Are fitness, activity, and fatness associated with health-related quality of life and mood in older persons?
Are fitness, activity, and fatness associated with health-related quality of life and mood in older persons?
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DOI：
10.1097/00008483-200303000-00009
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发表时间：
2003-03-01
期刊：
影响因子：
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通讯作者：
Ouyang, Pamela
中科院分区：
文献类型：
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作者：
Stewart, Kerry J;Turner, Katherine L;Ouyang, Pamela
目的：本研究旨在确定老年人的健康水平、习惯性体育活动和肥胖是否与健康相关的生活质量和情绪有关。方法：研究对象为男性（n = 38）和女性（n = 44），年龄在55至75岁之间，患有轻度高血压，但其他方面健康且未参加定期运动或饮食计划。通过跑步机测试时的最大摄氧量来评估有氧适能，通过一次最大重复来评估肌肉力量，通过问卷调查来评估习惯性活动，通过双能x线吸收仪来评估脂肪，以及体重指数。与健康相关的生活质量通过医学结果研究SF-36进行评估，并通过情绪状态概况（POMS）评估情绪。通过双变量和多变量回归确定相关性。结果：正如POMS愤怒和总情绪障碍评分以及SF-36身体疼痛、身体功能、活力和身体成分评分所表明的那样，较高的有氧适应性与更理想的结果相关。正如POMS愤怒、抑郁和总情绪障碍得分以及SF-36身体疼痛、身体功能、角色情感、角色身体、社会功能、活力和身体成分得分所显示的那样，肥胖增加与不理想的结果相关。较高的体力活动与活力的POMS评分增加和身体疼痛的SF-36评分降低有关。体力与健康相关的生活质量或情绪无关。有氧适能是SF-36活力得分和POMS总情绪障碍得分的最强预测因子，而肥胖是POMS愤怒得分和SF-36身体疼痛、身体功能和身体成分得分的最强预测因子。结论：即使在没有定期运动和减肥饮食的情况下，在正常生活方式中进行相对少量的常规体育活动，轻微增加健身，减少体脂与更好的健康相关的生活质量和情绪有关。
PURPOSE: This study sought to determine whether levels of fitness, habitual physical activity, and fatness are associated health-related quality of life and mood in older persons.METHODS: The subjects were men (n = 38) and women (n = 44), ages 55 to 75 years, who had milder forms of hypertension, but who were otherwise healthy and not engaged in a regular exercise or diet program. Aerobic fitness was assessed by maximal oxygen uptake during treadmill testing, muscle strength by a one-repetition maximum, habitual activity by questionnaire, fatness by dual-energy x-ray absorptiometry, and body mass index. Health-related quality of life was assessed by the Medical Outcomes Study SF-36, and mood by the Profile of Mood States (POMS). Correlations were determined by bivariate and multivariate regression.RESULTS: Higher aerobic fitness was associated with more desirable outcomes, as indicated by the POMS anger and total mood disturbance scores and by the SF-36 bodily pain, physical functioning, vitality, and physical component scores. Increased fatness was associated with less desirable outcomes, as indicated by the POMS anger, depression, and total mood disturbance scores and by the SF-36 bodily pain, physical functioning, role-emotional, role-physical, social functioning, vitality, and physical component scores. Higher physical activity was associated with an increased POMS score for vigor and a decreased SF-36 score for bodily pain. Strength was not related to health-related quality of life or mood. Aerobic fitness was the strongest predictor of the SF-36 score for vitality and the POMS score for total mood disturbance, whereas fatness was the strongest predictor of the POMS anger score and the SF-36 bodily pain, physical functioning, and physical component scores.CONCLUSIONS: Even in the absence of regular exercise and a weight-loss diet, relatively small amounts of routine physical activity within a normal lifestyle, slight increases in fitness, and less body fatness are associated with a better health-related quality of life and mood.