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Quality of Life Research
Gepubliceerd in: Quality of Life Research 6/2013

01-08-2013

Health-related quality of life in relation to walking habits and fitness: a population-based study of 75-year-olds

Auteurs: Helena Hörder, Ingmar Skoog, Kerstin Frändin

Gepubliceerd in: Quality of Life Research | Uitgave 6/2013

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Abstract

Purpose

To assess health-related quality of life (HRQL) in relation to walking habits and fitness status in older persons. A second aim was to examine fitness status as a mediator in the relation between walking habits and HRQL.

Methods

A cross-sectional population-based sample of 75-year-olds from Gothenburg, Sweden, was examined (n = 698, response rate 61 %). Walking habits were assessed as weekly frequency and duration. HRQL was assessed with the Short Form-36 (SF-36) and fitness with maximal and self-selected gait speed, chair-stand, stair-climbing capacity, grip strength and one-leg stance.

Results

The proportion of 75-year-olds who attained recommended levels of moderate physical activity (≥ 150 min/week), described as walking, was 60 %. This was positively associated with most subscales of SF-36 and with all fitness tests except grip strength. Maximal gait speed was the fitness test with the highest correlations to all SF-36 subscales. Fitness, described with maximal gait speed, was a partial mediator in most relations between walking habits and SF-36. After adjustment for confounders, associations between regular walking and SF-36 were no longer significant, except for Role Physical, General Health and Role Emotional in women.

