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Gender differences in the association between physical activity and health-related quality of life among community-dwelling elders

Background Physical activity can improve health-related quality of life (HRQoL) in older adults. However, the differential effects of gender on quality of life are unclear. Aims: To determine the association between physical activity and HRQoL in men and women. Methods This was a cross-sectional stu...

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Published in:Aging clinical and experimental research 2021-04, Vol.33 (4), p.901-908
Main Authors: Liao, Yi-Hsueh, Kao, Tung-Wei, Peng, Tao-Chun, Chang, Yaw-Wen
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Kao, Tung-Wei
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description Background Physical activity can improve health-related quality of life (HRQoL) in older adults. However, the differential effects of gender on quality of life are unclear. Aims: To determine the association between physical activity and HRQoL in men and women. Methods This was a cross-sectional study conducted from March to August 2011. Community-dwelling older people aged 65 years or older were eligible. Physical activity in kcal per week was measured with the International Physical Activity Questionnaire (IPAQ)—Taiwan version. HRQoL was measured with the 36-Item Short Form Survey (SF-36) questionnaire. Cognitive function and depression were assessed using the Mini-Mental State Examination (MMSE) and Patient Health Questionnaire-9 (PHQ-9). The relationship between physical activity and HRQoL in men and women was investigated by a multiple linear regression model. Results A total of 188 older people (M: 50.5%) participated in this study. The mean ages of men and women were 71.9 ± 5.3 and 77.1 ± 6.4 years, respectively ( p 
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However, the differential effects of gender on quality of life are unclear. Aims: To determine the association between physical activity and HRQoL in men and women. Methods This was a cross-sectional study conducted from March to August 2011. Community-dwelling older people aged 65 years or older were eligible. Physical activity in kcal per week was measured with the International Physical Activity Questionnaire (IPAQ)—Taiwan version. HRQoL was measured with the 36-Item Short Form Survey (SF-36) questionnaire. Cognitive function and depression were assessed using the Mini-Mental State Examination (MMSE) and Patient Health Questionnaire-9 (PHQ-9). The relationship between physical activity and HRQoL in men and women was investigated by a multiple linear regression model. Results A total of 188 older people (M: 50.5%) participated in this study. The mean ages of men and women were 71.9 ± 5.3 and 77.1 ± 6.4 years, respectively ( p  &lt; 0.001). Older women had higher physical activity levels than men (4786.1 ± 1065.6 vs 4422.2 ± 1114.3 kcal/week, p  = 0.023). After adjusting for covariates, multiple linear regression analysis showed that older men with higher physical activity levels had better scores on both the physical component summary (PCS) ( p  = 0.031) and mental component summary (MCS) ( p  = 0.007) than men with lower levels. Furthermore, older men with higher moderate-vigorous physical activity levels had better scores on the PCS than older men with lower activity levels, and older men with higher walking physical activity levels had better scores on the MCS than older men with lower activity levels. Conclusions In this study, older women were more physically active than older men. However, older men (but not older women) with higher physical activity had better HRQoL. The association between physical activity and HRQoL differed between men and women.</description><identifier>ISSN: 1720-8319</identifier><identifier>ISSN: 1594-0667</identifier><identifier>EISSN: 1720-8319</identifier><identifier>DOI: 10.1007/s40520-020-01597-x</identifier><identifier>PMID: 32462499</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Aged ; Aged, 80 and over ; Cross-Sectional Studies ; Exercise ; Female ; Gender differences ; Geriatrics/Gerontology ; Health Status ; Humans ; Independent Living ; Male ; Medicine ; Medicine &amp; Public Health ; Older people ; Original Article ; Quality of Life ; Questionnaires ; Regression analysis ; Sex Characteristics ; Surveys and Questionnaires ; Taiwan ; Women</subject><ispartof>Aging clinical and experimental research, 2021-04, Vol.33 (4), p.901-908</ispartof><rights>Springer Nature Switzerland AG 2020</rights><rights>Springer Nature Switzerland AG 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-f7bc20e8e04cdc5b2d1a96f54c985a651b5480a193bee30388089bab2f6a63ef3</citedby><cites>FETCH-LOGICAL-c375t-f7bc20e8e04cdc5b2d1a96f54c985a651b5480a193bee30388089bab2f6a63ef3</cites><orcidid>0000-0002-8436-0518</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32462499$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liao, Yi-Hsueh</creatorcontrib><creatorcontrib>Kao, Tung-Wei</creatorcontrib><creatorcontrib>Peng, Tao-Chun</creatorcontrib><creatorcontrib>Chang, Yaw-Wen</creatorcontrib><title>Gender differences in the association between physical activity and health-related quality of life among community-dwelling elders</title><title>Aging clinical and experimental research</title><addtitle>Aging Clin Exp Res</addtitle><addtitle>Aging Clin Exp Res</addtitle><description>Background Physical activity can improve health-related quality of life (HRQoL) in older adults. However, the differential