Structural equation model of the relationship between functional ability, mental health, and quality of life in older adults living alone

Yi, YuMi; Park, Yeon Hwan

doi:10.1371/journal.pone.0269003

Cited by 11 publications

(9 citation statements)

References 65 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Muscular fitness has been suggested to promote mental HRQoL, specifically for young men [ 35 ]. Strength is a determinant of body function that influences daily living activities and social participation among older adults and therefore could influence their HRQoL [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

Differences in quality of life and fitness level among men and women in the adulthood: a cross-sectional analysis

Alvarez-Bueno,

del Saz-Lara,

Cavero-Redondo

et al. 2024

Arch Public Health

View full text Add to dashboard Cite

Background This study aimed to examine the associations between physical fitness components and health-related quality of life (HRQoL) among adults stratified by sex and age. In addition, we aimed to examine whether these associations change based on socioeconomic, clinical, and biochemical characteristics. Methods A total of 297 participants aged 47.41 (standard deviation: 9.08) years from the “Validity of a Model of Accelerated Vascular Aging as a Cardiovascular Risk Index in Healthy Adults: the EVasCu cross-sectional study” were included in this analysis. HRQoL, physical fitness, socioeconomic status (SES), waist circumference, and blood pressure were measured. Additionally, blood samples were extracted to determine cholesterol, triglyceride, and glycated hemoglobin A1c (HbA1c) levels. Analyses of covariance (ANCOVAs) were estimated to test mean differences in physical and mental health-related health measures (HRQoL) between fitness categories (fixed factors) by sex and age categories. Results The physical HRQoL was related to the levels of fitness parameters among women, independent of age, while for men, it was related to better levels of general fitness and cardiorespiratory fitness among men aged < 50 and men aged ≥ 50, respectively. In contrast, mental HRQoL was related to cardiorespiratory fitness only among women aged < 50 years; speed/agility and flexibility among men aged < 50 years; and general fitness, strength, and flexibility among men aged ≥ 50 years. These data did not change when SES, clinical variables, or biochemical determinations were included in the analyses, neither for the physical nor for the mental HRQoL. Conclusion Gender and age are important factors to be considered when analysing health indicators and influences in the population. In addition, SES, clinical characteristics, and biochemical parameters do not seem to influence the relationship between HRQoL and fitness.

show abstract

Section: Discussionmentioning

confidence: 99%

Differences in quality of life and fitness level among men and women in the adulthood: a cross-sectional analysis

Alvarez-Bueno,

del Saz-Lara,

Cavero-Redondo

et al. 2024

Arch Public Health

View full text Add to dashboard Cite

show abstract

“…Depression was also negatively associated with FOF [11,19,23,[49][50][51][52] and was a factor in uencing HRQOL [21,33,[53][54][55]. In a simple test of the correlation between FOF, depression, and quality of life in the older adults, the correlations between FOF and depression and depression and quality of life were signi cant [56]; we tested the mediating effect of depression on the relationship between FOF and HRQOL based on the correlation between the variables and found a partial mediating effect.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Fear of Falling on Health-Related Quality of Life in Community-Dwelling Older Adults: Mediating Effects of Depression and Moderated Mediating Effects of Physical Activity