Conclusions

Attaining recommended levels of walking, as well as a high fitness status, is positively associated with several aspects of HRQL in older persons. Fitness, described with maximal gait speed, seems to have a partial role in the relation between walking habits and HRQL, suggesting that other mechanisms are also involved.
vorige artikel Monitoring population health for Healthy People 2020: evaluation of the NIH PROMIS® Global Health, CDC Healthy Days, and satisfaction with life instruments
volgende artikel What is the use? Application of the short form (SF) questionnaires for the evaluation of treatment effects
Literatuur
1.
Phelan, E. A., Anderson, L. A., LaCroix, A. Z., & Larson, E. B. (2004). Older adults’ views of “successful aging”–how do they compare with researchers’ definitions? Journal of the American Geriatrics Society, 52(2), 211–216.PubMedCrossRef
2.
Rejeski, W. J., & Mihalko, S. L. (2001). Physical activity and quality of life in older adults. J Gerontol A Biol Sci Med Sci, 56(Spec No 2), 23–35.
3.
Stewart, A., & King, A. (1991). Evaluating the efficacy of physical activity for influencing quality of life outcomes in older adults. Annals of Behavioral Medicine, 13, 108–116.
4.
Kaspersen, C., Powell, K., & Christensson, G. (1985). Physical activity, exercise and physical fitness: Definitions and distinctions for health-related research. Public Health Reports, 100(2), 126–131.
5.
Nelson, M. E., Rejeski, W. J., Blair, S. N., Duncan, P. W., Judge, J. O., King, A. C., et al. (2007). Physical activity and public health in older adults: Recommendation from the American College of Sports Medicine and the American Heart Association. Medicine and Science in Sports and Exercise, 39(8), 1435–1445.PubMedCrossRef
6.
World Health Organization. (2010). Global recommendations on physical activity for health. Geneva, Switzerland.
7.
Morris, J. N., & Hardman, A. E. (1997). Walking to health. Sports Medicine (Auckland, N. Z.), 23(5), 306–332.CrossRef
8.
Rejeski, W. J., Brawly, L., & Shumaker, S. (1996). Physical activity and health-related quality of life. Exercise and Sport Sciences Reviews, 24, 71–108.PubMedCrossRef
9.
Taylor, A. H., Cable, N. T., Faulkner, G., Hillsdon, M., Narici, M., & Van Der Bij, A. K. (2004). Physical activity and older adults: A review of health benefits and the effectiveness of interventions. Journal of Sports Sciences, 22(8), 703–725.PubMedCrossRef
10.
Motl, R. W., & McAuley, E. (2010). Physical activity, disability, and quality of life in older adults. Physical Medicine and Rehabilitation Clinics of North America, 21(2), 299–308.PubMedCrossRef
11.
Keysor, J. J. (2003). Does late-life physical activity or exercise prevent or minimize disablement? A critical review of the scientific evidence. American Journal of Preventive Medicine, 25(3 Suppl 2), 129–136.PubMedCrossRef
12.
13.
Cress, M. E., Schechtman, K. B., Mulrow, C. D., Fiatarone, M. A., Gerety, M. B., & Buchner, D. M. (1995). Relationship between physical performance and self-perceived physical function. Journal of the American Geriatrics Society, 43(2), 93–101.PubMed
14.
World Health Organization. (2001). International classification of functioning, disability and health: ICF. Geneva: World health Organization.
15.
Sayer, A. A., Syddall, H. E., Martin, H. J., Dennison, E. M., Roberts, H. C., & Cooper, C. (2006). Is grip strength associated with health-related quality of life? Findings from the Hertfordshire Cohort Study. Age and Ageing, 35(4), 409–415.PubMedCrossRef
16.
Wanderley, F. A., Silva, G., Marques, E., Oliveira, J., Mota, J., & Carvalho, J. (2011). Associations between objectively assessed physical activity levels and fitness and self-reported health-related quality of life in community-dwelling older adults. Quality of Life Research, 20(9), 1371–1378.PubMedCrossRef
17.
Takata, Y., Ansai, T., Soh, I., Awano, S., Yoshitake, Y., Kimura, Y., et al. (2010). Quality of life and physical fitness in an 85-year-old population. Archives of Gerontology and Geriatrics, 50(3), 272–276.PubMedCrossRef
18.
Garber, C. E., Greaney, M. L., Riebe, D., Nigg, C. R., Burbank, P. A., & Clark, P. G. (2010). Physical and mental health-related correlates of physical function in community dwelling older adults: A cross sectional study. BMC Geriatrics, 10, 6.PubMedCrossRef
19.
Olivares, P. R., Gusi, N., Prieto, J., & Hernandez-Mocholi, M. A. (2011). Fitness and health-related quality of life dimensions in community-dwelling middle aged and older adults. Health and Quality of Life Outcomes, 9, 117.PubMedCrossRef
20.
Rinder, L., Roupe, S., Steen, B., & Svanborg, A. (1975). Seventy-year-old people in Gothenburg. A population study in an industrialized Swedish city. Acta Medica Scandinavica, 198(5), 397–407.PubMed
21.
Association, A. P. (Ed.). (Fourth edition1994). Diagnostic and statistical manual of mental disorders. Washington DC.
22.
Frändin, K., & Grimby, G. (1994). Assessment of physical activity, fitness and performance in 76-year-olds. Scandinavian Journal of Medicine and Science in Sports, 4, 41–46.CrossRef
23.
Ware, J. E, Jr, & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care, 30(6), 473–483.PubMedCrossRef
24.
