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Effect of Aerobic Physical Activity on Health-Related Quality of Life in Middle Aged Women with Osteoarthritis: Korea National Health and Nutrition Examination Survey (2016–2017)

by Mikyung Ryu 1,2, Sol Lee 3,4, Ho Kim 3,5, Weon-Chil Baek 6 and Heejin Kimm 7,*
1
Department of Sport & Leisure Studies, College of Physical Science, Kyonggi University, Suwon 16227, Korea
2
Institute on Aging, Ajou University Medical Center, Suwon 16499, Korea
3
Department of bbko Research Center, bbko big-data R&D, Seoul 04146, Korea
4
Department of Health Policy and Management, Korea University, Seoul 02841, Korea
5
Department of Epidemiology and Health Promotion, Graduate School of Public Health, Yonsei University, Seoul 03722, Korea
6
Department of Sports and Health Science, College of Human-Centered Convergence, Kyonggi University, Suwon 16227, Korea
7
Department of Epidemiology and Health Promotion, Institute for Health Promotion, Graduate School of Public Health, Yonsei University, Seoul 03722, Korea
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(2), 527; https://doi.org/10.3390/ijerph17020527
Received: 20 December 2019 / Revised: 9 January 2020 / Accepted: 10 January 2020 / Published: 14 January 2020
(This article belongs to the Section Health Behavior, Chronic Disease and Health Promotion)
: Background: There have been few studies reporting the association between health-related quality of life (HRQoL) and osteoarthritis (OA) in female subjects performing aerobic exercise or not. The aim of this study is to compare HRQoL between OA patients and non-OA subjects in middle aged Korean women (40–59 y) with/without aerobic physical activity, and also to identify an association between EQ-5D instrument based HRQoL and OA controlling for aerobic exercise. Methods: This study used the cross-sectional data, the Korea National Health and Nutrition Examination Survey (KNANES) from 2016 to 2017. We only selected those who had completed the evaluations of aerobic physical activity and osteoarthritis diagnosis. In total, 2445 middle aged women were finally selected for this study. The European quality of life-5 dimensions (EQ-5D) was used for the evaluation of HRQoL as a dependent variable. In socio-demographic factors, age, sex, income level, education level, marital status, economic activity, type of insurance and private insurance and behaviour-related factors were included. One-way analysis of variance was conducted to compare the EQ-5D index and multiple linear regression analysis was employed to identify associated factors with the EQ-5D index. Results: In total, 2445 middle aged women were included in this study, in which 2209 participants were normal (90.0%) with aerobic physical activity (no: 55.0%, yes: 45.0%) and 246 participants were diagnosed with osteoarthritis (10.0%) with aerobic physical activity (no: 56.1%, yes: 43.9%). In group 2-2 (OA with aerobic), the moderate level of muscle exercise (less than 5 days per week) showed the highest HRQoL (p < 0.05) and high level exercise showed the lowest HRQoL (p < 0.05). In menopause status, the participants under menopause status showed lower HRQoL (p < 0.05) than those not under menopause status in group 2-2 (OA with aerobic) only. Conclusion: The HRQoL of OA patients was significantly lower than that of normal participants in middle aged Korean women (40–59 y). Especially, OA patients with maintained aerobic physical activity showed significantly higher HRQoL than those without that under controlling covariates such as age, income level, education level, marital status, economic activity, type of insurance, etc.
Keywords: osteoarthritis; health-related quality of life; EQ-5D; aerobic activity; muscle exercise osteoarthritis; health-related quality of life; EQ-5D; aerobic activity; muscle exercise
MDPI and ACS Style

Ryu, M.; Lee, S.; Kim, H.; Baek, W.-C.; Kimm, H. Effect of Aerobic Physical Activity on Health-Related Quality of Life in Middle Aged Women with Osteoarthritis: Korea National Health and Nutrition Examination Survey (2016–2017). Int. J. Environ. Res. Public Health 2020, 17, 527.

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