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Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2011

Open Access 01-12-2011 | Research

Longitudinal association of physical activity and sedentary behavior during leisure time with health-related quality of life in community-dwelling older adults

Authors: Teresa Balboa-Castillo, Luz M León-Muñoz, Auxiliadora Graciani, Fernando Rodríguez-Artalejo, Pilar Guallar-Castillón

Published in: Health and Quality of Life Outcomes | Issue 1/2011

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Abstract

Background

Evidence on the relation between leisure-time physical activity (LTPA) and health-related quality of life (HRQoL) in older adults is based primarily on clinical trials of physical exercise programs in institutionalized persons and on cross-sectional studies of community-dwelling persons. Moreover, there is no evidence on whether leisure-time sedentary behavior (LTSB) is associated with HRQoL independently of LTPA. This study examined the longitudinal association between LTPA, LTSB, and HRQoL in older community-dwelling adults in Spain.

Methods

Prospective cohort study of 1,097 persons aged 62 and over. In 2003 LTPA in MET-hr/week was measured with a validated questionnaire, and LTSB was estimated by the number of sitting hours per week. In 2009 HRQoL was measured with the SF-36 questionnaire. Analyses were done with linear regression and adjusted for the main confounders.

Results

Compared with those who did no LTPA, subjects in the upper quartile of LTPA had better scores on the SF-36 scales of physical functioning (β 5.65; 95% confidence interval [CI] 1.32-9.98; p linear trend < 0.001), physical role (β 7.38; 95% CI 0.16-14.93; p linear trend < 0.001), bodily pain (β 6.92; 95% CI 1.86-11.98; p linear trend < 0.01), vitality (β 5.09; 95% CI 0.76-9.41; p linear trend < 0.004) social functioning (β 7.83; 95% CI 2.89-12.75; p linear trend < 0.001), emotional role (β 8.59; 95% CI 1.97-15.21; p linear trend < 0.02) and mental health (β 4.20; 95% CI 0.26-8.13; p linear trend < 0.06). As suggested by previous work in this field, these associations were clinically relevant because the β regression coefficients were higher than 3 points. Finally, the number of sitting hours showed a gradual and inverse relation with the scores on most of the SF-36 scales, which was also clinically relevant.