Walters, S. J., Munro, J. F., & Brazier, J. E. (2001). Using the SF-36 with older adults: A cross-sectional community-based survey. Age and Ageing, 30(4), 337–343.PubMedCrossRef
25.
Sullivan, M., & Karlsson, J. (1998). The Swedish SF-36 health survey III. Evaluation of criterion-based validity: Results from normative population. Journal of Clinical Epidemiology, 51(11), 1105–1113.PubMedCrossRef
26.
Frandin, K., Grimby, G., Mellstrom, D., & Svanborg, A. (1991). Walking habits and health-related factors in a 70-year-old population. Gerontology, 37(5), 281–288.PubMedCrossRef
27.
Connelly, D.M., Stevenson T. J., & Vandervoort, A. A. (1996). Between- and within-rater reliability of walking tests in a frail elderly population. Physiotherapy Canada (58), 47–51.
28.
Jette, A. M., Jette, D. U., Ng, J., Plotkin, D. J., & Bach, M. A. (1999). Are performance-based measures sufficiently reliable for use in multicenter trials? Musculoskeletal Impairment (MSI) Study Group. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 54(1), M3–6.CrossRef
29.
Whitney, S. L., Wrisley, D. M., Marchetti, G. F., Gee, M. A., Redfern, M. S., & Furman, J. M. (2005). Clinical measurement of sit-to-stand performance in people with balance disorders: Validity of data for the five-times-sit-to-stand test. Physical Therapy, 85(10), 1034–1045.PubMed
30.
Stones, M. J., & Kozma, A. (1987). Balance and age in the sighted and blind. Archives of Physical Medicine and Rehabilitation, 68(2), 85–89.PubMed
31.
Peolsson, A., Hedlund, R., & Öberg, B. (2001). Intra- and inter-tester reliability and reference values for hand strength. Journal of Rehabilitation Medicine, 33(1), 36–41.PubMedCrossRef
32.
Bellace, J. V., Healy, D., Besser, M. P., Byron, T., & Hohman, L. (2000). Validity of the Dexter Evaluation System’s Jamar dynamometer attachment for assessment of hand grip strength in a normal population. Journal of Hand Therapy, 13(1), 46–51.PubMedCrossRef
33.
Ware, J. E, Jr, Snow, K., Kosinski, M., & Gandek, B. (1993). SF-36 health survey. Manual and interpretation guide. Boston: The health Institute, New England Medical Center.
34.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd edn). New Jersey: Lawrence Erlbaum Associates.
35.
Munro, B. (2005). Statistical methods for health care research (5th ed.). Philadelpia: Lippkott Williams & Wilkins.
36.
Hayes, A. F., & Matthes, J. (2009). Computational procedures for probing interactions in OLS and logistic regression: SPSS and SAS implementations. Behavior Research Methods, 41(3), 924–936.PubMedCrossRef
37.
Lee, I. M., & Buchner, D. M. (2008). The importance of walking to public health. Medicine and Science in Sports and Exercise, 40(7), 508–512.
38.
Vuillemin, A., Boini, S., Bertrais, S., Tessier, S., Oppert, J. M., Hercberg, S., et al. (2005). Leisure time physical activity and health-related quality of life. Preventive Medicine, 41(2), 562–569.PubMedCrossRef
39.
Martin, C. K., Church, T. S., Thompson, A. M., Earnest, C. P., & Blair, S. N. (2009). Exercise dose and quality of life: A randomized controlled trial. Archives of Internal Medicine, 169(3), 269–278.PubMedCrossRef
40.
Lollgen, H., Bockenhoff, A., & Knapp, G. (2009). Physical activity and all-cause mortality: An updated meta-analysis with different intensity categories. International Journal of Sports Medicine, 30(3), 213–224.PubMedCrossRef
41.
Cheng, S. P., Tsai, T. I., Lii, Y. K., Yu, S., Chou, C. L., & Chen, I. J. (2009). The effects of a 12-week walking program on community-dwelling older adults. Research Quarterly for Exercise and Sport, 80(3), 524–532.PubMed
42.
Okamoto, N., Nakatani, T., Morita, N., Saeki, K., & Kurumatani, N. (2007). Home-based walking improves cardiopulmonary function and health-related QOL in community-dwelling adults. International Journal of Sports Medicine, 28(12), 1040–1045.PubMedCrossRef
43.
Abellan van Kan, G., Rolland, Y., Andrieu, S., Bauer, J., Beauchet, O., Bonnefoy, M., et al. (2009). Gait speed at usual pace as a predictor of adverse outcomes in community-dwelling older people an International Academy on Nutrition and Aging (IANA) task force. J Nutr Health Aging, 13(10), 881–889.PubMedCrossRef
44.
Hall, S. A., Chiu, G. R., Williams, R. E., Clark, R. V., & Araujo, A. B. (2011). Physical function and health-related quality-of-life in a population-based sample. Aging Male, 14(2), 119–126.PubMedCrossRef
45.
Orfila, F., Ferrer, M., Lamarca, R., Tebe, C., Domingo-Salvany, A., & Alonso, J. (2006). Gender differences in health-related quality of life among the elderly: The role of objective functional capacity and chronic conditions. Social Science and Medicine, 63(9), 2367–2380.PubMedCrossRef
46.
Ainsworth, B. E. (2009). How do I measure physical activity in my patients? Questionnaires and objective methods. British Journal of Sports Medicine, 43(1), 6–9.PubMedCrossRef
Metagegevens
Titel
Health-related quality of life in relation to walking habits and fitness: a population-based study of 75-year-olds
Auteurs
Helena Hörder
Ingmar Skoog
Kerstin Frändin
Publicatiedatum
01-08-2013
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 6/2013
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-012-0267-7

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