{
  "abstract": "To compare mutually exclusive leisure-time aerobic and muscle-strengthening guideline-adherence patterns in relation to mobility limitation among U.S. adults with doctor-diagnosed arthritis. We pooled cross-sectional data from the 2020, 2022, and 2024 National Health Interview Survey in the United States for adults aged 18 years or older with doctor-diagnosed arthritis. Leisure-time activity was classified as neither guideline met, muscle-strengthening only, aerobic only, or both guidelines met. Survey-weighted modified Poisson regression estimated adjusted prevalence ratios for any difficulty walking or climbing steps, and marginal standardization estimated adjusted prevalences and absolute differences. Among 22,344 adults, adjusted mobility-limitation prevalence was 53.8% for neither guideline, 50.3% for muscle-strengthening only, 39.9% for aerobic only, and 37.2% for both guidelines. Compared with neither guideline, meeting both guidelines was associated with lower prevalence (prevalence ratio, 0.62; 95% confidence interval, 0.58, 0.66) and an absolute difference of -16.6 percentage points. Aerobic-only adherence was also associated with lower prevalence, whereas the muscle-strengthening-only estimate was closer to 1.0. Distinguishing aerobic and muscle-strengthening adherence revealed patterns not evident from a single active-inactive classification. The cross-sectional design precludes conclusions about temporal order or causality.",
  "abstract_shown": true,
  "affiliations": [
    "School of Exercise and Health, Medicine & Technology College of Zunyi Medical University, No. 12, Yuanqu 1st Road, Xinpu New District, Zunyi, Guizhou 563006, China.",
    "Doctoral Program in Physical Education, Graduate School, Universitas Negeri Jakarta, Jakarta 13220, Indonesia.",
    "Doctoral Program in Educational Management, Graduate School, Universitas Negeri Jakarta, Jakarta 13220, Indonesia.",
    "Ningxia Normal University, Guyuan, Ningxia 756099, China."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Dejin Wang"
    },
    {
      "affs": [
        1
      ],
      "name": "Jueliang Tian"
    },
    {
      "affs": [
        1
      ],
      "name": "Yuxi Peng"
    },
    {
      "affs": [
        2
      ],
      "name": "Shaoxue Wu"
    },
    {
      "affs": [
        3
      ],
      "name": "Yuhuan Feng"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/90sap8d475mwx.bib",
  "cited_by": 0,
  "doi": "10.1016/j.pmedr.2026.103692",
  "fulltext_url": "https://europepmc.org/articles/PMC13744215",
  "id": "90sap8d475mwx",
  "issns": [
    "2211-3355"
  ],
  "landing_url": "https://europepmc.org/article/MED/42999853",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2739|Physical Activity and Health"
    ]
  ],
  "openalex": "W7224244954",
  "pdf_url": "https://europepmc.org/articles/PMC13744215?pdf=render",
  "pmcid": "PMC13744215",
  "pmid": "42999853",
  "published": "2026-10-29",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/90sap8d475mwx.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T15:20:34Z",
      "native_id": "MED:42999853",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42999853"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2739|Physical Activity and Health",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Aerobic and muscle-strengthening guideline adherence and mobility limitation among adults with arthritis in the United States: a pooled cross-sectional analysis, 2020-2024.",
  "title_text": "Aerobic and muscle-strengthening guideline adherence and mobility limitation among adults with arthritis in the United States: a pooled cross-sectional analysis, 2020-2024.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T15:20:34Z",
  "url": "https://research.draconitic.com/paper/90sap8d475mwx",
  "venue": "Preventive medicine reports",
  "versions": []
}