Aerobic and muscle-strengthening guideline adherence and mobility limitation among adults with arthritis in the United States: a pooled cross-sectional analysis, 2020-2024.
4 affiliations
- 1School of Exercise and Health, Medicine & Technology College of Zunyi Medical University, No. 12, Yuanqu 1st Road, Xinpu New District, Zunyi, Guizhou 563006, China.
- 2Doctoral Program in Physical Education, Graduate School, Universitas Negeri Jakarta, Jakarta 13220, Indonesia.
- 3Doctoral Program in Educational Management, Graduate School, Universitas Negeri Jakarta, Jakarta 13220, Indonesia.
- 4Ningxia Normal University, Guyuan, Ningxia 756099, China.
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.
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BibTeX
@article{wang2026aerobic,
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.}},
author = {Dejin Wang and Jueliang Tian and Yuxi Peng and Shaoxue Wu and Yuhuan Feng},
journal = {Preventive medicine reports},
year = {2026},
month = oct,
doi = {10.1016/j.pmedr.2026.103692},
url = {https://europepmc.org/article/MED/42999853},
note = {CC BY},
}
RIS
TY - JOUR
TI - Aerobic and muscle-strengthening guideline adherence and mobility limitation among adults with arthritis in the United States: a pooled cross-sectional analysis, 2020-2024.
AU - Dejin Wang
AU - Jueliang Tian
AU - Yuxi Peng
AU - Shaoxue Wu
AU - Yuhuan Feng
PY - 2026
DA - 2026/10/29
JO - Preventive medicine reports
DO - 10.1016/j.pmedr.2026.103692
UR - https://europepmc.org/article/MED/42999853
AB - 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.
SN - 2211-3355
ER -