Association Between Self-Reported Sedentary Behavior and Health-Related Quality of Life Among Multimorbidity Patients in Singapore

2021 ◽  
pp. 089011712110012
Author(s):  
Jue Hua Lau ◽  
Eng Sing Lee ◽  
Yunjue Zhang ◽  
Janhavi Ajit Vaingankar ◽  
Edimansyah Abdin ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Sedentary Behavior ◽  
Self Care ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Anxiety Depression ◽  
Eq Vas

Background: The study examined the association between sedentary behavior and self-rated health-related quality of life (HRQoL) in a sample of patients with multimorbidity in Singapore recruited from a primary care clinic. Methods: Sedentary behavior and physical activity were assessed with the International Physical Activity Questionnaire short form (IPAQ-SF). HRQoL was assessed with EuroQol-5 Dimension (EQ-5D) utility index, visual analogue scale (EQ-VAS) and its 5 subscales (Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression). Depression was assessed via Patient Health Questionnaire (PHQ-9). Logistic and linear regression analyses adjusting for the effect of physical activity, depression, and sociodemographic variables (i.e., age, gender, ethnicity, education) were conducted. Results: 932 patients participated in the study (mean age:64.5±8.5 years, range: 35-80) and 55% were men. Results indicated that women were less likely to have sedentary behavior (≥7 hrs/day) than men. Results indicated sedentary behavior was associated with lower EQ-5D index scores, but not EQ-VAS scores. Participants who were sedentary for ≥7 hrs/day were more likely to endorse having problems with mobility, self-care, and usual activities, but not with pain/discomfort, nor anxiety/depression. Conclusion: Sedentary behavior was associated with poorer HRQoL. There is a need for interventions and health promotions to reduce sedentary behavior in patients with multimorbidity.

scholarly journals Home confinement during COVID-19 pandemic reduced physical activity but not health-related quality of life in previously active older women

2020 ◽  
Author(s):  
Vanessa Teixeira do Amaral ◽  
Isabela Roque Marçal ◽  
Thiago da Cruz Silva ◽  
Fernanda Bianchi Souza ◽  
Yacco Volpato Munhoz ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Sedentary Behavior ◽  
Older Women ◽  
Educational Program ◽  
Educational Programs ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

ABSTRACTBackgroundTo investigate the effect of COVID-19 home confinement on levels of physical activity, sedentary behavior and health-related quality of life (HRQL) in older women previously participating in exercise and educational programs.Methods64 older women (age = 72±5 ys) who participated in a physical exercise/educational program and adhered to government home confinement recommendations have their levels of physical activity, sedentary behavior and HRQL assessed before and during (11 to 13 weeks after introduction of government recommendations to reduce virus transmission) COVID-19 pandemic.ResultsThere were significant reductions in total physical activity (−259 METs/week, P = 0.02), as a result of a ∼17.0 % reduction in walking (−30.8 min/week, P = 0.004) and ∼41.8 % reduction in vigorous-intensity activity (−29.6 min/week, P < 0.001). Sedentary behavior also increased (2.24 h/week, P < 0.001; 1.07 h/week days, P < 0.001; and 1.54 h/weekend days, P < 0.001). However, no significant change occurred in moderate-intensity physical activity, and HRQL domains and facets, except for an improvement in environment domain.ConclusionHome confinement due to COVID-19 pandemic decreased levels of physical activity and increased levels of sedentary behavior in previously active older women who participated in an educational program. However, there were no significant changes in HRQL. These results suggest that educational programs promoting healthy behaviors may attenuate the impact of home confinement in older women.

scholarly journals The impact of non-residential grandchild care on physical activity and sedentary behavior in people aged 50 years and over: study protocol of the Healthy Grandparenting Project

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Marie Vermote ◽  
Tom Deliens ◽  
Benedicte Deforche ◽  
Eva D’Hondt
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Body Composition ◽  
Sedentary Behavior ◽  
Self Report ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Over Time

