The Relationship between Personal Factors and Physical Activity Levels among Patients with Non-communicable Diseases, Phrae Province

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Nattapon Pansakun
Supakan Kantow


          This cross-sectional analytical study aimed to investigate personal factors, physical activity levels, and factors associated with physical activity among patients with non-communicable diseases in Phrae Province. The participants were 391 patients with non-communicable diseases, were selected by using multi-stage sampling procedures. The data were collected using a questionnaire consisted 3 parts; Part 1 Demographic data and personal ability, Part 2 Physical activity questionnaire, and Part 3 Quality of life assessment. The Cronbarch’s alpha coefficients were 0.88 and 0.84 respectively. The data were analyzed using descriptive statistics, Chi-square inferential statistics, and binary logistic regression at 95% confidence interval.
          The results showed that 58.3 were women, mean age of the study participants were 62.7 (SD = 9.31 years). The participants were 44.2% with hypertension, 32.5% with type 2 diabetes mellitus, and 23.3% with both. Most participants were 38.9% higher physical activity level, and were good to very good level in personal ability such as communication and daily activities. Individual factors; gender, age, average income per month, marital status, the highest educational level, overall health, and quality of life were significantly correlated to physical activity levels (p-value < 0.05). The people with an average monthly income of more than 9,000 baht are likely to have a high level of physical activity (PR = 6.24 95%CI 1.72-22.59) compared to those with an average monthly income of less than 3,000 baht.
          Conclusion One-third Chronic NCD patients in this study had low physical activities. Thus, the relevant agencies should be used in the formulation of physical stimulation measures for non-communicable diseases in different groups according to the recommendations of the world health organization.


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Pansakun, N., & Kantow, S. (2020). The Relationship between Personal Factors and Physical Activity Levels among Patients with Non-communicable Diseases, Phrae Province. Songklanagarind Journal of Nursing, 40(2), 66-82. Retrieved from
Research Articles


1. World Health Organization. Noncommunicable diseases. [Internet]. Geneva: World Health Organization; 2018 [Updated 1 Jun 2018; cited 2019 Jan 26]. Available from: https:// noncommunicable-diseases

2. The Bureau of Non-communicable Diseases Thailand. Manual for Preventing Chronic Non- communicable Diseases. 1 st ed. Bangkok: Profile Emotion Art; 2018. Thai.

3. Health Systems Research Institute Thailand. Report of the 5 th Thai People’s Health Survey by Physical Examination 2014. 1 st ed. Bangkok: Graphic and Design Publishing House; 2014. Thai.

4. Strategy and Planning Division Thailand. Thailand Health Lifestyle Strategic Plane, B.E. 2011-2020. 1 st ed. Bangkok: Buddha Press; 2011. Thai.

5. Kickbusch I, Pelikan JM, Apfel F, et al. Health literacy: The solid facts. The Regional Office for Europe of the World Health Organization: WHO Regional Office for Europe; 2013.

6. Brown DW, Balluz LS, Heath GW, et al. Associations between recommended levels of physical activity and health-related quality of life findings from the 2001 Behavioral Risk Factor Surveillance System (BRFSS) survey. Prev Med. 2003; 37(5): 520-8. doi: 10.1016/ s0091-7435(03)00179-8

7. Farahmand BY, Ahlbom A, Ekblom, et al. Mortality amongst participants in Vasaloppet: A classical long-distance ski race in Sweden. J Intern Med. 2003; 253(3): 276-83. doi: 10.1046/j.1365-2796.2003.01122.x

8. Byberg L, Melhus H, Gedeborg R, et al. Total mortality after changes in leisure time physical activity in 50 year old men: 35 year follow-up of population based cohort. Br J Sports Med. 2009; 43(7): 482-90. doi: bmj.b688

9. World Health Organization. Global health risks: mortality and burden of disease attributable to selected major risks. [Internet]. Geneva: World Health Organization; 2009 [cited 2020 Jan 18]. Available from: healthinfo/global_burden_disease/GlobalHealth Risks_report_full.pdf

10. Centers for Disease Control and Prevention. Physical activity and health: A report of the surgeon general. [Internet]. GA: U.S. Department of Health & Human Services; 1999 [cited 2020 Jan 18]. Available from: nccdphp/sgr/index.htm

11. Health Systems Research Institute Thailand. Report of the 4 th Thai people’s health survey by physical examination 2008-2009. 1 st ed. Nonthaburi: the-graphico-systems-co-ltd; 2009. Thai.

12. Boström G. Chapter 9: Habits of life and health. Scand J Public Health. 2006; 34(67_suppl): 199-228 doi: 600677287.

13. World Health Organization. 10 facts about diabetes. [Internet]. Geneva: World Health Organization; 2016 [Updated Apr 2016; cited 2019 Jan 28]. Available from: https://www.

14. Department of Health Thailand. Master-Plan- for-Promoting-National-Physical-Activity 2018-2030. [Internet]. Nonthaburi: Ministry of Public Health; 2017 [cited 2019 Jan 28]. Available from: wp-content/uploads/2017/11/Master-Plan- for-Promoting-National-Physical-Activity.pdf. Thai.

15. World Health Organization. Global Recommendations on physical activity for health. [Internet]. Switzerland:; 2010 [cited 2019 Jan 28]. Available from: global-PA-recs-2010.pdf

16. Thinchana N, Naka K, Srikaew M. Effects of home exercise promoting program using a stretched rubber band on the physical fitness of the elderly. Songklanagarind J Nurs. 2018; 38(2): 70-78.

