Quality of Life, Physical Activity, and Built Environment Characteristics Among Colombian Adults

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Olga L. Sarmiento
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Thomas L. Schmid
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Diana C. Parra
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Adriana Díaz-del-Castillo
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Luis Fernando Gómez
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Michael Pratt
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Enrique Jacoby
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José D. Pinzón
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John Duperly
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Background:

Studies assessing the association between health-related quality of life (HR-QOL) with physical activity (PA) and built environment (BE) characteristics are limited.

Methods:

A cross-sectional study was conducted among 1,334 adults from Bogotá, to assess the associations between HR-QOL with PA and BE characteristics. HR-QOL was measured using the World Health Organization and the Centers for Disease Control and Prevention instruments. PA was measured using the International PA Questionnaire. BE characteristics included the dimensions of density, diversity, design, and access to mass-transit. Analysis included multilevel modeling.

Results:

Adults who reported meeting PA recommendations and participating in the Ciclovía were more likely to have a high mean score of HR-QOL and were more likely to perceive their health status as good/excellent. Adults who reported biking for transportation were more likely to have a high mean score of HR-QOL. Regarding BE characteristics, land-use heterogeneity was associated with HR-QOL, perceived good health status and being positive about the future. Park density was associated with HR-QOL, perceived health status good/excellent and being positive about the future. Mass-transit stations availability was negatively associated with HR-QOL.

Conclusion:

This study provides preliminary evidence that HR-QOL is associated with PA and BE characteristics among adults in an urban setting of the developing world.

Sarmiento, Díaz-del-Castillo, and Duperly are with the Dept of Social Medicine, Universidad de los Andes, Bogotá, Colombia. Duperly is also with the Dept of Internal Medicine, Fundación Santa Fe de Bogotá, Colombia. Schmid is with the Physical Activity and Health Branch, Centers for Disease Control and Prevention, Atlanta, GA. Pratt is with the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA. Parra is with the Prevention Research Center in St. Louis, George Warren Brown School of Social Work, Washington University in St. Louis. Gómez is with the Division de Salud, Fundacion FES Social, Bogotá, Colombia. Jacoby is with the Dept of Healthy Eating and Active Living, Non-communicable Disease Unit, Pan American/World Health Organization, Washington, D.C. Pinzón is with the School of Urban Design, Universidad Jorge Tadeo Lozano, Bogotá D.C., Colombia.

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