effects of gender on quality of life are unclear. Aims: To determine the association between physical activity and HRQoL in men and women. Methods This was a cross-sectional study conducted from March to August 2011. Community-dwelling older people aged 65 years or older were eligible. Physical activity in kcal per week was measured with the International Physical Activity Questionnaire (IPAQ)—Taiwan version. HRQoL was measured with the 36-Item Short Form Survey (SF-36) questionnaire. Cognitive function and depression were assessed using the Mini-Mental State Examination (MMSE) and Patient Health Questionnaire-9 (PHQ-9). The relationship between physical activity and HRQoL in men and women was investigated by a multiple linear regression model. Results A total of 188 older people (M: 50.5%) participated in this study. The mean ages of men and women were 71.9 ± 5.3 and 77.1 ± 6.4 years, respectively ( p  &lt; 0.001). Older women had higher physical activity levels than men (4786.1 ± 1065.6 vs 4422.2 ± 1114.3 kcal/week, p  = 0.023). After adjusting for covariates, multiple linear regression analysis showed that older men with higher physical activity levels had better scores on both the physical component summary (PCS) ( p  = 0.031) and mental component summary (MCS) ( p  = 0.007) than men with lower levels. Furthermore, older men with higher moderate-vigorous physical activity levels had better scores on the PCS than older men with lower activity levels, and older men with higher walking physical activity levels had better scores on the MCS than older men with lower activity levels. Conclusions In this study, older women were more physically active than older men. However, older men (but not older women) with higher physical activity had better HRQoL. 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Kao, Tung-Wei ; Peng, Tao-Chun ; Chang, Yaw-Wen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-f7bc20e8e04cdc5b2d1a96f54c985a651b5480a193bee30388089bab2f6a63ef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cross-Sectional Studies</topic><topic>Exercise</topic><topic>Female</topic><topic>Gender differences</topic><topic>Geriatrics/Gerontology</topic><topic>Health Status</topic><topic>Humans</topic><topic>Independent Living</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Older people</topic><topic>Original Article</topic><topic>Quality of Life</topic><topic>Questionnaires</topic><topic>Regression analysis</topic><topic>Sex Characteristics</topic><topic>Surveys and Questionnaires</topic><topic>Taiwan</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liao, Yi-Hsueh</creatorcontrib><creatorcontrib>Kao, Tung-Wei</creatorcontrib><creatorcontrib>Peng, Tao-Chun</creatorcontrib><creatorcontrib>Chang, Yaw-Wen</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health Medical collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; 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However, the differential effects of gender on quality of life are unclear. Aims: To determine the association between physical activity and HRQoL in men and women. Methods This was a cross-sectional study conducted from March to August 2011. Community-dwelling older people aged 65 years or older were eligible. Physical activity in kcal per week was measured with the International Physical Activity Questionnaire (IPAQ)—Taiwan version. HRQoL was measured with the 36-Item Short Form Survey (SF-36) questionnaire. Cognitive function and depression were assessed using the Mini-Mental State Examination (MMSE) and Patient Health Questionnaire-9 (PHQ-9). The relationship between physical activity and HRQoL in men and women was investigated by a multiple linear regression model. Results A total of 188 older people (M: 50.5%) participated in this study. The mean ages of men and women were 71.9 ± 5.3 and 77.1 ± 6.4 years, respectively ( p  &lt; 0.001). Older women had higher physical activity levels than men (4786.1 ± 1065.6 vs 4422.2 ± 1114.3 kcal/week, p  = 0.023). After adjusting for covariates, multiple linear regression analysis showed that older men with higher physical activity levels had better scores on both the physical component summary (PCS) ( p  = 0.031) and mental component summary (MCS) ( p  = 0.007) than men with lower levels. Furthermore, older men with higher moderate-vigorous physical activity levels had better scores on the PCS than older men with lower activity levels, and older men with higher walking physical activity levels had better scores on the MCS than older men with lower activity levels. Conclusions In this study, older women were more physically active than older men. However, older men (but not older women) with higher physical activity had better HRQoL. The association between physical activity and HRQoL differed between men and women.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>32462499</pmid><doi>10.1007/s40520-020-01597-x</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-8436-0518</orcidid></addata></record>
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subjects Aged
Aged, 80 and over
Cross-Sectional Studies
Exercise
Female
Gender differences
Geriatrics/Gerontology
Health Status
Humans
Independent Living
Male
Medicine
Medicine & Public Health
Older people
Original Article
Quality of Life
Questionnaires
Regression analysis
Sex Characteristics
Surveys and Questionnaires
Taiwan
Women
title Gender differences in the association between physical activity and health-related quality of life among community-dwelling elders
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