Abstract
Background
Studies proposed that the physical activity and quality of life (QoL) relationship may not be entirely direct but mediated through other variables; however, few studies have examined these relationships in diverse population’s older adults.
Purpose
This study aims to examine the roles of self-efficacy and mental health difficulties in the physical activity and QoL relationship and to determine if demographic characteristics alter these relationships.
Methods
One hundred ninety-six older adults completed measures of physical activity, self-efficacy, mental health difficulties, and QoL. Two-multilevel structural models were tested to determine the relationship between physical activity and QoL.
Results
Both structural models suggested that the relationship between physical activity and QoL is indirect, but the models were not significantly different. In model 1, we observed a positive linear relationship between physical activity and self-efficacy. In turn, self-efficacy was negatively associated with poor mental health difficulties and positively associated with QoL. Mental health difficulties were also negatively associated with QoL. In model 2, physical activity was positively associated with self-efficacy and negatively associated with mental health difficulties; in turn, self-efficacy was positively associated with QoL, whereas mental health difficulties were negatively associated with QoL.
Conclusions
Overall, our findings suggest that self-efficacy and mental health have intermediary roles in the relationship between physical activity and QoL in a diverse sample of older adults. Prospective studies are needed to determine whether self-efficacy and mental health difficulties are complementary or one or the other accounts for more variance in the relationship between physical activity and QoL.
Similar content being viewed by others
References
National Institute of Aging. Older Americans 2008: key indicators of well-being. In: Federal Interagency forum on aging related statistics. Washington, DC: US Government Printing Office, 2008
Hawaii State Department of Business ED, and Tourism. 2005 State of Hawaii data book, vital statistics and health, Table 2.11: expectation of life at birth, by sex, for the United States and Hawaii: 1900–2003, vol. 2008, Honolulu, 2006.
Yuan S, Karel H, Yuen S. Hawaii’s older adults: demographic profile. Honolulu: University of Hawaii; 2007.
Netz Y, Wu MJ, Becker BJ, Tenenbaum G. Physical activity and psychological well-being in advanced age: a meta-analysis of intervention studies. Psychol Aging. 2005;20(2):272–84.
Rejeski WJ, Mihalko SL. Physical activity and quality of life in older adults. J Gerontol A Biol Sci Med Sci. 2001;56(Spec No 2):23–35.
Stewart A, King A. Evaluating the efficacy of physical activity for influencing quality of life outcomes in older adults. Ann Behav Med. 1991;13(3):108–16.
Kimura T, Ogushi Y, Takahashi M, Munakata Y, Ishii S. Association of health-related quality of life with health examination including organic functions and lifestyles in Japanese employees. Qual Life Res. 2004;13(2):519–29.
Morimoto T, Oguma Y, Yamazaki S, Sokejima S, Nakayama T, Fukuhara S. Gender differences in effects of physical activity on quality of life and resource utilization. Qual Life Res. 2006;15(3):537–46.
Ko GT, Tsang PC, Chan HC. A 10-week Tai-Chi program improved the blood pressure, lipid profile and SF-36 scores in Hong Kong Chinese women. Med Sci Monit. 2006;12(5):CR196–9.
Taylor-Piliae RE, Haskell WL, Waters CM, Froelicher ES. Change in perceived psychosocial status following a 12-week Tai Chi exercise programme. J Adv Nurs. 2006;54(3):313–29.
Elavsky S, McAuley E, Motl RW, Konopack JF, Marquez DX, Hu L, et al. Physical activity enhances long-term quality of life in older adults: efficacy, esteem, and affective influences. Ann Behav Med. 2005;30(2):138–45.
McAuley E, Elavsky S. Physical activity, aging, and quality of life: implications for measurement. In: Zhu W, editor. Measurement issues and challenges in aging research. Champaign: Human Kinetics; 2004.
McAuley E, Doerksen SE, Morris KS, Motl RW, Hu L, Wojcicki TR, et al. Pathways from physical activity to quality of life in older women. Ann Behav Med. 2008;36(1):13–20.
McAuley E, Elavsky S, Motl RW, Konopack JF, Hu L, Marquez DX. Physical activity, self-efficacy, and self-esteem: longitudinal relationships in older adults. J Gerontol B Psychol Sci Soc Sci. 2005;60(5):P268–75.
McAuley E, Konopack JF, Motl RW, Morris KS, Doerksen SE, Rosengren KR. Physical activity and quality of life in older adults: influence of health status and self-efficacy. Ann Behav Med. 2006;31(1):99–103.
McAuley E, Konopack JF, Morris KS, Motl RW, Hu L, Doerksen SE, et al. Physical activity and functional limitations in older women: influence of self-efficacy. J Gerontol B Psychol Sci Soc Sci. 2006;61(5):P270–7.
McAuley E, Morris KS, Doerksen SE, Motl RW, Liang H, White SM, et al. Effects of change in physical activity on physical function limitations in older women: mediating roles of physical function performance and self-efficacy. J Am Geriatr Soc. 2007;55(12):1967–73.
Motl RW, Snook EM. Physical activity, self-efficacy, and quality of life in multiple sclerosis. Ann Behav Med. 2008;35(1):111–5.
White SM, Wojcicki TR, McAuley E. Physical activity and quality of life in community dwelling older adults. Health Qual Life Outcomes. 2009;7:10.
