Health Related Quality of Life by Level of Physical Activity in Arthritic Older Adults With and Without Activity Limitations

2007 ◽  
Vol 4 (4) ◽  
pp. 482-495 ◽  
Author(s):  
Julie Freelove-Charton ◽  
Heather R Bowles ◽  
Steven Hooker

Background:This study examined the association between health-related quality of life (HRQOL) and physical activity (PA) among adults with arthritis.Methods:National 2003 2003 Behavioral Risk Factor Surveillance System (BRFSS) survey data for 51,444 adults, age ≥50 y, with physician-diagnosed arthritis were used to analyze the relationships between PA, self-reported health, HRQOL, and activity limitations related to arthritis.Results:The percentage of older adults with or without an activity limitation who reported fair/poor health or poor HRQOL was significantly higher in inactive persons compared to those who met PA recommendations (p < .0001). Older adults with and without limitations attaining either recommended or insufficient levels of PA were 39% to 70% less likely to report ≥14 unhealthy mental or physical days compared to inactive older adults (p < .0001).Conclusion:Participation in PA at the recommended level was strongly associated with improved perceived health and higher levels of HRQOL; however, participation in some PA was clearly better than being inactive. These data were consistent for persons with arthritis despite the presence of an activity limitation.

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.


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.


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.


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.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 253-253
Author(s):  
Steven Cohen ◽  
Julia McIlmail ◽  
Mary Greaney

Abstract Introduction Rural areas in the US have a disproportionately high population of older adults and have reduced access to services. Older adults in rural areas are more reliant on family and friends for care. However, little is known about rural-urban disparities among the 40+ million caregivers nationwide. As rural-urban health disparities are pervasive among older adults, there is a need to understand how rural-urban disparities impact caregiving experiences and health-related quality of life (HRQoL). The objectives of this study were to examine rural-urban differences caregiving, caregiving intensity (caregiving hours/week and types of care provided), and caregiver HRQoL. Methods Data were abstracted from the 2009 Behavioral Risk Factor Surveillance System (latest dataset to include county of residence and caregiver module). The primary measure of rural-urban status was Index of Relative Rurality (IRR) decile. Associations between rural-urban status and caregiving and rural-urban differences in caregiving intensity and HRQoL were examined using generalized linear models, controlling for confounding and accounting for complex sampling. Results Rural respondents were more likely to be caregivers than urban respondents (IRR decile OR=1.015, 95%CI 1.014-1.016). Rural caregivers, on average, provided 2.43 hours/week more caregiving for each one-decile increase in IRR decile (95%CI 2.34-2.52) and had worse overall HRQoL (OR=1.34, 95%CI 1.33-1.35). Conclusion Rural informal caregivers offer higher levels of care than urban counterparts, and increased caregiving in rural areas is associated with reduced HRQoL. These results can inform policies designed to improve caregiver health, and facilitate the translation of existing programs and interventions to address rural caregivers’ needs.


2021 ◽  
Vol 13 (7) ◽  
pp. 3771
Author(s):  
Izaro Esain ◽  
Susana María Gil ◽  
Iratxe Duñabeitia ◽  
Ana Rodriguez-Larrad ◽  
Iraia Bidaurrazaga-Letona

The aim of the study was to analyze the effect of social distancing on physical activity (PA) and Health-Related Quality of Life (HRQoL) in active Spanish older adults according to their physical functionality. The study included 58 older adults aged 76.24 ± 6.00 years who were enrolled in a supervised physical exercise program before the COVID-19 outbreak. Anthropometric, physical function, physical activity and HRQoL were measured at baseline (October 2019). After the two-month lockdown due to the COVID-19, questionnaires were collected again during de-escalation (May 2020). Participants were divided into high- (n = 29) and low-functionality (n = 29) groups. Total PA, walking and cleaning significantly decreased (p < 0.001) whilst exercising or dancing increased (p < 0.001). General health, social and emotional role functioning dimensions and overall mental component scores worsened (p < 0.01–p < 0.05). Low-functionality participants had significantly lower physical functioning scores at baseline (p < 0.01) and lower bodily pain scores at de-escalation (p < 0.01). Emotional role functioning dimension and overall mental component significantly decreased only in low-functionality participants (p < 0.05). Although PA levels decreased significantly, older adults continued being active regardless of their functionality. While mental HRQoL in participants with higher physical functionality remained unchanged, participants with lower functional capacity had a higher risk of mental health concerns. Therefore, attention should focus on strategies to mitigate the negative effects of distancing measures on older people’s mental health, especially in those with lower functionality.


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