Skip to main content
Top
Published in: International Journal of Behavioral Medicine 4/2010

01-12-2010

Physical Activity and Quality of Life—The Complementary Influence of Self-Efficacy for Physical Activity and Mental Health Difficulties

Authors: Raheem J. Paxton, Robert W. Motl, Alison Aylward, Claudio R. Nigg

Published in: International Journal of Behavioral Medicine | Issue 4/2010

Login to get access

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.
Literature
1.
go back to reference 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 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
2.
go back to reference 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. 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.
3.
go back to reference Yuan S, Karel H, Yuen S. Hawaii’s older adults: demographic profile. Honolulu: University of Hawaii; 2007. Yuan S, Karel H, Yuen S. Hawaii’s older adults: demographic profile. Honolulu: University of Hawaii; 2007.
4.
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
5.
go back to reference 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.PubMed 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.PubMed
6.
go back to reference 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. 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.
7.
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
8.
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
9.
go back to reference 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.PubMed 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.PubMed
10.
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
11.
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
12.
go back to reference 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, 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.
13.
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
14.
go back to reference 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.PubMed 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.PubMed
15.
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
16.
go back to reference 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.PubMed 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.PubMed
17.
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
18.
go back to reference Motl RW, Snook EM. Physical activity, self-efficacy, and quality of life in multiple sclerosis. Ann Behav Med. 2008;35(1):111–5.PubMed Motl RW, Snook EM. Physical activity, self-efficacy, and quality of life in multiple sclerosis. Ann Behav Med. 2008;35(1):111–5.PubMed
19.
go back to reference White SM, Wojcicki TR, McAuley E. Physical activity and quality of life in community dwelling older adults. Health Qual Life Outcomes. 2009;7:10.PubMedCrossRef White SM, Wojcicki TR, McAuley E. Physical activity and quality of life in community dwelling older adults. Health Qual Life Outcomes. 2009;7:10.PubMedCrossRef
20.
go back to reference 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.PubMed 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.PubMed
21.
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
22.
go back to reference 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.PubMed 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.PubMed
23.
go back to reference Godin G, Shephard RJ. A simple method to assess exercise behavior in the community. Can J Appl Sport Sci. 1985;10(3):141–6.PubMed Godin G, Shephard RJ. A simple method to assess exercise behavior in the community. Can J Appl Sport Sci. 1985;10(3):141–6.PubMed
24.
go back to reference 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. 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.
25.
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
26.
go back to reference McAuley E. Self-efficacy and the maintenance of exercise participation in older adults. J Behav Med. 1993;16(1):103–13.PubMedCrossRef McAuley E. Self-efficacy and the maintenance of exercise participation in older adults. J Behav Med. 1993;16(1):103–13.PubMedCrossRef
27.
go back to reference 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. 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.
28.
go back to reference Andrews G, Slade T. Interpreting scores on the Kessler Psychological Distress Scale (K10). Aust NZJ Public Health. 2001;25(6):494–7.CrossRef Andrews G, Slade T. Interpreting scores on the Kessler Psychological Distress Scale (K10). Aust NZJ Public Health. 2001;25(6):494–7.CrossRef
29.
go back to reference Bech P. Quality of life in the psychiatric patient. London: Mosby-Wolfe; 1998. Bech P. Quality of life in the psychiatric patient. London: Mosby-Wolfe; 1998.
30.
go back to reference Diener E, Emmons RA, Larsen RJ, Griffin S. The satisfaction with life scale. J Pers Assess. 1985;49(1):71–5.PubMedCrossRef Diener E, Emmons RA, Larsen RJ, Griffin S. The satisfaction with life scale. J Pers Assess. 1985;49(1):71–5.PubMedCrossRef
31.
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
32.
go back to reference 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. 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.
33.
go back to reference Arbuckle J, Wothke W. AMOS 4 user’s reference guide. Chicago: Smallwaters Corporation; 1999. Arbuckle J, Wothke W. AMOS 4 user’s reference guide. Chicago: Smallwaters Corporation; 1999.
34.
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
35.
go back to reference Muthen LK, Muthen BO. Mplus user’s guide. Los Angeles (CA): Muthen & Muthen; 1998–2008. Muthen LK, Muthen BO. Mplus user’s guide. Los Angeles (CA): Muthen & Muthen; 1998–2008.
36.
go back to reference Crowley SL, Fan X. Structural equation modeling: basic concepts and applications in personality assessment research. J Pers Assess. 1997;68(3):508–31.PubMedCrossRef Crowley SL, Fan X. Structural equation modeling: basic concepts and applications in personality assessment research. J Pers Assess. 1997;68(3):508–31.PubMedCrossRef
37.
38.
go back to reference 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.CrossRef 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.CrossRef
39.
go back to reference Bandura A. Self-efficacy: the exercise of control. New York: W.H. Freeman; 1997. Bandura A. Self-efficacy: the exercise of control. New York: W.H. Freeman; 1997.
40.
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
41.
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
42.
go back to reference 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. 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.
43.
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
44.
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
45.
go back to reference 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.PubMed 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.PubMed
Metadata
Title
Physical Activity and Quality of Life—The Complementary Influence of Self-Efficacy for Physical Activity and Mental Health Difficulties
Authors
Raheem J. Paxton
Robert W. Motl
Alison Aylward
Claudio R. Nigg
Publication date
01-12-2010
Publisher
Springer US
Published in
International Journal of Behavioral Medicine / Issue 4/2010
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-010-9086-9

Other articles of this Issue 4/2010

International Journal of Behavioral Medicine 4/2010 Go to the issue