Physical activity and quality of life in community dwelling older adults.

Physical activity and quality of life in community dwelling older adults.
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DOI:
10.1186/1477-7525-7-10
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发表时间:
2009-02-06
影响因子:
3.6
通讯作者:
McAuley E
McAuley E
中科院分区:
医学3区
文献类型:
--
作者:
White SM;Wójcicki TR;McAuley E

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身体活动一直与老年人生活质量 (QOL) 的提高相关。然而,这种关系的本质尚未完全了解。在这项针对社区居住老年人的研究中,我们研究了体育活动通过自我效能和健康状况影响全球生活质量的主张。参与者(N = 321,M 年龄 = 63.8)完成了身体活动、自我效能、整体生活质量、身体自我价值和残疾限制的测量。使用协方差模型分析数据以测试假设模型的拟合度。分析表明,潜在的身体活动变量对自我效能有直接影响,但对残疾限制或身体自我价值没有影响;自我效能对残疾限制和身体自我价值的直接影响,但对生活质量没有影响;以及残疾限制和身体自我价值对生活质量的直接影响。我们的研究结果支持自我效能在身体活动和生活质量之间的关系中的作用,以及包括健康状况指标和整体生活质量的扩展生活质量模型。这些发现进一步表明,未来的 PA 促进计划应包括增强自我效能的策略,这是改善该人群生活质量的可修改因素。
Physical activity has been consistently associated with enhanced quality of life (QOL) in older adults. However, the nature of this relationship is not fully understood. In this study of community dwelling older adults, we examined the proposition that physical activity influences global QOL through self-efficacy and health-status. Participants (N = 321, M age = 63.8) completed measures of physical activity, self-efficacy, global QOL, physical self worth, and disability limitations. Data were analyzed using covariance modeling to test the fit of the hypothesized model. Analyses indicated direct effects of a latent physical activity variable on self-efficacy but not disability limitations or physical self-worth; direct effects of self-efficacy on disability limitations and physical self worth but not QOL; and direct effects of disability limitations and physical self-worth on QOL. Our findings support the role of self-efficacy in the relationship between physical activity and QOL as well as an expanded QOL model including both health status indicators and global QOL. These findings further suggest future PA promotion programs should include strategies to enhance self-efficacy, a modifiable factor for improving QOL in this population.
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