TY - JOUR
T1 - The Relationship of Exercise, Psychosocial Factors, and Social Participation Among Adults Aging With Long-Term Physical Disability
T2 - A Cross-Sectional Study
AU - Morgan, Kerri A.
AU - Desai, Rachel Heeb
AU - Trocinski, Courtney Weber
AU - Hollingsworth, Holly
AU - Dashner, Jessica
AU - Putnam, Michelle
AU - Stark, Susan L.
N1 - Publisher Copyright:
© The Author(s) 2024.
PY - 2024/6
Y1 - 2024/6
N2 - Purpose: This study investigated the relationships among exercise engagement, psychosocial factors, and social participation for adults aging with physical disabilities (AAwPD). Design: A cross-sectional study within a community-based cohort study of participation among AAwPD was conducted. Setting: A comprehensive survey was administered online or via telephone. Participants: Participants were 474 individuals between the ages of 45-65, primarily living in the Midwestern United States, who reported living with a physical disability for at least 5 years. Method: Survey questions created based on prior consolidation of activity domains assessed exercise engagement. Psychosocial health and social participation were measured using the Patient Reported Outcomes Measurement Information System. Chi-square tests, t-tests, and a general linear model were used to examine differences between exercisers and non-exercisers. Results: Participants who exercised reported less pain (P <.001), fatigue (P <.001), and depression (P <.001) and greater self-efficacy for management of chronic conditions (P =.002), satisfaction with participation in social roles and activities (P <.001), and ability to participate in social roles and activities (P <.001) compared with non-exercising participants. Conclusions: AAwPD who exercised reported fewer secondary conditions and greater social participation. Although causal relationships cannot be drawn, and the frequency, duration, and intensity of exercise were not examined, this study lays important groundwork for future research to determine the health and participation benefits of exercise for AAwPD. Future studies should also focus on the development of exercise interventions to support successful aging with disability.
AB - Purpose: This study investigated the relationships among exercise engagement, psychosocial factors, and social participation for adults aging with physical disabilities (AAwPD). Design: A cross-sectional study within a community-based cohort study of participation among AAwPD was conducted. Setting: A comprehensive survey was administered online or via telephone. Participants: Participants were 474 individuals between the ages of 45-65, primarily living in the Midwestern United States, who reported living with a physical disability for at least 5 years. Method: Survey questions created based on prior consolidation of activity domains assessed exercise engagement. Psychosocial health and social participation were measured using the Patient Reported Outcomes Measurement Information System. Chi-square tests, t-tests, and a general linear model were used to examine differences between exercisers and non-exercisers. Results: Participants who exercised reported less pain (P <.001), fatigue (P <.001), and depression (P <.001) and greater self-efficacy for management of chronic conditions (P =.002), satisfaction with participation in social roles and activities (P <.001), and ability to participate in social roles and activities (P <.001) compared with non-exercising participants. Conclusions: AAwPD who exercised reported fewer secondary conditions and greater social participation. Although causal relationships cannot be drawn, and the frequency, duration, and intensity of exercise were not examined, this study lays important groundwork for future research to determine the health and participation benefits of exercise for AAwPD. Future studies should also focus on the development of exercise interventions to support successful aging with disability.
KW - aging
KW - exercise
KW - physical disability
KW - social participation
UR - http://www.scopus.com/inward/record.url?scp=85184938931&partnerID=8YFLogxK
U2 - 10.1177/08901171241233087
DO - 10.1177/08901171241233087
M3 - Article
C2 - 38340072
AN - SCOPUS:85184938931
SN - 0890-1171
VL - 38
SP - 683
EP - 691
JO - American Journal of Health Promotion
JF - American Journal of Health Promotion
IS - 5
ER -