Evidence map›Paper›PMID 33081800›Full record

ArticleHealth and quality of life outcomes2020

The modifying role of physical activity in the cross-sectional and longitudinal association of health-related quality of life with physiological functioning-based latent classes and metabolic syndrome.

Paco Cerletti, Dirk Keidel, Medea Imboden, Christian Schindler, Nicole Probst-Hensch

Open access · goldAbstract read
In one paragraph

Article in Health and quality of life outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Physical Activity Counseling in Saudi Arabia: A Systematic Review of Content, Outcomes, and Barriers.International journal of environmental research and public health · 2022
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Paco CerlettiSwiss Tropical and Public Health Institute, Socinstrasse 57, 4051, Basel, CH, Switzerland.
Dirk KeidelSwiss Tropical and Public Health Institute, Socinstrasse 57, 4051, Basel, CH, Switzerland.
Medea ImbodenSwiss Tropical and Public Health Institute, Socinstrasse 57, 4051, Basel, CH, Switzerland.
Christian SchindlerSwiss Tropical and Public Health Institute, Socinstrasse 57, 4051, Basel, CH, Switzerland.
Nicole Probst-HenschSwiss Tropical and Public Health Institute, Socinstrasse 57, 4051, Basel, CH, Switzerland. nicole.probst@swisstph.ch.ORCID http://orcid.org/0000-0001-8561-5976
Swiss Tropical and Public Health Institute · CH

Funding

Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 33CS30-177506/1
6 · The paper itself

Abstract

backgroundSingle cardio-metabolic risk factors are each known modifiable risk factors for adverse health and quality of life outcomes. Yet, evidence on the clustered effect of these parameters and the metabolic syndrome (MetS) on health-related quality of life (HRQoL) is still limited and mostly cross-sectional. The objectives of this study were to identify clusters of cardio-metabolic physiological functioning, to assess their associations with HRQoL in comparison with the MetS, to elucidate the modifying role of physical activity, and to assess differences in health service utilization.

methodsThis study is based on longitudinal data from two time points (2010/11 & 2017/18) of the Swiss Study on Air Pollution and Lung and Heart Diseases (SAPALDIA). Latent class analysis (LCA) grouped participants based on a priori selected cardio-metabolic and MetS related physiological functioning variables (Body mass index, body fat, glycated hemoglobin, blood triglycerides, blood pressure). The 36-item Short-Form Health Survey (SF-36) was used to assess HRQoL. Quantile regressions were performed with and without adjustment for physical activity, to detect independent associations of the latent classes, MetS and physical activity with HRQoL. To assess the modifying role of physical activity, we additionally grouped participants based on the combination of physical activity and latent classes or MetS, respectively. Logistic regressions were used to investigate health service utilization as outcome.

resultsThe LCA resulted in three classes labeled "Healthy" (30% of participants in 2017/18), "At risk" and "Unhealthy" (29%). The Unhealthy class scored lowest in all physical component scores of HRQoL. Compared to healthy and active participants, inactive participants in the "Unhealthy" class showed lower scores in the physical functioning domain both cross-sectionally (- 9.10 (- 12.02; - 6.18)) and longitudinally. This group had an odds ratio of 2.69 (1.52; 4.74) for being hospitalized in the previous 12 months.

conclusionsThese results point to subjects with adverse cardio-metabolic physiological functioning and low activity levels as an important target group for health promotion and maintenance of well-being. The promotion of physical activity at the early stages of aging seems pivotal to mitigate the impact of the MetS on HRQoL at higher age.

Indexed as

Cardiometabolic Risk FactorsExerciseHealth StatusQuality of LifeAgedCross-Sectional StudiesFemaleHumansLatent Class AnalysisLongitudinal StudiesMaleMetabolic SyndromeMiddle AgedRisk FactorsAgingCardio-metabolicHealth-related quality of lifeLatent class analysisLifestyleMetabolic syndromePhysical activityPhysiological functioning

Identifiers

PMID33081800
PMCPMC7574351
OpenAlexW3094005787

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.