IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i21p14135-d957162.html
   My bibliography  Save this article

Exploring Mediation Effects of Gait Speed, Body Balance, and Falls in the Relationship between Physical Activity and Health-Related Quality of Life in Vulnerable Older Adults

Author

Listed:
  • Marcelo de Maio Nascimento

    (Department of Physical Education, Federal University of Vale do São Francisco, Petrolina 56304-917, Brazil)

  • Élvio Rúbio Gouveia

    (Department of Physical Education and Sport, University of Madeira, 9020-105 Funchal, Portugal
    LARSYS, Interactive Technologies Institute, 9020-105 Funchal, Portugal
    Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland)

  • Bruna R. Gouveia

    (LARSYS, Interactive Technologies Institute, 9020-105 Funchal, Portugal
    Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland
    Regional Directorate of Health, Secretary of Health of the Autonomous Region of Madeira, 9004-515 Funchal, Portugal
    Saint Joseph of Cluny Higher School of Nursing, 9050-535 Funchal, Portugal)

  • Adilson Marques

    (CIPER, Faculty of Human Kinetics, University of Lisbon, 1495-751 Lisbon, Portugal
    ISAMB, Faculty of Medicine, University of Lisbon, 1649-020 Lisbon, Portugal)

  • Cíntia França

    (Department of Physical Education and Sport, University of Madeira, 9020-105 Funchal, Portugal
    LARSYS, Interactive Technologies Institute, 9020-105 Funchal, Portugal)

  • Duarte L. Freitas

    (Department of Physical Education and Sport, University of Madeira, 9020-105 Funchal, Portugal
    Centre of Research, Education, Innovation and Intervention in Sport (CIFI2D), Faculty of Sport, University of Porto, 4200-450 Porto, Portugal)

  • Pedro Campos

    (LARSYS, Interactive Technologies Institute, 9020-105 Funchal, Portugal
    Department of Informatics Engineering and Interactive Media Design, University of Madeira, 9020-105 Funchal, Portugal)

  • Andreas Ihle

    (Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland
    Department of Psychology, University of Geneva, 1205 Geneva, Switzerland
    Swiss National Centre of Competence in Research LIVES—Overcoming Vulnerability: Life Course Perspectives, 1015 Lausanne, Switzerland)

Abstract

The present study aimed to examine whether gait speed (GS), body balance (BB), and falls mediated the relationship between physical activity (PA) and health-related quality of life (HRQoL) in community-dwelling older adults. This is a cross-sectional study that included 305 men and 314 women (69.5 ± 5.6 years), residing in the Autonomous Region of Madeira, Portugal. HRQoL and PA were assessed using the SF-36 and Baecke Questionnaires, respectively. While BB was obtained by the Fullerton Advance Balance (FAB) scale, GS by the 50-foot (15 m) walk test, and the frequency of falls was obtained by self-report. According to the analyses, when GS and BB were placed concomitantly as mediators, the direct effect revealed by the model revealed a non-significant relationship between PA and falls. Thus, in the context of falls, GS and BB partially mediated the association between PA and HRQoL in approximately 29.7%, 56%, and 49.2%, respectively. The total HRQoL model explained a variance of 36.4%. The results can help to understand the role that GS, BB, and falls play in the relationship between PA and HRQoL of the vulnerable older adult population.

