Long-term trajectories of physical activity behavior in adults with physical disabilities and/or chronic diseases following rehabilitation: the prospective cohort study ReSpAct 2.0

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

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose
This study aimed to identify trajectories of physical activity behavior from discharge up to 6–8 years after rehabilitation among adults with physical disabilities and/or chronic diseases, and to determine modifiable determinants associated with trajectory membership.

Material and methods
390 Adults with physical disabilities and/or chronic diseases participated in the Rehabilitation, Sports and Active lifestyle (ReSpAct) 2.0 study with measurements at 3–6 weeks before discharge (T0), and 14 (T1), 33 (T2), and 52 weeks (T3), and 6–8 years (T4) after discharge from rehabilitation. Physical activity behavior and its determinants were assessed using questionnaires. Latent class growth modeling was used to identify trajectories of physical activity behavior. Associations between determinants at T0 and trajectory membership were analyzed using logistic regression analyses.

Results
Three trajectories of physical activity behavior were identified: a moderately active (n = 297; baseline total physical activity: 1370 (770:2070) min/week), highly active (n = 71; baseline total physical activity: 2950 (1945:3475) min/week), and increasingly active (n = 22; baseline total physical activity: 1755 (461:2415) min/week) trajectory. Barriers regarding physical activity (OR = 0.71, 95%CI 0.53–0.95) and perceived fatigue (OR = 0.75, 95%CI 0.57–0.98) were significantly associated with trajectory membership in univariable models, corrected for age and sex.

Conclusions
Targeting barriers regarding physical activity and perceived fatigue early in rehabilitation seem crucial for membership of a trajectory resulting in a more favorable development of physical activity behavior after rehabilitation.
Original languageEnglish
Pages (from-to)1-11
Number of pages11
JournalDisability and Rehabilitation
Early online date16 Dec 2024
DOIs
Publication statusE-pub ahead of print - 16 Dec 2024

Keywords

  • Physical activity
  • chronic disease
  • physical disability
  • long-term follow-up
  • cohort study
  • rehabilitation

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