Abstract Background Finding effective ways to support people aged > 50 years to develop adequate levels of physical activity and sedentary behavior is necessary as these behaviors are positively related to the maintenance of functional independence and health-related quality of life. Given the widespread provision of grandparental child care, examining its impact on grandparents’ energy-expenditure related behavior in the broader context of health is imperative. Therefore, the Healthy Grandparenting Project will aim to investigate the levels of physical activity and sedentary behavior, body composition and health-related quality of life in grandparents caring for their grandchildren and to compare these outcomes with non-caregiving grandparents and older adults without grandchildren, both momentarily and over time. An additional purpose is to identify possible predictors of potential changes over time. Methods A prospective cohort study will run over a period of 2 years, including three test occasions with a one-year time interval in between (T0 = baseline, T1 = 12 months, T2 = 24 months). A total of 276 participants will be recruited in Flanders through non-probability quota sampling (50–50% men-women), of which 92 caregiving grandparents, 92 non-caregiving grandparents and 92 non-grandparents. All three subsamples will be matched for age and sex. At each test occasion, anthropometric and body composition measurements will be determined. Participants’ levels of physical activity and sedentary behavior will be assessed both objectively and subjectively by means of accelerometry and self-report questionnaires. Information about their grandchildren and the provided grandparental care (if applicable) as well as their health-related quality of life will also be assessed using self-report questionnaires. Mixed modelling will be used to identify differences in physical activity, sedentary behavior, body composition and health-related quality of life between the subsamples at baseline, as well as to evaluate and compare changes in energy-expenditure related behavior over time between subsamples and to identify predictors of the detected changes. Discussion The Healthy Grandparenting Project is an innovative study examining the levels of physical activity and sedentary behavior in caregiving grandparents, non-caregiving grandparents and non-grandparents. Obtained results will help in the development of campaigns to maintain/improve health in adults at a more advanced age. Trial registration clinicaltrials.gov, Identifier: NTC04307589. Registered March 2020.

scholarly journals Association of cardiac rehabilitation and health-related quality of life following acute myocardial infarction

Heart ◽  
2020 ◽  
Vol 106 (22) ◽  
pp. 1726-1731 ◽  
Author(s):  
Ben Hurdus ◽  
Theresa Munyombwe ◽  
Tatendashe Bernadette Dondo ◽  
Suleman Aktaa ◽  
Gerrard Oliver ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Cardiac Rehabilitation ◽  
Health Related Quality ◽  
Physically Active ◽  
Related Quality ◽  
Health Related ◽  
Vas Scores ◽  
Eq Vas

ObjectiveTo study the association of cardiac rehabilitation and physical activity with temporal changes in health-related quality of life (HRQoL) following acute myocardial infarction (AMI).MethodsEvaluation of the Methods and Management of Acute Coronary Events-3 is a nationwide longitudinal prospective cohort study of 4570 patients admitted with an AMI between 1 November 2011 and 17 September 2013. HRQoL was estimated using EuroQol 5-Dimension-3 Level Questionnaire at hospitalisation, 30 days, and 6 and 12 months following hospital discharge. The association of cardiac rehabilitation and self-reported physical activity on temporal changes in HRQoL was quantified using inverse probability of treatment weighting propensity score and multilevel regression analyses.ResultsCardiac rehabilitation attendees had higher HRQoL scores than non-attendees at 30 days (mean EuroQol 5-Visual Analogue Scale (EQ-VAS) scores: 71.0 (SD 16.8) vs 68.6 (SD 19.8)), 6 months (76.0 (SD 16.4) vs 70.2 (SD 19.0)) and 12 months (76.9 (SD 16.8) vs 70.4 (SD 20.4)). Attendees who were physically active ≥150 min/week had higher HRQoL scores compared with those who only attended cardiac rehabilitation at 30 days (mean EQ-VAS scores: 79.3 (SD 14.6) vs 70.2 (SD 17.0)), 6 months (82.2 (SD 13.9) vs 74.9 (SD 16.7)) and 12 months (84.1 (SD 12.1) vs 75.6 (SD 17.0)). Cardiac rehabilitation and self-reported physical activity of ≥150 min/week were each positively associated with temporal improvements in HRQoL (coefficient: 2.12 (95% CI 0.68 to 3.55) and 4.75 (95% CI 3.16 to 6.34), respectively).ConclusionsCardiac rehabilitation was independently associated with temporal improvements in HRQoL at up to 12 months following hospitalisation, with such changes further improved in patients who were physically active.