Suggested Citation

  • Marcelo de Maio Nascimento & Élvio Rúbio Gouveia & Bruna R. Gouveia & Adilson Marques & Cíntia França & Duarte L. Freitas & Pedro Campos & Andreas Ihle, 2022. "Exploring Mediation Effects of Gait Speed, Body Balance, and Falls in the Relationship between Physical Activity and Health-Related Quality of Life in Vulnerable Older Adults," IJERPH, MDPI, vol. 19(21), pages 1-13, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:14135-:d:957162
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/21/14135/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/21/14135/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Milad Karimi & John Brazier, 2016. "Health, Health-Related Quality of Life, and Quality of Life: What is the Difference?," PharmacoEconomics, Springer, vol. 34(7), pages 645-649, July.
    2. Jack Graveson & Sarah Bauermeister & Denis McKeown & David Bunce, 2016. "Intraindividual Reaction Time Variability, Falls, and Gait in Old Age: A Systematic Review," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 71(5), pages 857-864.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Octavio Pano & Carmen Sayón-Orea & Alfredo Gea & Maira Bes-Rastrollo & Miguel Ángel Martínez-González & J. Alfredo Martínez, 2020. "Nutritional Determinants of Quality of Life in a Mediterranean Cohort: The SUN Study," IJERPH, MDPI, vol. 17(11), pages 1-17, May.
    2. Suparb Aree‐Ue & Usa Kongsombun & Inthira Roopsawang & Phichpraorn Youngcharoen, 2019. "Path model of factors influencing health‐related quality of life among older people with knee osteoarthritis," Nursing & Health Sciences, John Wiley & Sons, vol. 21(3), pages 345-351, September.
    3. Ariana Amariles-Baena & Catalina Sosa-Palacio & Andrés A. Agudelo-Suárez, 2022. "Quality of Life and Related Factors in Specialists on Pediatric Dentistry and the like Graduated from a Public University: A Mixed Methods Approach," IJERPH, MDPI, vol. 19(20), pages 1-22, October.
    4. Marc Audi & Amjad Ali, 2023. "The Role of Environmental Conditions and Purchasing Power Parity in Determining Quality of Life among Big Asian Cities," International Journal of Energy Economics and Policy, Econjournals, vol. 13(3), pages 292-305, May.
    5. Le Grande, M. & Ski, C.F. & Thompson, D.R. & Scuffham, P. & Kularatna, S. & Jackson, A.C. & Brown, A., 2017. "Social and emotional wellbeing assessment instruments for use with Indigenous Australians: A critical review," Social Science & Medicine, Elsevier, vol. 187(C), pages 164-173.
    6. María Dolores Ruiz-Fernández & Ángela María Ortega-Galán & Cayetano Fernández-Sola & José Manuel Hernández-Padilla & José Granero-Molina & Juan Diego Ramos-Pichardo, 2020. "Occupational Factors Associated with Health-Related Quality of Life in Nursing Professionals: A Multi-Centre Study," IJERPH, MDPI, vol. 17(3), pages 1-12, February.
    7. Shu‐Fang Chang & Shu‐Ching Chiu, 2020. "Effect of resistance training on quality of life in older people with sarcopenic obesity living in long‐term care institutions: A quasi‐experimental study," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(13-14), pages 2544-2556, July.
    8. Tessa Peasgood & Jill Carlton & John Brazier, 2019. "A Qualitative Study of the Views of Health and Social Care Decision-Makers on the Role of Wellbeing in Resource Allocation Decisions in the UK," Economies, MDPI, vol. 7(1), pages 1-13, February.
    9. Andrés A. Agudelo-Suárez & Annie M. Vivares-Builes & Natalia Muñoz-Pino & José Miguel Martínez-Martínez & Alison Reid & Elena Ronda-Pérez, 2019. "Oral Health-Related Quality of Life in Native and Immigrant Populations in the PELFI Study in Spain," IJERPH, MDPI, vol. 16(10), pages 1-14, May.
    10. Billingsley Kaambwa & Hailay Abrha Gesesew & Matthew Horsfall & Derek Chew, 2020. "Quality of Life Changes in Acute Coronary Syndromes Patients: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 17(18), pages 1-28, September.
    11. Nadine Simo & Denis Boucaud-Maitre & Pierre Gebhard & Roxane Villeneuve & Leila Rinaldo & Jean-François Dartigues & Moustapha Drame & Maturin Tabue-Teguo, 2023. "Correlates of Health-Related Quality of Life in Community-Dwelling Older Adults in Guadeloupe (French West Indies): Results from the KASADS Study," IJERPH, MDPI, vol. 20(4), pages 1-9, February.
    12. Sollis, Kate & Yap, Mandy & Campbell, Paul & Biddle, Nicholas, 2022. "Conceptualisations of wellbeing and quality of life: A systematic review of participatory studies," World Development, Elsevier, vol. 160(C).
    13. Ian Ross & Giulia Greco & Charles Opondo & Zaida Adriano & Rassul Nala & Joe Brown & Robert Dreibelbis & Oliver Cumming, 2022. "Measuring and valuing broader impacts in public health: Development of a sanitation‐related quality of life instrument in Maputo, Mozambique," Health Economics, John Wiley & Sons, Ltd., vol. 31(3), pages 466-480, March.
    14. Andreas W Blomkvist & Fredrik Eika & Martin T Rahbek & Karin D Eikhof & Mette D Hansen & Malene Søndergaard & Jesper Ryg & Stig Andersen & Martin G Jørgensen, 2017. "Reference data on reaction time and aging using the Nintendo Wii Balance Board: A cross-sectional study of 354 subjects from 20 to 99 years of age," PLOS ONE, Public Library of Science, vol. 12(12), pages 1-13, December.
    15. Abraham G. Welie & Elly Stolk & Clara Mukuria & Yared Belete Belay & Murray D. Krahn & Beate Sander & Gebremedhin Beedemariam Gebretekle, 2022. "Reliability and validity of using EQ-5D-5L among healthy and adolescents with major mental health disorders in Ethiopia," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(7), pages 1105-1119, September.
    16. Wilmer A. Romo-Cabrera & Andrés A. Agudelo-Suárez, 2022. "A Comprehensive Mixed Methods Approach for Studying the Quality of Life of Colombian Periodontists," IJERPH, MDPI, vol. 19(23), pages 1-20, December.
    17. Binyu Liu & Ye Chen & Meng Xiao, 2020. "The Social Utility and Health Benefits for Older Adults of Amenity Buildings in China’s Urban Parks: A Nanjing Case Study," IJERPH, MDPI, vol. 17(20), pages 1-26, October.
    18. Victoria Gale & Jill Carlton, 2023. "Including Young Children in the Development and Testing of Patient Reported Outcome (PRO) Instruments: A Scoping Review of Children’s Involvement and Qualitative Methods," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 16(5), pages 425-456, September.
    19. Andrea Higuera-Gómez & Rosa Ribot-Rodríguez & Victor Micó & Amanda Cuevas-Sierra & Rodrigo San Cristóbal & Jose Alfredo Martínez, 2022. "Lifestyle and Health-Related Quality of Life Relationships Concerning Metabolic Disease Phenotypes on the Nutrimdea Online Cohort," IJERPH, MDPI, vol. 20(1), pages 1-19, December.
    20. Emilie Rune Hegelund & Anna Paldam Folker & Cathrine Lawaetz Wimmelmann & Emilie Just-Østergaard & Erik Lykke Mortensen & Trine Flensborg-Madsen, 2020. "Infant Socioeconomic Position and Quality of Life in Midlife: A 50-Year Follow-Up Study of 2079 Individuals in Denmark," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 15(4), pages 937-951, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:14135-:d:957162. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.