Lee,

Kim

2024

Preprint

View full text Add to dashboard Cite

Background The fear of falling is a common issue among older adults that negatively affects both physical and psychological aspects of health-related quality of life, regardless of actual fall events. Interventions aimed at reducing fear of falling, independent of falls, may be effective in improving older adults’ quality of life. This study examined the moderated mediating effect of physical activity in how fear of falling affects health-related quality of life through depression in community-dwelling older adults. The specific purposes are as follows: 1) To evaluate the mediating effect of depression in the relationship between fear of falling and health-related quality of life; 2) To examine the moderating effect of physical activity on the relationship between depression and health-related quality of life. 3) To assess the moderated mediating effect of physical activity on fear of falling’s effect on health-related quality of life by mediating depression. Methods This study used secondary data from the Korea Centers for Disease Control and Prevention’s 2019 Community Health Survey. A total of 73,738 adults aged 65 years or older were included. Fear of Falling, International Physical Activity Questionnaire, Patient Health Questionnaire-9, and EuroQol 5 Dimension were used as research tools. Descriptive statistics, Pearson’s correlation coefficient, and SPSS PROCESS macro analysis were performed. For the adjusted mediating effect, samples were re-sampled 5,000 times by the bootstrapping method, and statistical significance was determined by setting a 95% confidence interval. Results In the model in which fear of falling affects health-related quality of life by mediating depression, the moderated mediating effect of physical activity was statistically significant as the bootstrapping result did not include 0 in the 95% confidence interval (Index of moderated mediation [95% CI] = 0.006 [0.004–0.007], 0.008 [0.006–0.009]). Depression and health-related quality of life impairment decreased as the level of physical activity increased through inactivity, minimal activity, and health promotion activities, as the negative mediating effects decreased. Conclusion Physical activity reduces depression and improves health-related quality of life by influencing older adults’ fear of falling. Community-based programs are needed to encourage and support older adults in maintaining moderate physical activity to manage the depression caused by fear of falling, common among older adults, and to improve their health-related quality of life.

show abstract

“…In addition, our study suggests that the development of depression partly influences the development of activity participation. One possible explanation is that depression seriously affects the physical health of patients [ 51 ], and physical health is directly related to the activity participation of middle-aged and elderly people [ 52 ].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Activity Participation in Middle-Aged and Older People on the Trajectory of Depression in Later Life: National Cohort Study

Gao¹,

Jia²,

Zhao³

et al. 2023

JMIR Public Health Surveill

View full text Add to dashboard Cite

Background More activity participation is an important means of handling depression and promoting positive aging, but the impact of changes in activity participation on the developmental trajectory of depression has not been fully studied. Objective The purpose of this study is to study the relationship between current activity participation and depression in middle-aged and older people (≥45 years old) and the relationship between activity participation and the developmental trajectory of depression in later life in China. Methods This study used data from the China Health and Retirement Longitudinal Study (CHARLS) across 7 years and included a total of 4818 middle-aged and older people (≥45 years old). Controlling for relevant control variables, the latent growth curve model and the cross-lag model were used to assess the effect of changes in activity participation on the depression trajectory in later life and the main lag relationship between activity participation and depression. Activity participation as well as depression were measured using the self-reported activity and health status based on the CHARLS questionnaire. Results Among the 4818 respondents, the mean values of physical activity participation, social leisure activity participation, and depression ranged from 76.98 (SD 15.16) to 83.95 (SD 5.72), from 7.43 (SD 8.67) to 9.25 (SD 10.16), and from 7.61 (SD 5.72) to 8.82 (SD 6.51), respectively. Our findings revealed that activity participation could be related to depression. Physical activity participation predicted initial depression (β=–0.631, P<.001) and its trajectory (β=0.461, P<.001). However, social leisure activity participation predicted initial depression (β=–0.223, P<.001) but did not predict its trajectory (β=0.067, P=.159). Finally, cross-lag regression analysis further demonstrated the predictive effect of activity participation on depression. Conclusions This study demonstrates the prediction of activity participation for future depression in the Chinese middle-aged and older populations. The data showed that activity participation is significantly associated with changes in depression and future depression among middle-aged and older people in China. The Chinese government should encourage middle-aged and older people to participate in various activities, which can effectively prevent the aggravation of depression and also have a positive significance for positive aging.

show abstract

Structural equation model of the relationship between functional ability, mental health, and quality of life in older adults living alone

Cited by 11 publications

References 65 publications

Differences in quality of life and fitness level among men and women in the adulthood: a cross-sectional analysis

Differences in quality of life and fitness level among men and women in the adulthood: a cross-sectional analysis

The Impact of Fear of Falling on Health-Related Quality of Life in Community-Dwelling Older Adults: Mediating Effects of Depression and Moderated Mediating Effects of Physical Activity

The Effect of Activity Participation in Middle-Aged and Older People on the Trajectory of Depression in Later Life: National Cohort Study

Contact Info

Product

Resources

About