Fry PS. Predictors of health-related quality of life perspectives, self-esteem, and life satisfactions of older adults following spousal loss: an 18-month follow-up study of widows and widowers. Gerontologist. 2001;41(6):787–98.
Motl RW, McAuley E, Snook EM, Gliottoni RC. Physical activity and quality of life in multiple sclerosis: intermediary roles of disability, fatigue, mood, pain, self-efficacy and social support. Psychol Health Med. 2009;14(1):111–24.
Godin G, Jobin J, Bouillon J. Assessment of leisure time exercise behavior by self-report: a concurrent validity study. Can J Public Health. 1986;77(5):359–62.
Godin G, Shephard RJ. A simple method to assess exercise behavior in the community. Can J Appl Sport Sci. 1985;10(3):141–6.
Centers for Disease Control and Prevention (CDC). A report of the surgeon general physical activity and health adolescents and young adults. In: Department of Health and Human Services. Atlanta, GA; 1996.
Jacobs Jr DR, Ainsworth BE, Hartman TJ, Leon AS. A simultaneous evaluation of 10 commonly used physical activity questionnaires. Med Sci Sports Exerc. 1993;25(1):81–91.
McAuley E. Self-efficacy and the maintenance of exercise participation in older adults. J Behav Med. 1993;16(1):103–13.
McAuley E, Mihalko SL. Measuring exercise-related self-efficacy. In: Duda JL, editor. Advances in sport and exercise psychology measurement. Morgantown, WV: Fitness Information Technology; 1998. p. 371–92.
Andrews G, Slade T. Interpreting scores on the Kessler Psychological Distress Scale (K10). Aust NZJ Public Health. 2001;25(6):494–7.
Bech P. Quality of life in the psychiatric patient. London: Mosby-Wolfe; 1998.
Diener E, Emmons RA, Larsen RJ, Griffin S. The satisfaction with life scale. J Pers Assess. 1985;49(1):71–5.
Pavot W, Diener E, Colvin CR, Sandvik E. Further validation of the Satisfaction with Life Scale: evidence for the cross-method convergence of well-being measures. J Pers Assess. 1991;57(1):149–61.
Bech P. Male depression: stress and aggression as pathways to major depression. In: Dawson A, Tylee A, editors. Depression: social and economic time bomb. London: Books; 2001. p. 63–6.
Arbuckle J, Wothke W. AMOS 4 user’s reference guide. Chicago: Smallwaters Corporation; 1999.
Enders CK. The impact of nonnormality on full information maximum-likelihood estimation for structural equation models with missing data. Psychol Methods. 2001;6(4):352–70.
Muthen LK, Muthen BO. Mplus user’s guide. Los Angeles (CA): Muthen & Muthen; 1998–2008.
Crowley SL, Fan X. Structural equation modeling: basic concepts and applications in personality assessment research. J Pers Assess. 1997;68(3):508–31.
Bentler PM. Comparative fit indexes in structural models. Psychol Bull. 1990;107(2):238–46.
Hu L, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Modeling. 1999;6:1–55.
Bandura A. Self-efficacy: the exercise of control. New York: W.H. Freeman; 1997.
Fukukawa Y, Nakashima C, Tsuboi S, Kozakai R, Doyo W, Niino N, et al. Age differences in the effect of physical activity on depressive symptoms. Psychol Aging. 2004;19(2):346–51.
Gautam R, Saito T, Kai I. Leisure and religious activity participation and mental health: gender analysis of older adults in Nepal. BMC Public Health. 2007;7:299.
McAuley E, Katula, J. Physical activity interventions in the elderly: influence on physical health and psychological function. In: Schulz R GMMPL, editor. Annu Rev Gerontol Geriatr New York, NY: Springer Publishing; 1998. pp. 115–54.
Wada T, Ishine M, Sakagami T, Kita T, Okumiya K, Mizuno K, et al. Depression, activities of daily living, and quality of life of community-dwelling elderly in three Asian countries: Indonesia, Vietnam, and Japan. Arch Gerontol Geriatr. 2005;41(3):271–80.
McAuley E, Courneya KS, Lettunich J. Effects of acute and long-term exercise on self-efficacy responses in sedentary, middle-aged males and females. Gerontologist. 1991;31(4):534–42.
McAuley E, Konopack JF, Motl RW, Rosengren K, Morris KS. Measuring disability and function in older women: psychometric properties of the late-life function and disability instrument. J Gerontol A Biol Sci Med Sci. 2005;60(7):901–9.
Acknowledgments
This research was supported in part by a cancer prevention fellowship supported by the National Cancer Institute grant R25T CA57730, Robert M. Chamberlain, Ph.D., Principal Investigator and grant R25T CA090956 to Dr. Gertraud Maskarinec. We also gratefully acknowledge the efforts of Virginia M. Mohlere at the University of Texas—M. D. Anderson Cancer Center and Wendell C. Taylor and the University of Texas—School of Public Health, Houston, TX.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Paxton, R.J., Motl, R.W., Aylward, A. et al. Physical Activity and Quality of Life—The Complementary Influence of Self-Efficacy for Physical Activity and Mental Health Difficulties. Int.J. Behav. Med. 17, 255–263 (2010). https://doi.org/10.1007/s12529-010-9086-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12529-010-9086-9