Conclusions

Greater LTPA and less LTSB were independently associated with better long-term HRQoL in older adults.
Literature
1.
Batty GD: Physical activity and coronary heart disease in older adults. A systematic review of epidemiological studies. Eur J Public Health 2002, 12: 171–176. 10.1093/eurpub/12.3.171PubMedCrossRef
2.
3.
Jeon CY, Lokken RP, Hu FB, van Dam RM: Physical activity of moderate intensity and risk of type 2 diabetes: a systematic review. Diabetes Care 2007, 30: 744–752. 10.2337/dc06-1842PubMedCrossRef
4.
Larson EB, Wang L, Bowen JD, McCormick WC, Teri L, Crane P, Kukull W: Exercise is associated with reduced risk for incident dementia among persons 65 years of age and older. Ann Intern Med 2006, 144: 73–81.PubMedCrossRef
5.
6.
Bize R, Johnson JA, Plotnikoff RC: Physical activity level and health-related quality of life in the general adult population: a systematic review. Prev Med 2007, 45: 401–415. 10.1016/j.ypmed.2007.07.017PubMedCrossRef
7.
Shibata A, Oka K, Nakamura Y, Muraoka I: Recommended level of physical activity and health-related quality of life among Japanese adults. Health Qual Life Outcomes 2007, 5: 64. 10.1186/1477-7525-5-64PubMedCentralPubMedCrossRef
8.
Dechamps A, Diolez P, Thiaudiere E, Tulon A, Onifade C, Vuong T, Helmer C, Bourdel-Marchasson I: Effects of exercise programs to prevent decline in health-related quality of life in highly deconditioned institutionalized elderly persons: a randomized controlled trial. Arch Intern Med 2010, 170: 162–169. 10.1001/archinternmed.2009.489PubMedCrossRef
9.
Taguchi N, Higaki Y, Inoue S, Kimura H, Tanaka K: Effects of a 12-month multicomponent exercise program on physical performance, daily physical activity, and quality of life in very elderly people with minor disabilities: an intervention study. J Epidemiol 2010, 20: 21–29. 10.2188/jea.JE20081033PubMedCentralPubMedCrossRef
10.
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.PubMedCrossRef
11.
Lobo A, Santos P, Carvalho J, Mota J: Relationship between intensity of physical activity and health-related quality of life in Portuguese institutionalized elderly. Geriatr Gerontol Int 2008, 8: 284–290. 10.1111/j.1447-0594.2008.00478.xPubMedCrossRef
12.
Brown WJ, Mishra G, Lee C, Bauman A: Leisure time physical activity in Australian women: relationship with well being and symptoms. Res Q Exerc Sport 2000, 71: 206–216.PubMedCrossRef
13.
Acree LS, Longfors J, Fjeldstad AS, Fjeldstad C, Schank B, Nickel KJ, Montgomery PS, Gardner AW: Physical activity is related to quality of life in older adults. Health Qual Life Outcomes 2006, 4: 37. 10.1186/1477-7525-4-37PubMedCentralPubMedCrossRef
14.
Brown DW, Balluz LS, Heath GW, Moriarty DG, Ford ES, Giles WH, Mokdad AH: Associations between recommended levels of physical activity and health-related quality of life. Findings from the 2001 Behavioral Risk Factor Surveillance System (BRFSS) survey. Prev Med 2003, 37: 520–528. 10.1016/S0091-7435(03)00179-8PubMedCrossRef
15.
White SM, Wojcicki TR, McAuley E: Physical activity and quality of life in community dwelling older adults. Health Qual Life Outcomes 2009, 7: 10. 10.1186/1477-7525-7-10PubMedCentralPubMedCrossRef
16.
Yasunaga A, Togo F, Watanabe E, Park H, Shephard RJ, Aoyagi Y: Yearlong physical activity and health-related quality of life in older Japanese adults: the Nakanojo Study. J Aging Phys Act 2006, 14: 288–301.PubMed
17.
Lee C, Russell A: Effects of physical activity on emotional well-being among older Australian women: cross-sectional and longitudinal analyses. J Psychosom Res 2003, 54: 155–160. 10.1016/S0022-3999(02)00414-2PubMedCrossRef
18.
Pate RR, O'Neill JR, Lobelo F: The evolving definition of "sedentary". Exerc Sport Sci Rev 2008, 36: 173–178. 10.1097/JES.0b013e3181877d1aPubMedCrossRef
19.
Thorp AA, Healy GN, Owen N, Salmon J, Ball K, Shaw JE, Zimmet PZ, Dunstan DW: Deleterious associations of sitting time and television viewing time with cardiometabolic risk biomarkers: Australian Diabetes, Obesity and Lifestyle (AusDiab) study 2004–2005. Diabetes Care 2010, 33: 327–334. 10.2337/dc09-0493PubMedCentralPubMedCrossRef
