency. RESULTS: Among all survey respondents with MS, only 28.6% (95% confidence interval, 26.9-30.2) endorsed any exercise. In adjusted logistic regression, exercise was associated with younger age, more education, living alone, lower levels of bodily pain, and higher body mass index. After adjusting for demographic variables and medical comorbidities, exercise was associated with better physical and mental health. People who exercised reported they had better social functioning and better role functioning (participation in life despite physical and emotional difficulties). CONCLUSIONS: Exercise in veterans with MS is uncommon. In the context of chronic illness care, the identification of exercise patterns and promotion of physical activity may represent an important opportunity to improve mental health and quality of life among people with MS. Intervention should address factors associated with lower rates of exercise including age, education, and pain. SN - 1532-821X UR - https://www.unboundmedicine.com/medline/citation/19254606/Exercise_and_quality_of_life_among_people_with_multiple_sclerosis:_looking_beyond_physical_functioning_to_mental_health_and_participation_in_life_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-9993(08)01674-2 DB - PRIME DP - Unbound Medicine ER -