Physical activity, self-efficacy, and quality of life in older Czech adults

Abstract

Despite efforts to expand global physical activity (PA) surveillance data to include both low-and high-income countries worldwide, our understanding of the relationship between PA and quality of life (QOL) in older adults from culturally diverse backgrounds is limited. We tested McAuley's social-cognitive model of the PA-QOL relationship in the cultural context of the Czech Republic, a post-communist central European country. A total of 546 older Czech adults (mean age 68 years) completed a battery of questionnaires assessing indicators of PA, self-efficacy, health status, and global QOL. A structural equation model was used to test the relationship between PA and QOL. The model hypothesized an indirect relationship between PA and QOL: PA predicted self-efficacy, which in turn predicted global QOL through mental and physical health status. The analyses indicated an acceptable fit of the proposed model, albeit with different emphases than those of studies from Western countries. Above all, we observed a stronger effect of PA on self-efficacy and a weaker mediating effect of health status on the PA-QOL relationship. Our findings supported the validity of McAuley's PA-QOL social-cognitive model for a non-Western cultural context. However, it seems that self-efficacy and health status may influence the PA-QOL relationship in this population in a manner different from that proposed in McAuley's model.

Relationship Between Self-Efficacy and Self-Esteem in Patients With Cancer

“…For example, one study found a significant relationship between self-efficacy and academic performance (Lane, Lane & Kyprianou 2004). The relationship between self-efficacy and quality of life has also been identified in some studies (Kiaei et al 2016;Mudrak et al 2016;Yeung & Lu 2014). In another study, the positive effect of self-efficacy on postsurgical complications in lung cancer was addressed (Hoffman et al 2017).…”

Predictors of health-related quality of life in Chinese patients receiving treatment for neovascular age-related macular degeneration: A Prospective Longitudinal study

“…We assessed the effect of self-e cacy and found it has a positive effect on quality of life at 1-, 3-, and 6-month follow-ups. Self-e cacy refers to the extent to which people believe their actions will lead to a certain outcome, which means the expectation that an individual can successfully perform a certain behaviour [43]. With the treatment's progression, patients with a high level of self-e cacy regarded con icts and di culties as a chance to improve their abilities and had greater con dence in the success of the treatment.…”

Physical fitness of women over 50 years of age and self-esteem quality of life and health

“…Age-related changes in results of 8-foot up and go in groups of women in relation to their self-evaluations of health and quality of life range of motion in the joints are, in addition to strength, the basis for performing everyday activities and participation in social life. Significant differences in the cultural and social conditions and the quality of life of older people are highlighted by Mudrak et al [13]. The authors emphasize significant differences in the quality of life and physical activity in the community of elderly people from Central Europe (post-communist countries) in comparison to seniors from Western Europe or North America.…”

“…Direct support for elderly people in undertaking physical and mental activity, developing passions, finding new interests, which is especially important with the end of professional work, can be obtained, among other places, in senior clubs and universities of the third age. As shown by numerous studies of older people actively involved in these facilities, undertaking new tasks reduces the risk of depression, reduces the feeling of loneliness, as a result of making new acquaintances, improves functioning in a social group, increases satisfaction and self-confidence, and consequently improves the quality of life of a senior citizen [4,10,12,13].…”