17. Pragodpol P, Suwannaka Y, Chairit A, et al. Levels of quality of life and method to develop quality of life in thai chronically ill patients. [Research Report]. [Nonthaburi]: Health Systems Research Institute; 2015. 70 p. Thai.

18. Kittisuksatid S, Jamjan C, Tangchonlatip K, et al. quality of life, work and happiness. 1 st ed. Bangkok: Thammada Press; 2013. Thai.

19. Green AJ, Bazata DD, Fox KM, et al. Quality of life, depression, and healthcare resource utilization among adults with type 2 diabetes mellitus and Concomitant hypertension and obesity: A prospective survey. Cardiol Res Pract. 2012: 1-5. doi: 10.1155/2012/404107

20. Liangruenrom N, Craike M, Stuart JHB, et al. Correlates of physical activity and sedentary behavior in the thai population: A systematic Review. BMC Public Health. 2019; 19(1): 414.

21. Akarolo-Anthony SN, Clement AA, Clement A. Prevalence and correlates of leisure-time physical activity among Nigerians. BMC Public Health. 2014; 14(1): 529.

22. Aparicio-Ugarriza R, Pedrero-Chamizo R, del Mar Bibiloni M, et al. A novel physical activity and sedentary behavior classification and its relationship with physical Fitness in Spanish Older Adults: the PHYSMED Study. J
Phys Act Health. 2017; 14(10): 815-22.

23. Win AM, Yen LW, Tan KH, et al. Patterns of physical activity and sedentary behavior in a representative sample of a multi-ethnic South-East Asian population: A cross-sectional study. BMC Public Health. 2015; 15(1): 318. doi: 10.1186/s12889-015-1668-7

24. Liangruenrom N, Topothai T, Liangruenrom Ch, et al. Do Thai people recommended physical activity level? : The 2015 National Health and Welfare Survey. Journal of Health Systems Research. 2017; 11(2): 1-16. Thai.

25. Ng SW, Norton EC, Popkin BM. Why have physical activity levels declined among Chinese adults? Findings from the 1991-2006 China Health and Nutrition Surveys. Soc Sci Med. 2009; 68(7): 1305-14. doi: 10.1016/j. socscimed.2009.01.035

26. Jeon CY, Lokken RP, Hu FB, et al. Physical activity of moderate intensity and risk of type 2 diabetes: A systematic review. Diabetes Care, 2007; 30(3): 744-52.

27. Ottenbacher AJ, Snih SA, Karmarkar A, et al. Routine physical activity and mortality in Mexican Americans aged 75 and older. J Am Geriatr Soc. 2012; 60(6): 1085-91.

28. Mannocci A, Mipatrini D, D’Egidio V, et al. Health related quality of life and physical activity in prison: A multicenter observational study in Italy. Eur J Public Health. 2018; 28(3): 570-6.

29. Bize R, Johnson JA, Plotnikoff RC. Physical activity level and health-related quality of life in the general adult population: A systematic review. Prev Med. 2007; 45(6): 401-15.

30. Koltyn, KF. The association between physical activity and quality of life in older women. J Womens Health, 2001; 11(6): 471-80.

31. McLeroy KR, Bibeau D, Steckler A, et al. An ecological perspective on health promotion programs. Health Educ Q. 1988; 15(4): 351– 377.

32. Health Center Phrae Thailand. Standard report group non-communicable disease. [Internet]. Phrae: Phrae Provincial Health Office; 2018 [cited 2019 Jan 20]. Available from: =pformated/p&cat_=b2b59e64c4e6c92 d4b1ec16a599d882b&id=71cff4a5f828ddbe 688784c2659abfe9. Thai.

33. Yamane T. Statistics: An introductory analysis. 3 rd ed. New York: Harper and Row; 1973.

34. World Health Organization. Global Physical Activity Questionnaire (GPAQ). [Internet]. Geneva: World Health Organization; [cited 2019 Jan 30]. Available from: ncds/surveillance/steps/GPAQ%20Instrument %20and%20Analysis%20Guide%20v2.pdf

35. Visuthipanch V. Psychometric testing of GPAQ among the Thai population. Thai Pharmaceutical and Health Science Journal 2016; 11(4): 144-52. Thai.

36. Department of Health Thailand. Physical activity. [Internet]. Nonthaburi: Ministry of Public Health; 2018 [cited 2019 Jan 30]. Available from: Thai.

37. Department of Mental Health Thailand. World Health Organization Quality of Life Brief–Thai, WHOQOL-BREF-THAI. Nonthaburi: Ministry of Public Health; 2002 [cited 2019 Jan 30]. Available from: files/whoqol.pdf.

38. Wannachart M, Nanthamongkolchai S, Munsawaengsub Ch, et al. Quality of life among elderly people with chronic diseases in Ubon Ratchathani Province. Journal of Public Health. 2015; (Special Issue): 18-29. Thai.

39. Jumneansuk A, Detboon P, Mingmai K, et al. Quality of life elderly who are living with chronic diseases, Srichomphu District, Khon Khan Province. Ratchaphruek Journal. 2017; 15(2): 16-26. Thai.

40. Klaodee J, Naksuwan S, Sukmaitree J. Factor affecting the life quality of the elderly in Nakhon Si Thammarat Province. Ratchaphruek Journal. 2017; 15(1): 27-32. Thai.

41. Somboontanont W, Thiengtham S. Factors Related to activity of daily living among community dwelling older adults with low muscle strength. Songklanagarind J Nurs. 2019; 38(2): 110-23. Thai.

42. Cruz-Jentoft AJ, Baeyens JP, Bauer JM, et al. Sarcopenia: European consensus on definition and diagnosisReport of the European Working Group on Sarcopenia in Older People. Age and ageing. 2010; 39(4): 412-23.