Physical inactivity and chronic diseases among disabled adults in Indonesia

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Physical activity is a recognized determinant in preventing non-communicable diseases. However, people with disabilities have more barriers to do physical activity. This study was conducted to assess the physical activity level of disabled adults in Indonesia and its association with chronic diseases. This cross-sectional study used secondary data from the Indonesian Family Life Survey (IFLS) wave 5. As many as 2927 adults with disabilities involved in this study. The International Physical Activity Questionnaires (IPAQ) was used to measure physical activity. Chronic diseases were assessed based on the diagnosed disease records. Univariate, bivariate, and multiple logistic regression were performed to analyse the data. The proportion of low physical activity among adults with disabilities reached 36.2%. The number of persons with disabilities who suffer from chronic diseases was 10.8%. Disabled adults with low physical activity had higher odds of getting chronic diseases than those with moderatehigh physical activity (p-value = 0.04; aOR 1.43; 95% CI 1.12-1.84) after being controlled by other covariates. Engaging disabled persons according to the appropriate types of physical activity may reduce the risk of chronic diseases.
World Health Organization. Noncommunicable diseases [Internet]. 2022 [cited 2022 Aug 1]. Available from: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases
Kementerian Kesehatan Republik Indonesia. Laporan Nasional RISKESDAS 2018 [Internet]. Vol. 1, Kementerian Kesehatan RI. 2019. Available from: https://www.kemkes.go.id/article/view/19093000001/penyakit-jantung-penyebab-kematian-terbanyak-ke-2-di-indonesia.html
Badan Penelitian dan Pengembangan Kesehatan. Riset Kesehatan Dasar 2013 [Internet]. Jakarta; 2013. Available from: http://labdata.litbang.kemkes.go.id/images/download/laporan/RKD/2013/Laporan_riskesdas_2013_final.pdf
Damasceno A. Noncommunicable Disease [Internet]. Heart of Africa: Clinical Profile of an Evolving Burden of Heart Disease in Africa. Geneva: World Health Organization; 2016. 155–157 p. Available from: https://apps.who.int/iris/rest/bitstreams/1151362/retrieve DOI: https://doi.org/10.1002/9781119097136.part5
Cameron L, Suarez DC. Disability in Indonesia : What can we learn from the data ? [Internet]. Monash University & Australian Government. 2017. Available from: https://www.monash.edu/__data/assets/pdf_file/0003/1107138/Disability-in-Indonesia.pdf
Ibarra AD, Johnson WH. Disability status as an antecedent to chronic conditions: National Health Interview Survey, 2006-2012. Prev Chronic Dis. 2014;11(2014):1–8. DOI: https://doi.org/10.5888/pcd11.130251
Carroll DD, Courtney-Long EA, Stevens AC, Sloan ML, Lullo C, Visser SN, et al. Vital Signs: Disability and Physical Activity - United States, 2009–2012. Morb Mortal Wkly Rep. 2014;63(18):407–13.
Bello Samuel, Adeniji Adedamola, Akeredolu Oladayo, Idowu Temitope. Role of exercise and physical activity in prevention and management of chronic diseases. GSC Biol Pharm Sci. 2020;12(3):090–7. DOI: https://doi.org/10.30574/gscbps.2020.12.3.0277
Swedish National Institute of Public Health. Physical Activity in the Prevention and Treatment of Disease. Sweden: Swedish National Institute of Public Health; 2010. 621 p.
Anderson E, Durstine JL. Physical activity, exercise, and chronic diseases: A brief review. Sport Med Heal Sci [Internet]. 2019;1(1):3–10. Available from: https://doi.org/10.1016/j.smhs.2019.08.006 DOI: https://doi.org/10.1016/j.smhs.2019.08.006
Lear SA, Hu W, Rangarajan S, Gasevic D, Leong D, Iqbal R, et al. The effect of physical activity on mortality and cardiovascular disease in 130 000 people from 17 high-income, middle-income, and low-income countries: the PURE study. Lancet. 2017;390(10113):2643–54. DOI: https://doi.org/10.1016/S0140-6736(17)31634-3
Strauss J, Witoelar F, Sikoki B. The Fifth Wave of the Indonesia Family Life Survey: Overview and Field Report: Volume 1. Vol. 1. 2016. Report No.: WR-1143/1-NIA/NICHD. DOI: https://doi.org/10.7249/WR1143.1
Forde C. Scoring the International Physical Activity Questionnaire ( IPAQ ). Trinity College Durbin, The University of Dublin; 2018.
Tama TD, Astutik E. Sleep Disturbance and General Health Status in Patients with Chronic Conditions. KnE Life Sci. 2021;159–70.
Strauss J, Witoelar F, Sikoki B. User’s Guide for the Indonesia Family Life Survey, Wave 5: Volume 2. Vol. 2. 2016. DOI: https://doi.org/10.7249/WR1143.2
Australian Institute of Health and Welfare. Impact of physical inactivity as a risk factor for chronic conditions, Australian Burden of Disease Study [Internet]. 2017. Australian Burden of Disease Study series no15. Available from: https://www.aihw.gov.au/getmedia/df392a65-8cf3-4c09-a494-4498ede2c662/aihw-bod-16.pdf.aspx?inline=true
WHO Expert Consultation. Appropriate Body Mass Index for Asian Populations and Its Implications for Policy and Intervention Strategies. Lancet. 2004;363(9403):157–63. DOI: https://doi.org/10.1016/S0140-6736(03)15268-3
Martin Ginis KA, van der Ploeg HP, Foster C, Lai B, McBride CB, Ng K, et al. Participation of people living with disabilities in physical activity: a global perspective. Lancet. 2021;398(10298):443–55. DOI: https://doi.org/10.1016/S0140-6736(21)01164-8
de Hollander EL, Proper KI. Physical activity levels of adults with various physical disabilities. Prev Med Reports [Internet]. 2018;10(August 2017):370–6. Available from: https://doi.org/10.1016/j.pmedr.2018.04.017 DOI: https://doi.org/10.1016/j.pmedr.2018.04.017
Si Q, Wang L, Liu H, Loprinzi PD, Cardinal BJ. A Systematic Review of Physical Activity among People with Disabilities in Mainland China: From 1992 to 2013. Int J Sport Phys Educ. 2017;3(4):17–25. DOI: https://doi.org/10.20431/2454-6380.0304004
WHO. WHO Guidelines on physical activity and sedentary behaviour. Routledge Handbook of Youth Sport. 2016. 1–582 p.
Centers for Disease Control and Prevention. Inactivity Related to Chronic Disease in Adults with Disabilities [Internet]. 2014 [cited 2022 Aug 1]. Available from: https://www.cdc.gov/media/releases/2014/p0506-disability-activity.html
Centers for Disease Control and Prevention. Physical Activity for People with Disability [Internet]. 2022 [cited 2022 Aug 1]. Available from: https://www.cdc.gov/ncbddd/disabilityandhealth/features/physical-activity-for-all.html
World Health Organization. Physical activity [Internet]. 2022 [cited 2022 Aug 1]. Available from: https://www.who.int/news-room/fact-sheets/detail/physical-activity
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