Factors Associated with Poor Health-Related Quality of Life in Physically Active Older People

Valdés-Badilla, Pablo; Alarcón-Rivera, Miguel; Hernández-Martínez, Jordan; Herrera-Valenzuela, Tomás; Branco, Bráulio Henrique Magnani; Núñez-Espinosa, Cristián; Guzmán-Muñoz, Eduardo

doi:10.3390/ijerph192113799

Cited by 9 publications

(5 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nonetheless, although the participants presented favorable baseline values for most HRQoL dimensions, they showed improved mental health in the TKD and improved general health in both the TKD and MCT post-intervention. This observation is significant as it has been linked to poor morphological variables and physical fitness; for example, among the HRQoL dimensions, body mass, waist circumference, back scratch test, and TUG were significantly associated with low mental and general health in physically active older women ( 35 ). Furthermore, our findings are consistent with interventions based on Olympic combat sports ( 7 ) and multicomponent training ( 16 ), which have reported beneficial small-to-moderate ES on HRQoL in middle-aged and older people.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Impact of adapted taekwondo vs. multicomponent training on health status in independent older women: a randomized controlled trial

Valdés-Badilla,

Guzmán-Muñoz,

Herrera-Valenzuela

et al. 2023

Front. Public Health

Self Cite

View full text Add to dashboard Cite

This study, called the TKD and Aging Project, aimed to analyze and compare the effects of an adapted taekwondo program concerning multicomponent training on blood pressure, morphological variables, food consumption frequency, health-related quality of life (HRQoL), physical fitness, handgrip strength, and postural balance in independent older women. A randomized controlled trial study was conducted with parallel groups for 8 weeks (24 sessions of 60 min each), employing a double-blind design and incorporating repeated measures. Twenty-eight older women initially participated in the intervention. Three participants were excluded because they did not participate in the re-assessments. Thus, 14 older women from the adapted taekwondo group (TKD; age: 62.86 ± 2.38 years) and 11 from the multicomponent training group (MCT; age: 63.18 ± 1.94 years) participated in the final analysis. A two-factor mixed analysis of variance (ANOVA) model with repeated measures was performed to measure the time × group effect. The TKD showed significant improvements in the mental health (p = 0.024; ES = 0.91) and general health (p < 0.001; ES = 0.75) dimensions of the HRQoL, as well as in the chair stand (p = 0.001; ES = 1.18), arm curl (p < 0.001; ES = 2.10), 2-min step (p < 0.001; ES = 1.73), and chair sit-and-reach (p = 0.001; ES = 0.91) tests. Additionally, it showed a significant reduction in postural balance for the eyes-closed condition in the center of the pressure area (p = 0.021; ES = 0.89), mean velocity (p = 0.004; ES = 0.79), and mediolateral velocity (p < 0.001; ES = 1.26). However, the MCT showed significant increases in the general health (p = 0.013; ES = 0.95) dimension of the HRQoL and a significant reduction (p = 0.039; ES = 0.28) in the mediolateral velocity of postural balance for the eyes-closed condition. Multiple comparisons showed that the TKD scored significantly higher in the chair stand (p = 0.017; ES = 1.79), arm curl (p = 0.003; ES = 1.77), and 2-min step (p = 0.018; ES = 0.91) tests than the MCT. Compared to multicomponent training, taekwondo improves postural balance and provides better benefits in terms of physical fitness and HRQoL for older women. Therefore, it is possible to recommend it as a safe physical activity strategy, as long as it is well-dosed, since it showed high adherence to intervention in older women.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Older women are a vulnerable group facing the perception of HRQoL because they face more adverse and traumatic life events than older men, along with more frequent negative thoughts and intrusive memories than older men ( 36 ). Hence, participating in regular physical activity programs can help promote their general wellbeing ( 35 ).…”

Section: Discussionmentioning

confidence: 99%

Impact of adapted taekwondo vs. multicomponent training on health status in independent older women: a randomized controlled trial

Valdés-Badilla,

Guzmán-Muñoz,

Herrera-Valenzuela

et al. 2023

Front. Public Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…Results similar to those obtained by de Araújo Amaral, Amaral, Monteiro, de Vasconcellos, and Portela [16] reported that higher physical activity led to a higher HGS in the dominant hands (OR = 1.75; 95%CI = 1.08 to 2.84, p = 0.007) of Brazilian older people. Both gains in HGS, TUG, and walking speed performance have been associated with increased autonomy and a better health-related quality of life in older people [12,37,38]. Therefore, it is vital to carry out activities to reduce the risk of functional dependence as a health problem in the geriatric population [39].…”

