Physical activity levels in Atlantic Canadian Arthritis Patients

Physical activity levels in Atlantic Canadian Arthritis Patients Scott Grandy, Yunsong Cui, Vanessa DeClercq, & Melanie Keats Click here to see the full brief Arthritis is one of the most common chronic health conditions in Canada and is a leading cause of disability affecting over 4 million Canadians over 15 years of age. Of note, the prevalence of arthritis in Atlantic Canadians aged 15 and older is well above the national average (i.e., ranging from 19-23% in Atlantic Provinces versus 16% nationally). Arthritis is an inflammatory disease that affects the joints, causing chronic joint pain, swelling and stiffness, ultimately impairing an individual’s ability to carry out daily activities and negatively impacting their quality of life. The treatment approach to arthritis primarily involves symptom management, including pain relief and improving joint function. The preferred strategy is a conservative, non-pharmacological approach followed by medications and subsequently surgery as required. An important element of the non-pharmacological management strategy is weight reduction and physical activity. It is well known that a sedentary lifestyle and/or a lack of physical activity has multiple negative effects of health indices. Regrettably, while the health benefits of physical activity are well acknowledged, many Canadians are failing to reach the recommended 150 minutes per week of moderate-to-vigorous physical activity, particularly those with arthritis. A variety of factors, including environmental, demographic, psychosocial, and physical conditions can influence the physical activity levels of people living with arthritis. For example, physical factors such as join pain, stiffness, and reduced muscle strength experienced by people living with arthritis may impair an individuals’ ability to fully participant in physical activity. Notwithstanding, physical activity has been shown to improve joint function and act as an effective pain management strategy in those suffering from arthritis. Accordingly, using a population-based sample from the Atlantic Provinces, the purpose of this report is to describe and compare the physical activity levels of individuals with a self-reported history of arthritis to those who have do not have a history of the disease.

Physical Activity Levels in Atlantic Canadian Diabetes Patients

Physical Activity Levels in Atlantic Canadian Diabetes Patients Yunsong Cui, Cindy Forbes, Scott Grandy, Ellen Sweeney, Michael Yu, & Melanie Keats Click here to see the full brief Over the past 36 years the number of adults living with diabetes worldwide has nearly quadrupled, rising from 4.7% (108 million) to 8.5% (422 million). In Canada, diabetes is one of the most common chronic diseases afflicting 9.3% of the population in 2015. Similar to rising global rates, the proportion of Canadians living with diabetes is projected to reach 12.1% in 2025. The potential complications associated with diabetes are extensive and include heart attack, stroke, kidney failure, leg amputation, nerve damage, and vision loss. In Canada, people with diabetes are more likely to be hospitalized than those without diabetes. For instance, people with diabetes are three times more likely to be hospitalized as a result of cardiovascular disease, 12 times more likely as a result of end-stage renal disease, and 20 times more likely as a result of non-traumatic lower limb amputation. Diabetes-related complications can also lead to premature death, with one in ten Canadian deaths attributed to diabetes. The growing burden of diabetes reflects an increase in risk factors, such as being overweight or obese combined with a lack of physical activity. Engaging in regular physical activity has the potential to both prevent and manage diabetes. Physical activity improves the body’s sensitivity to insulin, can assist in managing blood glucose levels, increase cardiorespiratory fitness, reduce blood pressure, and assist with maintaining weight loss. Physical activity is also one of the strongest predictors of all-cause mortality in people with diabetes. The clinical practice guidelines of the Canadian Diabetes Association Expert Committee recommend at least 150 minutes per week of moderate-to-vigorous intensity physical activity, over a period of at least three days per week, with no more than two days without exercise. Recognizing the benefits associated with physical activity, using a population based sample from Atlantic Canada this report describes and compares the physical activity levels of individuals with a self-reported history of diabetes to those without a history of the disease.