Changes in Health-Related Quality of Life and Physical Activity Among Older Adults in the First-Wave COVID-19 Outbreak: A Longitudinal Analysis

Author(s):  
Rosiane Jesus do Nascimento ◽  
Valter Cordeiro Barbosa Filho ◽  
Cassiano Ricardo Rech ◽  
Rafaela Batista Brasil ◽  
Renato Campos Junior ◽  
...  

The current study aimed to follow the effects of social/physical distancing strategies on health-related daily physical activity and quality of life among older adults during the COVID-19 pandemic. Seventy-two older adults who were enrolled in a University–Community program in March 2020 (age = 66.8 ± 4.82 years, ♀59) answered five phone-based surveys up to 120 days after the COVID-19 outbreak (from April to August 2020). The Short Form 6D and international physical activity (short version) questionnaires were applied. A significant reduction was observed in daily physical activity levels, metabolic equivalent of task, and health-related quality of life scores as well as an increase in sitting time during the week and on weekend days (all p < .01). The authors noted differences in lifestyle conditions at the beginning of the social/physical distancing in the community assessed (p < .01). Health vulnerabilities among older adults have been emphasized during the COVID-19 outbreak, impacting daily physical activity and health-related quality of life.

2014 ◽  
Vol 22 (3) ◽  
pp. 405-413 ◽  
Author(s):  
Therese Brovold ◽  
Dawn A. Skelton ◽  
Hilde Sylliaas ◽  
Morten Mowe ◽  
Astrid Bergland

The purpose of this study was to determine the relationship among health-related quality of life (HRQOL), physical fitness, and physical activity in older patients after recent discharge from hospital. One hundred fifteen independent-living older adults (ages 70–92 years) were included. HRQOL (Medical Outcomes Study 36-item Short Form Health Survey), physical activity (Physical Activity Scale for the Elderly), and physical fitness (Senior Fitness Test) were measured 2–4 weeks after discharge. Higher levels of physical activity and physical fitness were correlated with higher self-reported HRQOL. Although cause and effect cannot be determined from this study, the results suggest that a particular focus on the value of physical activity and physical fitness while in hospital and when discharged from hospital may be important to encourage patients to actively preserve independence and HRQOL. It may be especially important to target those with lower levels of physical activity, poorer physical fitness, and multiple comorbidities.


2018 ◽  
Vol 4 ◽  
pp. 233372141878281 ◽  
Author(s):  
Esmeralda Valdivieso-Mora ◽  
Mirjana Ivanisevic ◽  
Leslie A. Shaw ◽  
Mauricio Garnier-Villarreal ◽  
Zachary D. Green ◽  
...  

10.21149/9400 ◽  
2019 ◽  
Vol 61 (2, Mar-Abr) ◽  
pp. 106
Author(s):  
Katia Gallegos-Carrillo ◽  
Yesenia Honorato-Cabañas ◽  
Nayeli Macías ◽  
Carmen García-Peña ◽  
Yvonne N Flores ◽  
...  

Objective. To evaluate the combined use of IMSS pre­ventive health services (PHS) and the practice of physical activity (PA) in order to determine their association with the perceived health-related quality of life (HRQoL) of older adults. Materials and methods. A survey-based cross-sectional study was conducted at nine primary health care units (PHCUs) in Mexico City. The 36-Item Short-Form Health Survey evaluated the HRQoL, while PA and PHS use were assessed through self-report. Linear regression analyses were performed to determine the relationship between these three variables. Results. Of the 1 085 older adults who participated in the study, 36.8% used PHS, and 23.3% reported that they engage in PA. After controlling for possible effects due to sociodemographic and health differences, we found that participants who were physically active and used PHS reported better perceived HRQoL scores. Conclusions. The combined use of preventive practices such as the use of PHS and the practice of PA can help improve the perceived HRQoL of older adults.


2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv9-iv12
Author(s):  
Jennifer Muhaidat ◽  
Emad Al-Yahya ◽  
Maha Mohammad ◽  
Dania Qutishat ◽  
Rasha Okasheh ◽  
...  