scholarly journals The Impact of Symptom Severity on Health-Related Quality of Life in Patients with Narcolepsy

2021 ◽  
Author(s):  
Chenyang Li ◽  
Shaomei Shang ◽  
Xiaosong Dong ◽  
Jun Zhang ◽  
Xiaoling Wang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Logistic Regression ◽  
Symptom Severity ◽  
Self Care ◽  
Health Related Quality ◽  
Utility Values ◽  
Related Quality ◽  
Health Related ◽  
Anxiety Depression

Abstract Background: Narcolepsy has deleterious implications on daily life. However, few studies have fully assessed the severity of pentad symptoms of Chinese adults with narcolepsy type 1 (NT1), as well as the relation with health-related quality of life (HRQoL). It is still not clear how the global functioning of patients with NT1 are affected by these pentad symptoms and which does specific symptom affect HRQoL. This is the first study to assess the pentad symptom severity and its correlation with HRQoL in patients with NT1.Methods: Our cross-sectional study is to assess the pentad symptom severity and its correlation with HRQoL in patients with NT1. A total of 174 patients with NT1 were recruited. They completed Narcolepsy Severity Scale (NSS) and European Quality of Life-5 Dimensions Questionnaire (EQ-5D) including five dimensions (EQ-5D utility values) and a visual analog scale (EQ-5D VAS). The relation between severity of symptoms and HRQoL dimensions was assessed by Pearson correlation analyses. Logistic regression was used to identify the significant predictors of HRQoL. Nomogram was established based on results of independent predictors factors on logistic regression analyses. Results: The scores for NSS, EQ-5D utility values and EQ-5D VAS were 29.89±10.08, 0.78±0.09 and 64.30±19.84 in patients with NT1 respectively. NSS score showed a significantly correlation with self-care (r=0.157, P<0.05), usual activities (r=0.236, P<0.01), pain/discomfort (r=0.174, P<0.05), anxiety/depression (r=0.2, P<0.01) and EQ-5D utility values (r=-.261, P<0.01). EDS (excessive daytime sleep), cataplexy, hallucinations, paralysis and disrupted nocturnal sleep (DNS) were significant associated to EQ-5D VAS (r ranged from -0,154 to -0.354, P<0.05). EDS (OR=-0.297, 95% CI -1.892- -0.634) and DNS (OR=-0.16, 95% CI -0.7307- -0.446) were predictors of HRQoL. Regards the NSS scores, NSS score (OR=-0.360, 95% CI -0.979- -0.438) and treated (OR=0.215, 95% CI 3.567-16.188) were predictors of the metrics of HRQoL. The C-indices of the nomogram was 0.726 (95% CI 0.686-0.766). Conclusion: The severity of symptoms could disrupt self-care and usual activities and increase pain/discomfort and anxiety/depression. NSS score could be used for predicting HRQoL, but with a modest precision.

Association of objectively measured sedentary behavior and physical activity levels with health-related quality of life in middle-aged women

Menopause ◽  
2020 ◽  
Vol 27 (4) ◽  
pp. 437-443
Author(s):  
Nuria Marín-Jiménez ◽  
Pedro Jesús Ruiz-Montero ◽  
Marta De la Flor-Alemany ◽  
Pilar Aranda ◽  
Virginia A. Aparicio
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Sedentary Behavior ◽  
Activity Levels ◽  
Health Related Quality ◽  
Physical Activity Levels ◽  
Related Quality ◽  
Health Related ◽  
Objectively Measured
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