Murdoch University Research Repository

Welcome to the Murdoch University Research Repository

The Murdoch University Research Repository is an open access digital collection of research
created by Murdoch University staff, researchers and postgraduate students.

Learn more

Physical activity participation in Australians with multiple sclerosis: associations with geographical remoteness

Learmonth, Y.C.ORCID: 0000-0002-4857-8480, Heritage, B.ORCID: 0000-0002-6437-7232, Marck, C.H., Chen, J. and van der Mei, I. (2022) Physical activity participation in Australians with multiple sclerosis: associations with geographical remoteness. Disability and Rehabilitation . pp. 1-6.

Link to Published Version:
*Subscription may be required



Physical activity (PA) participation offers many benefits for persons with multiple sclerosis (MS). Persons with MS are significantly less active than the general population; however, there is insufficient evidence regarding the association between geographical remoteness and PA participation in persons with MS. We identify PA levels across levels of rurality in an Australian MS population.

Materials and methods

The Australian MS Longitudinal Study collects regular survey data from persons with MS in Australia, including demographic, clinical, and health behavioural data. Physical activity engagement was identified with the International Physical Activity Questionnaire-short form and geographical remoteness was identified from participants’ postcode using the Access and Remoteness Index for Australia. Hurdle regression analysis examined the relationship between remoteness and PA participation, and level of PA, after controlling for confounding.


Data from 1260 respondents showed that 24% of persons with MS did not participate in any PA. Remoteness was not associated with the participation in any PA (OR 1.04; 89% highest density probability interval (HDPI) estimate 0.88, 1.22). Amongst those with any PA (n = 960), those living in more remote areas had, on average, higher levels of PA (RR 1.21; 89% HDPI estimate 1.11, 1.34).


Physical activity promotion does not need to differ based on geographical location.

Item Type: Journal Article
Murdoch Affiliation(s): Psychology, Counselling, Exercise Science and Chiropractic
Centre for Molecular Medicine and Innovative Therapeutics
Publisher: Taylor & Francis
Item Control Page Item Control Page