20.
Dunstan DW, Barr EL, Healy GN, Salmon J, Shaw JE, Balkau B, Magliano DJ, Cameron AJ, Zimmet PZ, Owen N: Television viewing time and mortality: the Australian Diabetes, Obesity and Lifestyle Study (AusDiab). Circulation 2010, 121: 384–391. 10.1161/CIRCULATIONAHA.109.894824PubMedCrossRef
21.
Hu FB, Li TY, Colditz GA, Willett WC, Manson JE: Television watching and other sedentary behaviors in relation to risk of obesity and type 2 diabetes mellitus in women. JAMA 2003, 289: 1785–1791. 10.1001/jama.289.14.1785PubMedCrossRef
22.
Patel AV, Bernstein L, Deka A, Feigelson HS, Campbell PT, Gapstur SM, Colditz GA, Thun MJ: Leisure time spent sitting in relation to total mortality in a prospective cohort of US adults. Am J Epidemiol 2010, 172: 419–429. 10.1093/aje/kwq155PubMedCentralPubMedCrossRef
23.
Guallar-Castillon P, Santa-Olalla PP, Banegas JR, Lopez E, Rodriguez-Artalejo F: Physical activity and quality of life in older adults in Spain. Med Clin (Barc) 2004, 123: 606–610. 10.1157/13068435
24.
Leon-Munoz LM, Guallar-Castillon P, Banegas JR, Gutierrez-Fisac JL, Lopez-Garcia E, Jimenez FJ, Rodriguez-Artalejo F: Changes in body weight and health-related quality-of-life in the older adult population. Int J Obes (Lond) 2005, 29: 1385–1391. 10.1038/sj.ijo.0803049CrossRef
25.
Galan I, Rodriguez-Artalejo F, Zorrilla B: Telephone versus face-to-face household interviews in the assessment of health behaviors and preventive practices. Gac Sanit 2004, 18: 440–450. 10.1157/13069762PubMedCrossRef
26.
Galan I, Rodriguez-Artalejo F, Zorilla B: Reproducibility of a telephone questionnaire on risk factors associated with behavior and preventive practices. Gac Sanit 2004, 18: 118–128.PubMedCrossRef
27.
Garcia M, Rohlfs I, Vila J, Sala J, Pena A, Masia R, Marrugat J: Comparison between telephone and self-administration of Short Form Health Survey Questionnaire (SF-36). Gac Sanit 2005, 19: 433–439. 10.1016/S0213-9111(05)71393-5PubMedCrossRef
28.
Martinez-Gonzalez MA, Lopez-Fontana C, Varo JJ, Sanchez-Villegas A, Martinez JA: Validation of the Spanish version of the physical activity questionnaire used in the Nurses' Health Study and the Health Professionals' Follow-up Study. Public Health Nutr 2005, 8: 920–927.PubMedCrossRef
29.
Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, O'Brien WL, Bassett DR Jr, Schmitz KH, Emplaincourt PO, Jacobs DR Jr, Leon AS: Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 2000, 32: S498-S504. 10.1097/00005768-200009001-00009PubMedCrossRef
30.
Nelson ME, Rejeski WJ, Blair SN, Duncan PW, Judge JO, King AC, Macera CA, Castaneda-Sceppa C: Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Circulation 2007, 116: 1094–1105.PubMedCrossRef
31.
Alonso J: Manual de puntuación de la versión española del cuestionario de salud SF-36. In Institute Municipal d' Investigació Médica (IMIM) ed. Barcelona; 2000.
32.
Mekary RA, Willett WC, Hu FB, Ding EL: Isotemporal substitution paradigm for physical activity epidemiology and weight change. Am J Epidemiol 2009, 170: 519–527. 10.1093/aje/kwp163PubMedCentralPubMedCrossRef
33.
Mekary RA, Ding EL: Analysis of television viewing and physical activity using time substitution models. Arch Intern Med 2010, 170: 1173–1174.PubMed
34.
SAS/STAT guide for personal computers version 9.1. Cary, NC SAS Institute 2004.
35.
Ware JE, Snow KK, Kosinski M, Gandek B: SF-36 Health Survey. Manual and interpretation guide. The Health Institute, New England Medical Center: Boston, MA. 1993.
36.
Brook RH, Ware JE Jr, Rogers WH, Keeler EB, Davies AR, Donald CA, Goldberg GA, Lohr KN, Masthay PC, Newhouse JP: Does free care improve adults' health? Results from a randomized controlled trial. N Engl J Med 1983, 309: 1426–1434. 10.1056/NEJM198312083092305PubMedCrossRef
37.