Abstract Background The interplay between gender, Physical Activity (PA) and Dual Task (DT) gait in older adults is unclear. This study aimed to address DT gait based on gender and PA level in older adults. Methods Gait measures were collected using an Inertial Measurement Unit (IMU) during the 10-meter and Timed Up and Go (TUG) tests in single and DT conditions. Global Physical Activity Questionnaire (GPAQ) was used to measure PA. A total of 120 community-dwelling older adults (81 women and 39 men) took part. Participants were divided according to gender and PA level into four groups (women achieving (WA = 31), women not achieving (WN = 50), men Achieving (MA = 29) and men not achieving (MN = 10)). The achievement of PA was determined by total Metabolic Equivalent (MET) – Minute/week ≥ 600. Cognition, health-related quality of life, falls history and health status was measured. Results Women had poorer performance in time, gait velocity and stride length regardless of PA level. The cognitive condition had the greatest effect on gait parameters in all groups, except for stride length which decreased more under the motor condition. Women who did not achieve the PA guidelines had poorer perceived health-related quality of life than men who achieved and did not achieve the guidelines. Conclusions The findings suggest that women, regardless of PA level, experience greater deterioration under ST and DT conditions in 10-meter walk and TUG tests in terms of time and gait measures such as velocity and stride length. This interplay cannot be explained by PA alone since it could be reflective of poorer perceived health and frailty in older women. These findings are considered of importance when planning DT and PA interventions that aim to increase PA levels and promote function in older women.


2021 ◽  
Vol 13 (23) ◽  
pp. 13370
Author(s):  
Andreas Ihle ◽  
Bruna R. Gouveia ◽  
Élvio R. Gouveia ◽  
Boris Cheval ◽  
Marcelo de Maio Nascimento ◽  
...  

The present cross-sectional study aimed to investigate the relationship between different dimensions of physical activity (PA) (i.e., work, sport, leisure) and health-related quality of life (HRQoL) (i.e., overall, physical component, mental component) in an adult lifespan sample of 381 active individuals (age range: 18–88 years; 38.8% men), while controlling for important covariates in terms of sex, age, education, and health profile regarding medical history. HRQoL was assessed using the 12-item Short-Form Health Survey (SF-12). Usual (i.e., previous 12 months) PA was assessed during face-to-face interviews using the Baecke questionnaire. Hierarchical regression analyses showed in Step 1 that the three PA dimensions work, sport, and leisure (entered simultaneously) together predicted 8%, 10%, and 4% of the variance in SF-12 total score, SF-12 physical component, and SF-12 mental component, respectively. In the final model, adjusting for sex, age, education, and health profile regarding medical history, sport emerged as the only PA dimension predicting SF-12 total score and the SF-12 physical component. In conclusion, health-policy targets at the community level should include the promotion of lifelong engagement in PA, especially sport, to allow the sustainability of HRQoL across the lifespan of our society.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 840-840
Author(s):  
Steven Albert ◽  
Elizabeth Venditti ◽  
Barbara Nicklas

Abstract The high prevalence of overweight or obesity in older adults is a public health concern because obesity is associated with risk of mobility disability. The benefits of brief community-based lifestyle interventions that promote modest weight loss and increased physical activity are unclear. We assessed the impact of a 13-month lifestyle intervention, the Mobility and Vitality Lifestyle Program (MOVE UP), delivered by community health workers (CHW), on a variety of outcomes, including weight loss, performance-based lower extremity function (Short Physical Performance Battery, SPPB), activity, diet, and health-related quality of life (CDC U48 DP005001). The 32-session behavioral weight management intervention enrolled 303 community-dwelling adults (90.4% of those eligible), who were followed for 12 months (2015-19). Participants completed the program at 26 sites led by 22 CHWs. Participants were age (sd) 67.7 (4.1) and were mostly female (87%). 22.7% were racial minorities. The mean (sd) BMI at baseline was 34.7 (4.7). Median weight loss in the sample was 5% of baseline body weight. SPPB total scores improved by +0.31 units (p &lt; .006), gait speed by +0.04 m/sec (p &lt; .0001), and time to complete chair stands by -0.95 sec (p &lt; .0001). Presenters will assess the effect of MOVE UP on activity, diet, fatigue, and health-related quality of life. A final paper examines implementation of MOVE UP and how site and CHW factors affected outcomes. Findings suggest that promoting healthier eating, weight loss, and physical activity in a community setting is an effective strategy for reducing risk of disability in older adults.


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