Section: Discussionmentioning

confidence: 99%

“…However, leading an active and healthy lifestyle while aging through regular physical activity of moderate intensity (≥150 to 300 min per week) and/or vigorous intensity (≥75 to 150 min per week) or their combination [8] leads to lower cardiometabolic risk [9], lower body fat percentage and higher lean mass [10], and improved physical performance in older people [11], which together can affect their autonomy and health-related quality of life [12]. In a systematic review with a meta-analysis conducted by Kazeminia et al [13], a lower risk of hypertension was reported with moderate (OR = 0.89; 95%CI = 0.80 to 0.99; p < 0.05) and vigorous (OR = 0.82; 95%CI = 0.73 to 0.93; p ≤ 0.01) physical activity in older people.…”

Section: Introductionmentioning

confidence: 99%

Association between Physical Activity Habits with Cardiometabolic Variables, Body Composition, and Physical Performance in Chilean Older Women

Hernandez-Martinez,

González-Castillo,

Herrera-Valenzuela

et al. 2023

IJERPH

Self Cite

View full text Add to dashboard Cite

This study aimed to associate physical activity habits with cardiometabolic variables (blood pressure, fasting glucose, HDL cholesterol, and triglycerides), body composition (body fat percentage and fat-free mass), and physical performance (handgrip strength (HGS), timed up-and-go (TUG), and walking speed) in Chilean older women. An analytical cross-sectional study analyzed 179 older women with a mean age of 75.4 years distributed into physically inactive (PI) older women (n = 74) and physically active (PA) older women (n = 105). A logistic regression showed that PI older women presented an increased risk of hyperglycemia (OR = 4.70; p = 0.000), high blood pressure (OR = 3.83; p = 0.000), low HDL cholesterol levels (OR = 2.13; p = 0.03), hypertriglyceridemia (OR = 2.54; p = 0.01), excess body fat percentage (OR = 4.33; p = 0.000), low fat-free mass (OR = 2.22; p = 0.02), low HGS in their dominant hand (OR = 3.37; p = 0.001) and non-dominant hand (OR = 3.60; p = 0.0001), and poor performance in TUG (OR = 5.60; p = 0.000) and walking speed (OR = 5.52; p = 0.000). In conclusion, physical inactivity was associated with increased cardiometabolic risk, excess body fat percentage, lower fat-free mass, and poorer physical performance in Chilean older women. At the same time, PA older women showed a lower cardiometabolic risk, better body composition, and better physical performance than PI older women.

show abstract

“…Other factors relevant to aging were not included, given the lack of a minimum available number of reports. A complete list of studies included in all analyses for cognition 1, and functional ability 1,28,[50][51][52][53][54][55][56][57] is included here and further described in Supplementary Table 1.…”

mentioning

confidence: 99%

Healthy aging meta-analyses and scoping review of risk factors across Latin America reveal large heterogeneity and weak predictive models

Ibanez,

Maito,

Botero-Rodríguez

et al. 2024

Nat Aging

View full text Add to dashboard Cite

Models of healthy aging are typically based on the United States and Europe and may not apply to diverse and heterogeneous populations. In this study, our objectives were to conduct a meta-analysis to assess risk factors of cognition and functional ability across aging populations in Latin America and a scoping review focusing on methodological procedures. Our study design included randomized controlled trials and cohort, case–control and cross-sectional studies using multiple databases, including MEDLINE, the Virtual Health Library and Web of Science. From an initial pool of 455 studies, our meta-analysis included 38 final studies (28 assessing cognition and 10 assessing functional ability, n = 146,000 participants). Our results revealed significant but heterogeneous effects for cognition (odds ratio (OR) = 1.20, P = 0.03, confidence interval (CI) = (1.0127, 1.42); heterogeneity: I2 = 92.1%, CI = (89.8%, 94%)) and functional ability (OR = 1.20, P = 0.01, CI = (1.04, 1.39); I2 = 93.1%, CI = (89.3%, 95.5%)). Specific risk factors had limited effects, especially on functional ability, with moderate impacts for demographics and mental health and marginal effects for health status and social determinants of health. Methodological issues, such as outliers, inter-country differences and publication bias, influenced the results. Overall, we highlight the specific profile of risk factors associated with healthy aging in Latin America. The heterogeneity in results and methodological approaches in studying healthy aging call for greater harmonization and further regional research to understand healthy aging in Latin America.

show abstract

Factors Associated with Poor Health-Related Quality of Life in Physically Active Older People

Cited by 9 publications

References 34 publications

Impact of adapted taekwondo vs. multicomponent training on health status in independent older women: a randomized controlled trial

Impact of adapted taekwondo vs. multicomponent training on health status in independent older women: a randomized controlled trial

Association between Physical Activity Habits with Cardiometabolic Variables, Body Composition, and Physical Performance in Chilean Older Women

Healthy aging meta-analyses and scoping review of risk factors across Latin America reveal large heterogeneity and weak predictive models

Contact Info

Product

Resources

About