Chodzko-Zajko WJ, Proctor DN, Fiatarone Singh MA, Minson CT, Nigg CR, Salem GJ, Skinner JS: American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc 2009, 41: 1510–1530. 10.1249/MSS.0b013e3181a0c95cPubMedCrossRef
38.
US Department of Health and Human Services In Physical activity and health: a report of the Surgeon General. Atlanta: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion; 1996.
39.
Gillespie LD, Robertson MC, Gillespie WJ, Lamb SE, Gates S, Cumming RG, Rowe BH: Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev 2009, CD007146.
40.
Koster A, Harris TB, Moore SC, Schatzkin A, Hollenbeck AR, van Eijk JT, Leitzmann MF: Joint associations of adiposity and physical activity with mortality: the National Institutes of Health-AARP Diet and Health Study. Am J Epidemiol 2009, 169: 1344–1351. 10.1093/aje/kwp053PubMedCentralPubMedCrossRef
41.
Barbour KA, Blumenthal JA: Exercise training and depression in older adults. Neurobiol Aging 2005,26(Suppl 1):119–123.PubMedCrossRef
42.
Plassman BL, Williams JW Jr, Burke JR, Holsinger T, Benjamin S: Systematic review: factors associated with risk for and possible prevention of cognitive decline in later life. Ann Intern Med 2010, 153: 182–193.PubMedCrossRef
43.
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: 99–103. 10.1207/s15324796abm3101_14PubMedCrossRef
44.
McAuley E, Doerksen SE, Morris KS, Motl RW, Hu L, Wojcicki TR, White SM, Rosengren KR: Pathways from physical activity to quality of life in older women. Ann Behav Med 2008, 36: 13–20. 10.1007/s12160-008-9036-9PubMedCentralPubMedCrossRef
45.
Sugiyama T, Healy GN, Dunstan DW, Salmon J, Owen N: Joint associations of multiple leisure-time sedentary behaviours and physical activity with obesity in Australian adults. Int J Behav Nutr Phys Act 2008, 5: 35. 10.1186/1479-5868-5-35PubMedCentralPubMedCrossRef
46.
Banegas JR, Lopez-Garcia E, Graciani A, Guallar-Castillon P, Gutierrez-Fisac JL, Alonso J, Rodriguez-Artalejo F: Relationship between obesity, hypertension and diabetes, and health-related quality of life among the elderly. Eur J Cardiovasc Prev Rehabil 2007, 14: 456–462. 10.1097/HJR.0b013e3280803f29PubMedCrossRef
47.
Kraut R, Patterson M, Lundmark V, Kiesler S, Mukopadhyay T, Scherlis W: Internet paradox. A social technology that reduces social involvement and psychological well-being? Am Psychol 1998, 53: 1017–1031.PubMedCrossRef
48.
Sanchez-Villegas A, Ara I, Guillen-Grima F, Bes-Rastrollo M, Varo-Cenarruzabeitia JJ, Martinez-Gonzalez MA: Physical activity, sedentary index, and mental disorders in the SUN cohort study. Med Sci Sports Exerc 2008, 40: 827–834. 10.1249/MSS.0b013e31816348b9PubMedCrossRef
49.
Chasan-Taber S, Rimm EB, Stampfer MJ, Spiegelman D, Colditz GA, Giovannucci E, Ascherio A, Willett WC: Reproducibility and validity of a self-administered physical activity questionnaire for male health professionals. Epidemiology 1996, 7: 81–86. 10.1097/00001648-199601000-00014PubMedCrossRef
50.
Alonso J, Prieto L, Anto JM: [The Spanish version of the SF-36 Health Survey (the SF-36 health questionnaire): an instrument for measuring clinical results]. Med Clin (Barc) 1995, 104: 771–776.
51.
Buchner DM: Physical activity and prevention of cardiovascular disease in older adults. Clin Geriatr Med 2009, 25: 661–75, viii. 10.1016/j.cger.2009.08.002PubMedCrossRef
52.
Ogilvie D, Foster CE, Rothnie H, Cavill N, Hamilton V, Fitzsimons CF, Mutrie N: Interventions to promote walking: systematic review. BMJ 2007, 334: 1204. 10.1136/bmj.39198.722720.BEPubMedCentralPubMedCrossRef
Metadata
Title
Longitudinal association of physical activity and sedentary behavior during leisure time with health-related quality of life in community-dwelling older adults
Authors
Teresa Balboa-Castillo
Luz M León-Muñoz
Auxiliadora Graciani
Fernando Rodríguez-Artalejo
Pilar Guallar-Castillón
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2011
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-9-47

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